Journal of Perianesthesia Nursing最新文献

{"title":"Assessing the White's Fast-Track Score for Postoperative Handoff Between the Operating Room and the Postanesthesia Care Unit.","authors":"Tiffany Lin, Remi Hueckel, Brittany Fry, Geraldine Young, Julie A Thompson, Emily Funk","doi":"10.1016/j.jopan.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.12.006","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this project was to assess the sustainability of a standardized nursing postoperative handoff based on the White's Fast-Track Score (WFTS) tool used between the operating room (OR) and the postanesthesia care unit (PACU).</p><p><strong>Design: </strong>This quality improvement project used an observational pre-post design using two separate samples of the OR circulating registered nurses (RNs) and the PACU RNs.</p><p><strong>Methods: </strong>The project was conducted in a single OR that performs endocrine surgeries. Handoffs between the OR and PACU RNs using the WFTS tool were evaluated pre and post reintroduction of the tool. Data collected included percentage of handoff items communicated, duration of handoff, and staff satisfaction pre and post implementation.</p><p><strong>Findings: </strong>The use of the WFTS tool significantly improved the handoff communications, with reported items increasing from 66.0% to 97.3%. Handoff duration in minutes was reduced from pre implementation (M = 1:13, SD = 0:43) to post implementation (M = 0:55, SD = 0:38), t(63) = 1.70, P = .094, staff satisfaction scores improved, especially in clarity and comprehensiveness of handoffs, with significant increases in mean rank scores for items such as \"Guidance on the expected postoperative course\" (Mdn = 2.5 to Mdn = 3.1) and \"Overall handoff communication\" (Mdn = 2.5 to Mdn = 3.2).</p><p><strong>Conclusions: </strong>The implementation of the WFTS tool significantly improved handoff communication between OR and PACU nurses, as evidenced by increased accuracy in reported items and maintained handoff duration. Ongoing staff training and consistent use of the tool are essential in sustaining these benefits. Future efforts should focus on addressing challenges such as inconsistent application and expanding the use of structured handoff tools to other surgical specialties for ensuring long-term improvements in patient care and staff satisfaction.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732267","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 the Risk of Deep Vein Thrombosis in Urologic Surgery Patients and Methods Used in Its Prevention.","authors":"Şeyma Yurtseven, Sevgi Deniz Doğan, Sevban Arslan, Nebil Akdogan","doi":"10.1016/j.jopan.2024.11.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.015","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to determine the methods used to evaluate and prevent preoperative deep vein thrombosis (DVT) risk in urological surgery patients.</p><p><strong>Design: </strong>A descriptive and cross-sectional study.</p><p><strong>Methods: </strong>The study population consisted of patients treated at the urology clinic of a university hospital in the Mediterranean region between February 2024 and June 2024. The sample consisted of 120 patients who met the inclusion criteria. The data of the study were collected using the Personal Information Form, Autar DVT Risk Diagnosis Scale and Patient Follow-up Form. In addition to linear regression analysis, descriptive statistics were also used to analyze the data.</p><p><strong>Findings: </strong>According to the Autar DVT risk diagnostic scores of the patients participating in the study, 82.5% were in the low-risk group, 15.8% were in the intermediate-risk group, and 1.7% were in the high-risk group. Additionally, the study determined that sex, body mass index, and age significantly predicted the risk of DVT (P < .05).</p><p><strong>Conclusions: </strong>As a result of the study, it is noteworthy that although the risk of DVT is low in the majority of urological surgery patients, there are also patients at medium and high risk. In line with these results, more effective strategies should be developed, accompanied by guidelines, in evaluating and preventing DVT risk in clinical practice.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701976","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":"Analysis of the Incidence and Reasons for Temporary Cancellation of Day Surgery: A Retrospective Study.","authors":"Yinhua Liang, Man Lin, Juan Qin, Yunhong Tang","doi":"10.1016/j.jopan.2024.11.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.010","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the incidence and causes of cancellation of day surgery.</p><p><strong>Design: </strong>This study was a retrospective, observational study and the clinical data were obtained from electronic medical records.</p><p><strong>Methods: </strong>Data of day surgery from March 1, 2023 to February 29, 2024 were collected in the major operating room in Xiangya Hospital of Central South University, including patients' general conditions, diagnoses, anesthesia methods, and whether surgery was performed. The incidence of surgery cancellation in different ages, genders, departments, and anesthesia methods was analyzed comprehensively.