Journal of Perianesthesia Nursing最新文献

{"title":"Pediatric Emergence Delirium Following General Anesthesia for Orthopedic Surgery: Psychometric Properties of the Traditional Chinese Version of the Cornell Assessment of Pediatric Delirium.","authors":"Yi-Chen Chen, Jann Foster, Man-Ling Wang, Anne Marks, Virginia Schmied, Kai-Mei Chang, Hong-Guang Su, Nan-Hsuan Tsao, Hsiao-Yean Chiu","doi":"10.1016/j.jopan.2025.02.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.009","url":null,"abstract":"<p><strong>Purpose: </strong>Children undergoing general anesthesia have a considerably high risk of emergence delirium (ED), which is a long-underestimated condition. The purpose of this study was to translate and validate the CAPD into traditional Chinese (CAPD-TC), for use with pediatric patients undergoing general anesthesia for elective orthopedic surgery.</p><p><strong>Design: </strong>A prospective observational study.</p><p><strong>Methods: </strong>Children who underwent elective orthopedic surgery and were admitted to postanesthesia care units in Taiwan between October 2023 and July 2024 were included. ED was evaluated using the traditional Chinese version of the Cornell Assessment of Pediatric Delirium (CAPD-TC) concerning delirium diagnostic criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, text revision. We tested construct validity with confirmatory factor analysis and assessed known-group validity by comparing CAPD-TC scores across age (preschool vs school age) and pain severity (mild vs moderate-to-severe). Internal reliability, inter-rater reliability, and diagnostic accuracy were also evaluated using receiver operating characteristic curve analysis.</p><p><strong>Findings: </strong>A total of 200 children (aged 2 to 12 years, mean age: 9.2 years) were included. In accordance to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, text revision criteria, 34.5% developed ED. Confirmatory factor analysis revealed a three-factor structure with an acceptable model fit. CAPD-TC revealed high known-group validity for pain severity and age with reliability analysis of Cronbach's α of 0.83 and inter-rater reliability of 0.88. Receiver operating characteristic analysis identified an optimal cutoff of 11 points and an area under the curve of 0.95, sensitivity of 97.0%, and specificity of 76.0%.</p><p><strong>Conclusions: </strong>The CAPD-TC effectively detects ED during the anesthesia recovery phase in children undergoing elective orthopedic surgery. Our findings indicate CAPD-TC as a reliable tool for timely ED assessment.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643953","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":"Relationship Between Perioperative e-Health Literacy and the Quality of Bowel Preparation: A Propensity Score-matched, Retrospective, Observational Study.","authors":"Liangyu Fang, Xiaoxuan Zhou, Meifeng Wu, Peipei Wang, Yinchuan Xu","doi":"10.1016/j.jopan.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.03.004","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the correlation between perioperative electronic health literacy (e-health literacy) and the quality of bowel preparation based on investigating the risk factors associated with inadequate bowel preparation in colonoscopy patients.</p><p><strong>Design: </strong>A prospectively observational study conducted at three tertiary endoscopy centers in China.</p><p><strong>Methods: </strong>In total, 9,618 patients who underwent their first colonoscopy scanning from July 2023 to June 2024 were collected. Logistic regression analysis was used to identify independent risk factors for bowel preparation failure, while 1:1 propensity score matching was employed to compare the quality of bowel preparation based on different e-health literacy levels.</p><p><strong>Findings: </strong>About 24.55% of patients were experiencing inadequate bowel preparation. Moderate-to-severe anxiety, male, primary school education level, nondigestive endoscopy specialist prescribing, more than 7 days between prescription and treatment time, and low perioperative e-health literacy levels were the independent risk factors for inadequate bowel preparation (P < .05). Inadequate bowel preparation in patients with low perioperative e-health literacy group was predominantly seen in the right and left colon and the proximal colon.</p><p><strong>Conclusions: </strong>Perioperative e-health literacy is an independent risk factor for the quality of bowel preparation. The results highlight the need for developing a customized education intervention program that can improve perioperative e-health literacy for successful preoperative preparation.