Journal of Perianesthesia Nursing最新文献

{"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}

{"title":"Anxiety Assessment Education for Preoperative Nurses.","authors":"Kathryn Anzalone, Alison Ohliger, Marianne Tanios, Nicolas Mario Mas D Alessandro, Hannah Hill, Luis Tollinche","doi":"10.1016/j.jopan.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.006","url":null,"abstract":"<p><strong>Purpose: </strong>This project aimed to evaluate the knowledge of preoperative nurses regarding the assessment of patient anxiety before surgery and to assess the effectiveness of targeted education to improve this assessment.</p><p><strong>Design: </strong>A descriptive design was used.</p><p><strong>Methods: </strong>Initially, pre education questionnaires were distributed to nurses in the preoperative unit during a monthly department meeting to assess their existing knowledge. This was followed by an educational presentation detailing the effects of preoperative anxiety on surgical outcomes, its manifestations in patients, and various anxiety assessment tools. Subsequently, two post education questionnaires were administered at different intervals to gauge the improvement in knowledge and the effectiveness of the educational intervention.</p><p><strong>Findings: </strong>The project identified a significant knowledge gap among preoperative nurses regarding the tools and standardization needed for effective anxiety assessment. The educational intervention successfully enhanced nurses' understanding and assessment practices related to preoperative anxiety.</p><p><strong>Conclusions: </strong>This project highlighted the importance of proper anxiety assessment in the preoperative period and provided a foundation for potential practice changes aimed at improving patients' surgical experiences through better management of preoperative anxiety.</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":"144023756","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":"Assessment of Ergonomic Risks in Surgical Unit Nurses and Factors Influencing These Risks: A Cross-sectional Study.","authors":"Cahide Çevik, Büşra Koca","doi":"10.1016/j.jopan.2025.01.002","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.002","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to assess the ergonomic risks perceived by nurses working in surgical units in terms of biomechanical, environmental, organizational and psychosocial factors, and to identify the factors influencing these risks.</p><p><strong>Design: </strong>This study employed descriptive and cross-sectional design.</p><p><strong>Methods: </strong>The study was conducted with 165 nurses working in surgical units of 1 private and 1 university hospital. Data were collected using the Personal Information Form and the Questionnaire Survey of Ergonomic Risks. The scales were administered between March 15, 2023, and April 15, 2023. The researchers gathered data through face-to-face interactions by visiting the nurses in their work environments. Multiple linear regression analysis was used to explore the predictors of ergonomic risks.</p><p><strong>Findings: </strong>Hospital type was found to be a positive predictor of biomechanical factors (B = 14.308, P < .001), and organizational and psychosocial factors (B = 7.255, P = .048). Working in the operating room unit (B = -8.891, P = .020) was identified as a negative predictor, whereas night shifts (B = 14.963, P = .04) and shift work (B = 9.211, P = .018) were identified as positive predictors of organizational and psychosocial factors.</p><p><strong>Conclusions: </strong>The results of the study indicated that surgical nurses face high biomechanical, environmental, and organizational and psychosocial risk factors. Working in a university hospital is a risk factor with regard to biomechanical, and organizational and psychosocial factors. Night shifts and shift work are risk factors for organizational and psychosocial factors. Working in the operating room demonstrates a lower risk in terms of organizational and psychosocial factors.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044086","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":"Intranasal Dexmedetomidine Compared With Intranasal Midazolam for Pediatric Emergence Delirium: A Systematic Review and Meta-analysis.","authors":"Ashlee M Ericksen, Terri D Kane, Tito D Tubog","doi":"10.1016/j.jopan.2025.01.011","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.011","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluate the effectiveness of intranasal dexmedetomidine compared with intranasal midazolam in reducing pediatric emergence delirium (ED).</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>A comprehensive search was conducted in MEDLINE (PubMed), CINAHL, the Cochrane Review Database, Google Scholar, and gray literature to identify relevant studies. Risk ratios (RR) and standardized mean differences were calculated to estimate the outcomes, using appropriate effect models. The quality of evidence was assessed using the Risk of Bias tool and evaluated according to the Grades of Recommendation, Assessment, Development, and Evaluation approach.</p><p><strong>Findings: </strong>Twelve studies (N = 1,133) were included in the review. Intranasal dexmedetomidine significantly reduced the incidence of ED (RR 0.52, 95% confidence interval [CI], 0.29 to 0.90, P = .02) compared with midazolam. Intranasal dexmedetomidine also demonstrated significantly improved sedation levels (standardized mean differences -0.48, 95% CI, -0.92 to -0.04, P = .03) compared with midazolam. However, no significant differences were observed in parental separation (RR 1.14, 95% CI, 0.94 to 1.39, P = .19), mask acceptance (RR 1.05, 95% CI, 0.83 to 1.34, P = .67), or postoperative nausea and vomiting (RR 0.84, 95% CI, 0.44 to 1.61, P = .61). The overall quality of evidence was rated as low, primarily due to the small number of studies included.