Journal of Perianesthesia Nursing最新文献

{"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}

{"title":"Spinal Epidural Hematoma Following Combined Spinal Epidural Anesthesia: A Case Report.","authors":"Jun Du, Chan Li, Yanfei Xia","doi":"10.1016/j.jopan.2024.10.005","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.005","url":null,"abstract":"<p><p>A spinal epidural hematoma (SEH) is a rare complication of combined spinal epidural anesthesia. The case of a 55-year-old man who underwent orthopedic surgery under combined spinal epidural anesthesia is presented. Flurbiprofen and horse chestnut seed extract that potentially affect coagulation function during the perioperative period were used. The patient developed an SEH, but had normal coagulation function. Due to masking of neurologic symptoms by pain at the surgical site, the diagnosis of the SEH by magnetic resonance imaging was not made until postoperative day 9. Conservative treatment resulted in complete resolution of the SEH. Early, meticulous, and frequent neurologic examinations by anesthesiologists, surgeons, and nurses are crucial in preventing the delayed diagnosis of SEHs.</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":"143025415","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 Early Mobilization on Pain and Mobility Levels in Patients Undergoing Total Knee Prosthesis.","authors":"Mediha Didem Koçoğlu Ağca, Elif Karahan","doi":"10.1016/j.jopan.2024.10.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.008","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to determine the effect of early mobilization on pain and mobility levels in individuals undergoing total knee arthroplasty.</p><p><strong>Design: </strong>Randomized controlled clinical trial.</p><p><strong>Methods: </strong>This study was carried out in the orthopedic and traumatology department of a public hospital in Turkey. The data were collected between September 2022 and June 2023. The study sample consisted of 68 patients, 34 in the intervention group and 34 in the control group. Patient Information Form, Brief Pain Inventory, Patient Mobility Scale, and Observer Mobility Scale were used as data collection tools.</p><p><strong>Findings: </strong>The decrease in the \"current pain\" 20th-hour value was significant compared to the \"current pain\" 8th-hour value in patients in the intervention group. In the control group, the mean value of the Patient Mobility Scale at the 20th hour was significantly higher than the intervention group. In the intervention group, the pain and difficulty measurements during the movements of turning from side to side in the bed, sitting on the edge of the bed, standing up on the edge of the bed, and walking in the patient room at the 20th hour decreased significantly compared to the 8th hour. In the control group, the mean of the Observer Mobility Scale at the 20th hour was considerably higher than the intervention group.</p><p><strong>Conclusions: </strong>Early mobilization positively affected the patient's pain and mobility levels. An early mobilization protocol should be established and implemented in the postoperative period.</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":"143025422","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 Evidence Alone Was Not Enough to Change Practice: A Mixed-methods Analysis Using a Standardized Framework to Understand Perceptions of Barriers and Compliance to ERAS Recommendations.","authors":"Allyson R Cochran, Katherine Shue-McGuffin, George Shaw, Dionisios Vrochides","doi":"10.1016/j.jopan.2024.10.002","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.002","url":null,"abstract":"<p><strong>Purpose: </strong>Understanding barriers to compliance can aid in mitigation strategies to address them. This study aims to quantitatively and qualitatively assess the relationship between barriers to ERAS recommendations and perceived ability to assure compliance among multidisciplinary team (MDT) members who deliver Enhanced Recovery After Surgery (ERAS) care.</p><p><strong>Design: </strong>Embedded mixed-methods survey analysis.</p><p><strong>Methods: </strong>A survey was distributed to ERAS professionals to assess for each recommendation: how much the recommendation was part of their role; how much they felt they could assure compliance with the recommendation; and the primary barrier to compliance. Imputed datasets were created within each MDT role, significant barriers retained, and prediction models developed. Qualitative data were thematically coded and a mind map visualized themes.