Journal of Perianesthesia Nursing最新文献

{"title":"Information for Readers","authors":"","doi":"10.1016/S1089-9472(24)00497-0","DOIUrl":"10.1016/S1089-9472(24)00497-0","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 6","pages":"Page A1"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757055","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":"“Parents are our greatest asset but also our greatest challenge”: A Qualitative Study of Anesthesia Staff’s Experiences of Parental Presence During Anesthesia Induction","authors":"Lisbet Andersson RN, PhD ,&nbsp;Sofia Almerud Österberg RN, PhD","doi":"10.1016/j.jopan.2024.01.013","DOIUrl":"10.1016/j.jopan.2024.01.013","url":null,"abstract":"<div><h3>Purpose</h3><div>The perioperative period is a stressful experience for both the child and their parents. Anesthesia staff generally have a positive attitude to the parental presence in the operating room. They can be a powerful resource in creating a caring environment, but they are challenged by limited time to establish a relationship. The present study describes the anesthesia staff’s experience of parental presence during their child’s anesthesia induction.</div></div><div><h3>Design</h3><div>A descriptive design with a phenomenological approach.</div></div><div><h3>Methods</h3><div>A total of 22 anesthesia staff from four Swedish hospitals were interviewed. The study has been carried out using a reflective lifeworld research (RLR) approach.</div></div><div><h3>Findings</h3><div>The following four constituents describe anesthesia staff’s experiences of parental presence: a conditional presence; a relationship that is secondary; a shared but two-part responsibility; and a need to demonstrate professionalism.</div></div><div><h3>Conclusions</h3><div>Parental presence is natural and essentially irreplaceable, as it creates security for the child. However, the results show that parental presence is not free of obligations and expectations. Designing for good perioperative care is important, and the staff plays a key role in cooperating with the parents to improve the quality of care.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 6","pages":"Pages 979-984"},"PeriodicalIF":1.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946283","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":"Effectiveness of Virtual Reality Glasses on Surgical Fear and Anxiety in Patients Before Open-heart Surgery: A Double-blind Randomized Controlled Trial.","authors":"Tuba Erol Akar, Seher Ünver","doi":"10.1016/j.jopan.2024.08.011","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.08.011","url":null,"abstract":"<p><strong>Purpose: </strong>Fear and anxiety in open-heart surgery patients can adversely affect their physiological well-being and recovery. Although virtual reality glasses (VR-G) have been advanced for preoperative anxiety management, their effectiveness specifically for open-heart surgery patients remains under-researched. This study aims to evaluate the efficacy of watching a video through VR-G on surgical fear and anxiety levels of patients undergoing open-heart surgery.</p><p><strong>Design: </strong>A randomized controlled and double-blind study.</p><p><strong>Methods: </strong>In total, 90 patients were randomly assigned to the VR-G intervention group or control group. On the surgery morning, intervention group patients watched a 360-degree video with nature sounds through VR-G before being transferred to the operating theater. The surgical fear and anxiety levels of the patients were evaluated at three stages using the Surgical Fear Questionnaire and Visual Analog Scale-Anxiety: initial evaluation in the morning, second evaluation before being transferred, and third evaluation in the waiting room of the operating theater.</p><p><strong>Findings: </strong>The surgical fear level of the intervention group at the third evaluation was significantly lower than the control group (P < .000). There was no significant difference between the anxiety levels of the study groups (P > .05).</p><p><strong>Conclusions: </strong>Watching a 360-degree video with nature sounds through VR-G is an effective intervention in reducing surgical fear levels of patients before undergoing open-heart surgery. Use of VR-G interventions may be a practical and fast-resulting nursing strategy to manage patients' surgical fear in the preoperative period.</p><p><strong>Registration: </strong>NCT06165861.