Validation of translated quality of recovery 15 questionnaire in Nepalese language in patients undergoing elective surgery
- Kathmandu, Nepal ; Kathmandu University & Nepal Health Research Council (NHRC) ; 2025.
- 70p.
In partial fulfilment of the requirements for the degree of Master in Medical Research.
Background: The 15-item Recovery scale (QoR-15) is a widely used tool for measuring postoperative quality of recovery. The original English version has been translated and validated in many languages. However, a validated Nepalese version of the Quality of Recovery -15 (QOR-15) is currently not available. This study was conducted with the aim of translating the Quality of Recovery – (QoR-15) to Nepalese language and validating it.
Method: A cross sectional analytical study conducted in 216 patients undergoing elective surgery under general anesthesia. The 15 items of the Quality of Recovery (QoR-15) were first translated to Nepalese language and modified as necessary, resulting in the final version, Quality of Recovery questionnaire in Nepalese language (QoR-N). The patients were interviewed both preoperatively, the day before surgery and on the first postoperative day using the Quality of Recovery questionnaire in Nepalese lamguage (QoR-N). The reliability, validity, responsiveness and feasibility of the Quality of Recovery in Nepalese language (QoR-N) were then assessed.
Result: The mean preoperative and postoperative QoR-N scores were 105.0(5.6) and 95.0(8.4) respectively. Patients wer categorized intro “good recovery” and “poor recovery” based on VAS score (Visual Analog scale) for overall recovery, with VAS (Visual Analog Scale) ≥70mm categorized in “good recovery” and patients with Visual Analog Scale (VAS) <70mm categorized in “poor recovery”. Quality of Recovery in Nepalese language (QoR-N) demonstrated acceptable reliability with a Cronbach;s alpha of 0.890, mean inter item correlation of 0.413, Split half reliability of 0.94, and a standard error of measurement of 2.79. Responsiveness was confirmed by Cohen’s effect size of 1.4 and standardized response mean of 1.39. The quality of Recovery in Nepalese language (QoR-N) score did not correlate with age of the patients and duration of surgery, nor it was significantly different between ASA PS grade I and II (American Society of Anesthesiologist Physical Status), or across patients undergoing minor, intermediate or major surgery. However, the Quality of Recovery in Nepalese language (QoR-N) scores were significantly higher in males as compared to females and in patients with good overall recovery, as assessed by the visual analogue scale, compared to those with poor recivery. The recruitment rate and completion rate was 100% and 94.33% respectively.
Conclusion: QoR-N demonstrated an acceptable validity, reliability, responsiveness, and clinical feasibility and can be used in Nepalese population undergoing elective surgery under general anesthesia.
Key words: Elective surgery, Nepalese, Quality of Recovery-15, Validation
Elective surgery. Nepalese. Quality of Recovery-15. Validation.