Journal of Perianesthesia Nursing最新文献

{"title":"Corrigendum to \"Investigation of Postoperative Risks of Nausea and Vomiting in Patients With Breast Cancer\" [Journal of PeriAnesthesia Nursing 38 (2023) 264-268].","authors":"Hamide Şişman, Sevban Arslan, Derya Gezer, Refiye Akpolat, Dudu Alptekin, Esma Gökçe","doi":"10.1016/j.jopan.2026.03.022","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.022","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634829","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 Surgical Fear Levels on Postpartum Pain and Breastfeeding in Elective Cesarean Section Cases: A Cross-sectional Study.","authors":"Sultan Yumlu, Zehra Demet Üst Taşğın","doi":"10.1016/j.jopan.2026.03.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.03.010","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the present study was to investigate the effects of surgical fear levels on perceived postpartum pain and breastfeeding success in women undergoing an elective cesarean section.</p><p><strong>Design: </strong>The study used a descriptive and cross-sectional research design.</p><p><strong>Methods: </strong>The study included 350 pregnant women who underwent elective cesarean section at the Gynecology and Obstetrics Department of Ankara Etlik City Hospital between January 15, 2024 and September 15, 2024. The data were collected through face-to-face interviews using the personal information form, the Surgical Fear Questionnaire, the Visual Analog Scale, and the LATCH Breastfeeding and Diagnostic Tool. The data were analyzed using numbers, percentages, mean, standard deviation, Pearson's and Spearman's correlation, and single regression analysis.</p><p><strong>Findings: </strong>The participants' mean age was 27.89 ± 4.27 years, and the mean duration of marriage was 5.94 ± 4.22 years. Of the participants, 66.9% had a medium income level, and 91.7% lived in a nuclear family. The participants scored an average of 36.47 ± 15.80 points on the Surgical Fear Questionnaire, 9.46 ± 0.84 points on the Visual Analog Scale at the second hour postpartum, and 6.69 ± 1.52 points on the LATCH Breastfeeding and Diagnostic Tool. While there was a low-level positive correlation between surgical fear and postpartum pain, there was a low-level negative correlation between surgical fear and breastfeeding (P < .001).</p><p><strong>Conclusions: </strong>The fear that pregnant women experienced before elective cesarean section increased postpartum pain while reducing breastfeeding success.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634876","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 Preoperative Oral Dextrose Loading on Mobility Independence and Perioperative Comfort in Patients Undergoing Orthopedic Surgery: A Randomized Controlled Trial.","authors":"Mohammadreza Zarei, Maryam Ghaffari, Mahboubeh Rezaei, Akram Yazdani, Mohammad Ali Saadati","doi":"10.1016/j.jopan.2026.01.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2026.01.006","url":null,"abstract":"<p><strong>Purpose: </strong>Orthopedic surgery induces trauma and metabolic disturbance, delaying recovery. Preoperative oral carbohydrate loading (POCL), integral to Enhanced Recovery After Surgery protocols, may alleviate these effects. This study aimed to assess the effects of preoperative oral dextrose loading (PODL/POCL) on mobility independence, perioperative comfort, and hospitalization outcomes (intensive care unit [ICU] and total length of stay) in patients undergoing orthopedic surgery.</p><p><strong>Design: </strong>The design was a single-blind randomized controlled trial.</p><p><strong>Methods: </strong>In this randomized controlled trial, 70 patients scheduled for elective hip or lower extremity surgery were randomized into two groups: a fasting group (8 to 10 hours) and a dextrose group (200 mL of oral dextrose administered 2 to 3 hours preoperatively). Patient comfort, including dry mouth, sleep quality, fatigue, and weakness, was assessed at three timepoints: T0 (30 minutes preoperatively, before spinal anesthesia), T6h (6 hours postoperatively), and T24h (24 hours postoperatively), using the Visual Analog Scale. Early mobility independence was evaluated using the Cumulative Ambulatory Score. Additionally, durations of hospital and ICU stay were recorded.</p><p><strong>Findings: </strong>PODL improved oral dryness and sleep quality compared with the fasting group (F = 44.16, effect size [ES] = 0.39, P < .001; F = 4.42, ES = 0.061, P = .02, respectively). Moreover, between-group analysis showed significant reductions in both pre- and postoperative oral dryness, as well as postoperative sleep quality (P < .05). Pre- and postoperative fatigue was significantly greater in the dextrose group than in the fasting group (F = 3.20, ES = 0.045, P = .04). Furthermore, between-group analysis revealed statistically significant decreases in both pre- and postoperative fatigue (P < .001). Although the interaction between POCL intervention and time did not show a statistically significant reduction in weakness (F = 2.39, ES = 0.03, P = .10), the between-group analysis revealed a significant decrease in weakness during both the preoperative and postoperative periods (P < .05). No significant improvement was observed in functional mobility (5.83 ± 2.86 vs 5.26 ± 3.59; P = .46), length of ICU stay (1.43 ± 0.69 vs 1.69 ± 0.83; P = .16), or overall hospitalization duration (3.31 ± 0.58 vs 3.37 ± 0.54; P = .67). No postoperative pulmonary aspiration events were reported.