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773890","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":"Effect of Wrist-Ankle Acupuncture Point Stimulation on Preventing Postoperative Nausea and Vomiting in Female Patients Undergoing Orthopedic Surgery.","authors":"Zhenzhen Zhang, Qingge Liu, Rui Chen, Yamin Tian, Chaoping Wang, Di Zhang, Songmei Wu","doi":"10.1016/j.jopan.2024.07.021","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.07.021","url":null,"abstract":"<p><strong>Purpose: </strong>To observe the clinical effects of a preventive nursing intervention involving wrist-ankle acupuncture point stimulation on postoperative nausea and vomiting among female patients who underwent orthopedic surgery.</p><p><strong>Design: </strong>Randomized control trial.</p><p><strong>Methods: </strong>Female patients who underwent lumbar open reduction, bone graft fusion, or internal fixation surgery in the operating room of a tertiary first-class hospital in Henan Province from October 2022 to June 2023 were selected as the research subjects. The patients were randomly divided into an experimental group and a control group via the random number table method. The experimental group (n = 38) received a wrist and ankle acupuncture point stimulation nursing intervention, whereas the control group (n = 38) received routine perioperative care. The serum concentrations of 5-hydroxytryptamine (5-HT) and gastrin, opioid usage, postoperative complications, and patient satisfaction were compared between the two groups.</p><p><strong>Findings: </strong>No statistically significant difference (P > .05) was found between the two groups in terms of general information, such as age, weight, surgical time, opioid use, or preintervention gastrointestinal hormone levels. The serum concentrations of 5-HT and gastrin at T₁ (before skin incision), T₂ (after surgery), and T₃ (24 hours after surgery) were significantly lower in the experimental group than in the control group (P < .05). The satisfaction of patients in the experimental group was significantly higher than that in the control group (P < .05).</p><p><strong>Conclusions: </strong>Wrist-ankle acupuncture point stimulation can reduce the incidence of postoperative nausea and vomiting in female patients undergoing orthopedic surgery, reduce the serum concentrations of 5-HT and gastrin, reduce complications, and improve patient satisfaction while not impacting analgesic effects.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773781","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":"Unexpected Events That Occur in Patients on the Day of Surgery: A Single-center, Prospective Observational Study.","authors":"Ahmet Aydın, Zeynep Köylü, Mesut Öterkuş","doi":"10.1016/j.jopan.2024.08.009","DOIUrl":"10.1016/j.jopan.2024.08.009","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study is to investigate the reasons for case cancellations on the day of surgery and determine the rates of unexpected events and case cancellations.</p><p><strong>Design: </strong>This is a prospective, cross-sectional study conducted at a single hospital.</p><p><strong>Methods: </strong>The patients' reasons for surgical cancellation were classified as preventable or nonpreventable. Patient data were obtained in the operating room after standard anesthesia monitoring by anesthesiologists. Unexpected problems that emerged in patients and cases canceled due to these problems were recorded. We evaluated blood pressure values according to the American College of Cardiology and American Heart Association guidelines.</p><p><strong>Findings: </strong>Elective surgery was planned for a total of 4,287 patients. The incidence of an unexpected event detected on the day of surgery was 5.8% (n = 250), and the case cancellation rate was 2.16%. Examination or medical condition-related factors (n = 78, 83.9%) were the most common reason for case cancellation. Among the 250 unexpected events, patients with undiagnosed hypertension were in the majority (n = 130, 52%). Severe hypertension was observed in 30 patients (12%) who were previously diagnosed with hypertension, and the surgery was canceled in 25 (83.3%) of these (P < .001).</p><p><strong>Conclusions: </strong>Preventable causes (60.2%) were more common than nonpreventable ones among case cancellations. Our findings showed that many patients had high blood pressure and were unaware of this condition. Our study allowed referral of patients to a cardiologist to begin the follow-up process. Additionally, our study highlights the need for adequate preoperative anesthesia preparation and comprehensive nursing care.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733719","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":"Sugar Low When NPO? Patient Variables Associated With Pediatric Preoperative Hypoglycemia.","authors":"Gretchen Rogers, Jenny Beitz, Shara Griffin, Melissa Neeplo, Candace Sturm, Jiwon Lee, Lili Ding, Kelly Dunn","doi":"10.1016/j.jopan.2024.08.017","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.08.017","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the demographic variables and patient factors associated with pediatric patients treated for preoperative hypoglycemia at a large urban pediatric hospital.