Journal of Perianesthesia Nursing最新文献

{"title":"Carbon Footprint in the Operating Room: A Bibliometric Analysis.","authors":"Seda Cansu Yeni̇ğün Akbulut, Hatice Özsoy","doi":"10.1016/j.jopan.2025.06.007","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.007","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to analyze the research focus, thematic trends, and development of studies on the carbon footprint in operating rooms.</p><p><strong>Design: </strong>A bibliometric analysis.</p><p><strong>Methods: </strong>The study analyzed 132 articles on the carbon footprint in operating rooms were retrieved from the Web of Science database and using the Bibliometrix Package in R software.</p><p><strong>Findings: </strong>A total of 98 articles published by 542 authors between 2009 and 2024 were identified. These studies included 221 keywords. The most frequently used author keywords included \"carbon footprint,\" \"sustainability,\" \"climate change,\" \"operating room,\" and \"waste.\" Early studies, particularly around 2016, focused on themes such as \"biomedical waste,\" \"construction,\" and \"impacts.\" In recent years, popular topics have shifted to \"carbon footprint,\" \"surgery,\" and \"life-cycle assessment.\"</p><p><strong>Conclusions: </strong>The number of studies on the carbon footprint in operating rooms has gradually increased over the years, with the topic becoming a prominent research field. Themes related to \"cost\" and \"footprint\" have been more thoroughly examined, while those related to \"prevention\" and \"system\" remain underexplored.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975723","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":"Anesthesia Management of a Patient With Common Variable Immunodeficiency and End-stage Liver Disease Undergoing Laparoscopic Surgery: A Case Report.","authors":"Mert Nur, Nedim Çekmen, Murathan Erkent, Semra Kamilova","doi":"10.1016/j.jopan.2025.05.180","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.180","url":null,"abstract":"<p><p>Common variable immunodeficiency (CVID) is one of the most common forms of severe primary immunodeficiency, characterized by a deficiency of immunoglobulin G (IgG) and impaired antibody responses, which increase susceptibility to infections. Anesthetic management of patients with CVID and end-stage liver disease is extremely challenging for anesthesiologists. We report the successful anesthesia management of a 46-year-old female patient with end-stage liver disease, diagnosed with CVID at age 26, by applying timely intravenous immunoglobulin and prophylactic antibiotic therapy for laparoscopic cholecystectomy and hernia repair surgery. Increasing knowledge and awareness of perioperative staff, along with a comprehensive preoperative evaluation, is important in caring for patients with CVID, contributing significantly to preoperative preparation, intraoperative monitoring, and postoperative recovery, as well as ensuring patient safety and optimizing outcomes.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856858","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 Specialized Collaborative Nursing on the Awakening Quality and Stress Status of Elderly Patients Undergoing Coronary Artery Bypass Surgery: A Randomized Controlled Study.","authors":"Lulu Lv, Mengting Wang","doi":"10.1016/j.jopan.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.003","url":null,"abstract":"<p><strong>Purpose: </strong>Exploring the effect of specialized collaborative nursing model during the awakening period for elderly patients undergoing coronary artery bypass surgery.</p><p><strong>Design: </strong>Prospective randomized controlled trial.</p><p><strong>Methods: </strong>A total of 200 elderly patients who underwent coronary artery bypass surgery at our hospital from January 2020 to January 2023 were selected as study subjects. They were randomly divided into a control group and an observation group, with 100 patients in each group. The control group received routine nursing care, while the observation group received specialized collaborative nursing care during the awakening period. The stress status during the awakening period [heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP)], awakening time, awakening quality [Observer Assessment of Alertness and Sedation (OAAS)], and the incidence of complications were compared between the two groups.</p><p><strong>Findings: </strong>At the time of extubation and 2 minutes after extubation, the levels of HR, SBP, DBP, and MAP in both groups were higher than at the time of eye opening. However, the levels of these indicators in the observation group were lower than those in the control group, with statistically significant differences (P < 0.05). The OAAS scores at different time points after extubation in the observation group were higher than those in the control group. The times for the recovery of spontaneous breathing, extubation, eye opening upon calling, and length of stay in the postanesthesia care unit were shorter in the observation group compared to the control group, with statistically significant differences (P < 0.05). The incidence of complications in the observation group was lower than in the control group, with statistically significant differences (P < 0.05).</p><p><strong>Conclusions: </strong>Specialized collaborative nursing during the awakening period can significantly reduce the stress status of elderly patients undergoing coronary artery bypass surgery, improve the quality of awakening, and reduce the incidence of related complications.