Journal of Perianesthesia Nursing最新文献

{"title":"Effect of Increased Perioperative Communication Program on Short-term Outcomes in Elective Primary Knee Arthroplasty Patients: A Randomized Controlled Trial.","authors":"Cigdem Canbolat Seyman, Selda Urfa, Yasemin Cicibas, Hayriye Ünlü, Ahmet Özgür Yıldırım","doi":"10.1016/j.jopan.2025.05.020","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.020","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the effect of an increased perioperative communication program (IPCP) in patients with total knee arthroplasty (TKA) on early postoperative outcomes.</p><p><strong>Design: </strong>A randomized controlled trial design was employed.</p><p><strong>Methods: </strong>This study was conducted with a total of 70 patients with TKA, 35 in the intervention group (IG) and 35 in the control group (CG). Eligible TKA patients were randomly allocated to IG and CG, respectively. While patients in the CG received routine perioperative care, patients in the IG were included in IPCP. All patients were followed for one month after discharge.</p><p><strong>Findings: </strong>The level of postoperative pain, length of hospital stay, postoperative early complications, and unplanned readmission rate was significantly reduced in the IG compared with the CG.</p><p><strong>Conclusions: </strong>IPCP was a useful, satisfactory intervention and kept patients better informed. Results support that postoperative complications in TKA patients may be reduced with a well-designed preoperative preparation process, sustainable communication, and postdischarge follow-up.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240155","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":"Construction of Intraoperative Blood Glucose Abnormality Risk Prediction Model and Nursing Strategies for Nondiabetic Elderly Patients.","authors":"Zhanqing Chen, Kaixing Xu, Yuping Zhou, Yan Cao","doi":"10.1016/j.jopan.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.07.004","url":null,"abstract":"<p><strong>Purpose: </strong>To construct a risk prediction model for intraoperative blood glucose abnormalities in nondiabetic elderly patients and explore nursing strategies.</p><p><strong>Design: </strong>A retrospective study design was employed.</p><p><strong>Methods: </strong>A total of 200 nondiabetic elderly surgical patients admitted to our hospital between March 2022 and December 2024 were retrospectively selected for the study. The modeling group comprised 160 patients, with 40 allocated to the validation group. In the modeling group, patients were further divided into the normal blood glucose group (n = 110) and the abnormal blood glucose group (n = 50) based on intraoperative blood glucose status. We analyzed predictors of blood glucose abnormalities and developed a predictive model.</p><p><strong>Findings: </strong>In the modeling group, there were statistically significant differences in age, surgical duration, and preoperative blood glucose between the two groups, multivariate logistic regression identified age, surgical duration, and preoperative glucose as independent predictors of intraoperative glycemic abnormalities in nondiabetic elderly patients, and the model was successfully established. The predicted and actual risks of postoperative recurrence showed good agreement. The receiver operating characteristic analysis revealed an area under the curve of 0.891 for the validation set, and the standard error was 0.031 (95% CI: 0.8633 to 0.9416). Sensitivity and specificity were 72.9% and 77.1%, respectively. Decision curve analysis demonstrated significant net benefits, indicating good clinical utility.</p><p><strong>Conclusions: </strong>A risk prediction model for intraoperative blood glucose abnormalities in nondiabetic elderly patients has been successfully established and validated.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233999","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":"Dynamics and Trends Around Clinical Events in the Postanesthesia Patient Within the First Twenty-four Hours: A Quality Improvement Project.","authors":"Hollie Thornton, Jacque Crosson","doi":"10.1016/j.jopan.2025.05.178","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.05.178","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the volume, types, severity, and timing of patient clinical events within the first 24 hours following anesthesia.</p><p><strong>Design: </strong>A quality improvement project using purposive-sampled retrospective medical record reviews and database audits.</p><p><strong>Methods: </strong>Data related to clinical events in postanesthesia patients seen by the rapid response nurse (RRN) in the postanesthesia care unit (PACU) within 24 hours of end anesthesia on the ward, between June 2022 and June 2023, were compiled and reviewed. Measurements captured included volume of events, clinical event types, surgical service, interventions, timing of the events after end anesthesia time, and patient disposition.</p><p><strong>Findings: </strong>A total of 610 patients were noted as having a clinical event in the PACU and 333 postanesthesia patients had a RRN activation. On average, postanesthesia patients made up 10.7% of the total patients seen by the RRN and only 8.4% required transfer to the intensive care unit. Hypotension was the most common event type in the PACU, and the most common trigger for the RRN seeing postanesthesia patients within 24 hours. The majority (30.3%) triggered rapid response within 6 to 12 hours from end anesthesia time.</p><p><strong>Conclusions: </strong>These results assist in shaping our nursing practice and education related to higher-acuity patients, rapid response team activation prevention, and identifying areas of current strength and further quality improvement. Discovering the keys to preventing hypotension, specifically in the postoperative period on the wards, will dramatically decrease rapid response team activations.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213984","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 Study of the Medical Device Self-Efficacy Scale: A Validity and Reliability Study.","authors":"Züleyha Gürdap, Zeliha Cengiz","doi":"10.1016/j.jopan.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.010","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to develop and evaluate the validity and reliability of the Medical Device Self-Efficacy Scale among nursing students. The scale assesses perceived competence in using medical devices and supports identifying educational needs.</p><p><strong>Design: </strong>The study used an exploratory methodological design.</p><p><strong>Methods: </strong>The study was conducted with 127 final-year nursing students between April and October 2023. Students completed the scale for three medical devices: a bedside monitor, an infusion pump, and a suction device. Content validity, construct validity, and criterion validity were evaluated. Construct validity was examined through exploratory and confirmatory factor analyses, while reliability was assessed through Cronbach's α, item-total correlations, and test-retest methods.