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610122","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":"Impact of Thoracic Paravertebral Block on Postoperative Analgesia and Recovery in Daytime Laparoscopic Partial Adrenalectomy: A Randomized Clinical Trial.","authors":"Yun-Xing Zhang, Qian-Qian Wang, Chen-Bin Huang, Jun-Li Duan, Ling-Tong Li, Jian-Wen Zhang","doi":"10.1016/j.jopan.2025.04.014","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.014","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to evaluate the effects of thoracic paravertebral block (TPVB) on postoperative analgesia and recovery quality in individuals undergoing daytime laparoscopic partial adrenalectomy.</p><p><strong>Design: </strong>A prospective, randomized, double-blind study.</p><p><strong>Methods: </strong>A total of 65 patients scheduled for daytime laparoscopic partial adrenalectomy were randomly assigned to the TPVB group or the control group. After surgery and before extubation, the patients in the TPVB group received TPVB, while those in the control group did not undergo the intervention. The primary outcome was the Quality of Recovery-15 assessed at 24 and 48 hours postoperatively. Secondary outcomes included postoperative pain intensity measured using the visual analog scale (VAS), cumulative sufentanil consumption, rescue analgesia rate, intake, feeling nauseated, emesis, exam, duration of symptoms scores, first flatus and defecation time, and the incidence of postoperative nausea and vomiting.</p><p><strong>Findings: </strong>The TPVB group demonstrated significantly higher Quality of Recovery-15 scores at 24 and 48 hours after surgery compared with the control group (all P < .05). The sufentanil consumption within 48 hours after surgery was reduced in the TPVB group (P = .002), as was the rate of rescue analgesia within 48 hours (P = .045). VAS scores for pain at rest were significantly decreased in the TPVB group at 1, 6, 12, and 24 hours postoperatively (all P < .05), while VAS pain scores during coughing were lower at 1, 6, and 12 hours (all P < .05). The TPVB group also exhibited lower intake, feeling nauseated, emesis, exam, duration of symptoms scores at 12, 24, and 48 hours after surgery (all P < .05). The time to first flatus and defecation was shorter in the TPVB group compared with the control group (all P < .05). Furthermore, the incidence of postoperative nausea and vomiting was lower in the TPVB group compared with the control group (P = .035).</p><p><strong>Conclusions: </strong>These results indicated that TPVB enhances postoperative analgesia, improves gastrointestinal function, and promotes the quality of recovery in patients undergoing daytime laparoscopic partial adrenalectomy.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144620985","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":"Implementing a Care Bundle to Prevent Inadvertent Perioperative Hypothermia in Organ Transplant Recipients: A Prospective Nonparallel Cohort Study.","authors":"Tugba Nur Oden, Fatma Demir Korkmaz, Sezgin Ulukaya","doi":"10.1016/j.jopan.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.012","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effect of care bundle implementation (CBI) on inadvertent perioperative hypothermia (IPH) in transplant recipients.</p><p><strong>Design: </strong>A prospective nonparallel cohort study.</p><p><strong>Methods: </strong>This study was conducted in three periods: DIM. (1) Detection (D), which identified practical deficiencies in hypothermia prevention among transplant recipients; (2) Implementation (I), which involved training perioperative team members on hypothermia management and the CBI; and (3) Measurement (M), which assessed the impact of the CBI on IPH in organ transplant recipients. Data from the D and M periods were compared.</p><p><strong>Findings: </strong>A total of 71 organ transplant recipients participated in the study, 34 in the D period and 37 in the M period. The compliance with all steps of the care bundle increased from 0% to 78.4% (P < .001, D vs M, respectively). The incidence of IPH decreased 40% (P < .001). Body temperatures in the M period were approximately 0.8 to 1 °C higher than in the D period, intraoperative (P = .02), on admission to the intensive care unit (P < .001), and postoperative (P < .001), respectively.</p><p><strong>Conclusions: </strong>The implementation of care bundles based on evidence-based practices was successful in identifying practical deficiencies in hypothermia prevention, reducing the incidence of IPH, and increasing body temperatures in transplant recipients. It is recommended that systematic approaches be developed for care bundles, incorporating multidisciplinary perioperative team members, to prevent hypothermia in surgical departments.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610121","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":"Management of Patients With AIDS and Retroperitoneal Calcified Fibrosis During the Perioperative Period: A Case Report.","authors":"Haibin Zhang, Di Meng, Jing Zhang","doi":"10.1016/j.jopan.