[A scale for measuring the quality of post-anaesthetic recovery from the user's point of view].
OBJECTIVE
Developing a valid scale for measuring the quality of post-anaesthetic recovery (QoR) from the patients' point of view.


METHODS
ASA I or II scheduled surgical patients were selected.


METHODS
Hospital San Juan de Dios, Bogota, Profamilia's Sexual and Reproductive Health Clinic and Social Security's Clinica Carlos Lleras. Five phases: semistructured interviews for establishing different quality categories and items referred by patients (n=30); content analysis and categorisation to establish relevant items (n=42); facial validity (n=20); scale design and validation, QoR (n=283): main factor analysis, varimax rotation Cronbach's alpha coefficient was used for testing internal consistency. Concurrent and discriminating criteria were validated by using non-parametrical statistics]; and reproducibility (n=100), tested by Kendal's concordance coefficient.


RESULTS
The QoR was constructed in Colombian Spanish with 14 items and 3 domains, general quality (8 items), recovery room (5 items) and pain (one item). The QoR showed good internal consistency (Cronbach = 0.8783). The QoR positively correlated (Spearman's rho > 0.39) with 3 out of 5 scales and found differences by gender, kind of surgery, surgical site and kind of anaesthesia (Ji2 and K. Wallis, p < 0.05). The QoR had good reproducibility (Kendal = 0.6378, p = 0.0335).


CONCLUSIONS
The QoR is the first valid scale constructed from the patient's point of view for measuring the quality of post-anaesthetic recovery.
Eslava-Schmalbach
Javier
J
Unidad de Anestesiología e Instituto de Investigaciones Clínicas, Universidad Nacional de Columbia. jheslavas@unal.edu.co
Gaitán-Duarte
Hernando
H
Gómez-Restrepo
Carlos
C
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures; D000758:Anesthesia / Q000009:adverse effects / Q000379:methods; D000762:Anesthesia Recovery Period; D023341:Chills / Q000453:epidemiology; D005260:Female; D015285:Hospital-Patient Relations; D006801:Humans; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000453:epidemiology; D009723:Nurse-Patient Relations; D010149:Postoperative Pain / Q000453:epidemiology; D017060:Patient Satisfaction; D010361:Patients / Q000523:psychology*; D010817:Physician-Patient Relations; D011183:Postoperative Complications / Q000453:epidemiology; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires