scholarly journals Validation of the Portuguese Version of the Postoperative Quality Recovery Scale (PostopQRS)

2018 ◽  
Vol 31 (10) ◽  
pp. 551
Author(s):  
André Biscaia ◽  
Pedro Amorim ◽  
Simão Esteves ◽  
Filipa Lagarto ◽  
Blandina Gomes ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Construct Validity ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Elective Surgery ◽  
Portuguese Version ◽  
Quality Of Recovery ◽  
Postoperative Quality ◽  
Over Time

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.

scholarly journals Influence of Hemoglobin Level on Muscle and Physical Functions, Activities of Daily Living, and Quality of Life in Patients With Hematological Malignancies

2019 ◽  
Vol 18 ◽  
pp. 153473541984219 ◽  
Author(s):  
Takuya Fukushima ◽  
Jiro Nakano ◽  
Shun Ishii ◽  
Ayumi Natsuzako ◽  
Haruna Kawachi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Muscle Strength ◽  
Activities Of Daily Living ◽  
Physical Function ◽  
Daily Living ◽  
Hematological Malignancies ◽  
Physical Symptoms ◽  
Significant Difference ◽  
Physical Functions

Purpose. Patients with hematological malignancies often present with reduced muscle and physical functions, which are caused by the disease or related treatment. Moreover, patients with hematological malignancies rapidly develop low hemoglobin levels, and this may affect muscle and physical functions. This study aimed to identify the influence of hemoglobin levels on muscle and physical functions in patients with hematological malignancies. Methods. Using a cross-sectional study design, this study included 60 patients with hematological malignancies (mean age = 68.0 ± 10.2 years, women 56.7%) who were hospitalized for chemotherapy- and radiotherapy-related side effects and underwent examination for skeletal muscle mass (SMM), muscle strength, physical function, activities of daily living (ADLs), psychological status, and quality-of-life (QOL), including physical symptoms. Participants were divided into 3 groups according to tertiles of hemoglobin levels: low (n = 19), middle (n = 20), and high (n = 21). Evaluation items were compared among the 3 groups. Results. There was no significant difference among the 3 groups in terms of SMM. The low hemoglobin group showed significantly higher values of fatigue and dyspnea and lower values of muscle strength, ADLs, and QOL than the high hemoglobin group. Conclusions. Hemoglobin levels did not affect SMM; however, muscle weakness, decrease in physical function, physical symptoms such as fatigue and dyspnea, and decline in ADLs and QOL were observed in patients with low hemoglobin levels.

scholarly journals Quality of Recovery after Anesthesia: Validation of the Portuguese Version of the “Quality of Recovery 15” Questionnaire

2015 ◽  
Vol 28 (5) ◽  
pp. 567 ◽  
Author(s):  
Ana Carolina Sá ◽  
Gabriela Sousa ◽  
Alice Santos ◽  
Cristina Santos ◽  
Fernando José Abelha
Keyword(s):  
Elective Surgery ◽  
Length Of Hospital Stay ◽  
Poor Quality ◽  
Portuguese Version ◽  
Quality Of Recovery ◽  
Institutional Ethics ◽  
Reliable Assessment ◽  
Locoregional Anesthesia ◽  
Good Internal Consistency

<p><strong>Background: </strong>The “Quality of Recovery 15” questionnaire is used for the study of quality recovery after anesthesia. The aim of this study was to validate the Portuguese version of “Quality of Recovery 15” questionnaire.<br /><strong>Material and Methods:</strong> After study approval by the institutional ethics committee, an observational and cohort prospective study was conducted on patients scheduled for elective surgery from June to August 2013. The “Quality of Recovery 15” questionnaire was translated in accordance with available guidelines. The “Quality of Recovery 15” Portuguese version was used before surgery (T0) and 24h postoperatively (T1) on 170 patients. Patients who were unable to give informed consent or had cognitive impairment were excluded. Poor quality of recovery was defined for “Quality of Recovery 15” score at T1 lower than the mean “Quality of Recovery 15”<br />score minus 1 standard deviation. Reliability and observer disagreement was assessed using interclass correlation. Non-parametric tests were used for comparisons.<br /><strong>Results:</strong> There was a negative correlation between “Quality of Recovery 15” score and time spent in the postanesthesia care<br />(ρ = −0.264, p = 0.004) and length of hospital stay (ρ = −0.274, p = 0.004). Thirty-two patients (19%) had poor quality of recovery. Patients with poor quality of recovery had more frequently diabetes mellitus and hypertension and they were taking antidepressants drugs more frequently. Patients with poor quality of recovery were more frequently submitted to combined anesthesia and less frequently to general anesthesia and locoregional anesthesia (p = 0.008). The questionnaire had a good internal consistency and test–retest reliability was good.<br /><strong>Discussion:</strong> The Portuguese version of the “Quality of Recovery 15” showed a good correlation with the original.<br /><strong>Conclusion:</strong> This questionnaire appears to be an accurate and reliable assessment for quality of recovery.</p>

scholarly journals Activities of Daily Living and Quality of Life of Elderly Patients After Elective Surgery for Gastric and Colorectal Cancers

2007 ◽  
Vol 246 (2) ◽  
pp. 222-228 ◽  
Author(s):  
Takeshi Amemiya ◽  
Koji Oda ◽  
Masahiko Ando ◽  
Takashi Kawamura ◽  
Yuichi Kitagawa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elderly Patients ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Elective Surgery ◽  
Colorectal Cancers

scholarly journals Analysis of Medication Adherence and Its Influencing Factors in Patients with Schizophrenia in the Chinese Institutional Environment

2021 ◽  
Vol 18 (9) ◽  
pp. 4746
Author(s):  
Wei Yu ◽  
Jie Tong ◽  
Xirong Sun ◽  
Fazhan Chen ◽  
Jie Zhang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Medication Adherence ◽  
Activities Of Daily Living ◽  
Influencing Factors ◽  
Self Efficacy ◽  
Daily Living ◽  
Institutional Environment ◽  
Factors Influencing ◽  
Quality Of Life Scale

Background: Factors related to medication adherence in patients with schizophrenia have always been key to the treatment and rehabilitation of these patients. However, the treatment modes in different countries are not the same, and there is no research on the factors influencing medication adherence under different mental health service modes. Objectives: The purpose of this study was to explore medication adherence and its influencing factors in patients with schizophrenia in the Chinese institutional environment. Methods: We conducted a cross-sectional study of hospitalized persons living with schizophrenia from November 2018 to January 2019. A systematic sampling method was used to select 217 hospitalized persons living with schizophrenia. The Medication Adherence Rating Scale (MARS), Positive and Negative Syndrome Scale (PANSS), General Self-Efficacy Scale (GSES), Schizophrenia Quality of Life Scale (SQLS), and Scale of Social Skills for Psychiatric Inpatients (SSPI) were used to explore medication compliance and its influencing factors in the Chinese institutional environment. Results: The descriptive analysis and ANOVA showed that there were no significant differences in medication adherence when assessed by demographic characteristics such as sex, marital status, and education level (p > 0.05). A correlation analysis showed that there was no significant correlation between medication adherence and mental symptoms (p > 0.05) but that there was a positive correlation with self-efficacy, quality of life, and activities of daily living (p < 0.01). The linear regression analysis showed that self-efficacy, psychosocial factors, symptoms/side effects, and activities of daily living had significant effects on medication adherence (F = 30.210, p < 0.001). Conclusions: Our findings show that the self-efficacy, quality of life, and social function of patients with schizophrenia are important self-factors influencing medication adherence in the Chinese institutional environment.

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