Journal of Perianesthesia Nursing最新文献

{"title":"Corrigendum to “Postoperative Emergence Agitation in Adults in the Postanesthesia Care Unit After General Anesthesia Is a Critical Concern That Demands Attention” [Journal of PeriAnesthesia Nursing 40 (2025) 461-462]","authors":"Ulrica Nilsson PhD, RNA, FAAN","doi":"10.1016/j.jopan.2025.03.013","DOIUrl":"10.1016/j.jopan.2025.03.013","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 3","pages":"Page 467"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166830","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":"Information for Readers","authors":"","doi":"10.1016/S1089-9472(25)00120-0","DOIUrl":"10.1016/S1089-9472(25)00120-0","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 3","pages":"Page A1"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166835","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":"Creating an Environment of Possibilities: Reflections on Perianesthesia Leadership","authors":"Myrna Eileen Mamaril DNP, RN, NEA-BC, CPAN, CAPA, FASPAN, FAAN , Pamela Windle DNP, RN, NE-BC, CPAN, CAPA, FASPAN, FAAN","doi":"10.1016/j.jopan.2025.01.022","DOIUrl":"10.1016/j.jopan.2025.01.022","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 3","pages":"Pages 774-775"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144165803","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":"There's more to Throat Being Postoperatively Sore!","authors":"Rohan Magoon","doi":"10.1016/j.jopan.2025.02.019","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.019","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175433","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":"Effects of Forced-Air Warming Blanket on Anxiety Reduction and Thermal Comfort Improvement With Physical Indicators for Patients Undergoing Abdominal Surgery: A Quasi-experimental Study.","authors":"Shu-Mei Wang, Chung-Ying Lin, Musheer A Aljaberi, Chiu-Hsiang Lee, Ying-Hsiang Chou, Mark D Griffiths","doi":"10.1016/j.jopan.2025.01.026","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.026","url":null,"abstract":"<p><strong>Purpose: </strong>Keeping warm is important for patients undergoing an operation because intraoperative or postoperative hypothermia may result in complications and mortality. In addition, patients undergoing an operation could have higher levels of anxiety, and keeping them warm may be helpful for anxiety reduction. This study examined if using a forced-air warming blanket from the intraoperative to postoperative period could help reduce anxiety, improve thermal comfort, and maintain core body temperatures for patients undergoing an abdominal operation.</p><p><strong>Design: </strong>A quasi-experimental study.</p><p><strong>Methods: </strong>There were two groups: a forced-air warming blanket group (FG; n = 30 [23.3% males]; 51.53 years) and a control group (CG; n = 32 [25.0% males]; 48.97 years). The participants were allocated to either intervention or control groups based on the sequence of their invitation to the study: the first 34 were assigned to the FG group, and the second 34 to the CG group. All participants completed measures assessing anxiety and thermal comfort. Body temperatures were measured using an esophageal temperature probe, and heart rate and blood pressure were measured using central electrocardiography.</p><p><strong>Findings: </strong>After controlling for age, marital status, educational level, previous operation experience, and baseline measures, the results showed that the FG had significantly lower levels of anxiety than the CG (adjusted mean±SE = 3.83 ± 0.27 vs 5.02 ± 0.24; P < .001) with a large effect size (d = -0.85). The FG had significantly better thermal comfort than the CG (adjusted mean±SE = 4.51 ± 0.21 vs 3.53 ± 0.19; P < .001), with a large effect size (d = 0.89). The two groups had no significant differences in other physical indicators (P = .144-.836; d = -0.04 to 0.30).</p><p><strong>Conclusions: </strong>The results indicate that using a forced-air warming blanket is a good intervention to help reduce anxiety and increase thermal comfort among patients undergoing abdominal surgery during the perioperative period.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175428","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 Discharge Planning on Parents' Anxiety and Coping Difficulties in Hypospadias Repair Surgery.","authors":"Aslıhan Altun Inan, Ayfer Ekim","doi":"10.1016/j.jopan.2025.01.027","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.027","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the effects of discharge planning for children undergoing hypospadias repair surgery on parents' anxiety and post discharge coping difficulties.</p><p><strong>Design: </strong>The study was a quasi-experimental design.</p><p><strong>Methods: </strong>The study sample consisted of a total of 70 mother-child dyads who underwent hypospadias repair surgery, 35 in the intervention group and 35 in the control group. The intervention group received the designed discharge plan instructions, while the control group received the routine care of the pediatric surgery department. The discharge plan, which started on the first day of hospitalization, included two sessions of face-to-face parent education, a predischarge interview, a telephone interview on the third day and third week after discharge, and an education booklet. Data collection tools were State Anxiety Inventory, Post Discharge Interview Form, and Post Discharge Coping Difficulties Scale.