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.013","url":null,"abstract":"<p><p>This case report details the perioperative management of a 27-year-old male patient with AIDS and a rare giant retroperitoneal calcifying fibrous tumor. The tumor's surgical removal posed high risk due to its proximity to vital structures and the patient's human immunodeficiency virus infection. The report highlights the importance of multidisciplinary collaboration in managing such complex cases. Key nursing considerations included providing psychological support to mitigate the stigma associated with AIDS, adhering strictly to infection control and disinfection protocols, closely monitoring for postoperative hypovolemic shock, and managing complications such as gastric motility disorders and renal infarction. Integrating traditional Chinese medicine with Western treatments for gastrointestinal issues proved beneficial. The patient's recovery, achieved through coordinated care, underscores the significance of personalized nursing interventions to optimize patient outcomes. This report provides valuable insights for clinical practice, particularly in handling similar cases of human immunodeficiency virus with complex comorbidities.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592781","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":"Perianesthesia Nurses' Perspectives Managing Frailty: A Qualitative Study.","authors":"Ilana I Logvinov, Donna Felber Neff, Mona Shattell","doi":"10.1016/j.jopan.2025.04.007","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.007","url":null,"abstract":"<p><strong>Purpose: </strong>The intent of this study was to describe the perceptions, experiences, and barriers to the use of frailty screening for surgical patients.</p><p><strong>Design: </strong>A qualitative descriptive design using semistructured interviews.</p><p><strong>Methods: </strong>This qualitative study was based on interviews with 26 perianesthesia nurses from 17 states, all who were members of the American Society of PeriAnesthesia Nurses, working full- or part-time in the specialty and experienced with older adults.</p><p><strong>Findings: </strong>Three key themes regarding frailty assessment and management were identified: (1) challenges in frailty identification; (2) frailty and its ripple effects; and (3) optimizing frailty assessment and management.</p><p><strong>Conclusions: </strong>Nurses reported lack of education related to frailty assessment and an inability to adequately and objectively communicate their patients' needs to other providers. There is a need for education to train nurses to use frailty assessments. Integrating frailty assessment into preoperative nursing documentation can facilitate care planning and improved patient outcomes.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585458","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":"Knowledge and Practice of Perioperative Nurses Regarding Post Spinal Hypothermia Management: A Cross-sectional Study.","authors":"Leila Sadati, Nasim Jamshid Malekara, Rana Abjar","doi":"10.1016/j.jopan.2025.03.002","DOIUrl":"10.1016/j.jopan.2025.03.002","url":null,"abstract":"<p><strong>Purpose: </strong>Inadvertent post spinal hypothermia is a common and preventable complication during surgeries. This study aimed to determine the knowledge and practice of perioperative nurses regarding post spinal hypothermia management.</p><p><strong>Design: </strong>A descriptive cross-sectional study.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in 2024. The population comprised operating room nurses working in educational hospitals affiliated with Alborz University of Medical Sciences. A sample of 172 nurses was selected using the census method. Data were collected using a researcher-developed questionnaire assessing knowledge and practice. The questionnaire's reliability was confirmed with Cronbach's alpha coefficients of 0.80 and 0.85 for the knowledge and practice sections, respectively. Data analysis was conducted using SPSS version 25, employing descriptive statistics, one-sample t-test, Pearson correlation, and one-way ANOVA.</p><p><strong>Findings: </strong>The mean score of nurses' knowledge in preventing hypothermia was 54% ± 0.15, with 71.5% demonstrating moderate knowledge. The mean practice score was 44.6% ± 0.29, with 69.8% showing moderate practice. A positive correlation was found between knowledge and practice (r = 0.471, P < .0001). Nurses' knowledge and practice were significantly associated with prior hypothermia training (F = 65.72, P < .001 for knowledge; F = 14.7, P < .001 for practice) and education level (F = 36.04, P < .001 for knowledge; F = 8.19, P = .005 for practice).</p><p><strong>Conclusions: </strong>This study reveals a need for improvement in perioperative nurses' knowledge and practice regarding post spinal hypothermia management. Implementing continuous training and encouraging advanced education can enhance nurses' ability to prevent hypothermia and manage its complications, potentially improving patient safety and outcomes in the perioperative setting.