</p><p><strong>Conclusions: </strong>Intranasal dexmedetomidine significantly reduces pediatric ED and improves sedation levels compared with midazolam, but both drugs show similar effects on parental separation, mask acceptance, and postoperative nausea and vomiting. Intranasal administration offers a noninvasive, effective option for pediatric sedation. Larger studies are needed to confirm these findings, as current evidence is limited.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039306","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":"Cross-cultural Adaptation and Validation of the Italian Version of the Revised Perceived Perioperative Competence Scale.","authors":"Chiara Giammaria, Nicolò Panattoni, Irene Terrenato, Alessandro Spano, Aurora De Leo, Bernardino Tomei, Emanuele Di Simone, Fabrizio Petrone","doi":"10.1016/j.jopan.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.009","url":null,"abstract":"<p><strong>Purpose: </strong>The nurse's role in the operating room requires essential competencies throughout the care process, such as theoretical knowledge, technical skills, and problem-solving abilities assessed by the Revised Perceived Perioperative Competence Scale (PPCS-R). The study aims to translate, cross-culturally adapt, and validate the Italian version of the scale.</p><p><strong>Design: </strong>A cross-cultural adaptation and validation of the Italian version of PPCS-R.</p><p><strong>Methods: </strong>The revised English version of the 40-item scale PPCS-R was translated into Italian according to Beaton's guidelines. The scale's internal consistency was assessed using Cronbach's α coefficient, ensuring the instrument's reliability. An exploratory factor analysis was conducted, preceded by the Kaiser-Meyer-Olkin test and Bartlett's sphericity test. Statistical analyses were performed using SPSS version 29.1 (IBM Corp.).</p><p><strong>Findings: </strong>The exploratory factor analysis of the Revised Perceived Perioperative Competence Scale-Italian Version (PPCS-R ITA) (N = 509) confirmed the 6 factors served in the original version. The final Italian version of PPCS-R comprises 40 items grouped into 6 latent factors. Each latent component showed a high consistency per Cronbach's α. The statistical analyses of the study confirm the reliability and good consistency of the tool.</p><p><strong>Conclusions: </strong>The statistical analyses of the study confirm the reliability and consistency of the tool (Revised Perceived Perioperative Competence Scale-Italian Version). By investigating the perception of Italian professionals working in the operating room through a translated and validated scale, specific training and professional development needs of a specific context can be better understood to identify appropriate learning and management strategies.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041485","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 the Neuman Systems Model on Eye Surgery Patients' Anxiety: Randomized Controlled Trial.","authors":"Mir Amirhossein Seyednazari, Mahdi Shabani, Ali Aghajanloo","doi":"10.1016/j.jopan.2024.11.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.008","url":null,"abstract":"<p><strong>Purpose: </strong>Perioperative anxiety is prevalent among patients undergoing eye surgery. This study aimed to evaluate the effectiveness of the Neuman Systems Model (NSM) in reducing preoperative surgical anxiety by targeting intrapersonal, interpersonal, and extrapersonal stressors.</p><p><strong>Design: </strong>This was a single-center, randomized controlled trial.</p><p><strong>Methods: </strong>A total of 70 patients were randomly assigned into 2 groups. The patients in the intervention group (n = 35) received NSM-based intervention and the patients in the control group (n = 35) were subject to a routine care before the surgery. Anxiety levels were measured using the Spielberger State-Trait Anxiety Inventory before and after the intervention in both groups.</p><p><strong>Findings: </strong>There is no significant statistical difference in State and Trait anxiety levels before intervention in both groups (P > .05). In the intervention group, the mean State anxiety score significantly decreased from 47.82±3.47 to 42.22±3.20 (P < .001), while no significant change was observed in the control group (47.88±3.75, P = .156). Similarly, the Trait anxiety score in the intervention group decreased from 49.05±3.79 to 47.22±3.30 (P < .001), with no significant difference in the control group (49.25±3.94, P = .431).</p><p><strong>Conclusions: </strong>The results demonstrated the effectiveness of implementing the NSM-based intervention in reducing preoperative anxiety in eye surgery patients. Therefore, it is recommended that this model be used to reduce anxiety in clinical settings.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989061","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":"Assessment of Preoperative Fasting Duration in Pediatric Patients at a Tertiary Care Hospital.","authors":"Mayra Elvira Saucedo-Toledo, Miroslava Iliana Carrasco-González, Margarita Torres-García, Diana Moyao-García, César Galicia-Ayala","doi":"10.1016/j.jopan.2025.01.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.004","url":null,"abstract":"<p><strong>Purpose: </strong>Preoperative fasting is a widely practiced method to prevent pulmonary aspiration events, but prolonged fasting can be as harmful as insufficient fasting, particularly in pediatric settings. The aim of this study was to identify the actual duration of preoperative fasting in a tertiary pediatric hospital and the associated factors.</p><p><strong>Design: </strong>A cross-sectional study was conducted, reviewing the clinical records of 153 pediatric patients undergoing elective surgery between May and June 2023.