Validity and reliability of the Korean version of the Quality of Recovery-15 questionnaire

Lee, Jun Ho; Ki, Min-Jong; Choi, Seungseo; Woo, Cheol Jong; Kim, Deokkyu; Lim, Hyungsun; Kim, Dong-Chan

doi:10.4097/kja.20435

Cited by 21 publications

(27 citation statements)

References 25 publications

(10 reference statements)

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“…The QoR-15I also proved to be a reliable instrument for assessing quality of recovery, with good internal consistency as measured by a Cronbach's α of 0.85 and ω t of 0.84 (Cohen, 1988;Reise et al, 2013). Consistent with previous studies (Stark et al, 2013;Kleif et al, 2015;Lyckner et al, 2018;Lee et al, 2021), ceiling and floor effects were not observed with the QoR-15I, allowing good discrimination of patients with different levels of recovery. The successful completion rate (92%) suggests good feasibility.…”

Section: Discussionsupporting

confidence: 80%

“…In this case, the results also supported the essential unidimensionality of the QoR-15. The QoR-15 has already been translated and validated in several languages (Kleif et al, 2015;Sá et al, 2015;Bu et al, 2016;Lyckner et al, 2018;Demumieux et al, 2020;Lee et al, 2021), but the Italian translation and validation was not yet available at the time we designed the study.…”

Section: Introductionmentioning

confidence: 99%

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Factor structure of post-operative quality of recovery questionnaire (QoR-15): An Italian adaptation and validation

et al. 2023

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BackgroundThe Quality of Recovery questionnaire (QoR-15) is an English instrument for measuring quality of recovery in surgical patients, not yet translated and validated in Italian when the Enhanced Recovery After Surgery (ERAS) Piemonte studies were planned.ObjectiveTo produce the Italian version of the QoR-15 questionnaire, to evaluate its factorial structure and to assess the invariance between two types of surgery.MethodsThe Italian version (QoR-15I) was obtained translating and adapting the original version to the Italian context. The validation was performed suppling the QoR-15I to 3,784 patients enrolled in two parallel stepped wedge cluster randomised trials (ERAS Colon-rectum Piemonte; ERAS Gyneco Piemonte). The factor structure and its invariance between types of surgery was tested using confirmatory bifactor model and multi-group analysis. Comparative fit index (CFI), root mean square error of approximation (RMSEA), and standardized root mean square residual (SRMR) fit indices and their changes between nested models were used to assess the factor structure and the invariance.ResultsThe bifactor model showed good fit (RMSEA = 0.049, CFI =0.957, SRMR = 0.036) and provided a general recovery factor and two specific factors for physical and mental recovery. Eighty-four percent of the common variance is attributable to the general factor, and thus the QoR-15I is sufficiently ‘one-dimensional’ with an adequate reliability (ωh = 0.70). The ωs values for the physical and mental recovery factors were 0.01 and 0.13, respectively. Multigroup analysis supported configural (RMSEA = 0.053, CFI = 0.950, SRMR = 0.035) and metric invariance (ΔRMSEA = -0.004; ΔCFI = -0.002; ΔSRMR = 0.014), whereas the intercept constraint was removed from item 15 to obtain partial scalar invariance (ΔRMSEA = 0.002; ΔCFI = 0.007; ΔSRMR = 0.004). Construct validity was supported by a negative association of QoR-15I scores with all variables related to worse patient condition and more complex surgery.ConclusionOur results support the use of the QoR-15I as a valid, reliable, and clinically feasible tool for measuring the quality of recovery after surgery. The results of the confirmatory factor analyses suggest that a unique recovery score can be calculated and support measurement invariance of the QOR-15I across the two type of surgery, suggesting that the questionnaire has the same meaning and the same measurement parameters in colorectal and gynaecologic patients.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Factor structure of post-operative quality of recovery questionnaire (QoR-15): An Italian adaptation and validation

et al. 2023

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“…Although various QoR scales have been developed, the 9-item QoR score, 15-item QoR-15 scale, and the 40- item QoR-40 scale are the most extensively studied scores. [ 12 ]…”

