Journal of Perianesthesia Nursing最新文献

{"title":"Efficacy of Different Nonpharmacological Interventions as Adjunctive Treatments for Postoperative Nausea and Vomiting: A Systematic Review and Bayesian Network Meta-analysis.","authors":"Yingjie Guo, Jiantao Guo, Yi Qiu, Minhua Ren, Jingfang Cao","doi":"10.1016/j.jopan.2026.03.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.004","url":null,"abstract":"<p><strong>Purpose: </strong>This network meta-analysis aimed to compare the efficacy of nonpharmacological adjunctive interventions for postoperative nausea and vomiting (PONV) in patients undergoing non‑gastrointestinal surgery, with formal assessment of transitivity and consistency.</p><p><strong>Design: </strong>Systematic review and NMA.</p><p><strong>Methods: </strong>Eight electronic databases were searched up to October 2024. Pairwise and Bayesian network meta‑analyses were performed. Transitivity, consistency, and sensitivity analyses were conducted. Evidence quality was rated using the GRADE approach.</p><p><strong>Findings: </strong>Fifty‑four randomized controlled trials involving 8275 participants and nine nonpharmacological interventions were included. For PONV incidence, preoperative carbohydrate loading ranked highest (35%); for rescue antiemetic usage, acupuncture was most effective (59%); and for PONV VAS severity, ginger was most effective (29%). Transitivity and sensitivity analyses supported the robustness of results. GRADE ratings indicated low or very low certainty of evidence for most comparisons, mainly due to risk of bias, indirectness, and imprecision.</p><p><strong>Conclusion: </strong>Carbohydrate loading, acupuncture, and ginger appear beneficial as adjunctive interventions for specific PONV outcomes. However, the low evidence quality limits definitive clinical recommendations. Large, well‑designed randomized controlled trials are needed to strengthen the evidence base.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nomogram-based Prediction Model for Acute Postoperative Pain Following Radical Resection of Colorectal Cancer: A Retrospective Cohort Study.","authors":"Chuanguang Wang, Jinglin Yang, Yayan Zhu, Sufang Yang, Jiali Wang, Kailai Zhu, Yijing Shen, Ying Yi","doi":"10.1016/j.jopan.2026.03.024","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.024","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop and validate a nomogram-based predictive model for acute postoperative pain (APP) in patients undergoing radical resection for colorectal cancer (CRC).</p><p><strong>Design: </strong>This was a retrospective cohort study designed to develop and validate a nomogram for predicting acute postoperative pain in patients undergoing radical resection for colorectal cancer.</p><p><strong>Methods: </strong>This retrospective analysis included patients who underwent radical CRC resection between January 2021 and December 2022. The study population was divided into a training cohort (n = 126) and a validation cohort (n = 54) using a 7:3 ratio. Risk factors associated with APP were initially screened using least absolute shrinkage and selection operator regression. Subsequently, multivariable logistic regression analysis was conducted to construct the regression model. A nomogram was generated to visualize the predictive model. Model performance was assessed using calibration curves, the Hosmer-Lemeshow goodness-of-fit test, receiver operating characteristic curves with corresponding area under the curve (AUC) values, and decision curve analysis.</p><p><strong>Findings: </strong>The incidence of acute postoperative pain (APP) in the training cohort was 20.63% (26/126). Elevated CA19-9 and AST levels were identified as independent risk factors, while intraoperative nerve blockade, remifentanil administration, and local anesthesia were associated with reduced risk. The nomogram model achieved AUC values of 0.909 and 0.852 in the training and validation cohorts, respectively, demonstrating high sensitivity, specificity, and clinical utility.</p><p><strong>Conclusions: </strong>Five clinical variables were identified as predictors of APP following radical CRC resection. The validated nomogram offers a practical tool for early risk stratification and may support the implementation of individualized pain management strategies for patients undergoing CRC surgery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Dexmedetomidine as an Adjuvant to Bupivacaine in Ultrasound-Guided Erector Spinae Plane Block for Cesarean Section - A Randomized Controlled Trial.","authors":"Benita Abraham, Rajesh Kumar Kodali V, Mahesh Vakamudi","doi":"10.1016/j.jopan.2026.03.017","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.017","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to compare the efficacy of erector spinae plane (ESP) block with plain bupivacaine versus erector spinae plane block with bupivacaine supplemented with dexmedetomidine in patients scheduled for cesarean section.