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856860","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":"Changes in Quantitative Pupillometry After General Anesthesia and Neuromuscular Blockade.","authors":"Siddharth Dave, Chahat Rana, Jade L Marshall, Bryan T Romito, Ranier G Reyes, DaiWai M Olson, David L McDonagh, Venkatesh Aiyagari, Moez M I Bashir, Jia W Romito","doi":"10.1016/j.jopan.2025.05.181","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.181","url":null,"abstract":"<p><strong>Purpose: </strong>Quantitative pupillometry (QP) standardizes pupillary assessment and may assist in the assessment of patients undergoing general anesthesia with neuromuscular blockade. This study aimed to explore the effect of general anesthesia with neuromuscular blockade on QP values.</p><p><strong>Design: </strong>A prospective observational study.</p><p><strong>Methods: </strong>This study obtained QP readings using a handheld pupillometer from adult patients undergoing surgery. The first reading was obtained prior to any anesthetic medication. Subsequent readings were obtained immediately after induction of general anesthesia and once every 5 minutes, up to 20 minutes or procedure start time.</p><p><strong>Findings: </strong>Of 109 enrolled, 59 (53.6%) received rocuronium and 50 (46.4%) received succinylcholine. Following the induction of general anesthesia, several QP values were significantly reduced, including the Neurological Pupil index (4.23 to 3.47; P < .0001 for the left eye and 4.24 to 3.31; P < .0001 for the right eye), constriction velocity (1.64 to 0.94 mm/s; P < .0001 for the left eye and 1.72 to 0.99 mm/s; P < .0001 for the right eye), dilation velocity (0.80 to 0.40 mm/s; P < .0001 for the left eye and 0.85 to 0.40 mm/s; P < .0001 for the right eye), and percent change in pupil size (22.35% to 13.68%; P < .0001 for the left eye and 24.09% to 13.86%; P < .0001 for the right eye). Conversely, latency of constriction and pupil size after light exposure significantly increased (P < .0001 bilaterally for both values). There was no significant change in Neurological Pupil index after either rocuronium or succinylcholine administration.</p><p><strong>Conclusions: </strong>QP results indicate that pupillary velocity and reactivity slow down following the induction of general anesthesia with the administration of either rocuronium or succinylcholine. Further research is warranted to study the changes of QP metrics in this context.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838368","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 Su Jok on Pain, Anxiety, and Quality of Recovery After Lumbar Disk Surgery: A randomized, controlled study.","authors":"Niran Coban, Sonay Goktas","doi":"10.1016/j.jopan.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.010","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effect of Su Jok on pain, anxiety, quality of recovery, and physiological parameters after lumbar disk surgery.</p><p><strong>Design: </strong>Randomized Controlled study.</p><p><strong>Methods: </strong>The study was conducted with 60 eligible patients who underwent lumbar disk surgery in the neurosurgery clinic of a training and research hospital in Istanbul between December 2022 and June 2023. Patients in the intervention group (n = 30) received Su Jok on postoperative days 0, 1, and 2. Patients in the control group received no intervention other than routine care (n = 30). Study data were collected with a descriptive characteristics form, the State Anxiety Inventory, 40-item Quality of Recovery Scale, Visual Analog Scale, short-form McGill Pain Scale, and a physiological parameters form.</p><p><strong>Findings: </strong>The patients in the study had a mean age of 47.08 ± 9.58 years, 53.3% were male, 38.3% were primary school graduates, and 58.3% were employed. The frequency of chronic disease was 30% in the Su Jok group and 33.3% in the control group. Twenty-five patients (41.7%) had diagnosed lumbar disk herniation for at least 10 years. Postintervention pain and anxiety levels were significantly lower in the Su Jok group than in the control group (P < .05). Quality of recovery at postoperative days 1 and 2 and postdischarge day 10 was better in the Su Jok group compared with the control group (P < .05). Patients in the Su Jok group also showed more favorable physiological responses (P < .05).</p><p><strong>Conclusions: </strong>This study showed that Su Jok reduced the pain and anxiety levels of patients after lumbar disk surgery and increased the quality of recovery. In addition to reducing pain and anxiety, the Su Jok intervention had a favorable effect on physiological parameters.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818030","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":"Improved Documentation of a Pediatric Phase II Postanesthesia Discharge Scoring Tool: A Quality Improvement Project.","authors":"Amy Berardinelli, Katelyn Howell, Margaret Allen, Laurie Engler, Prabi Rajbhandari, Daniel Goldstein","doi":"10.1016/j.jopan.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.009","url":null,"abstract":"<p><strong>Purpose: </strong>The American Society of PeriAnesthesia Nurses supports the use of discharge scoring tools that include essential elements of clinical nursing assessments, which are necessary for the safe transition of postanesthesia patients from one level of care to the next. At a freestanding pediatric hospital in the Midwest, the absence of a standardized scoring tool to determine a pediatric patient's readiness for discharge home after ambulatory surgery in Phase II was identified. This study aimed to implement a standardized discharge scoring tool to ensure safe, consistent, and efficient patient care.