Section: Metrics Of the Functional Outcomes And Quality Of Recovery P...mentioning

confidence: 99%

“…The reliability of QoR-15 is comparable with the QoR-40 scale but is responsive more to change. [ 12 ] Hence, both the scales are recommended as outcome measures in research based on patient comfort postoperatively. Nevertheless, in a study published in a past issue of the IJA, the authors have compared the effect of erector spinae block and pectoralis block on QoR using the QoR-40 scale and concluded that the global QoR-40 at 24 h shows a significantly better outcome via providing an efficacious analgesia regimen.…”

Section: Metrics Of the Functional Outcomes And Quality Of Recovery P...mentioning

confidence: 99%

Functional outcomes and quality of recovery after anaesthesia and surgery – Outreaching towards protracted goals

Sharma¹,

Moied²,

Raikwar³

et al. 2022

Indian J Anaesth

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“…This culminates in a routine practice of post-anesthesia care unit patient transfer protocol or guidelines in facilitating an acceptably short duration of PACU stay time, in relation to patient fitness for transfer to the respective ward, which is conventionally practiced as a subjective evaluation of discharge fitness and safe hemodynamic measurements by nurses. 2,4,5 The post-anesthesia care standards usually stress the role of anesthetists, or anesthesiologists; but the role of nurses in patient care at post-anesthesia care unit needs to focus on the provision of post-anesthetic nursing care. Therefore, promoting nursing care on the scientific grounds of practice is a framework for proper and better care delivery.…”

mentioning

confidence: 99%

Compliance to Post-Anesthesia Care Unit Discharge Score Practice Among Nurses at Post-Anesthesia Care Unit in the Jimma Medical Center in Ethiopia: A Best Practice Implementation Project, 2021

Ilala¹,

Kebede²,

Ayano³

et al. 2022

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Background: PACU discharge score criteria facilitate a risk safe and timely discharge of surgical patients under satisfactory safety conditions, thereby improving post-operative patient outcomes and requiring minimum resources. The aim of this best practice study was to provide best evidence-based practice on post-anesthesia discharge score criteria among nurses at the post-anesthesia care unit in the Jimma Medical Center. Methods: An audit and re-audit inter-professional study was employed. Twenty-four post-anesthesia care unit nurses were interviewed for baseline audit and 118 post-anesthesia care unit discharge scoring opportunities were observed for follow-up audit using three audit criteria. Results: First stage of the audit showed a performance of 37.5% for successful pain assessment, level of consciousness, nausea, vomiting, and blood pressure prior to patient discharge from the post-anesthesia care unit, and 62.5% for routine use of discharge criteria score to determine discharge readiness of patients from the post-anesthesia care unit. Re-audit results revealed an average of 40% improvement of the audit criteria practice toward post-anesthesia care unit discharge score. Conclusion:This study revealed that the use of various strategies such as role modeling, posting reminders about PACU discharge criteria, and presenting guidelines to the recovery teams resulted in improved practice toward best available evidence for postanesthesia care unit discharge score practice. Including the stakeholders in determining the strategies to upgrade practice is crucial in the accomplishment of promoting successful PACU discharge score. To ensure sustainable compliance to successful PACU discharge score criteria, a planned schedule of random report was employed by the clinical team.

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Validity and reliability of the Korean version of the Quality of Recovery-15 questionnaire

Cited by 21 publications

References 25 publications

Factor structure of post-operative quality of recovery questionnaire (QoR-15): An Italian adaptation and validation

Factor structure of post-operative quality of recovery questionnaire (QoR-15): An Italian adaptation and validation

Functional outcomes and quality of recovery after anaesthesia and surgery – Outreaching towards protracted goals

Compliance to Post-Anesthesia Care Unit Discharge Score Practice Among Nurses at Post-Anesthesia Care Unit in the Jimma Medical Center in Ethiopia: A Best Practice Implementation Project, 2021

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