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576804","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":"Influence of Breathing Training Based on Multimedia Education Combined With CICARE Communication Mode on Patients With Coronary CTA.","authors":"Hongfang Huang, Guanzhen Zeng, Xiuzhen Chen, ChenHui Li, XiPin Pan, Ying Dou, Junli Liang","doi":"10.1016/j.jopan.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.011","url":null,"abstract":"<p><strong>Purpose: </strong>Coronary computed tomography angiography (coronary CTA) is an important examination method for diagnosing coronary artery disease. This study aims to explore the effect of multimedia education-based breathing training combined with Connect, Introduce, Communicate, Ask, Respond, Exit (CICARE) communication mode on patients with coronary CTA.</p><p><strong>Design: </strong>Randomized Control Trial.</p><p><strong>Methods: </strong>The control group received routine inspection and education, whereas the intervention group underwent intervention with multimedia education and the CICARE communication mode. The operation time, physiological reactions, psychological state, incidence of adverse reactions caused by the iodine contrast agent, and image quality after examination were compared between the two groups. A total of 120 patients who underwent coronary CTA for suspected coronary artery disease in our hospital between May 2022 and May 2023 were selected, and the patients were divided into the intervention group and the control group using the random number method (60 cases in each group).</p><p><strong>Findings: </strong>The intervention group had a significantly shorter operation time compared with the control group (P < .05). While both groups showed an increase in systolic and diastolic blood pressure and heart rate 15 minutes before the examination, the intervention group exhibited lower increases (P < .05). Additionally, the incidence of adverse reactions to iodine contrast agents, as well as Hamilton Anxiety Scale and Hamilton Depression Scale scores, were lower in the intervention group (P < .05). The intervention group also had a higher qualified rate of imaging quality (P < .05).</p><p><strong>Conclusions: </strong>Breathing training based on multimedia education combined with the CICARE communication mode is more effective than the conventional approach in shortening examination operation time, alleviating patients' nervousness and anxiety, reducing the incidence of adverse reactions to iodinated contrast agents, and improving image quality.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561674","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":"Turkish Version of Barriers to Perioperative Hypothermia Prevention (Bs-PHP) Scale: A Validity and Reliability Study.","authors":"İnci Kırtıl, Özlem Şahi̇n Akboğa","doi":"10.1016/j.jopan.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.03.003","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to both translate into Turkish and adapt culturally the Barriers to Perioperative Hypothermia Prevention (Bs-PHP) scale, and also to determine the validity and reliability of the Turkish version.</p><p><strong>Design: </strong>This is a methodological study.</p><p><strong>Methods: </strong>The study was conducted between May and September 2024 with 242 participants, including operating room nurses, anesthesia technicians, and anesthesiologists. Data were collected using a demographic characteristics form and the Bs-PHP scale form. Descriptive statistics, independent samples t test, analysis of variance, exploratory and confirmatory factor analyses, Cronbach's α coefficient, discrimination analysis, item-total score correlation, test-retest analysis, and structural equation modeling were used for data analysis.</p><p><strong>Findings: </strong>The study showed that the scale exhibited high internal consistency (Cronbach's α = 0.90). Exploratory factor analysis indicated that the cumulative variance contribution was 63.47%, with a Kaiser-Meyer-Olkin value of 0.86. The results of the pre- and post-total test statistics were statistically significant (P < .05), and the correlations among the scale's subdimensions ranged from low to moderate (P < .001). The model fit indices, including χ²/df = 1.80, Root Mean Square Error of Approximation = 0.05, Goodness of Fit Index = 0.85, and Incremental Fit Index = 0.91, confirmed that the model demonstrated an acceptable level of fit.</p><p><strong>Conclusions: </strong>The study demonstrated that the Turkish version of the Bs-PHP Scale is a valid and reliable instrument for identifying the perceived barriers to preventing inadvertent perioperative hypothermia among operating room staff.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555407","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":"On the Other Side of the Bed-Part 2.","authors":"Jan Odom-Forren","doi":"10.1016/j.jopan.2025.06.014","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.014","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545752","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}