</p><p><strong>Design: </strong>Quality improvement (QI) methodology was used for this project from July 2023 to December 2023 using the International Healthcare for Improvement's model for change.</p><p><strong>Methods: </strong>The multidisciplinary QI team consisted of anesthesiologists, nurses, and unlicensed personnel. The aim was to implement an already developed Phase II discharge scoring tool to replace the current nursing process, which relied on subjective assessments of the patient's readiness for discharge. The pediatric readiness for discharge (P-REDI) tool was selected based on its real-time functionality, objectivity, and evidence-based research foundation. Interventions included team meetings, multidisciplinary education, incentives, and continuous evaluation.</p><p><strong>Findings: </strong>The primary measure was the percentage of Phase II registered nurse (RN) usage of the P-REDI tool, which increased from a baseline of 0% to 78.4% and was sustained throughout the 5-month period. The total number of discussions about the P-REDI tool at monthly staff meetings was 83%. Additionally, the average length of stay from door to discharge remained consistent, with an average of 254.6 minutes. The Phase II length of stay also remained consistent at an average of 52.3 minutes, from the P-REDI paper implementation to P-REDI electronic health record implementation.</p><p><strong>Conclusions: </strong>This QI project successfully engaged staff in understanding the importance of using a safe discharge scoring tool in the perianesthesia environment. The integration of Phase I and Phase II discharge scoring tools in adult and pediatric perianesthesia departments worldwide can lead to safer, evidence-based care and smoother transitions to home.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800713","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":"Ambient Noise in the Operating Theater: A Bibliometric Analysis of Studies Examining Its Effects on Physiological, Psychological, and Performance of Health Professionals.","authors":"Muaz Gülşen, Askeri Çankaya, Hatice Özsoy","doi":"10.1016/j.jopan.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.003","url":null,"abstract":"<p><strong>Purpose: </strong>To present a bibliometric analysis of scientific studies examining the effects of noise, specifically, to review publications, authors, journals, and research institutions and to outline thematic developments in this area.</p><p><strong>Design: </strong>This retrospective and descriptive study was conducted using a bibliometric analysis approach.</p><p><strong>Methods: </strong>The study population comprised 238 publications from the Web of Science Core Collection database, focusing on noise in operating room environments with keywords in titles, abstracts, or main texts. Based on inclusion and exclusion criteria, a sample of 64 publications was selected. These records were downloaded in BibTeX format as of August 21, 2024, excluding studies added to the database after this date. Data analysis was performed using R Studio software.</p><p><strong>Findings: </strong>The earliest study on the effects of operating room noise on health care professionals was published in 1993. Of the total publications, 62.5% were published within the past 4 years. The most frequent journals were \"Anaesthesia,\" \"Surgical Endoscopy and Other Interventional Techniques,\" and \"World Journal of Surgery.\" The country with the highest output was the United States. Keywords such as \"noise,\" \"operating room,\" \"music,\" \"communication,\" and \"stress\" were most commonly used. Additionally, interest in noise and music topics peaked in 2021.</p><p><strong>Conclusions: </strong>There has been a notable increase in studies on the impact of operating room noise on health care professionals, with a concentration of research in 2021. Most studies originated from developed countries like the United States, the United Kingdom, and Germany. This trend reflects a growing global awareness of the importance of occupational safety and health for health care workers.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795951","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 Effects of Two Distraction Methods on Pain Levels and Physiological Parameters During the Postoperative Period in Pediatric Patients Undergoing Ambulatory Surgery: A Multiarm Randomized Controlled Trial.","authors":"Sevinc Akkoyun, Fatma Tas Arslan, Mehmet Sarıkaya","doi":"10.1016/j.jopan.2025.04.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.015","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the effects of cartoon watching and ball squeezing on pain scores and physiological parameters during the postoperative period in pediatric patients' ambulatory surgery.</p><p><strong>Design: </strong>This was a prospective, single-center, single-blind, three-arm, parallel-group, randomized controlled study.</p><p><strong>Methods: </strong>The study sample consists of 120 children between the ages of 6 and 12. The children were randomly assigned to the cartoon watching group (n = 40), the ball squeezing group (n = 40), and the control group (n = 40). The interventions were applied to the groups for 15 minutes. The Physiological Parameters Follow-up Form and Wong-Baker Faces Pain Scale were completed before the interventions were applied (0th minute), 10th minute during the intervention (10th minute), and 5 minutes after the intervention ended (20th minute). Pain scores were evaluated by the child, parent, and nurse.