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Cross-cultural Adaptation and Psychometric Evaluation of the Turkish Heidelberg Perianesthesia Satisfaction Scale
Ali Özgül Saltalı1, Mehmet Sarı2, Osman Mücahit Tosun1
1Department of Anesthesiology, Konya Numune Hospital, Konya, Turkey.
Purpose:
This study aimed to adapt and validate the Heidelberg Perianesthesia Satisfaction Scale (HPaSS) for use in the Turkish clinical setting. The scale holistically assesses patient satisfaction with anesthesia across the preoperative, intraoperative, and postoperative periods from the moment the surgical decision is made.
Design:
This study was conducted in a cross-sectional and methodological model to adapt the HPaSS to Turkish culture and to evaluate the validity and reliability of the Turkish version.
Methods:
The study included 455 patients aged 18 to 65 years who met the criteria and underwent elective surgery in various specialties. For convergent validity, the Iowa Anesthesia Satisfaction Scale (ISAS-T) was also administered. Aiken's V coefficients were calculated for content validity. Exploratory and Confirmatory Factor Analyses were conducted for construct validity, and the relationships between HPaSS and ISAS scores were examined. For reliability, Cronbach's alpha, McDonald's omega (ω), and test-retest analyses were performed.
Findings:
The original 38-item, five factor structure of the HPaSS was not confirmed. Findings showed that the HPaSS has a three-factor, 21-item structure in the Turkish culture. The factors were named: quality of care and safety, physical comfort, and emotional comfort during the perianesthetic process.
Conclusions:
The psychometric evaluations demonstrated that the Turkish HPaSS is a valid and reliable instrument for assessing perianesthetic patient satisfaction within the Turkish context.
