Validity and reliability study of the Turkish version of the Postoperative Recovery Index of patients undergoing surgical intervention

Background/aim: For the purpose of providing the optimal postoperative care for patients and assisting them in terms of recovery, their health conditions and particular symptoms should be evaluated systematically with an appropriate measurement tool. This research was designed with the purpose of conducting the validity and reliability study of the Postoperative Recovery Index-Turkish Version (PoRITR) and determining the postoperative recovery conditions. Materials and methods: The sample of this study, which was planned methodologically and analytically, consisted of 382 patients who had a surgical intervention in a university hospital between September 2016 and June 2017. Analyses concerning the Turkish validity and reliability of the PoRI-TR were conducted. In the evaluation, a patient information form, the PoRI-TR, and the Quality of Recovery-40 Questionnaire (QoR-40) were used. Results: The PoRI-TR point average was calculated as 3.39 ± 0.916 and the Cronbach alpha reliability coefficient was calculated as α = 0.967. It was determined that the five-factor structure of the PoRI-TR, which was reduced from 37 items to 25, was adapted well. Conclusion: It was seen that the PoRI-TR is a valid and reliable measurement tool for Turkish patients.

Life quality of patients who underwent breast reconstruction after prophylactic mastectomy: systematic review.

BACKGROUND: Prophylactic mastectomy is used to reduce the incidence of breast cancer in women with genetic predisposition and family history of breast cancer, and the rate of application is increased nowadays. Chronic pain, body image, and sexuality may negatively affect quality of life, while patients generally have increased quality of life and satisfaction after prophylactic mastectomy. The aim of this study is the evaluation of the results of the studies about quality of life of patients who underwent breast reconstruction after prophylactic mastectomy. METHODS: For the 1996-2016 literature, we searched the databases of Scopus, Science Direct, PubMed, EBSCO, Cochrane, Medline Complete, Ovid, Springer Link, Google Academic, Taylor & Francis, PsychINFO databases. For the gray literature, National Thesis Center and ULAKBIM databases were searched. Seven studies complying with the criteria were included in the review. RESULTS: Seven studies included in this study aimed to investigate the effect of prophylactic mastectomy on breast pain, numbness, sexuality and quality of life. When the studies were reviewed, we were found that the majority of the patients were satisfied with the results of the procedure, although the body image perception and pain/ movement/ perception and sexual problems were experienced after the breast surgery. CONCLUSIONS: While overall satisfaction with cosmetic results was high, most women were not satisfied with the softness of the reconstructed breasts, and had problems with breast hardness, numbness and sex. Therefore, it is very important to inform the patients about the complications that may develop after the operation, while there is not enough data about the importance of informing the patients before the operation.