Journal of Perianesthesia Nursing最新文献

{"title":"Modified Thoracoabdominal Nerves Block Through Perichondral Approach: A Systematic Review and Meta-analysis","authors":"Insun Park MD, PhD ,&nbsp;Jae Hyon Park MD, PhD ,&nbsp;Chang-Hoon Koo MD, PhD ,&nbsp;Jin-Hee Kim MD, PhD ,&nbsp;Bon-Wook Koo MD, PhD ,&nbsp;Jung-Hee Ryu MD, PhD ,&nbsp;Ah-Young Oh MD, PhD","doi":"10.1016/j.jopan.2024.03.014","DOIUrl":"10.1016/j.jopan.2024.03.014","url":null,"abstract":"<div><h3>Purpose</h3><div>This systematic review and meta-analysis aimed to investigate the postoperative analgesic efficacy and safety of the modified thoracoabdominal nerve block through the perichondral approach (M-TAPA) in abdominal surgeries.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>We searched electronic databases to identify relevant studies comparing M-TAPA with conventional analgesic techniques. The primary outcome was the requirement for rescue analgesia at 12 and 24 hours postsurgery. Secondary outcomes included the 11-point numerical rating scale pain scores at 0, 1, 2, 4, 6, 8, 12, and 24 hours following surgery, global quality of recovery scores, and postoperative adverse events.</div></div><div><h3>Findings</h3><div>Five randomized controlled trials involving 308 patients were analyzed. M-TAPA showed no significant difference in the requirement for rescue analgesia at 12 hours (relative risk [RR]: 0.87; 95% confidence interval [CI]: 0.62, 1.22; <em>P</em> = .424; <em>I</em>² = 40.7%; <em>P</em>_h = .185) and 24 hours (RR: 0.67; 95% CI: 0.22, 1.99; <em>P</em> = .252; <em>I</em>² = 90.3%; <em>P</em>_h &lt; .001) postsurgery compared to non-M-TAPA. No significant differences in numerical rating scale pain scores or global quality of recovery scores were found between the two groups (all <em>P</em> &lt; .05). However, M-TAPA was associated with a lower occurrence of nausea (RR: 0.37; 95% CI: 0.22, 0.68; <em>P</em> &lt; .001; <em>I</em>² = 0%; <em>P</em>_h = .834), vomiting (RR: 0.32; 95% CI: 0.17, 0.62; <em>P</em> &lt; .001; <em>I</em>² = 0%; <em>P</em>_h = .884), and itching (RR: 0.38; 95% CI: 0.21, 0.70; <em>P</em> = .002; <em>I</em>² = 0%; <em>P</em>_h = .826).</div></div><div><h3>Conclusions</h3><div>There was no significant difference in analgesic efficacy and safety between M-TAPA and non-M-TAPA techniques.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 205-212"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635171","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":"Pediatric Nurses' Knowledge About Childhood Autism and Difficulties They Face During Nursing Practices in Turkey.","authors":"Duygu Kemer, Filiz Solmaz, Fethiye Kılıçaslan, Hülya Karataş","doi":"10.1016/j.jopan.2024.10.021","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.021","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the research study is to examine the knowledge levels of nurses working in pediatric clinics about childhood autism, the influencing factors, and the difficulties they experience while caring for these children.</p><p><strong>Design: </strong>This study was conducted as descriptive and cross-sectional.</p><p><strong>Methods: </strong>The sample of this cross-sectional study comprised 195 nurses working in pediatric clinics. The research data were collected using the \"Descriptive Characteristics Questionnaire\" and the \"Knowledge About Childhood Autism Among Health Workers (KCAHW) Questionnaire.\" The data were analyzed with a linear regression model in the IBM SPSS v23 program.</p><p><strong>Findings: </strong>The average knowledge score of nurses about childhood autism was 11.49 ± 4.26 (out of 19). Gender and previous exposure to a child suspected of having autism significantly affected the KCAHW score (P < .001). The rate of nurses who experienced difficulties while caring for children with autism was 30.8%. Of the nurses who experienced difficulties while caring for children with autism, 35.9% experienced difficulties in invasive procedures, 32.8% in communicating with the child, 26.7% in taking samples from the child, and 22.1% in drug administration. A large majority of nurses (90.8%) reported that separate physical areas were needed in hospitals to intervene in children with autism.</p><p><strong>Conclusions: </strong>The recommendation is that pediatric nurses are trained about childhood autism and that studies are conducted to organize clinical settings for nursing practices.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076060","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 of a Nursing Risk Inventory and Evaluation of Efficiency in Transurethral Resection of the Prostate Syndrome.","authors":"Büşra Şahin, Rahşan Çam, Mehmet Dündar","doi":"10.1016/j.jopan.2024.09.002","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.09.002","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a nursing risk assessment inventory and evaluate its effectiveness in transurethral resection of the prostate (TUR-P) syndrome.</p><p><strong>Design: </strong>A cross-sectional methodological study using inventory development and verification phases.</p><p><strong>Methods: </strong>A methodological research study within the scope of a PhD thesis was performed in 3 phases between December 2019 and September 2021 with 154 patients in the Urology Operating Room of Aydın Adnan Menderes University Hospital in Turkey. The first phase involved inventory development-according to expert opinions-and data collection. The second phase involved performing validity and reliability analyses. The third phase involved translation of the inventory from Turkish to English. TUR-P Syndrome Risk Evaluation Inventory, preoperative, postoperative period neurological, and circulatory features were examined in terms of TUR-P syndrome according to blood results at risk patients were identified. In content validity analysis, Fleiss' kappa statistic was performed according to Lawshe's technique that was used to study the construct validity.</p><p><strong>Findings: </strong>Content and reliability analysis revealed that the nursing risk assessment inventory is a valid and reliable scale. The content validity ratio was determined as 0.81. According to the construct validity analysis, Wilk's lambda value was 0.77 (χ² = 36.68, degree of freedom = 13, P = .001). Inventory risk score calculation formula was determined according to results from the discriminant analysis. The risk status of a patient for TUR-P syndrome can be decided according to the absolute value of the discriminant function. Reliability analysis based on expert opinions showed that Fleiss kappa value was k = 0.812 (z = 31.846, P = .00) and risk/no risk classification kappa value was k = 0.724 (z = 28.424, P = .00).</p><p><strong>Conclusions: </strong>The nursing risk assessment inventory for TUR-P syndrome is a valid, reliable, and objective measurement tool. Using this 14-item inventory with 2 categories (7 items in the circulation and neurology scales each), nurses can evaluate the patient's risk status during TUR-P surgery and take postoperative precautions.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076057","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":"Influence of IDEAS Preoperative Visit Mode on Postoperative Rehabilitation of Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Clinical Trial.","authors":"Chenyang Li, Huamei Yu, Jinyan Wen, Lingling Li","doi":"10.1016/j.jopan.2024.09.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.09.009","url":null,"abstract":"<p><strong>Purpose: </strong>The IDEAS model was used to investigate and analyze the preoperative visit needs of patients with LC, establish the preoperative visit plan, and confirm the impact of preoperative visit on the rapid postoperative recovery of patients with LC, providing strong evidence for the application and promotion of new forms of preoperative visit.</p><p><strong>Design: </strong>Randomized controlled clinical trial.</p><p><strong>Method: </strong>In this study, 176 patients with LC in the Department of Hepatobiliary Surgery of a top-3 hospital in Inner Mongolia from June 2023 to December 2023 were included. The control group (88 routine visits) were enrolled according to the order of admission. The experimental group (88 collaborative routine supervision) using visual analog scale (Visual Analogue Scale/Score, VAS),postoperative rehabilitation related index were analyzed.</p><p><strong>Findings: </strong>The pain scores of the experimental group at 0, 4, 12, and 24 hours after intervention were lower than those of the control group (P < .01), and there was no significant difference in the time of first feeding and first defecation between the 2 groups (P > .05). The first exhaust, the first getting out of bed and the length of hospital stay in the experimental group were shorter than those in the control group (P < .01), and the complication rate between the 2 groups was not statistically significant (P > .05).</p><p><strong>Conclusions: </strong>The construction of IDEAS model for preoperative visit plan can achieve pre-emptive analgesia, reduce postoperative pain, promote rapid postoperative recovery of patients, meet the development needs of rapid rehabilitation medical treatment, and provide strong evidence for the application and promotion of new forms of preoperative visit, which has clinical application value.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081730","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":"Safe Pediatric Surgery: Turkish Adaptation of the Road to My Surgery Preoperative Checklist.","authors":"Aslı Akdeniz Kudubes, Hamide Zengin, Özge Öztürk, Murat Bektas","doi":"10.1016/j.jopan.2024.10.016","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.016","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to evaluate the Turkish adaptation of the Road to My Surgery Preoperative Checklist.</p><p><strong>Design: </strong>A methodological, correlational, and comparative study.</p><p><strong>Methods: </strong>This study was conducted with 125 children between July 2022 and December 2023. Data were collected using an information form and the Road to My Surgery Preoperative Checklist. To evaluate the data, various analyses were performed, including content validity analysis, Kuder-Richardson 20 analysis, intraclass correlation analysis, upper and lower 27% group analysis, and item-total score correlation.</p><p><strong>Findings: </strong>The Kuder-Richardson 20 reliability coefficient of the Road to My Surgery Preoperative Checklist was 0.715 and the intraclass correlation coefficient was 0.627. The item-total score correlation coefficients of the checklist items were between 0.099 and 0.836. A difference was found between the scale total mean scores of children in the upper 27% group and children in the lower 27% group (P < .005).</p><p><strong>Conclusions: </strong>The Road to My Surgery Preoperative Checklist is a valid and reliable measurement tool for the Turkish sample.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042703","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":"Efficacy of Chewing Xylitol Gum on Restoring Postoperative Bowel Activity After Laparoscopic Cholecystectomy: A Three-arm Randomized Controlled Trial.","authors":"Esra Özkan, Tuna Albayrak","doi":"10.1016/j.jopan.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.010","url":null,"abstract":"<p><strong>Purpose: </strong>The aim in the present study was to evaluate the effects of chewing postoperative xylitol gum on gastrointestinal functional recovery after laparoscopic cholecystectomy.</p><p><strong>Design: </strong>A three-arm randomized controlled trial.</p><p><strong>Methods: </strong>After a baseline assessment, participants were randomly assigned in three groups. The random assignment was performed by using a computer program (Microsoft Excel 2016). Afterward, participants were categorized into three subgroups. Group 3 was the control group that consisted of participants who had no intervention for chewing gum (n = 25). Group 2 was xylitol-free gum chewing group (n = 25), whereas Group 1 was xylitol gum chewing group (n = 24). In later phases, the time to first postsurgical flatus, time to first bowel sound after surgery, time to first postsurgical defecation, time to first mobilization after surgery, and discharge time from hospital were recorded. Nausea and vomiting, which are among the postoperative symptoms, were also evaluated.</p><p><strong>Findings: </strong>The duration of the control group from the end of surgery to the flatulence and bowel sounds was statistically higher than the xylitol group and xylitol-free group (all P < .05). Also, first postoperative flatulence time of xylitol-free group was higher than the xylitol group (P < .05). The duration from the end of surgery to defecation was longer in the control group compared with the xylitol group and the xylitol-free group, with a statistically significant difference between the groups (P < .05). In this study, a statistically significant difference was observed in terms of the time to first postsurgical flatus, time to first bowel sound after surgery, and time to first postsurgical defecation (all P < .000). No significant difference was found between the xylitol group, xylitol-free group, and control group when discharge from hospital and mobilization times were analyzed (all of them are P > .05).</p><p><strong>Conclusions: </strong>Chewing xylitol gum facilitates postoperative gastrointestinal recovery after laparoscopic cholecystectomy. Further studies are recommended to confirm these findings and investigate the underlying mechanisms.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042690","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 Acupoint Application on Postoperative Sore Throat in Adults Following General Endotracheal Anesthesia: A Randomized Placebo-controlled Study.","authors":"Luling Liu, Luo Fan, Li Ji, Shan Chen, Lihong Liu, Xuanlin Ren, Shasha Hu","doi":"10.1016/j.jopan.2024.09.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.09.012","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate the effect of acupoint application on the prevention of postoperative sore throat (POST), cough, expectoration, hoarseness, and patient satisfaction after general anesthesia.</p><p><strong>Design: </strong>Randomized controlled trial.</p><p><strong>Methods: </strong>A randomized double-blind clinical trial was designed. In total, 112 participants scheduled for gynecology or general surgery under general anesthesia were randomly assigned to 1 of 2 groups. One was the acupoint application group (group A) that received a session of acupoint application over the acupoints of Tiantu (RN22), Neiguan (PC6, bilateral), Zusanli (ST36, bilateral), and Yongquan (KI1, bilateral). The other was the placebo group (group P) and received a session of sham acupoint application in the same acupoints. In virtue of the visual analog scale score, the effects of acupoint application were measured by the incidence of POST, cough, expectoration, and hoarseness before, 24 hours, and 48 hours after the intervention, and patient satisfaction after surgery.</p><p><strong>Findings: </strong>The incidence of POST was lower in group A versus group P at 24 hours [13 (24.5%) vs 23 (44.2%), P = .033] and at 48 hours [3 (5.7%) vs 15 (28.8%), P = .002]. Compared with group P, the visual analog scale of POST was dramatically lower in group A at 24 and 48 hours (P = .024; P < .001). Group A had a reduced incidence of cough, expectoration, and hoarseness than group P at 48 hours. In addition, patients in group A felt more satisfied postoperatively than patients in group P (96.2% vs 80.8%, P = .013).</p><p><strong>Conclusions: </strong>Acupoint application effectively relieved POST in adults following general endotracheal anesthesia, reduced the incidence of postoperative cough, expectoration, and hoarseness, as well as improved patient satisfaction.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042687","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 Music Combined With Preoperative Education on Perioperative Anxiety in Patients Undergoing Open Cardiac Surgery: A Randomized Controlled Trial.","authors":"Baozhu Zhou, Zhenzhen Hu","doi":"10.1016/j.jopan.2024.10.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.004","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study is to observe the effect of music combined with preoperative education on perioperative anxiety in patients undergoing open cardiac surgery.</p><p><strong>Design: </strong>This was a randomized controlled study.</p><p><strong>Methods: </strong>A group of 322 patients undergoing elective open cardiac surgery were randomly allocated to receive either music combined with preoperative education (the experimental group) or routine preoperative preparation (the control group). The primary endpoint was perioperative anxiety scores. The secondary outcome measures included length of stay in the intensive care unit, length of hospital stay, perioperative mean blood pressure, heart rate, respiratory rate, and quality of life score measured with the SF-36 subscale scores. This study collected data at the following 6 time points: T0 (preoperative baseline value), T1 (10 minutes after preoperative combined intervention), T2 (after patient extubation), T3 (10 minutes after intensive care unit intervention), T4 (the first day after patient admission), and T5 (1 month after patient discharge).</p><p><strong>Findings: </strong>The experimental group reported significantly lower anxiety scores than the control group at both T1 and T4 time points. The experimental group had a significantly shorter length of stay in the intensive care unit and length of hospital stay than the control group. Heart rate, mean blood pressure, and respiratory rate were significantly lower in the experimental group at T1, T3, and T4 time points. The mean blood pressure and heart rate were significantly lower in the experimental group at the T2 time point. The SF-36 subscale scores were significantly higher in the experimental group at the T5 time point.</p><p><strong>Conclusions: </strong>The combination of music and preoperative education provides effective antianxiety and accelerates recovery in patients undergoing open cardiac surgery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025430","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 Nurse-led Preoperative Visits on Anxiety: An Integrative Review.","authors":"Xiaoyun Guo, Kewen Qi, Huiying Wu","doi":"10.1016/j.jopan.2024.09.021","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.09.021","url":null,"abstract":"<p><strong>Purpose: </strong>This review aims to investigate the effectiveness of nurse-led preoperative visits for the reduction of presurgical anxiety. The review will explore the patterns and mechanisms through which these visits alleviate anxiety, identify the existing practice gaps, and suggest future directions for improvement. The findings will help health care providers choose appropriate visits for their patients.</p><p><strong>Design: </strong>An integrative review.</p><p><strong>Methods: </strong>From January 2000 to July 2023, studies on nurse-led preoperative visits were searched in Cochrane Library, Pubmed, Embase, and Web of Science databases. The search only includes English-language full-text entries. Thirteen articles were selected from the 5,741 studies discovered after the quality was rated using the Joanna Briggs Institute appraisal tool. The parameters addressed by the 13 articles chosen for evaluation included, but were not limited to, the type of research done, sample characteristics, and the types of interventions used by the researchers.</p><p><strong>Findings: </strong>Interviews between nurses and patients are the primary and most prevalent means of exchanging information during nurse-led preoperative visits. These interviews can be classified as structured, with a predetermined set of questions, and unstructured, allowing for flexibility and adaptation based on the patient's responses and needs. Audiovisual materials and written materials were provided to assist with the interview. Nurse-led preoperative visits significantly reduce feelings of anxiety by providing patient education on preoperative procedures and routines, improving trust between patients and caregivers, offering emotional support, and promoting informed decision-making through preoperative education.</p><p><strong>Conclusions: </strong>In clinical practice, the nurse-led preoperative visit is important for lowering preoperative anxiety. The advantages of these visits may be extended to more patients by incorporating innovative methods such as improving the pattern of preoperative visits, prioritizing the nurse's role in preoperative patient visits, and using emerging technology.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025432","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 the Ease-of-use and Preference Between Two Aromatherapy Delivery Methods in the Perioperative Setting.","authors":"Elizabeth Dale Penoyer, Alison Ruiz, Keely DeGroot, Aurea Middleton, Lauren Skinner, Leticia Valentin, Kelly Kollstedt, Joy Flores","doi":"10.1016/j.jopan.2024.10.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.015","url":null,"abstract":"<p><strong>Purpose: </strong>Nurses at the study hospitals had implemented aromatherapy as an evidence-based intervention to alleviate nausea, pain, and anxiety in patients in the perioperative setting. Initially, they were approved to administer aromatherapy using large, multidose bottles with gauze as the method of delivery; however, nurses recognized that there were many disadvantages to using this method. This led to a nurse-driven initiative to create a new delivery method for aromatherapy with the aid of the Center for Innovation at the organization. Single, individually wrapped packets were developed to overcome the obstacles faced by using the bottled method in partnership with the industry. The purpose of the study was to evaluate nurses' perceptions of the ease-of-use and preference of delivery method of aromatherapy.</p><p><strong>Design: </strong>A prospective, comparative, before-and-after observational survey design was used to answer the research question.</p><p><strong>Methods: </strong>Nurses in 2 perioperative hospital settings in the system used the bottled method for 4 months and completed a System Usability Scale (SUS) survey at the end of that period. The individually wrapped method was then used for the next 4 months, followed by another evaluation using the SUS. Participants were asked to choose which method they preferred and their perception of effectiveness of aromatherapy in the perioperative setting and its use as a good adjunct for patient experience on a 5-point Likert scale.</p><p><strong>Findings: </strong>Twenty-one nurses participated in the bottled method group (pre) and 30 were in the single-packet group (post). An independent sample t test was used to evaluate the differences in the pre- and post-SUS scores. Mean pre scores were 62.5 (±17.8) with an SUS rating of \"D\" with marginal acceptance. Mean post scores were 81.8 (±12.5) with an SUS rating of \"A\" with excellent acceptability and were significantly different (P < .000). Nursing perceptions that aromatherapy is a good adjunct for patient experience were positive (3.97/5) and were effective in use in the perioperative setting (4.4/5). Most nurses indicated that the packet delivery method was preferred over the bottled method.</p><p><strong>Conclusions: </strong>Nurses' perceptions favored the use of the single-packet delivery method of aromatherapy. A score of 81 on the SUS approximates between the 92nd and 93rd percentile of product use SUS scores. Thus, the findings indicate high ease-of-use for the single-packet version of aromatherapy. Nurse-led innovations, such as this, can impact how care is delivered in the clinical setting.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025307","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}