</p><p><strong>Design: </strong>A randomized controlled trial involving 50 patients posted for elective lower segment cesarean section METHODS: Study participants were randomly assigned to receive bilateral ultrasound ‑ guided ESP block with 20 ml 0.25% bupivacaine alone (Group A, n = 25) or 20 ml of 0.25% bupivacaine with 0.5mcg/kg dexmedetomidine (Group B, n = 25) postoperatively. The primary outcome was total analgesic consumption in the first 24 h after surgery and the secondary outcomes were time for the first request to analgesia, duration of block, visual analog scale (VAS) in 48 h and incidence of adverse effects. Statistical analysis was done using IBM SPSS Statistics-23. Data were compared using the Kolmogorov-Smirnov Test and the Shapiro-Wilk Test, Chi‑square test, independent t‑test and Mann Whitney U test.</p><p><strong>Findings: </strong>The total number of analgesic doses (3.3 vs 2.1, mean difference CI 0.71 to 1.16; p=0.001), the total paracetamol required (2.0 vs 1.1 g, mean difference CI 0.53 to 1.22; p=0.001), and the total tramadol required (64 vs 50 mg, mean difference CI 4.79 to 23.20; p=0.004) were all lower in Group B, with statistically significant differences observed between groups. The time to first request for analgesia (8.3 h vs 12.6 h, with a mean difference in confidence interval -6.18 to 2.39, p=0.001) and the duration of block (10.95 h vs 16.47 h, with a mean difference in confidence interval -7.22 to 3.81, p=0.001) were both longer in Group B compared to Group A. The VAS score in Group B was lower and reached statistical significance at 2 h (p=0.001) and 12 h (p=0.048). The incidence of bradycardia was higher in Group B (p=0.01).</p><p><strong>Conclusion: </strong>Dexmedetomidine is an effective adjuvant to bupivacaine in ESP block for reducing total postoperative analgesia requirement and improving efficacy and duration of block in cesarean section.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Trends on Deep Breathing Exercises in Perioperative Care: A Bibliometric and Topic Modeling Analysis.","authors":"Hatice Eda Yoltay, Yasemin Yıldırım, İpek Deveci Kocakoç","doi":"10.1016/j.jopan.2026.03.005","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this analysis was to systematically map the intellectual structure, thematic evolution, and collaborative patterns of research in the field of deep-breathing exercises (DBEs).</p><p><strong>Design: </strong>A comprehensive bibliometric analysis combined with Latent Dirichlet Allocation-based topic modeling was conducted using publications retrieved from Web of Science, Scopus, and PubMed.</p><p><strong>Methods: </strong>A total of 2,017 publications published between 1940 and 2024 were included. Bibliometric indicators were used to examine publication trends, leading journals, authors, countries, and collaboration networks, while Latent Dirichlet Allocation was applied to identify dominant research themes.</p><p><strong>Findings: </strong>The annual number of publications increased steadily over time, with a marked rise after 2011 and a peak observed in 2020. The most productive countries were the United States, Italy, and Germany, while the leading journals included Chest and The Annals of Thoracic Surgery. Collaboration analyses revealed limited international and interinstitutional research networks. Topic modeling identified three major thematic clusters: (1) education and training-focused DBE interventions, (2) application of DBE following cardiac and thoracic surgery, and (3) postoperative complication prevention and rehabilitation.</p><p><strong>Conclusion: </strong>This bibliometric and topic modeling analysis provides a structured overview of the intellectual organization and thematic evolution of DBE research in surgical and perioperative care. Rather than evaluating clinical effectiveness, the findings highlight prevailing research priorities, collaboration gaps, and underexplored areas. These insights may support perianesthesia nursing by informing future research agendas, encouraging interdisciplinary collaboration, and guiding the strategic development of DBE-related studies.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking Urinary Catheterization in Surgery Care: Practice Patterns and Challenges of Intraoperative Catheter-free Management in Chinese Hospitals.","authors":"Yanhua Guo, Wenzhi Cai, Ling Chen","doi":"10.1016/j.jopan.2026.03.013","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.013","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the current status, practice patterns, and barriers of intraoperative catheter-free management (ICFM) among operating room nurses in China, within the framework of Enhanced Recovery After Surgery.</p><p><strong>Design: </strong>A nationwide cross-sectional survey using stratified cluster random sampling.</p><p><strong>Methods: </strong>Data were analyzed using descriptive statistics, χ² tests, logistic regression, and Pearson correlation.</p><p><strong>Findings: </strong>A total of 212 valid responses were collected from operating room nurses across 120 hospitals. Among the respondents, 83.5% expressed willingness to implement ICFM under appropriate conditions, and 46.7% reported being familiar with the concept. ICFM was most commonly applied in surgeries under local infiltration (89.6%) or nerve block anesthesia (70.3%), and with durations less than 2 hours (65.1%). Adoption rates were highest in ophthalmology (79.7%) and otolaryngology (80.7%), but lowest in gynecology (13.2%) and urology (14.6%). Major barriers included lack of institutional protocols (59.4%), limited staff acceptance (61.3%), and technical challenges (47.6%). Logistic regression found no significant demographic predictors of ICFM support.</p><p><strong>Conclusions: </strong>ICFM is supported by a majority of nurses but remains selectively applied in low-risk procedures. Broader implementation requires standardized guidelines, improved staff training, and technological support for non-invasive bladder monitoring.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on Evidence-based Nursing Practice Based on the LEARNS Model in Early Postoperative Rehabilitation of Patients With Lower Limb Fractures.","authors":"Zheng Jiachun, Chen Jiancheng, Kong Gengbin, Jin Fengfeng, Zhuang Xiuting, Wang Wei","doi":"10.1016/j.jopan.2026.03.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.012","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the efficacy of a digitally integrated, phase-stratified nursing education intervention based on the LEARNS-Ortho Continuity Model in improving recovery outcomes among patients undergoing lower-limb fracture surgery.</p><p><strong>Design: </strong>A prospective cohort validation study conducted between 2023 and 2025.</p><p><strong>Methods: </strong>A total of 500 orthopedic trauma patients aged 40-75 years were recruited from a tertiary hospital in Guangdong, China. Participants were stratified by age, fracture type, and digital literacy. Primary outcomes included American Orthopaedic Foot and Ankle Society (AOFAS) scores, complication rates, length of stay, and patient satisfaction. Secondary outcomes included task compliance, diary adherence, and intervention fidelity.</p><p><strong>Findings: </strong>AOFAS scores improved significantly from discharge (62.5 ± 7.8) to 90 days (83.0 ± 6.4), with greater gains observed in younger patients and those with ankle fractures. The overall complication rate was 16.6%, highest among ASA III and comorbid patients. Median length of stay was 6.0 days. Patient satisfaction increased from 34.6 ± 5.8 to 44.5 ± 3.6, and self-care confidence reached 9.8 ± 1.9 at 90 days. Task compliance and diary adherence exceeded 85% in high-literacy groups. Nurse educator fidelity averaged 94.5%. Sensitivity analyses confirmed robustness of results.</p><p><strong>Conclusions: </strong>Digitally enabled, phase-stratified nursing education significantly improves postoperative recovery outcomes and patient-centered measures following orthopedic trauma surgery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Let's Cope Together\": An Evidence-based Approach to Caring for Patients Living With Autism in the Perioperative Setting.","authors":"Anita Norton, Lisa Boettcher, Jill Wiench, Karen S Gralton","doi":"10.1016/j.jopan.2026.03.016","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.016","url":null,"abstract":"<p><strong>Purpose: </strong>To determine if an individualized coping plan for pediatric patients with autism, available in the electronic health record, could improve their safety and comfort, and family satisfaction in the perioperative setting.</p><p><strong>Design: </strong>Evidence-based practice project.</p><p><strong>Methods: </strong>The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care was used as a framework for the development and implementation of a program to create individualized perioperative coping plans in the electronic health record for pediatric patients living with autism. Evidence reviews of the literature informed the process, which included environmental and care modifications to achieve an optimal patient experience. Collaboration among nurses, physicians, and child life specialists was integral to project implementation.</p><p><strong>Findings: </strong>During the implementation period of the pilot project, perioperative coping plans were documented for 60% of surgical patients living with autism. Incorporating the creation of the coping plan within the usual nursing preoperative phone call increased the coping plan documentation rate to 90%. Tools and visual reminders built into the electronic health record facilitated the sustainment of the program. The surgical services team was able to make accommodations to perioperative processes and environment when team members had awareness of the child's individual needs.</p><p><strong>Conclusions: </strong>Creation of a perioperative coping plan was a feasible intervention when incorporated into the preoperative phone call. In addition to the coping plan, environmental modifications engaged the health care team to provide individualized care and work toward the goal of an optimal perioperative experience for all.