</p><p><strong>Findings: </strong>A total of 6,397 cases were scheduled, 211 cases were canceled after scheduling; the cancellation rate was 3.3%. The cancellation rate among different age groups (P < .01) was statistically significant with 6 to 17 years old as the lowest 1.30% (11/844), and over 65 years old as the highest 3.74% (20/535). The cancellation rate among different departments was statistically significant (P < .01) with plastic surgery as the lowest 2.06% (2/97) and neurosurgery as the highest 10.13% (8/79). The cancellation rate between different anesthesia methods was statistically significant (P < .05) with general anesthesia as 3.01% (140/4,654) and local anesthesia as 4.07% (71/1743). There was no statistically significant difference between different genders (P > .05). Medical reasons were the main reason for cancellation 65.2% (138/211).</p><p><strong>Conclusions: </strong>The rate of cancellation is higher in elderly patients and local anesthesia patients and neurosurgery patients with day surgery. Medical reasons were the main cause of these cancellations, most of which could be avoided.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677392","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":"Reducing Fasting Time Before Anesthesia for Pediatric Bronchoscopy: A Quality Improvement Project.","authors":"Qi Wang, Lamei Liu, Shujing Gao, Ting Chen, Shengying Lai","doi":"10.1016/j.jopan.2024.11.005","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.005","url":null,"abstract":"<p><strong>Purpose: </strong>To reduce fasting time before anesthesia for pediatric bronchoscopy through a quality improvement project.</p><p><strong>Design: </strong>A quality improvement project design was used.</p><p><strong>Methods: </strong>This quality improvement project was conducted between May 2022 and April 2023. The project team adopted the Intergrated Promoting Action on Reasearch Implementation in Health Services (i-PARIHS) theoretical framework, combined with Specific, Measurable, Achievable, Relevant, Time-bound (SMART) objectives and the Plan-Do-Check-Act (PDCA) cycle, to implement a series of improvement measures at a large women and children's hospital in Southwest China. Barrier analysis for fasting times and relevant balancing measures were identified. Data were analyzed using control charts and statistical process control methods.</p><p><strong>Findings: </strong>A total of 830 children were involved in this project. The results showed that the new fasting policy did not reduce the preoperative fasting time (8.11 ± 1.98 hours vs 8.41 ± 2.11 hours). Subgroup analysis showed that fasting time for fluid diet such as breastfed and formula patients decreased (P = .019, 95%CI: [-0.48, 0.83]). Correlation analysis indicated that fasting time was related to the number of surgeries (r = 0.342, P = .013), patient weight (r = 0.280, P = .044), and general anesthesia (r = 0.732, P < .001).</p><p><strong>Conclusions: </strong>Due to cultural differences, education levels, medical resources, operational difficulties, parental cooperation, and policy management issues, this quality improvement project revealed the complexity of reducing preprocedural fasting times for pediatric bronchoscopy, making the localization of fasting guidelines difficult to implement in Southwest China. It emphasized the importance of understanding various factors influencing fasting durations and highlighted the need for further targeted interventions to address these factors effectively. These insights will inform future efforts to optimize fasting policies and improve patient and family experiences.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677393","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":"Mapping the Nursing Literature on Postoperative Delirium: A Bibliometric Analysis.","authors":"Melis Merve Cetinkaya, Seçil Taylan, Fatma Eti Aslan","doi":"10.1016/j.jopan.2024.12.003","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.12.003","url":null,"abstract":"<p><strong>Purpose: </strong>To provide a structured, macroscopic overview of nursing research on postoperative delirium through bibliometric analysis, assessing its characteristics and progress.</p><p><strong>Design: </strong>Bibliometric analysis study.</p><p><strong>Methods: </strong>For the bibliometric analysis study, the Web of Science database was selected, and the data analyzed was included until August 28, 2024. The analysis was performed using the \"Biblioshiny\" application available in the Bibliometrix R package.</p><p><strong>Findings: </strong>Between 1977 and 2024, 535 nursing articles on postoperative delirium were published in 313 sources. When examining the annual scientific output of nursing studies on postoperative delirium, the most prolific journals were found to be Journal of Clinical Nursing (n = 18), Journal of Perianesthesia Nursing (n = 13), and Journal of the American Geriatrics Society (n = 13). According to Bradford's law-based analyses, there are 313 productive journals in the nursing literature on postoperative delirium. These journals are distributed as follows: 29 in the first zone, 108 in the second zone, and 176 in the third zone. Authors and articles were organized according to Lotka's law. The majority (88.9%) of the authors (n = 2,486) had 1 article, 8.7% had 2 articles (n = 243), and 1.5% had 3 articles (n = 43), while 0.2% (n = 7) had more than 5 publications. Recent trends show a shift toward research on recovery, guidelines, and 3 outcomes, with studies on experience, impact, and cardiac surgery. The countries with the highest number of publications were identified as the United States, Germany, and China. Global collaborations on this topic were: United States-Canada (n = 8), United States-Germany (n = 7), United States -United Kingdom (n = 7).