Journal of Perianesthesia Nursing最新文献

{"title":"Obstacles to Compliance and Implementation of ERAS Protocol From Nursing Perspective: A Qualitative Study","authors":"Gökçen Aydın Akbuğa PhD, RN ,&nbsp;Kübra Yılmaz PhD, RN","doi":"10.1016/j.jopan.2024.05.008","DOIUrl":"10.1016/j.jopan.2024.05.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Enhanced Recovery After Surgery (ERAS) is a concept that covers evidence-based practices and requires multidisciplinary teamwork, and nurses play a key role in this team. This qualitative research is conducted to describe the experiences of nurses implementing ERAS and the obstacles they encounter in practice.</div></div><div><h3>Design</h3><div>This research was conducted using the phenomenology pattern, one of the qualitative research designs.</div></div><div><h3>Methods</h3><div>The research study group was determined by criterion sampling, one of the purposeful sampling methods.The criterion for participation in this study is to follow at least one of the steps of the ERAS protocol and volunteer to participate in the study. In this context, 12 nurses who met the inclusion criteria participated in the study. Data were obtained from May 1 to May 31, 2023 using an introductory information form and a semistructured interview form. The introductory information form asked questions such as age, gender, marital status, working year, ERAS application time, and total working year. The semistructured interview form, developed by the authors based on the related literature, consisted of four open-ended questions 1The obtained data were analyzed using the seven-step Colaizzi method.</div></div><div><h3>Findings</h3><div>The study identified three themes: the importance of the ERAS protocol, the obstacles to the ERAS protocol, compliance with the ERAS protocol and applicability. Nine subthemes were found: reducing complications and accelerating the healing process, increasing the level of satisfaction, lack of knowledge, leader confusion, resistance to change, lack of team cooperation, policy, leadership, and education.</div></div><div><h3>Conclusions</h3><div>This study revealed the experiences of nurses who implement at least one component of ERAS protocols regarding the obstacles to the implementation of the protocol. As a result, nurses stated that lack of information and team cooperation, leader complexity, and resistance to change were obstacles to the protocol. Identifying the obstacles encountered in the implementation of the protocols is important for producing solution suggestions.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 331-336"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146634","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 Nonpharmacological Methods on Preoperative Anxiety in Breast Surgery Patients: A Meta-analysis","authors":"Serap Kahveci MSc ,&nbsp;Seçil Taylan PhD","doi":"10.1016/j.jopan.2024.05.024","DOIUrl":"10.1016/j.jopan.2024.05.024","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the effect of nonpharmacological methods on anxiety before breast surgery, using the meta-analysis method.</div></div><div><h3>Design</h3><div>A meta-analysis.</div></div><div><h3>Methods</h3><div>Nine electronic databases were searched to identify studies published up to October 2023. The study was carried out in accordance with Preferred Reporting Items for Systematic Review and Meta-analyses 2020 and Cochrane 2021 recommendations. The Risk of Bias 2 tool was used to assess the risk of bias. Heterogeneity and publication bias were also assessed.</div></div><div><h3>Findings</h3><div>A search of 9 electronic databases identified 280 records. Six studies that met the inclusion criteria were eligible for meta-analysis. All the trials explained how the randomization was done. The studies selected were published between 2016 and 2022. A total of 519 female patients were included in the selected trials, 303 in the intervention group and 216 in the control group. The studies included aromatherapy, music, electro-acupuncture, and Yokukansan Kampo medicine practices. A meta-analysis was performed with anxiety levels measured immediately before surgery. In addition, a subgroup analysis was performed with trials that used anxiety-specific scales before surgery and trials that used aromatherapy.</div></div><div><h3>Conclusions</h3><div>The results of this meta-analysis indicated a moderate efficacy of nonpharmacological approaches, whereas aromatherapy showed a relatively lower efficacy in reducing preoperative anxiety in breast surgery patients.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 431-439"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299341","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 Preangiography Anxiety on Postangiography Comfort in Older Adults: Implications for Perianesthesia Nursing Care","authors":"İlayda Sarac MSc ,&nbsp;Seçil Taylan PhD ,&nbsp;Fatma Eti Aslan PhD","doi":"10.1016/j.jopan.2024.05.028","DOIUrl":"10.1016/j.jopan.2024.05.028","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the relationship between anxiety before coronary angiography and comfort after coronary angiography in people over 65 years of age.