{"title":"The Effect of Nonpharmacological Methods on Preoperative Anxiety in Breast Surgery Patients: A Meta-analysis","authors":"Serap Kahveci MSc , 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}
İlayda Sarac MSc , Seçil Taylan PhD , Fatma Eti Aslan PhD
{"title":"The Impact of Preangiography Anxiety on Postangiography Comfort in Older Adults: Implications for Perianesthesia Nursing Care","authors":"İlayda Sarac MSc , Seçil Taylan PhD , 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}
Seda Nur Çatal MSc, RN , Yeşim Yaman Aktaş PhD, RN
{"title":"Pain Intensity After Cardiac Surgery and its Association With Kinesiophobia: A Descriptive Study","authors":"Seda Nur Çatal MSc, RN , 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> < .05). Obese patients were at the greatest risk for kinesiophobia higher when compared to patients of normal weight (β = −2.907, <em>P</em> < .05). No statistically significant correlation was found between the pain intensity and kinesiophobia scores (<em>P</em> > 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 , Jiakun Hou MSN,RN , Jing Zhou BSN,RN, 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}
Basudev Pati MBBS, Venkata Ganesh MD, Naveen Naik B MD, Ajay Singh MD
{"title":"Comments on: The Effect of Melatonin on Analgesia, Anxiety, and Intraocular Pressure (IOP) in Cataract Surgery Under Topical Anesthesia","authors":"Basudev Pati MBBS, Venkata Ganesh MD, Naveen Naik B MD, 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}