</p><p><strong>Conclusions: </strong>This bibliometric study provides a comprehensive and integrative review of the global literature on postoperative delirium in nursing.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674691","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":"Perioperative Health Education for Patients With Daytime Anorectal Surgery: An Evidence-based Practice Change.","authors":"Weige Sun, Fei Wu, Aman Li, Wenshuang Wang, Jie Luo, Huajun Zhang, Ran Zhang, Weixin Cai","doi":"10.1016/j.jopan.2024.11.017","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.017","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and implement an evidence-based perioperative health education program for patients undergoing daytime anorectal surgery, and to enhance patients' knowledge scores pertaining to anorectal diseases.</p><p><strong>Design: </strong>An evidence-based quality improvement project.</p><p><strong>Methods: </strong>Adhering to the evidence-based practice model of the Joanna Briggs Institute, we developed 17 audit criteria grounded in the best available evidence. This evidence-based practice was subsequently applied to patients scheduled for daytime anorectal surgery between March 2023 and May 2024. The project progressed through three distinct phases: a baseline audit, implementation of practice changes, and a post evidence application audit. Specifically, we compared the execution rates of the audit criteria by the nursing staff, patients' scores on anorectal disease knowledge, patient satisfaction, and incidence of postoperative complications before and after implementation of the evidence-based practice.</p><p><strong>Findings: </strong>After implementation of the evidence-based practice, there was a statistically significant difference in the execution rates of audit indicators 1, 2, 5, 6, 8, and 10 to 17 (P < .05). After implementation, patients' average score on anorectal disease knowledge was 74.14 ± 14.40, higher than the average baseline audit phase score of 63.67 ± 12.31 (P = .004). Patients were likely to recommend the hospital's daytime anorectal surgery to others (P = .036). There were no statistically significant differences in patient satisfaction scores or complication incidence between the two groups.</p><p><strong>Conclusions: </strong>Current evidence suggests that the program may regulate nurse behavior, enhance patients' health knowledge, and improve patients' overall medical experience. Continuous quality supervision and audit should be further conducted in the future.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634507","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 Relationship Between Health Literacy Levels and Early Postoperative Pain, Nausea-vomiting in Patients Undergoing Total Hip Replacement Surgery: A Descriptive and Correlational Study.","authors":"Kezban Koraş Sözen, Nesibe Sultan Çinaroğlu","doi":"10.1016/j.jopan.2024.11.011","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.011","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the relationship between the health literacy levels of patients who underwent total hip replacement surgery and their early postoperative pain, nausea, and vomiting levels.</p><p><strong>Design: </strong>Descriptive correlation design was used in this prospective study.</p><p><strong>Methods: </strong>A total of 80 patients participated in the study. Data were collected using the Descriptive Characteristics Form, Turkish Health Literacy Scale-32, Visual Analog Scale for Pain Intensity, and Visual Analog Scale for Nausea and Vomiting Intensity.</p><p><strong>Findings: </strong>A majority (57.5%) of the patients who underwent total hip replacement surgery had inadequate health literacy (23.80 ± 12.79), and female patients and those with higher education levels had higher health literacy (P < .05). There was no significant relationship between the health literacy levels of patients who underwent total hip replacement surgery and their levels of pain and nausea-vomiting.</p><p><strong>Conclusions: </strong>The recovery process after total hip replacement surgery is lengthy, and discharge education is crucial. We recommend that future studies are conducted on larger populations regarding health literacy, which involves understanding, interpreting, expressing, and comprehending information that affects individuals' health.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634458","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":"Improving Postoperative Handoff Communication in the Neuroscience Intensive Care Unit: A Quality Improvement Project.","authors":"Emily Toth, Robert Blessing, Virginia C Simmons, Valerie Sabol","doi":"10.1016/j.jopan.2024.11.014","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.014","url":null,"abstract":"<p><strong>Purpose: </strong>This quality improvement project aimed to improve postoperative handoff communication between anesthesia providers and neuroscience intensive care unit nurses by developing and implementing a standardized postoperative handoff checklist for the neurosurgical patient population.</p><p><strong>Design: </strong>A quality improvement project. Pre-post interventional design.</p><p><strong>Methods: </strong>The project team collaborated to develop and implement a standardized neuroscience intensive care unit-specific checklist for postoperative handoff between nursing staff and anesthesia providers. The checklist was designed to standardize communication, ensure completeness of information transfer, and empower nursing staff to ask questions during handoff. Staff education was provided regarding the use and importance of the handoff tool. In addition, staff knowledge and confidence regarding handoff communication were assessed before and after the intervention.