</div></div><div><h3>Design</h3><div>A descriptive cross-sectional study.</div></div><div><h3>Methods</h3><div>The study population consisted of patients aged 65 years and older who agreed to participate in the study and underwent coronary angiography. The study was carried out on a total of 201 patients. Data for the study were collected using the Sociodemographic and Medical Information Form, Surgical Fear Questionnaire (SFQ), Early Postoperative Comfort Scale, Visual Anxiety Scale (VAS), and Angiography Information Form. Pearson's test was used to determine the direction of the relationship between comfort after angiography and fear and anxiety before angiography. Multivariate linear regression program was used for different orders of magnitude between predictors of comfort rates.</div></div><div><h3>Findings</h3><div>A negative and low-level correlation was found between Early Postoperative Comfort Scale and short-term SFQ, long-term SFQ, total SFQ, and VAS. Variables and scale scores that showed statistically significant differences in predicting patient comfort after angiography in univariate analyses were evaluated using stepwise multiple linear regression analysis. The best model for the postangiography comfort score was created in step 4. Increasing age, the presence of a chronic disease, and high levels of anxiety and fear before angiography were found to be negative predictors of comfort after angiography.</div></div><div><h3>Conclusions</h3><div>Comfort after angiography was reduced by high fear and anxiety before angiography, increasing age, and the presence of chronic disease. This study highlights the importance of anxiety management and individualized care before angiography in older people.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 393-399"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373304","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":"Speaking Up: Exploring the Role of Psychological Safety","authors":"M.Imelda Wright PhD, RN, CNOR(E) ,&nbsp;Karrie Kernen BSN RN CNOR CHPE CCRC","doi":"10.1016/j.jopan.2025.01.003","DOIUrl":"10.1016/j.jopan.2025.01.003","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 451-453"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748346","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":"Pain Intensity After Cardiac Surgery and its Association With Kinesiophobia: A Descriptive Study","authors":"Seda Nur Çatal MSc, RN ,&nbsp;Yeşim Yaman Aktaş PhD, RN","doi":"10.1016/j.jopan.2024.04.008","DOIUrl":"10.1016/j.jopan.2024.04.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Severe pain and fear of pain may decrease physical activity and restrict movements after cardiac surgery. This study aimed to determine pain intensity after cardiac surgery and its association with kinesiophobia.</div></div><div><h3>Design</h3><div>This was a descriptive and correlational study.</div></div><div><h3>Methods</h3><div>The study was conducted with cardiac surgery patients (n = 170). The sample size was calculated by using the G*POWER 3.1 program. According to the power analysis, the sample size was calculated as 170, taking into account the dependent variable with the largest sample size (kinesiophobia) and 20% loss. The outcome measures were pain and kinesiophobia collected using the Visual Analog Scale and Tampa Kinesiophobia Scale.</div></div><div><h3>Findings</h3><div>Married patients were at the greatest risk for kinesiophobia, higher than that for single patients (β = −3.765, β = −3.609; <em>P</em> &lt; .05). Obese patients were at the greatest risk for kinesiophobia higher when compared to patients of normal weight (β = −2.907, <em>P</em> &lt; .05). No statistically significant correlation was found between the pain intensity and kinesiophobia scores (<em>P</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>Kinesiophobia was higher in patients after cardiac surgery. Married and obese patients were predictors of kinesiophobia; however, pain was not associated with kinesiophobia.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 288-293"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876459","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 Virtual Reality on Preoperative Anxiety in Adult Patients: An Updated Meta-analysis","authors":"Hongyan Xu BSN,RN ,&nbsp;Jiakun Hou MSN,RN ,&nbsp;Jing Zhou BSN,RN,&nbsp;Shanshan Wang MSN,RN","doi":"10.1016/j.jopan.2024.05.009","DOIUrl":"10.1016/j.jopan.2024.05.009","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine the effectiveness of virtual reality (VR) on preoperative anxiety in adult patients.</div></div><div><h3>Design</h3><div>A systematic review and meta-analysis of randomized controlled trials.