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Methods: </strong>Chart reviews were completed for known cases of preoperative hypoglycemia. The study team evaluated each case of hypoglycemia for the presence or absence of 10 variables including age, gender, weight percentile, fasting duration for solids and clear liquids, time of day of hypoglycemic event, American Society of Anesthesiology status, surgical service, presence or absence of preoperative bowel cleanout, presence or absence of intraoperative complications, and prior history of diabetes or hypoglycemia. When comparison data were available, a comparison was made to the hospital's general surgical population.</p><p><strong>Findings: </strong>There were no statistically significant differences found between the frequency distributions of the general surgical population and the hypoglycemic population with regard to race (P = .211), gender (P = .3139), and incidence of intraoperative complications (P < .0813). However, the hypoglycemic population was different from the general population (P < .05) in the areas of age, American Society of Anesthesiology status, history of diabetes or hypoglycemia, frequency of gastrointestinal or pulmonary procedures, and time of day of the hypoglycemic event. In addition, trends were identified in the hypoglycemia population with regard to body weight, completion of preoperative bowel cleanout, and duration of fasting. These differences and trends could indicate risk factors for preoperative hypoglycemia.</p><p><strong>Conclusions: </strong>This study identified several potential risk factors for pediatric preoperative hypoglycemia; however, the study was limited by its retrospective nature. More research is needed to confirm these risk factors and identify any others.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733709","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 Cold Vapor Prevent Postoperative Nausea and Vomiting After Laparoscopic Cholecystectomy? A Randomized Controlled Trial.","authors":"Özlem İbrahimoğlu, Betül Güven, Esra Durmayüksel, Bülent Barış Güven","doi":"10.1016/j.jopan.2024.08.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.08.010","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to examine the effect of cold vapor on nausea and vomiting in the early postoperative period after laparoscopic cholecystectomy.</p><p><strong>Design: </strong>Randomized controlled study.</p><p><strong>Methods: </strong>This study was carried out with 44 intervention and 44 control group patients who underwent laparoscopic cholecystectomy between May 2022 and December 2022. Cold vapor was applied to the experimental group for 15 minutes in the postanesthesia care unit (PACU). The patients were evaluated in terms of nausea and vomiting at the 0th minute and 30th minute in the PACU, and at the 2nd, 6th, 12th, and 24th hours in service after surgery.</p><p><strong>Findings: </strong>There was a significant difference between the groups in terms of nausea at the postoperative 30th minute, 2nd hour, and 6th hour. The postoperative nausea incidence and scores in the experimental group were significantly lower. There was no significant difference between the groups in terms of vomiting at all times after surgery.</p><p><strong>Conclusions: </strong>Postoperative cold vapor helps to reduce the severity of nausea but does not affect vomiting. Thus, it can be used in the control of nausea after cholecystectomy.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733705","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":"Evaluation of Postanesthesia Handoff Checklist on Patient Outcomes in an Adult Postanesthesia Care Unit.","authors":"Reed Stephen Halterman, Brittany Darnell, Chima Anukam, Elizabeth Wilkes, Shannon Broxton","doi":"10.1016/j.jopan.2024.08.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.08.008","url":null,"abstract":"<p><strong>Purpose: </strong>The use of handoff communication tools, such as checklists, has been shown to improve communication and decrease the omission of critical patient care information. However, the effect these tools have on patient outcomes has not been investigated. After successfully implementing a handoff checklist in an adult postanesthesia care unit, patient outcomes were retrospectively measured before and after the implementation.</p><p><strong>Design: </strong>Retrospective chart review.