</p><p><strong>Conclusions: </strong>PODL, as a safe, cost-effective, and efficacious intervention, may improve perioperative symptoms such as dry mouth, fatigue, weakness, and postoperative sleep quality in orthopedic surgery patients. However, its limited effect on functional mobility, ICU length of stay, and overall hospitalization duration suggests that a more individualized approach may be necessary to optimize clinical outcomes.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629179","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":"Comparison of Sedation Efficacy Between Propofol-ketamine and Propofol-fentanyl Combinations in Short Gynecological Procedures","authors":"Ilke Tamdogan MD ,&nbsp;Mehmet Degermenci MD ,&nbsp;Bilge Olgun Keles MD ,&nbsp;Mahmut Sami Tutar MD","doi":"10.1016/j.jopan.2025.07.019","DOIUrl":"10.1016/j.jopan.2025.07.019","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to compare the sedoanalgesic efficacy and side effects between propofol-ketamine and propofol-fentanyl combinations in short gynecological procedures for increasing surgical analgesia and improving patient comfort.</div></div><div><h3>Design</h3><div>This was a randomized (1:1), double-blind, prospective trial.</div></div><div><h3>Methods</h3><div>This randomized, double-blind controlled trial included patients who underwent short gynecological procedures lasting less than 30 minutes. Group K (n = 30) received 0.5 mg/kg ketamine and 1 mg/kg propofol, whereas group F (n = 30) received 1 mcg/kg fentanyl and 1 mg/kg propofol. The sedation levels, hemodynamic changes, adverse events, and both surgical and patient satisfaction were evaluated.</div></div><div><h3>Findings</h3><div>Lower extremity movement was more frequently observed in group F (<em>P</em> = .020), but surgical satisfaction was higher in group K (<em>P</em> &lt; .001). Both groups exhibited similar sedation, surgical time, and patient satisfaction scores. However, group F had shorter recovery times and exhibited more frequent apnea and desaturation. Furthermore, postoperative dizziness was more common in this group (<em>P</em> = .003).</div></div><div><h3>Conclusions</h3><div>Both drug combinations provide safe anesthesia with stable hemodynamics and fewer side effects. The use of propofol-ketamine resulted in fewer lower extremity movements, leading to greater surgical satisfaction.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"41 2","pages":"Pages 410-415"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514632","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 Different Doses of Dexmedetomidine on Perioperative Stress Response and Postoperative Recovery in Elderly Patients","authors":"Hongcheng Zang BSc","doi":"10.1016/j.jopan.2025.05.014","DOIUrl":"10.1016/j.jopan.2025.05.014","url":null,"abstract":"<div><h3>Purpose</h3><div>The management of surgical anesthesia in elderly patients presents significant challenges due to age-related physiological decline and the high prevalence of chronic diseases. This study aimed to optimize anesthesia management by exploring the dose-dependent effects of dexmedetomidine on perioperative stability and postoperative recovery.</div></div><div><h3>Design</h3><div>This was a retrospective, controlled study comparing three anesthesia strategies involving varying doses of dexmedetomidine or placebo in elderly surgical patients.</div></div><div><h3>Methods</h3><div>A total of 148 patients who underwent elective abdominal surgery between January 2024 and April 2024 were included. Patients were divided into the control group (NS group), dexmedetomidine low-dose group (DL group), and high-dose group (DH group). Before anesthesia induction, patients in the DL and DH groups received dexmedetomidine at different doses, while those in the NS group received intravenous saline. Anesthesia was induced with sufentanil, etomidate, and rocuronium and maintained with sevoflurane combined with remifentanil. Hemadynamic parameters, stress-related biomarkers, and postoperative recovery indicators were collected and analyzed.</div></div><div><h3>Findings</h3><div>The hemodynamic and stress response curves in the DL and DH groups were more stable compared to the NS group. Serum cortisol and adrenocorticotropic hormone in the DH group were lower than in the NS and DL groups. The levels of aldosterone and C-reactive protein in the DL and DH group were slightly higher than in the NS group at baseline (T1), showed similar levels during anesthesia induction (T2), and were lower than in the NS group 5 minutes after tracheal intubation (T3).</div></div><div><h3>Conclusions</h3><div>Dexmedetomidine administration during the perioperative period contributes to maintaining intraoperative hemodynamic stability, reducing surgical stress responses, and enhancing postoperative recovery in elderly patients. Additionally, higher doses of dexmedetomidine were associated with improved postoperative pain relief and cognitive function compared to lower doses and the control group.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"41 2","pages":"Pages 273-279"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551679","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 Development and Validation of the Mobilization Attitude Scale for Surgical Patients (MASSP): A Methodological Study","authors":"Pinar Yilmaz Eker PhD, RN,&nbsp;Aysegul Kaya Imrek MSc, RN","doi":"10.1016/j.jopan.2025.08.003","DOIUrl":"10.1016/j.jopan.2025.08.003","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to develop and validate a measurement tool to assess attitudes toward mobilization in surgical patients.</div></div><div><h3>Design</h3><div>In this methodological study, the Mobilization Attitude Scale for Surgical Patients (MASSP) was developed, and its psychometric properties were tested.</div></div><div><h3>Methods</h3><div>The items for the MASSP were developed based on evidence from the literature and presented to nine experts for evaluation. The scale was administered through face-to-face surveys with patients receiving treatment in the surgical clinics of a university hospital in Turkey. The psychometric properties of the scale, including structural validity, content validity, and internal consistency reliability, were tested. Data from 482 patients were analyzed. Exploratory factor analysis and confirmatory factor analysis were conducted on the collected data.</div></div><div><h3>Findings</h3><div>The newly developed scale resulted in a structure comprising 36 items and three factors: Avoidance of Mobilization, Readiness for Mobilization, and Motivation for Recovery. In the MASSP, factor 1 (<em>α</em> = 0.932), factor 2 (<em>α</em> = 0.890), and factor 3 (<em>α</em> = 0.822) accounted for 48.704% of the total variance. The entire 36-item acceptability questionnaire demonstrated good internal consistency (<em>α</em> = 0.940). The MASSP was determined to be a valid and applicable measurement tool, confirmed in a Turkish sample of acceptable size.</div></div><div><h3>Conclusions</h3><div>The findings indicate that the MASSP has acceptable content and structural validity and is reliable for measuring surgical patients' attitudes toward mobilization. Further research in different cultures and geographical regions can enhance the scale's development and strengthen its validity.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"41 2","pages":"Pages 427-435"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776244","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":"Identifying and Measuring Normalization of Deviance in High–risk Clinical Environments","authors":"M. Imelda Wright PhD, RN, CNOR(E), FAORN","doi":"10.1016/j.jopan.2026.01.001","DOIUrl":"10.1016/j.jopan.2026.01.001","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"41 2","pages":"Pages 536-537"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570691","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":"Acknowledgment of Reviewers","authors":"","doi":"10.1016/j.jopan.2026.01.007","DOIUrl":"10.1016/j.jopan.2026.01.007","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"41 2","pages":"Pages 546-548"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570694","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":"Support for the Article “Misplaced Protections: How IRB Review Is the Wrong Gatekeeper for EBP Initiatives”","authors":"Staci S. Reynolds PhD, RN, ACNS-BC, CPHQ, FAAN ,&nbsp;Julee B. Waldrop DNP, FNP-C, PNP-C, CNE, EBP-C, NC-BC, FAANP, FAAN ,&nbsp;Jayne Jennings Dunlap DNP, APRN, FNP-C, CNE, EBP-C, FAANP, DNP","doi":"10.1016/j.jopan.2025.08.019","DOIUrl":"10.1016/j.jopan.2025.08.019","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"41 2","pages":"Pages 258-259"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570979","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":"Carbon Footprint in the Operating Room: A Bibliometric Analysis","authors":"Seda Cansu Yeni̇ğün Akbulut BSN, MSc, PhD ,&nbsp;Hatice Özsoy BSN, MSc, PhD","doi":"10.1016/j.jopan.2025.06.007","DOIUrl":"10.1016/j.jopan.2025.06.007","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to analyze the research focus, thematic trends, and development of studies on the carbon footprint in operating rooms.</div></div><div><h3>Design</h3><div>A bibliometric analysis.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Findings</h3><div>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.”</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"41 2","pages":"Pages 436-445"},"PeriodicalIF":2.0,"publicationDate":"2026-04-01","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}