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Validation of the Brazilian version of the Quality of Recovery - 40 Item questionnaire

Abstract

Objective

To validate the Brazilian version of the Quality of Recovery-40 Item (QoR-40) questionnaire, among patients submitted to radical prostatectomy.

Methods

A methodological study was conducted with 224 patients submitted to radical prostatectomy, with 24 for semantic analysis and 200 for psychometric properties, considering discriminant construct validities, reliability and responsiveness.

Results

The semantic analysis resulted in drafting alterations of three items. In the convergent construct validity, correlations between the QoR-40 and dimensions of quality of life and visual analogue scales of postoperative recovery were moderate. The discriminant construct validity determined statistically significant differences among patients with nursing diagnosis of retarded postoperative recovery and with urinary incontinence. Regarding reliability, Cronbach’s alpha values were satisfactory. Responsiveness showed that the questionnaire obtained acceptable capacity for identifying changes over time.

Conclusion

The Brazilian questionnaire has acceptable validity, reliability and responsiveness.

Nursing assessment; Perioperative nursing; Nursing diagnosis; Validation studies; Prostatectomy/methods

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br