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The Swedish Web Version of the Quality of Recovery Scale Adapted for Patients Undergoing Local Anaesthesia and Peripheral Nerve Blockade, SwQoR-LA: Prospective Psychometric Evaluation Study
Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden; Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.ORCID iD: 0000-0001-5403-4183
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-4170-6451
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-7574-6745
2021 (English)In: JMIR Perioperative Medicine, E-ISSN 2561-9128, Vol. 4, no 1, article id e23090Article in journal (Refereed) Published
Abstract [en]

Background: Frequency and timing of the assessment of patients’ symptoms and discomfort during postoperative recovery is a goal. Therefore, real-time-recovery evaluation has been suggested in order to identify specific deficits in patients’ recovery.

Objective: To psychometric evaluate the Swedish Web Version of the Quality of Recovery (SwQoR) Scale adapted for patients undergoing local and peripheral nerve block: SwQoR-LA.

Methods: This was a secondary analysis of a psychometric evaluation of 107 patients aged ≥18 years undergoing day surgery under local or peripheral nerve block anaesthesia at four different day surgery departments in Sweden. The SwQoR-LA, inserted into a mobile application (app) called Recovery Assessment by Phone Points (RAPP), was completed daily on postoperative days 1–7.

Results: Some evidence of construct validity was supported, and discriminant validity was found in seven of eight items related to general anaesthesia. The internal consistency was acceptable (0.87–0.89) and the split-half reliability was .80– .86. Cohen’s d effect size was 0.98 and the percentage of change from the baseline was 43.4%. No floor or ceiling effects were found.

Conclusions: The SwQoR-LA is valid, reliable, responsive and clinically feasible for real-time-recovery digital assessment of patient recovery in order to identify specific deficits in patients’ recovery and detect those patients who might benefit from a timely intervention.

Place, publisher, year, edition, pages
JMIR Publications, Inc. , 2021. Vol. 4, no 1, article id e23090
Keywords [en]
Day surgery, Local anaesthesia, Peripheral nerve blockade, Postoperative recovery, Psychometric evaluation
National Category
Medical and Health Sciences Surgery
Identifiers
URN: urn:nbn:se:oru:diva-88169DOI: 10.2196/23090PubMedID: 33448932OAI: oai:DiVA.org:oru-88169DiVA, id: diva2:1512017
Available from: 2020-12-21 Created: 2020-12-21 Last updated: 2021-01-18Bibliographically approved

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Dahlberg, KarunaJaensson, Maria

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