</p><p><strong>Methods: </strong>The actual preoperative fasting time was calculated and the sample was divided into two equivalent groups: participants below the median fasting time and those above the median fasting time. Sociodemographic and health information from the preoperative period until discharge was recorded. Statistical tests, including Pearson's χ² and Mann-Whitney U, were performed for comparison.</p><p><strong>Findings: </strong>The study included a sample of participants comprising 46.4% females and 53.6% males, with a median age of 8.2 years. The median actual preoperative fasting time was 440 minutes, and significant differences were identified between participants below and above the median fasting time in several factors, including length of surgery, postoperative reingestion time, length of hospital stay, hospitalization unit, American Society of Anesthesiologists' score, and postoperative destination unit (all P < .05).</p><p><strong>Conclusions: </strong>These findings underscore the detrimental effects of prolonged fasting, and highlight the necessity for targeted interventions aimed at reducing fasting durations and associated complications, particularly within pediatric populations facing complex medical scenarios.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005203","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 Sevoflurane and Propofol During Mechanical Ventilation: A Meta-analysis of Randomized Controlled Trials.","authors":"Peixia Yu, Lijun Bo","doi":"10.1016/j.jopan.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.12.001","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the inflammatory response, hemodynamic stability, and postoperative recovery of sevoflurane versus propofol after mechanical ventilation during surgery, to provide references for rational anesthesia utility in clinical practice by meta-analysis.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>Pubmed, Web of Science, Cochrane Library, Wanfang Data, China National Knowledge Infrastructure, and Chinese BioMedical Literature Database were searched by computer for trials on the anesthetic effects of sevoflurane and propofol after mechanical ventilation during surgery. A random- or fixed-effects model was applied to analyze the clinical indicators and adverse impact based on heterogeneity.</p><p><strong>Findings: </strong>As of April 21, 2023, 912 articles were retrieved, and 36 eligible articles were finally identified after screening, covering 2,691 surgical patients for meta-analysis. The combined results exhibited that the level of tumor necrosis factor (TNF)-α in alveolar lavage was significantly different between the 2 groups (-0.94, 95% confidence interval [CI]: -1.82 to -0.05, P = .038). Compared with sevoflurane, propofol significantly increased TNF-α levels in alveolar lavage. In plasma or serum, propofol significantly increased the levels of interleukin-10 (-0.73, 95% CI: -1.36 to -0.10, P = .023) and TNF-α (-0.65, 95% CI: -1.21 to -0.09, P = .022).</p><p><strong>Conclusions: </strong>At alveolar lavage and serum or plasma levels of inflammatory factors, the proinflammatory factor TNF-α was significantly lower in the sevoflurane group than in the propofol group. This indicates that sevoflurane has a certain role in alleviating local and systemic lung inflammation. However, more randomized controlled studies are warranted in the future to confirm whether there is a difference in hemodynamic stability and postoperative recovery of patients.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812765","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 Impact of Music Therapy on Preoperative Anxiety in Pediatric Patients Undergoing Anesthesia: A Systematic Review and Meta-analysis.","authors":"Haowen Li, Menghua Cheng, Shuying Jiang","doi":"10.1016/j.jopan.2024.11.016","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.016","url":null,"abstract":"<p><strong>Purpose: </strong>Preoperative anxiety remains a critical concern in pediatric anesthesia, often worsening surgical outcomes and complicating postoperative recovery. This systematic review and meta-analysis aimed to evaluate whether music therapy, as a nonpharmacological intervention, effectively reduces preoperative anxiety in children undergoing anesthesia.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>Studies examining the impact of music therapy on preoperative anxiety in pediatric patients were systematically identified, screened, and selected for inclusion. Data from eligible studies were synthesized using a random-effects model to assess the pooled effect size, with sensitivity analyses performed to verify result stability. Publication bias across the included studies was also investigated to ensure reliability of the findings.</p><p><strong>Findings: </strong>The analysis included 7 studies comprising a total of 440 pediatric participants. Findings indicated that music therapy led to a statistically significant reduction in anxiety levels, yielding a moderate effect size (standardized mean difference = -0.48; 95% confidence interval, -0.81 to -0.15; I² = 65.6%). Sensitivity analyses demonstrated consistent results, as the removal of individual studies did not significantly alter the overall effect estimate. Additionally, no substantial publication bias was detected, supporting the validity of the meta-analysis.</p><p><strong>Conclusions: </strong>The findings strongly endorse music therapy as an effective nonpharmacological strategy for managing preoperative anxiety in pediatric patients undergoing anesthesia. With a statistically significant moderate reduction in anxiety observed, music therapy emerges as a valuable tool for improving the perioperative experience and potentially enhancing recovery outcomes in pediatric surgical care.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804447","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}