Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS)
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451 |
Resumo: | Introduction: The Postoperative Quality Recovery Scale is a brief instrument of six domains designed to assess quality of recovery from early to long term after surgery. This study aims to validate the Portuguese version of the Postoperative Quality Recovery Scale.Material and Methods: In this observational study 101 adult patients undergoing elective surgery completed the Postoperative Quality Recovery Scale at 15 minutes and 40 minutes, one and three days after surgery. Three constructs were assessed for validity: increased recovery over time; effect of gender and recovery association with muscle strength. Reliability, responsiveness, feasibility and acceptability were also assessed.Results: Construct validity was shown by increased recovery over time; worse recovery for female patients in emotive, nociceptive, activities of daily living and overall recovery; improved muscle strength in recovered patients. Internal consistency for activities of daily living was acceptable at all-time points (Cronbach’s α value of 0.772 or higher), indicating scale reliability. The scale was able to detect differences in postoperative quality of recovery between the neuromuscular blockade reversal agents, neostigmine and sugammadex, indicating scale responsiveness. The time to conduct the Portuguese version at baseline was 95 - 581 seconds (median 319 seconds) and it was reduced with subsequent assessments. The proportion of patients completing all scale items was 87%, 75%, 65% and 94% for the four time periods evaluated, indicating scale feasibility and acceptability.Discussion: This study shows that the Portuguese version of the Postoperative Quality Recovery Scale, demonstrates construct validity, reliability, responsiveness, feasibility and acceptability.Conclusions: This study allowed validation of the Portuguese version of the Postoperative Quality Recovery Scale. |
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Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS)Validação da Versão Portuguesa da Escala da Qualidade da Recuperação Pós-Operatória (PostopQRS)Anesthesia Recovery PeriodNeuropsychological TestsPortugalPostoperative PeriodRecovery of FunctionSurveys and QuestionnaireInquéritos e QuestionáriosPeríodo de Recuperação da AnestesiaPortugalPeríodo Pós-OperatórioRecuperação de Função FisiológicaTestes NeuropsicológicosIntroduction: The Postoperative Quality Recovery Scale is a brief instrument of six domains designed to assess quality of recovery from early to long term after surgery. This study aims to validate the Portuguese version of the Postoperative Quality Recovery Scale.Material and Methods: In this observational study 101 adult patients undergoing elective surgery completed the Postoperative Quality Recovery Scale at 15 minutes and 40 minutes, one and three days after surgery. Three constructs were assessed for validity: increased recovery over time; effect of gender and recovery association with muscle strength. Reliability, responsiveness, feasibility and acceptability were also assessed.Results: Construct validity was shown by increased recovery over time; worse recovery for female patients in emotive, nociceptive, activities of daily living and overall recovery; improved muscle strength in recovered patients. Internal consistency for activities of daily living was acceptable at all-time points (Cronbach’s α value of 0.772 or higher), indicating scale reliability. The scale was able to detect differences in postoperative quality of recovery between the neuromuscular blockade reversal agents, neostigmine and sugammadex, indicating scale responsiveness. The time to conduct the Portuguese version at baseline was 95 - 581 seconds (median 319 seconds) and it was reduced with subsequent assessments. The proportion of patients completing all scale items was 87%, 75%, 65% and 94% for the four time periods evaluated, indicating scale feasibility and acceptability.Discussion: This study shows that the Portuguese version of the Postoperative Quality Recovery Scale, demonstrates construct validity, reliability, responsiveness, feasibility and acceptability.Conclusions: This study allowed validation of the Portuguese version of the Postoperative Quality Recovery Scale.Introdução: A Escala da Qualidade da Recuperação Pós-Operatória é um instrumento de seis domínios, desenhada para avaliar a qualidade da recuperação no período pós-operatório precoce e tardio. Este estudo teve como objetivo validar a versão portuguesa da Escala da Qualidade da Recuperação Pós-Operatória.Material e Métodos: Neste estudo observacional foi obtida uma amostra de 101 doentes adultos submetidos a cirurgia eletiva e que preencheu a Escala da Qualidade da Recuperação Pós-Operatória aos 15 e 40 minutos, um e três dias após a cirurgia. Três teorias foram avaliadas para aferir a validade teórica da escala: aumento da recuperação ao longo do tempo, efeito do género e a associação da recuperação com a força muscular. Foram também avaliadas a fiabilidade, poder de resposta, viabilidade e aceitabilidade.Resultados: A validade teórica foi demonstrada pelo aumento da recuperação ao longo do tempo, assim como uma pior recuperação para doentes do sexo feminino em atividades emotivas, nociceptivas, diárias e de recuperação geral. Detetou-se ainda uma melhoria da força muscular em doentes recuperados. A coerência interna no domínio das atividades da vida diária foi aceitável em todos os tempos (valor α de Cronbach de 0,772 ou superior), indicando a fiabilidade da escala. Com esta escala foi possível detetar diferenças na qualidade pós-operatória da recuperação entre os agentes de reversão de bloqueio neuromuscular, a neostigmina e o sugammadex, indicando que a escala apresenta poder de resposta. O tempo para aplicar a versão portuguesa no período inicial (baseline) foi de 95 - 581 segundos (mediana 319 segundos) com uma diminuição em avaliações subsequentes. A proporção de doentes que completaram todos os itens da escala foi de 87%, 75%, 65% e 94% nos quatro períodos avaliados, indicando viabilidade e aceitabilidade da escala.Discussão: A versão portuguesa da Escala da Qualidade da Recuperação Pós-Operatória demonstrou ter validade, fiabilidade, poder de resposta, viabilidade e aceitabilidade.Conclusões: Este estudo permitiu a validação da versão Portuguesa da Escala da Qualidade da Recuperação Pós-Operatória.Ordem dos Médicos2018-10-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/x-ms-bmpimage/x-ms-bmpimage/x-ms-bmpimage/x-ms-bmpimage/x-ms-bmpapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451oai:ojs.www.actamedicaportuguesa.com:article/9451Acta Médica Portuguesa; Vol. 31 No. 10 (2018): October; 551-561Acta Médica Portuguesa; Vol. 31 N.