</p><p><strong>Findings: </strong>A significant difference was detected in the group * time in the physiological parameters and pain scores of the intervention and control groups (P < .05). The group * time interaction pain score (child) (P < .001); pain score (parent) (P < .001); pain score (nurse) (P < .001) had a significant and medium effect size; body temperature (P = .022); oxygen saturation (P = .001); and respiratory rate (P = .006) were found to have a significant and small effect size.</p><p><strong>Conclusions: </strong>Cartoon watching and ball squeezing methods were effective at reducing pain, and ball squeezing was effective at stabilizing physiological parameters in children aged 6 to 12 years ambulatory surgery. These results positively affect pain control and physiological parameters in the postoperative period in children undergoing ambulatory surgery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790443","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":"Development and Validation of a Predictive Model for Intraoperative Hypothermia in Neonates and Young Children Undergoing General Anesthesia.","authors":"Jing Ruan, Kun Dai, Yonghong Wu, Ying Zhang, Jiaxuan Mai, Lijiao Qin, Xiangnan Chen","doi":"10.1016/j.jopan.2025.04.013","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.013","url":null,"abstract":"<p><strong>Purpose: </strong>Intraoperative hypothermia increases perioperative morbidity. However, preoperative identification of patients at risk remains challenging. The aim of this study was to develop and validate a predictive model for intraoperative hypothermia in neonates and young children.</p><p><strong>Design: </strong>This was a retrospective cohort study.</p><p><strong>Methods: </strong>We collected data from 2,070 participants aged 1 day to 3 years who underwent general anesthesia at a hospital between January 1, 2021, and June 30, 2023. The training set comprised 1,449 cases, while the validation set included 621 cases. Logistic regression was used to construct the model, and the area under the curve (AUC) was used to evaluate the predictive effect of the model. The transparent reporting of a multivariable prediction model for individual prognosis or diagnosis checklist was used to guide the reporting of this study.</p><p><strong>Findings: </strong>The incidence of intraoperative hypothermia was 42.79% in the training group and 41.87% in the verification group. The prediction model included six key predictors: age, preoperative weight, basal temperature, respiratory rate, duration of anesthesia, and infusion and transfusion volume grouping (mL/kg). The model is presented as a nomogram. The AUC of the training set was 0.767, with a Joden index of 0.411, sensitivity of 0.687, and specificity of 0.724, and the AUC of the validation set was 0.775. The calibration curve exhibited a high level of consistency between the predicted and observed probabilities.</p><p><strong>Conclusions: </strong>This study developed a predictive model and constructed a nomogram for assessing the risk of intraoperative hypothermia in neonatal and pediatric patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790442","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":"Exploring Preoperative Anxiety in Patients with Breast Cancer Undergoing Surgery: A Qualitative Study.","authors":"Watanachai Klankluang, Thasuk Junprasert, Kanu Priya Mohan","doi":"10.1016/j.jopan.2025.04.011","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.04.011","url":null,"abstract":"<p><strong>Purpose: </strong>To explore preoperative anxiety in patients with breast cancer undergoing surgery by integrating Bronfenbrenner's ecological systems theory, thereby providing a comprehensive understanding of the multidimensional perspectives within Thai culture.</p><p><strong>Design: </strong>A qualitative instrumental case study approach was used.</p><p><strong>Methods: </strong>This study was conducted to gain a deep understanding of the experiences of newly admitted female breast cancer undergoing surgery. Semistructured interviews were employed to gather data on the day before surgery. The content analysis method was used for data analysis.</p><p><strong>Findings: </strong>The study involved 15 female patients with breast cancer undergoing surgery. Preoperative anxiety was identified as a complex interplay of recurring thoughts and negative emotions related to the breast cancer diagnosis, the surgical procedure, and future treatments. Root causes included personal experiences, fear of losing femininity, social and financial concerns, and beliefs in karma. Six main themes emerged: anxiety about the surgical process, concerns about surgical outcomes and adjuvant treatments, fear of losing femininity, anxious experiences, socioeconomic impact, and karmic retribution.</p><p><strong>Conclusions: </strong>The emerging significance of preoperative anxiety in patients with breast cancer undergoing surgery is multifaceted. A comprehensive understanding of this anxiety can aid perioperative nurses in addressing multidimensional concerns when assessing and providing nursing care for these patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776717","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}