Abstract
Background
Postsurgery recovery is a multifaceted and dynamic process. Recent reports recommend using condition-specific patient-reported outcome measures to evaluate surgical recovery. This study aimed to examine the psychometric properties of the Abdominal Surgery Impact Scale (ASIS) in the Turkish population.Methods
This methodological study included 181 patients who primarily underwent minor or intermediate abdominal procedures. The scale was applied twice: in the early postoperative period and one month postoperatively. Content validity, construct validity, item analysis, internal consistency, and responsiveness were evaluated.Results
Most participants underwent hernia surgery (44.2%) or cholecystectomy (41.4%); only 7.7% had major surgery. Responsiveness analysis showed that mean total ASIS-TR scores increased significantly (p 2/df = 2.08, RMSEA = 0.07, CFI = 0.93, IFI = 0.93, TLI = 0.91, GFI = 0.87.Conclusion
The ASIS-TR demonstrated acceptable to high reliability, validity, and responsiveness. However, these findings should be interpreted cautiously given the predominance of minor surgical procedures, the presence of a ceiling effect, and the low reliability of the Visceral Function domain. Future research involving multicentre recruitment should be conducted with patient populations undergoing major gastrointestinal surgeries, and convergent validity and test-retest reliability should be evaluated.