</p><p><strong>Findings: </strong>The scale demonstrated good content validity with an index of 0.84. Exploratory factor analysis showed the scale is unidimensional with 12 items. Kaiser-Meyer-Olkin values for each device exceeded 0.85, and the proportion of explained variance was above 65%. Factor loadings ranged from 0.602 to 0.899. Confirmatory factor analysis demonstrated a good fit for the hypothesized model (χ² = 103.637 to 183.4; χ²/df = 2.159 to 3.987; root mean square error of approximation = 0.065 to 0.076; goodness of fit index = 0.901 to 0.902; cognitive flexibility inventory = 0.918 to 0.957; normed fit index = 0.901 to 0.923; incremental fit index = 0.919 to 0.957). Reliability analyses showed that Cronbach's α coefficients were above 0.90, and high test-retest correlation coefficients further supported the scale's reliability (r = 0.744 to 0.795; P < .001).</p><p><strong>Conclusions: </strong>The 12-item scale is reliable and valid for assessing nursing students' perceived competencies with medical devices.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214055","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":"High-dose Oral Vitamin C Supplementation and Acute Pain Control Following Laparoscopic Cholecystectomy: A Randomized Controlled Study.","authors":"Yoonyoung Choi, Tae Ho Hong","doi":"10.1016/j.jopan.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.008","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to evaluate the effects of vitamin C supplementation on acute postoperative pain.</p><p><strong>Design: </strong>Randomized Controlled Trial.</p><p><strong>Methods: </strong>Patients who underwent elective LC were randomly assigned to either vitamin C or placebo groups. A total of 320 patients were enrolled and randomly assigned to the vitamin C (159 patients) and placebo (161 patients) groups. The vitamin C group took three 1 g tablets, four times each, both before and after surgery. Numeral rating scale (NRS) scores were assessed 6 h, 1 d, and 2 days postoperatively. The amount of pethidine consumed was also compared on the day of the operation, on postoperative day 1, and on postoperative day 2. Additional clinical profiles were obtained on admission.</p><p><strong>Findings: </strong>NRS scores and amount of pethidine consumption at each time point (operation day, postoperative day 1, and postoperative day 2) were not significantly different between the two groups. Furthermore, the white blood cell count, length of hospital stay, postoperative nausea and vomiting, and postoperative complications were not significantly different between the two groups.</p><p><strong>Conclusions: </strong>This study showed that high-dose oral vitamin C was ineffective for pain reduction after LC.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213978","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":"Nonpharmacological Management of Preoperative Anxiety in Adults: A Systematic Review.","authors":"Sheng Sui, Lei Bao, Liqun Zhu, Yu Tang, Su Gu, Yuanyuan Mi, Xiaoyun Han, Li Li","doi":"10.1016/j.jopan.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.06.009","url":null,"abstract":"<p><strong>Purpose: </strong>This systematic review aimed to synthesize and evaluate the best available evidence on nonpharmacological strategies for managing preoperative anxiety in adults using the Joanna Briggs Institute (JBI) evidence-based framework.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Methods: </strong>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we developed clinical questions and conducted comprehensive searches in guideline repositories, including UpToDate, BMJ Best Practice, American Society of Anesthesiologists, Association of periOperative Registered Nurses, National Guideline Clearinghouse, Registered Nurses Association of Ontario, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, and YimaiTong Clinical Guidelines. Additionally, we searched evidence databases, including the JBI Database, Cochrane Library, PubMed, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, and two major Chinese-language databases: China National Knowledge Infrastructure and Wanfang. Eligible evidence types included clinical guidelines, evidence-based texts, evidence summaries, best practice recommendations, and systematic reviews. The JBI quality appraisal tools, evidence preclassification system, and evidence recommendation grading framework were applied to assess the quality of the literature, extract and synthesize content, and classify the evidence.</p><p><strong>Findings: </strong>A total of 38 pieces of best evidence were extracted from 26 studies. The evidence was categorized into five dimensions: basic characteristics of preoperative anxiety, screening and evaluation, nonpharmacological prevention, nonpharmacological intervention, and outcome evaluation. Among them, 26 pieces of evidence were graded as Level I, 1 as Level II, 2 as Level III, and 9 as Level V. Regarding recommendation strength, 24 pieces of evidence were rated as strong (Grade A) and 14 as weak (Grade B).</p><p><strong>Conclusions: </strong>Various nonpharmacological strategies-such as screening, evaluation, patient education, cognitive behavioral therapy, and relaxation techniques-have demonstrated considerable effectiveness in reducing preoperative anxiety and improving patient outcomes. This study recommends that practitioners refer to this evidence summary, conduct a clinical audit of current practices in their institutions, and implement systematic quality improvements based on the best available evidence.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213996","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":"Comment on \"The Effect of Postoperative Frailty on Morbidity and Mortality in Geriatric Hip Fracture Patients: Prospective Cohort Study\".","authors":"Rachana Mehta, Ranjana Sah","doi":"10.1016/j.jopan.2025.07.018","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.07.018","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253371","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":"A Sweet Reflection…. A Fond Farewell","authors":"Vallire Hooper PhD, RN, CPAN, FASPAN, FAAN","doi":"10.1016/j.jopan.2025.08.005","DOIUrl":"10.1016/j.jopan.2025.08.005","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Pages 1079-1080"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183417","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":"Call for 2027 Conference Speakers / Member-Get-A-Member","authors":"","doi":"10.1016/S1089-9472(25)00473-3","DOIUrl":"10.1016/S1089-9472(25)00473-3","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Page 1083"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145183874","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 Dr. DM, MD","doi":"10.1016/j.jopan.2025.02.019","DOIUrl":"10.1016/j.jopan.2025.02.019","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 5","pages":"Page 1084"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","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}