</p><p><strong>Findings: </strong>On the day of discharge, the mean state anxiety scores of the intervention group mothers were significantly lower than the control group (P = .020). Post Discharge Coping Difficulties Scale score was 37.74 ± 3.34 for the intervention group parents and 57.17 ± 3.17 for the control group parents and the result was statistically significant. There was a positive significant correlation between parents' state anxiety level and post discharge coping difficulties (P = .03).</p><p><strong>Conclusions: </strong>In hypospadias surgery where care is transferred to parents after short-term hospitalization, discharge planning is effective in reducing parents' anxiety level and difficulties in caring for their child at home.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175431","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":"Heat Loss During Procedural Sedation for Endoscopy: A Descriptive Study.","authors":"Judy Munday, Lucy McKenna, Sarah Johns, Kimberley Ryan, Clint Douglas","doi":"10.1016/j.jopan.2025.01.024","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.024","url":null,"abstract":"<p><strong>Purpose: </strong>Little is known about heat loss during procedural sedation. Our descriptive study aimed to examine the pattern and characteristics of heat loss in this population.</p><p><strong>Design: </strong>Continuous temperature monitoring via a zero-heat-flux device examined heat loss among patients receiving procedural sedation for upper and lower endoscopy procedures.</p><p><strong>Methods: </strong>Adults receiving procedural sedation for lower and complex upper endoscopic procedures at the study hospital on an outpatient basis were included. Temperature was collected prospectively from the zero-heat-flux device. Demographic and clinical data including shivering and thermal comfort were collected from health records or directly from patients. The Gastrointestinal Endoscopy Satisfaction Questionnaire was completed the next day. Change in body temperature was analyzed using linear mixed-model analysis from induction to the end of procedure.</p><p><strong>Findings: </strong>Among the 165 participants, mean body temperature declined to below 36 °C at 45 minutes from induction. A linear trend model from induction estimated that for every 15 minutes of procedural sedation, body temperature decreased on average by 0.19 °C [95% confidence interval -0.18, -0.21]. Almost one-third (30%, 45/164) were hypothermic on arrival to first-stage recovery, increasing to 42% (68/163) on arrival to second-stage recovery.</p><p><strong>Conclusions: </strong>Patients receiving procedural sedation for endoscopic procedures may experience heat loss comparable to the initial phase of general or neuraxial anesthesia. Active warming and continuous temperature monitoring are yet to be implemented in this population.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163106","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":"Combination of Ropivacaine Hydrochloride and Esketamine for Thoracic Paravertebral Block on Pain and Postoperative Recovery of Patients Undergoing Radical Resection Surgery for Lung Cancer.","authors":"Qun Yang, Qian Luo, Lei Cheng, Ze-Xue Yang, Li-Hao Rao, Feng Cheng, Li-Dong Zheng","doi":"10.1016/j.jopan.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.012","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the efficacy of a combination of ropivacaine hydrochloride and esketamine in paravertebral block (PVB), in providing analgesia and promoting the postoperative recovery of patients undergoing elective thoracoscopic radical lung cancer surgery.</p><p><strong>Design: </strong>A randomized controlled trial was conducted involving 70 patients scheduled for elective thoracoscopic radical lung cancer surgery.</p><p><strong>Methods: </strong>Participants were randomly assigned to either the esketamine group (K group) or the control group (C group). Patients in the K group were administered a combination of 0.1 mg/kg of esketamine and 0.5% ropivacaine for PVB, while patients in the C group received only 0.5% ropivacaine. The time interval between the patient's discharge from the postanesthesia care unit and the first press of the analgesic pump and the number of presses. Various parameters that were monitored included the patients' mean arterial pressure, heart rate, and oxygen saturation at different time points; levels of interleukin-6, tumor necrosis factor-α, and C-reactive protein in venous blood preoperatively and 6 hours postoperatively; pain assessed using the numeric rating scale scores.</p><p><strong>Findings: </strong>Compared with group C, patients in group K had significantly longer intervals before their first postoperative analgesic pump press and significantly fewer effective analgesic pump presses in the 48-hour postoperative period. Resting numeric rating scale scores were significantly lower in group K at 24 and 48 hours postoperatively (both P < .05). In terms of postoperative recovery, sedation score during extubation was lower in group K compared with group C (P < .05). Patients in group K had significantly improved quality of recovery on the third day postoperatively (both P < .05). The levels of interleukin-6, tumor necrosis factor-α, and C-reactive protein in venous blood were significantly lower in group K than in group C 24 hours postoperatively, and the difference was statistically significant (P < .05).