Development and Psychometric Properties of the Women's Recovery of Postnatal Perineal Injuries Questionnaire (WRPPIQ).
Nahid Jahani Shoorab, Ali Taghipour, Habibollah Esmaily and 1 others
PMID 33178854WHAT IT FOUND
A 33-item postnatal recovery questionnaire was developed for women after perineal injury.
It asked about physical, emotional and social recovery, took about 5.6 minutes to complete, and gave consistent results when repeated after two weeks in 270 Iranian women.
Key findings
01The final questionnaire contained 33 items in three domains: evidence of wellness, positive mood and emotional changes, and independence and support.
02The questionnaire showed high internal consistency in 270 women and good stability when repeated after two weeks in 30 women.
03Women completed the questionnaire in a mean of 5.6 minutes, with a range of 3 to 10 minutes, and item non-response was zero to two percent.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited by convenience sampling in Mashhad, Iran, so the results may not apply to other settings or cultures. The study was cross-sectional, so it did not follow women over time to capture how recovery changes. There was no comparable existing tool for postnatal recovery after perineal injury to validate against. The spiritual resilience domain from the qualitative work did not emerge as a separate factor, possibly because responses had little variance. Only 40 of 270 participants had third or fourth degree tears, so evidence is limited for severe perineal injury. Answers were self-reported, so response bias may have affected the results.
The easy way to misread this
Do not read this as evidence that using the questionnaire improves postnatal recovery or patient outcomes. It was developed and tested for reliability and validity in 270 Iranian women, but no trial showed that care guided by it changes results.