Postoperative recovery in children: Turkish cross-cultural adaptation

Postoperative recovery is an individual process involving subjective experiences. The fact that children still experience high rates of complications associated with surgery requires the discovery of new evaluation methods. No studies in Turkey have reported a measurement instrument evaluating postoperative recovery in children. The purpose of this methodological study is to cross-culturally adapt the Postoperative Recovery in Children (PRiC) instrument into the Turkish language and test the validity and reliability of its Turkish version.

One hundred children (81% male) aged 4 to 12 years undergoing tonsillectomy at a hospital were included. The self-administered PRiC and Parents' Postoperative Pain Measure (PPPM) instruments were used to collect data on the 1st, 4th, and 10th days after surgery. Internal consistency, parallel-forms reliability, content validity, and construct validity of the instruments were determined.

PRiC had a three-factor structure, and these factors explained 68% of the total variance in the variable it measured. It showed a high level of internal consistency (Cronbach's alpha = 0.842). The item-total score correlation coefficients for 23 of the items were ≥0.30. PRiC was moderately correlated with PPPM on the 1st day after surgery (r = 0.64, p < .01), on the 4th day after surgery (r = 0.69, p < .01), and on the 10th day after surgery (r = 0.51, p < .01).

The Turkish version of PRiC has good reliability and validity. A validity and reliability study of PRiC to assess children's postoperative recovery in the context of different surgical operations should be conducted.