</p><p><strong>Findings: </strong>Implementation of the postoperative handoff checklist resulted in several positive outcomes, including improved knowledge and confidence in information exchange during handoff, enhanced team communication and collaboration, and increased staff satisfaction with the handoff tool. While statistical significance was not achieved for several data points, there was an observable improvement by the participants in all categories involved highlighting the clinical relevance of the intervention.</p><p><strong>Conclusions: </strong>Implementing a standardized postoperative handoff checklist for a highly complex adult population recovering from neurosurgery shows potential for improving communication and facilitating a systematic information transfer between nursing staff and anesthesia providers. The checklist improved knowledge and confidence among nursing staff during postoperative handoff and empowered them to clarify information and ask questions during transfer of care.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634436","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":"Evidence-based Practice: Updating Contingency Paper Documentation.","authors":"Bonnie Crumley Aybar, Nicole Maheu","doi":"10.1016/j.jopan.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.004","url":null,"abstract":"<p><strong>Purpose: </strong>Contingency Paper Documentation (CPD) in the postanesthesia care unit (PACU) was outdated and did not include all required documentation. Crucial assessment, education, and readiness for discharge were not.</p><p><strong>Design: </strong>The design of this project and literature review was based on the Problem-Intervention-Comparison-Outcome question-How can CPD be improved to include all required PACU assessments, education, and discharge criteria?</p><p><strong>Methods: </strong>Review and rating of literature for evidence was specific to nursing documentation and paper documentation. Staff provided input to update the PACU CPD document. Multiple Plan-Do-Study-Act cycles were implemented to create the final document.</p><p><strong>Findings: </strong>There was a lack of information specific to updating the CPD. Themes identified with the literature review include the flow of documentation should mimic nursing care provided, the process, and the Electronic Health Care Record; to include user input in improvement initiatives; include evidence-based recommendations/regulations; consider quality and include outcomes in documentation; avoid abbreviations, and to use standardized language.</p><p><strong>Conclusions: </strong>The PACU CPD was updated with staff input and evidence from the literature review, and with trialing the document for formatting and content. The updated form is quicker and easier to use, with less content written in free text. Future quality assessment of the new document is planned to include quality of documentation, legibility, and meeting organizational documentation requirements, as compared with the previous CPD.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634424","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 Korean Hand Acupressure on Postoperative Pain, Nausea, Vomiting, and Retching After Thyroidectomy.","authors":"Sevgi Gür, Seher Deniz Öztekin, İlhan Öztekin, Orhan Yalçin","doi":"10.1016/j.jopan.2024.11.003","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.003","url":null,"abstract":"<p><strong>Purpose: </strong>There are studies examining the effect of Chinese acupressure on postoperative nausea, vomiting, and retching, but there is no study examining the effect of Korean hand acupressure. The study was conducted to determine the effect of Korean hand acupressure applied after thyroidectomy on the number and severity of postoperative pain, nausea, vomiting, and retching.</p><p><strong>Design: </strong>An experimental study with a post-test control group design involving randomized groups.</p><p><strong>Methods: </strong>The study was conducted with 42 patients who underwent thyroidectomy between February 1, 2021 and June 1, 2022. Korean hand acupressure was applied to the intervention group for 3 minutes using mung bean seeds 30 minutes before anesthesia. The application was continued every 2 hours and terminated at the eighth hour after the surgery. Pain severity, the number severity of nausea, vomiting, and retching, antiemetic use, and Rhodes Nausea, Vomiting and Retching Index score were assessed at the 2nd, 6th, and 24th hours postoperatively.</p><p><strong>Findings: </strong>The number and severity of retching in the intervention group at the sixth hour postoperatively was significantly lower than the control group (P < .05). The number and severity of nausea in the intervention group at the 2nd, 6th, and 24th hours after the surgery, as well as the number and severity of vomiting and retching at the 2nd and 6th hours after the surgery, were found to be clinically significant compared with the control group.</p><p><strong>Conclusions: </strong>Korean hand acupressure was an effective nursing intervention for reducing the number and severity of retching at the 6th hour after thyroidectomy and also reduced the use of antiemetics.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606729","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}