Yilmaz Batuhan, Yayla Ayşegül
Department of Surgical Nursing, Erzurum Research Hospital, Erzurum, Turkey.
Department of Surgical Nursing, Faculty of Nursing, Atatürk University, Erzurum, Turkey.
J Perianesth Nurs. 2025 Jun 20. doi: 10.1016/j.jopan.2025.01.023.
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.
进行本研究以评估手术恢复量表（SRS）的有效性和可靠性。
本研究为方法学研究。
本方法学研究于2023年3月至9月进行。参与者包括在阿格里培训与研究医院接受手术的所有患者。样本包括101名符合纳入标准（年龄超过18岁、无沟通障碍、接受择期手术且美国麻醉医师协会分级为I级和II级）的特定人群患者，并同意参与研究。数据收集使用了“描述性和临床信息表”“手术恢复量表”和“恢复质量问卷 - 40”。为测试内容效度和表面效度而编制的初稿征求了11位该领域经验丰富的专家的意见。在数据分析中，除了使用内容效度的内容效度指数以及结构效度的探索性和验证性因素分析外，还使用了频数、百分比、均值、标准差、探索性和验证性因素分析、克朗巴哈α系数、分半法、平行形式等效性以及项目 - 总分相关性。
该量表的探索性因素分析显示出两因素结构。该量表有两个子量表：“对能量的影响”和“对日常活动的影响”。SRS上所有条目的因素负荷均高于0.40，解释方差为68.209%。该量表的克朗巴哈α系数如下：SRS总分的α系数为0.930，“对能量的影响”子量表的α系数为0.906，“对日常活动的影响”子量表的α系数为0.893。SRS得分与恢复质量问卷 - 40得分之间存在统计学上显著的正相关（r = 0.763）且相关性较高（P <.05）。SRS总平均分是38.20 ± 13.14。
SRS是一个简短的包含13个条目的量表。研究结果表明，SRS与原量表相似，对土耳其社会具有较高的有效性和可靠性，可在土耳其使用。该工具可作为描述性和实验性研究中的测量工具，用于评估接受手术患者的术后恢复水平。使用这个已经进行了效度和可靠性研究的测量工具对患者的恢复状态进行系统评估，将有助于通过更轻松地确定患者的恢复需求来加速恢复过程。具有这些特点，SRS可作为临床实践和研究中的有效测量工具。