º 10 (2018): Outubro; 551-5611646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/5528https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/5508https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9513https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9514https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9515https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9516https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9517https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9835https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/10614Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessBiscaia, AndréAmorim, PedroEsteves, SimãoLagarto, FilipaGomes, BlandinaBismarck, JoséRodrigues, NunoNogueira, MafaldaRoyse, Colin F.2022-12-20T11:05:45Zoai:ojs.www.actamedicaportuguesa.com:article/9451Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:43.134913Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) Validação da Versão Portuguesa da Escala da Qualidade da Recuperação Pós-Operatória (PostopQRS) |
title |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) |
spellingShingle |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) Biscaia, André Anesthesia Recovery Period Neuropsychological Tests Portugal Postoperative Period Recovery of Function Surveys and Questionnaire Inquéritos e Questionários Período de Recuperação da Anestesia Portugal Período Pós-Operatório Recuperação de Função Fisiológica Testes Neuropsicológicos |
title_short |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) |
title_full |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) |
title_fullStr |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) |
title_full_unstemmed |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) |
title_sort |
Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS) |
author |
Biscaia, André |
author_facet |
Biscaia, André Amorim, Pedro Esteves, Simão Lagarto, Filipa Gomes, Blandina Bismarck, José Rodrigues, Nuno Nogueira, Mafalda Royse, Colin F. |
author_role |
author |
author2 |
Amorim, Pedro Esteves, Simão Lagarto, Filipa Gomes, Blandina Bismarck, José Rodrigues, Nuno Nogueira, Mafalda Royse, Colin F. |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Biscaia, André Amorim, Pedro Esteves, Simão Lagarto, Filipa Gomes, Blandina Bismarck, José Rodrigues, Nuno Nogueira, Mafalda Royse, Colin F. |
dc.subject.por.fl_str_mv |
Anesthesia Recovery Period Neuropsychological Tests Portugal Postoperative Period Recovery of Function Surveys and Questionnaire Inquéritos e Questionários Período de Recuperação da Anestesia Portugal Período Pós-Operatório Recuperação de Função Fisiológica Testes Neuropsicológicos |
topic |
Anesthesia Recovery Period Neuropsychological Tests Portugal Postoperative Period Recovery of Function Surveys and Questionnaire Inquéritos e Questionários Período de Recuperação da Anestesia Portugal Período Pós-Operatório Recuperação de Função Fisiológica Testes Neuropsicológicos |
description |
Introduction: The Postoperative Quality Recovery Scale is a brief instrument of six domains designed to assess quality of recovery from early to long term after surgery. This study aims to validate the Portuguese version of the Postoperative Quality Recovery Scale.Material and Methods: In this observational study 101 adult patients undergoing elective surgery completed the Postoperative Quality Recovery Scale at 15 minutes and 40 minutes, one and three days after surgery. Three constructs were assessed for validity: increased recovery over time; effect of gender and recovery association with muscle strength. Reliability, responsiveness, feasibility and acceptability were also assessed.Results: Construct validity was shown by increased recovery over time; worse recovery for female patients in emotive, nociceptive, activities of daily living and overall recovery; improved muscle strength in recovered patients. Internal consistency for activities of daily living was acceptable at all-time points (Cronbach’s α value of 0.772 or higher), indicating scale reliability. The scale was able to detect differences in postoperative quality of recovery between the neuromuscular blockade reversal agents, neostigmine and sugammadex, indicating scale responsiveness. The time to conduct the Portuguese version at baseline was 95 - 581 seconds (median 319 seconds) and it was reduced with subsequent assessments. The proportion of patients completing all scale items was 87%, 75%, 65% and 94% for the four time periods evaluated, indicating scale feasibility and acceptability.Discussion: This study shows that the Portuguese version of the Postoperative Quality Recovery Scale, demonstrates construct validity, reliability, responsiveness, feasibility and acceptability.Conclusions: This study allowed validation of the Portuguese version of the Postoperative Quality Recovery Scale. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-10-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451 oai:ojs.www.actamedicaportuguesa.com:article/9451 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/9451 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/5528 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/5508 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9513 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9514 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9515 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9516 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9517 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/9835 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9451/10614 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2018 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2018 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf image/x-ms-bmp image/x-ms-bmp image/x-ms-bmp image/x-ms-bmp image/x-ms-bmp application/pdf application/pdf |
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Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 31 No. 10 (2018): October; 551-561 Acta Médica Portuguesa; Vol. 31 N.º 10 (2018): Outubro; 551-561 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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