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The Postoperative Recovery Profile (PRP): a multidimensional questionnaire for evaluation of recovery profiles
Örebro University, Department of Clinical Medicine.
Örebro University, Swedish Business School at Örebro University.ORCID iD: 0000-0001-7210-1925
Örebro University, Department of Clinical Medicine.
Örebro University, Department of Nursing and Caring Sciences.
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2011 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 17, no 2, p. 236-243Article in journal (Refereed) Published
Abstract [en]

Background. The previously developed Postoperative Recovery Profile (PRP) questionnaire is intended for self-assessment of general recovery after surgery. The aim of this study was to further evaluate the questionnaire regarding the construct validity and ability to discriminate recovery profiles between groups. Furthermore, the item variables of greatest importance during the progress of recovery were investigated.

Methods. Postoperative recovery was assessed during the period from discharge to 12 months after lower abdominal- and orthopedic surgery. Construct validity was evaluated by comparing the assessments from the PRP-questionnaire and a global recovery scale. Recovery profiles of the diagnose groups were displayed by the cumulative proportion recovered participants over time. The importance of item variables was investigated by ranking ordering.

Results. A total of 158 patients were included. The result showed that 7.6 % of all possible pairs were disordered when comparing the assessments from the PRP questionnaire and the global recovery scale. Twelve months after discharge 51 % participants in the abdominal group were fully recovered, as compared with the 73%, in the orthopedic group (95% CI: 6 % to 40 %). The item variable pain appeared as top five at eight measurement occasions of eight possible in both the abdominal and the orthopedic groups. The importance of the items was emphasized.

Conclusions. The PRP questionnaire allows for evaluation of the progress of postoperative recovery, and can be useful to assess patient-reported recovery after surgical treatment. Knowledge about recovery profiles can assist clinicians in determining the critical time points for measuring change.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2011. Vol. 17, no 2, p. 236-243
National Category
Surgery
Research subject
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-8083DOI: 10.1111/j.1365-2753.2010.01422.xISI: 000288217700005PubMedID: 20846316Scopus ID: 2-s2.0-79952668667OAI: oai:DiVA.org:oru-8083DiVA, id: diva2:241666
Available from: 2009-10-05 Created: 2009-10-05 Last updated: 2017-12-13
In thesis
1. Postoperative recovery: development of a multi-dimensional questionnaire for assessment of Recovery
Open this publication in new window or tab >>Postoperative recovery: development of a multi-dimensional questionnaire for assessment of Recovery
2009 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis aims to present a multi-dimensional instrument for self-assessment of progress in postoperative recovery. The author employs different research paradigms and methodologies to achieve this aim.

Walker and Avant’s approach to concept analysis was used to examine the basic elements of postoperative recovery (Study I). The analysis identified different recovery dimensions and developed a theoretical definition showing postoperative recovery to be an energy-requiring process of returning to normality and wholeness, defined by comparative standards.

Fourteen patients and 28 staff members participated in individual and focus group interviews aimed at describing patient and staff experiences of patient recovery (Study II). The essence of the postoperative recovery process was described as a desire to decrease unpleasant physical symptoms, reach a level of emotional wellbeing, regain functions, and re-establish activities.

In Study III, 5 dimensions and 19 items were identified as a part of the operationalization process of the concept postoperative recovery. Fifteen staff members and 16 patients participated in the evaluation of content validity. On average, 85% of the participants considered the items as essential to the recovery process. In a test run of the questionnaire, 14 of 15 patients considered the questionnaire to be easy to understand and easy to complete. Twenty-five patients participated in the evaluation of intra-patient reliability. Percentage agreement (PA), systematic disagreement (RP, RC), and individual variability (RV) between the two assessments were calculated. PA measures ranged from 72% to 100%. The observed disagreement could be explained mainly by systematic disagreement.

In total, 158 patients participated in the evaluation of construct validity, the ability to discriminate between groups, and the investigation of important item variables (Study IV). A rank-based statistical method for evaluation of paired, ordered categorical data from rating scales was used to evaluate consistency between the assessments of the Postoperative Recovery Profile (PRP) questionnaire and a global recovery scale. The number of months needed by participants to be regarded as fully recovered was studied by means of recovery profiles displayed by the cumulative proportion of recovered participants over time. A ranking list based on the participant’s appraisal of the five most important item variables in the PRP questionnaire was compiled to illustrate the rank ordering of the items. In comparing the assessments from the PRP questionnaire and the global recovery scale, 7.6% of all possible pairs were disordered. Twelve months after discharge 73% in the orthopaedic group were regarded as fully recovered, compared to 51% of the participants in the abdominal group (95% CI: 6% to 40%). The pain variable appeared among the top five most important items on eight measurement occasions, of eight possible, in both study groups.

In conclusion, the PRP questionnaire was developed and support was given for validity and reliability. The questionnaire enables one to evaluate progress in postoperative recovery.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2009. p. 73
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 32
Keywords
Concept analysis, experiences, postoperative recovery, questionnaire, recovery profile, reliability, validity
National Category
Surgery
Research subject
Surgery
Identifiers
urn:nbn:se:oru:diva-7731 (URN)978-91-7668-678-2 (ISBN)
Public defence
2009-09-25, Wilandersalen, Universitetssjukhuset, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2009-08-25 Created: 2009-08-25 Last updated: 2017-10-18Bibliographically approved

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Allvin, RenéeSvensson, ElisabethRawal, NarinderEhnfors, Margareta

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