Validity and Reliability Study of the Turkish Version of the Surgical Recovery Scale

The current research was performed to assess the validity and reliability of the Surgical Recovery Scale (SRS).

This research is a methodological study.

This methodological study was performed between March and September 2023. Participants consisted of all patients undergoing surgery at Ağrı Training and Research Hospital. The sample comprised 101 patients who met the inclusion criteria (were over 18, did not have a problem preventing communication, undergoing elective surgery, and patients with American Society of Anaesthesiologists I and II) in the specified population and agreed to take part in the research. The "Descriptive and Clinical Information Form," "Surgical Recovery Scale," and "Quality of Recovery Questionnaire-40" were used in data collection. The draft form prepared to test content and surface validity was presented to the opinion of 11 experts with experience in the field. In the data analysis, number, percentage, mean, standard deviation, exploratory and confirmatory factor analysis, Cronbach's α coefficient, split-half method, parallel forms equivalence, and item-total correlation were used, in addition to the Content Validity Index for content validity and exploratory and confirmatory factor analyses for construct validity.

The exploratory factor analysis of the scale revealed a two-factor structure. The scale has two subscales: "Impacts on Energy" and "Impacts on Daily Activities." The factor loadings of all items on the SRS were above 0.40, and the explained variance was 68.209%. Cronbach's α coefficients of the scale were as follows: 0.930 for the SRS total score, 0.906 for the Impacts on Energy subscale, and 0.893 for the Impacts on Daily Activities subscale. A statistically significant, positive (r = 0.763), and high-level correlation was identified between the SRS score and scores on the Quality of Recovery-40 Questionnaire (P < .05). The SRS total mean score was 38.20 ± 13.14.

The SRS is a short 13-item scale. The research results showed that the SRS was similar to the original scale, had high validity and reliability for Turkish society, and could be used in Türkiye. The tool can be used as a measurement tool in descriptive and experimental studies to evaluate the postoperative recovery levels of patients undergoing surgery. The systematic evaluation of patients' recovery status using this measurement tool, whose validity and reliability study has been conducted, will contribute to accelerating the recovery process by determining patients' recovery needs more easily. With these features, the SRS can be used as an effective measurement tool in clinical practice and research.