</p><p><strong>Methods: </strong>Seven hundred and ninety-one prechecklist patients in September 2017 were compared to 828 postchecklist patients in September 2018. Pain scores, oxygen saturation, and end-tidal CO₂ readings were collected for postanesthesia care unit patients in both groups.</p><p><strong>Findings: </strong>Postchecklist patients exhibited less severe pain (30.8% vs 42.4%) and fewer desaturation episodes (36.4% vs 44.8%). Time to rescue for both did not show a significant difference.</p><p><strong>Conclusions: </strong>This retrospective comparison showed an improvement in measurable patient outcomes in the immediate postoperative period after the implementation of a handoff communication tool. More research is needed to determine the direct correlation between handoff tool use and measurable patient outcomes.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711232","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":"Determination of Compassion Satisfaction and Compassion Fatigue Among Surgical Nurses.","authors":"Bahtışen Çakmak, Dilek Çilingir, Bahar Candas Altinbas","doi":"10.1016/j.jopan.2024.08.007","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.08.007","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to examine the level of compassion satisfaction and compassion fatigue in surgical nurses.</p><p><strong>Design: </strong>A descriptive and relationship-seeking study.</p><p><strong>Methods: </strong>The study sample consisted of 200 surgical nurses working in surgical units. Data were collected using the \"Nurse Introduction Form,\" \"Compassion Scale,\" and \"Professional Quality of Life Scale.\" The data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. (Armonk, NY: IBM Corp).</p><p><strong>Findings: </strong>According to this study, surgical nurses had a high level of compassion satisfaction and a moderate level of compassion fatigue. There is a statistically significant correlation between compassion satisfaction and compassion fatigue (P = .002, r = 0.220).</p><p><strong>Conclusions: </strong>Among surgical nurses, the moderating variables that influenced levels of compassion satisfaction were gender, educational level, professional experience, and overall job satisfaction. Concurrently, age and professional experience were identified as significant factors affecting compassion fatigue.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142710970","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":"Nebulized Dexmedetomidine for Sedation and Mask Acceptance in Pediatric Patients Undergoing Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Cameron Blissell, Matthew Hatch, Nathan Fox, Tito D Tubog","doi":"10.1016/j.jopan.2024.08.001","DOIUrl":"10.1016/j.jopan.2024.08.001","url":null,"abstract":"<p><strong>Purpose: </strong>Compare nebulized dexmedetomidine to other sedatives while assessing the level of sedation, mask acceptance, and parental separation anxiety in the pediatric population undergoing surgery.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>MEDLINE (PubMed), Google Scholar, CINAHL, the Cochrane Review Database, Google Scholar, and gray literature were searched for evidence. Risk ratio (RR) and standardized mean difference (SMD) were used to estimate outcomes with suitable effect models. The quality of evidence was rated using the Risk of Bias and the Grades of Recommendation, Assessment, Development, and Evaluation approach.</p><p><strong>Findings: </strong>Eight studies (n = 615) were included in the review. Over 30 minutes following premedication, nebulized dexmedetomidine yielded comparable sedation scores to other nebulized treatments (SMD, -0.09; 95% confidence interval [CI], -0.45 to 0.28; P = .64). Subgroup analyses revealed that nebulized dexmedetomidine provided more satisfactory sedation levels compared with midazolam (SMD, -0.82; 95% CI, -1.37 to -0.26; P = .004), although it did not provide a satisfactory sedation level as ketamine (SMD, 0.34; 95% CI, 0.01 to 0.67; P = .04). Furthermore, patients receiving nebulized dexmedetomidine showed higher rates of satisfactory mask acceptance (RR, 1.32; 95% CI, 1.08 to 1.59; P = .007) and favorable parental separation outcomes (RR, 1.17; 95% CI, 1.04 to 1.32; P = .01).</p><p><strong>Conclusions: </strong>Nebulized dexmedetomidine is efficacious versus nebulized midazolam but not nebulized ketamine for preprocedural sedation for pediatric patients undergoing general anesthesia. Nonetheless, it demonstrated superior results in facilitating parental separation and mask acceptance.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649304","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}