</div></div><div><h3>Methods</h3><div>A systematic search was carried out using PubMed, Web of Science, the Cochrane Library, Embase, CINAHL, Scopus, PsycINFO, China National Knowledge Infrastructure (CNKI), WANFANG DATA, Chinese Science and Technology Periodical Database (VIP), and Sino-Med from inception to December 18, 2022. All eligible randomized controlled trials published were included (published in English and Chinese). The Cochrane Collaboration “Risk of Bias” tool was used to assess the methodological quality of the included studies. Review Manager software 5.4 was used for data analysis.</div></div><div><h3>Findings</h3><div>Nine studies with sample sizes ranging from 72 to 255 and 1,046 participants were identified. The results of the meta-analysis showed that VR significantly reduced preoperative anxiety in adults (standardized mean difference = −0.48, 95% CI: −0.93 to −0.03, <em>P</em> = .04). Our results suggested that VR improved postoperative satisfaction scores more effectively compared with control care (mean difference = 15.29, 95% CI: 6.25 to 24.33, <em>P</em> = .0009).</div></div><div><h3>Conclusions</h3><div>Study results support that VR has a positive effect in reducing preoperative anxiety in adults. VR can also significantly improve patients' satisfaction after surgery. However, the results need to be further assessed due to the small sample sizes and high heterogeneity.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 422-430.e3"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142330674","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":"JoPAN Editorial Staff 2024-2025","authors":"","doi":"10.1016/S1089-9472(25)00081-4","DOIUrl":"10.1016/S1089-9472(25)00081-4","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Page 243"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748181","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":"Sepsis Markers","authors":"Erica Zuniga MSN, RN, CEN ,&nbsp;Mary Beth Flynn Makic PhD, APRN, CCNS, FAAN, FNAP, FCNS","doi":"10.1016/j.jopan.2025.01.008","DOIUrl":"10.1016/j.jopan.2025.01.008","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 448-450"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143748345","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 5-Year Clinical Experience of Pediatric Ophthalmic Ambulatory Surgery Under General Anesthesia From a Chinese Tertiary Children's Hospital","authors":"Zhehuan Zhang MD,&nbsp;Tianchen Wu MBBS,&nbsp;Anken Wang MD,&nbsp;Chenhao Yang MD, PhD","doi":"10.1016/j.jopan.2024.04.011","DOIUrl":"10.1016/j.jopan.2024.04.011","url":null,"abstract":"<div><h3>Purpose</h3><div>Ambulatory surgery (same-day or day surgery) is an efficient medical practice. However, there were few reports regarding the safety of ophthalmic ambulatory surgery for children under general anesthesia. This study aims to explore its clinical complications.</div></div><div><h3>Design</h3><div>A retrospective observational study.</div></div><div><h3>Methods</h3><div>The clinical data of pediatric patients who received ambulatory ophthalmic surgery under general anesthesia at the Children’s Hospital of Fudan University from January 2015 to December 2019 were analyzed retrospectively. Postoperative complications, unplanned reoperation, delayed discharge, and other adverse events were analyzed.</div></div><div><h3>Findings</h3><div>Consecutive patients (N = 4,616) had an average age of 4.6 ± 2.6 years. The primary surgical procedures included chalazion incision and curettage (62.89%), strabismus surgery (18.98%), trichiasis surgery (14.36%), eyelid or orbital mass resection (2.49%), blepharoptosis surgery (0.91%), and other procedures (0.37%). The average operative time was 25.28 ± 20.45 minutes (n = 2,698), while the average length of hospital stay was 8.45 ± 2.61 hours. No serious adverse events or death happened. One case had delayed postoperative hemorrhage, one had a postoperative infection, and two had delayed discharge. The rate of unplanned reoperation was 0.39% 90 days after surgery, with recurrence of chalazion and postoperative complications of ptosis as the primary reasons.</div></div><div><h3>Conclusions</h3><div>Pediatric ophthalmic ambulatory surgery under general anesthesia is a feasible and efficient operation mode with few complications for simple procedures with good general conditions. Further randomized controlled studies are needed to provide strong evidence of the safety and socioeconomic efficacy of this mode.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 300-304"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comments on: The Effect of Melatonin on Analgesia, Anxiety, and Intraocular Pressure (IOP) in Cataract Surgery Under Topical Anesthesia","authors":"Basudev Pati MBBS,&nbsp;Venkata Ganesh MD,&nbsp;Naveen Naik B MD,&nbsp;Ajay Singh MD","doi":"10.1016/j.jopan.2024.05.014","DOIUrl":"10.1016/j.jopan.2024.05.014","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 2","pages":"Pages 249-250"},"PeriodicalIF":1.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143746535","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}