Psychometric Properties of the Turkish version of The Preparedness for Colorectal Cancer Surgery Questionnaire (PCSQ-TR)

J Perianesth Nurs. 2022 Oct;37(5):640-645. doi: 10.1016/j.jopan.2021.10.010. Epub 2022 Mar 10.

Abstract

Purpose: Preparing a patient cognitively, psychosocially and emotionally for an operation is important for the healing process. The purpose of this study is to investigate the psycholinguistic and psychometric properties of the Turkish version of The Preparedness for Colorectal Cancer Surgery Questionnaire (PCSQ-TR).

Design: Methodological study.

Methods: The sample consisted of 220 patients. Patients who underwent operation or reoperation for colorectal cancer were included. The language validity, content validity, discriminant validity and construct validity (confirmatory factor analysis) analyses were performed. The item analysis and internal consistency were examined.

Findings: Item total score correlations were between 0.38 and 0.85. The Cronbach's alpha was 0.97 for the overall PCSQ-TR and ranged between 0.85 and 0.91 for its domains. Discriminant validity revealed a statistically significant moderate positive correlation between the patients' mean score for the overall PCSQ-TR and their subjective preparedness for surgery score (r = 0.64, P = .000). In the confirmatory factor analysis, the fit indexes were χ2/df = 2.5; P = .00, RMSEA = 0.08, CFI = 0.92, IFI = 0.92, RMR = 0.18, GFI = 0.79.

Conclusions: PCSQ-TR is a valid and reliable scale that can be used to determine colorectal cancer patients' preparedness for surgery and recovery. PCSQ-TR can be administered in writing or online and can help identify patients who do not feel ready for the surgical recovery process and need advanced nursing care support.

Keywords: colorectal cancer; colorectal surgery; preoperative preparedness; preparedness; readiness; reliability.

MeSH terms

  • Colorectal Neoplasms* / surgery
  • Humans
  • Language*
  • Psychometrics
  • Reproducibility of Results
  • Surveys and Questionnaires