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Intraoperative Pressure Injury Risk Scores and Associated Factors in Patients Undergoing Open-heart Surgery: A Single-center Cross-sectional Study.","authors":"İzzettin Ekinci, Aynur Koyuncu, Ayla Yava","doi":"10.1016/j.jopan.2026.03.001","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.001","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to assess intraoperative pressure injury risk scores using the 3S Operating Theater Pressure Injury Risk Diagnosis Scale and to identify individual and surgical factors associated with higher risk scores in patients undergoing open-heart surgery.</p><p><strong>Design: </strong>This study was conducted as a cross-sectional study.</p><p><strong>Methods: </strong>Ethical approval was obtained prior to the start of the study. The study was conducted between January 15, 2023, and April 1, 2023. The sample consisted of 147 patients who underwent open-heart surgery at a university hospital in Şanlıurfa, Turkey. Data were collected using the Patient Identification Form and the 3S Operating Theater Pressure Injury Risk Diagnosis Scale. Data collection occurred 1 day before and on the day of surgery. SPSS 23.0 was used for data analysis, with P less than .05 considered statistically significant. This study utilized the Strengthening the Reporting of Observational Studies in Epidemiology checklist for reporting.</p><p><strong>Findings: </strong>The mean age of patients was 61.51 ± 11.66 years; 63.1% were males and 40.6% had completed secondary education. The mean 3S risk score was 23.19 ± 2.38 (range: 15 to 28), placing patients at the moderate-to-high risk level. In univariate analysis, higher body mass index (BMI) (P = .005), prolonged surgery duration (P = .001), and moderate hypothermia (P = .030) were significantly associated with higher risk scores. In multivariable regression analysis, only BMI (P = .025) and surgery duration (P = .001) remained significant independent predictors, while hypothermia lost statistical significance (P = .143). Patients undergoing surgery for greater than or equal to 6 hours and those with a BMI greater than or equal to 25 kg/m² had significantly higher risk scores.</p><p><strong>Conclusions: </strong>This study showed that BMI and surgery duration are independent predictors of intraoperative pressure injury risk scores in patients undergoing open-heart surgery. Although moderate hypothermia was associated with higher risk scores in univariate analysis, it was not an independent predictor when adjusted for other factors in multivariable analysis. Preventive measures should be enhanced, especially for patients with prolonged surgeries and high BMI.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial: Moving to the Future.","authors":"Sandra Galura","doi":"10.1016/j.jopan.2026.03.029","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.029","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Early Mobilization on Postoperative Recovery in Abdominal Surgery: A Randomized Controlled Trial.","authors":"Seda Erkan, Kübra Erturhan Türk","doi":"10.1016/j.jopan.2026.03.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.009","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the effects of early postoperative mobilization on the time to first mobilization, total mobilization time, length of hospital stay, and postoperative recovery measured by the Postoperative Recovery Index (PoRI).</p><p><strong>Design: </strong>This study was conducted as a randomized controlled trial at a single center.</p><p><strong>Methods: </strong>A total of 130 patients (65 in the intervention group and 65 in the control group) who underwent abdominal surgery between September 2023 and February 2024 were included in the study. The participants met the eligibility criteria. Data were collected using a questionnaire, a gradual mobilization chart, and the PoRI. The data were analyzed using frequency, percentage, χ², skewness-kurtosis analysis, and an independent samples Z-test. The statistical significance level was set at 0.05.</p><p><strong>Findings: </strong>The mean age was 46.91 ± 13.37 years in the intervention group and 47.28 ± 13.77 years in the control group. The mean time to first mobilization was 4.18 ± 0.69 hours in the intervention group and 6.02 ± 0.21 hours in the control group (P < .05). The mean total mobilization time on the first postoperative day was significantly higher in the intervention group (134.97 ± 27.01 minutes) than in the control group (55.42 ± 30.76 minutes) (P < .05). No significant difference was found between the groups in total or postoperative hospital stay (P > .05). Significant differences were observed between the groups in the psychological symptoms (P = .026), physical activity (P = .038), and bowel symptoms (P = .002) subscales, as well as in the total PoRI score (P = .001).</p><p><strong>Conclusions: </strong>A structured, nurse-led early mobilization protocol improves early postoperative recovery outcomes within the first 24 hours after abdominal surgery. These findings contribute to nursing knowledge by emphasizing the importance of goal-directed and standardized mobilization practices beyond routine care.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147639867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}