</p><p><strong>Conclusions: </strong>PVB with ropivacaine hydrochloride combined with esketamine effectively prolonged the time to the first analgesic pump use, reduced the overall analgesic pump requirement, and facilitated rapid recovery in patients undergoing thoracoscopic radical lung cancer surgery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163138","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 Esketamine on Catheter-Related Bladder Discomfort in Elderly Male Patients Undergoing Flexible Ureteroscopic Lithotripsy After General Anesthesia.","authors":"Shuai Yang, Shaofang Liang, Xinyao Chen, Yuhua Que, Yewei Zhu, Siyuan Liu","doi":"10.1016/j.jopan.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.12.002","url":null,"abstract":"<p><strong>Purpose: </strong>Postoperative catheter-related bladder discomfort (CRBD) is a common complication in elderly male patients after intraoperative urinary catheterization. This research seeks to investigate if the intraoperative administration of esketamine can decrease the incidence and severity of CRBD and compare the effects of esketamine dosages of 0.2 and 0.5 mg/kg.</p><p><strong>Design: </strong>A prospective randomized controlled trial.</p><p><strong>Methods: </strong>This randomized controlled study involved 90 elderly male patients undergoing elective ureteroscopic lithotripsy. Patients were divided into three groups (n = 30 each). The low-dose group (L group) received 0.2 mg/kg esketamine intravenously before catheterization, the normal-dose group (N group) received 0.5 mg/kg esketamine, and the control group (C group) received an equivalent volume of normal saline. CRBD incidence and severity were assessed at 2, 4, 24, and 48 hours postoperatively. Secondary outcomes included extubation time, time to alertness, and physiological parameters (heart rate, blood pressure, oxygen saturation, and Mini-mental State Examination [MMSE] scores) over the same periods.</p><p><strong>Findings: </strong>The L group showed reduced CRBD incidence at 48 hours and lower CRBD severity at all time points compared to the C group (P < .05). The N group demonstrated less severe CRBD at 2 and 48 hours compared to the C group (P < .05). Comparatively, the L group experienced milder pain at 4 and 24 hours and a lower CRBD incidence at 24 hours compared to the N group (P < .05). No significant differences were observed in other outcomes (P > .05).</p><p><strong>Conclusions: </strong>Intravenous esketamine effectively reduces the incidence and severity of postoperative CRBD in elderly male patients undergoing ureteroscopic lithotripsy. A subanesthetic dose (0.2 mg/kg) demonstrates superior efficacy compared to an anesthetic dose (0.5 mg/kg), offering a safer and more effective strategy for managing CRBD.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129188","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":"Does Preoperative Surgical Fear Level Affect Breastfeeding?","authors":"İpek Turhan, Kübra Apaydın, Evrim Bayraktar","doi":"10.1016/j.jopan.2024.12.005","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.12.005","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to explore the relationship between surgical fear, breastfeeding initiation time, and breastfeeding self-efficacy.</p><p><strong>Design: </strong>The research is a descriptive study.</p><p><strong>Methods: </strong>The population of the study consisted of patients who applied to City Hospital Gynecological Surgery and Postpartum services for elective cesarean section between July and October 2024. The study sample included pregnant women who met the eligibility criteria and consented to participate. Introductory Form, Breastfeeding Assessment Form, Surgical Fear Scale, and Breastfeeding Self-Efficacy Scale were used to collect the data.</p><p><strong>Findings: </strong>A moderate positive correlation was observed between the short-term and long-term fear subscales, while a moderate negative correlation was found between the Surgical Fear Scale and its subscales and the Breastfeeding Self-Efficacy Scale (P ≤ .001). Women aged 25 years and younger had lower mean Breastfeeding Self-Efficacy Scale scores and the difference between the groups was statistically significant (P < .001). The mean scores of the subscale and total scale of the Surgical Fear Scale were lower, the mean scores of the Breastfeeding Self-Efficacy Scale were higher, and the difference between the groups was statistically significant (P ≤ .001, P = .002, P = .001, P ≤ .001, respectively). The subscales and total scale scores of the Surgical Fear Scale of working women were lower and the difference between the groups was statistically significant (P = .005, P ≤ .001, P ≤ .001, P ≤ .001, respectively). The mean scores of the subscales and total scale of the Surgical Fear Scale were higher, the mean scores of the Breastfeeding Self-Efficacy Scale were lower, and the difference between the groups was statistically significant (P = .001, P ≤ .001, P ≤ .001, P ≤ .001, P ≤ .001).</p><p><strong>Conclusions: </strong>This study shows that breastfeeding problems in women undergoing cesarean section should not only be focused on breastfeeding problems due to the difficulties caused by the surgery, but should also be taken into consideration in the preoperative process. A recommendation is to investigate the effect of interventions to reduce the effect of preoperative surgical fear on breastfeeding.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054814","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}