</p><p><strong>Findings: </strong>Most respondents were surgeons with greater than 10 years' experience. Surgeons and advanced practice providers reported highest averages of compliance assurance, nurses the lowest. Barriers most reported were patient factors and lack of agreement. Lack of familiarity and motivation predicted statistically significant decreases in compliance with oral carbohydrate loading. Qualitatively, nurses and surgeons reported lack of agreement from colleagues as the biggest barrier, followed by lack of resources and motivation to change. Other themes were the importance of teamwork, data audit, staff education, and informatics.</p><p><strong>Conclusions: </strong>Standardized data collection and reporting of barriers to ERAS recommendations may help identify barriers and improve compliance in a multidisciplinary context. A rich, mixed-methods analysis revealed key insights into perceptions of barriers and compliance with ERAS.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013564","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 Pain Assessment Tools and Numeric Rating Scale Thresholds for Analgesic Administration in the Postanaesthetic Care Unit.","authors":"Ella Hermie, Charlotte Boydens, Annelies Van Damme, Jorien De Loor, Koen Lapage","doi":"10.1016/j.jopan.2024.10.003","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.003","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to assess the correlation between the Visual Analog Scale (VAS), Numeric Rating Scale (NRS), and Verbal Rating Scale (VRS). Additionally, the study aimed to determine NRS threshold values for both mild analgesic administration (= without risk of nausea and vomiting [NV] side effects) and strong analgesic administration (= with risk of NV side effects) in the postanaesthetic care unit (PACU).</p><p><strong>Design: </strong>Prospective, observational study design.</p><p><strong>Methods: </strong>The study was conducted between August 2019 and April 2022. Patients scheduled for elective surgery under general anesthesia were included. The primary outcome was the correlation between the VAS, NRS, and VRS, assessed at PACU admission and discharge. Secondary outcomes included pain evolution, desire for analgesic administration with or without risk of NV side effects, and preferred tool for pain assessment.</p><p><strong>Findings: </strong>VAS, NRS, and VRS were significantly correlated (r = 0.82 to 0.94, P < .001) at both PACU admission and discharge. The median VAS scores significantly improved from 32 (interquartile range [IQR]: 9 to 22) at PACU admission to 27 (IQR: 8 to 39) at PACU discharge (P < .001), while the median NRS scores significantly improved from 3 (IQR: 1 to 6) at PACU admission to 3 (IQR: 1 to 4) at PACU discharge (P < .001). At PACU admission, receiver-operating characteristics curve analysis indicated that an optimal NRS threshold value for the administration of a mild analgesic (= without risk of NV side effects) was greater than 2, and greater than 5 for the administration of a strong analgesic (= with risk of NV side effects). At PACU discharge, patients reported a preferred median NRS score of 5 to be treated with a mild analgesic (= without risk of NV side effects), and a preferred median NRS score of 8 to be treated with a strong analgesic (= with risk of NV side effects).</p><p><strong>Conclusions: </strong>All three pain assessment tools can be used to evaluate postoperative pain in the PACU setting during the recovery from general anesthesia.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013602","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":"Penehyclidine Hydrochloride: A Promising Antimuscarinic Agent for PONV Prophylaxis in Diverse Surgical Procedures.","authors":"Mohamed Abo Zeid, Mohammad El-Nablaway, Amr Elrosasy, Yousef Hawas, Sara Chikh Aissa, Khalid Sarhan, Mariam A Abu Salah, Khalid I AlHussaini, Taisir Saber, Dina M Khodeer, Ahmad Alkheder","doi":"10.1016/j.jopan.2024.10.007","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.007","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this meta-analysis is to measure the effectiveness of penehyclidine hydrochloride hydrate (PHC)-an antimuscarinic drug-in preventing postoperative nausea and vomiting (PONV) for different surgeries.</p><p><strong>Design: </strong>Meta-analysis.</p><p><strong>Methods: </strong>According to the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, we conducted an online literature search using PubMed, Web of Science, Scopus, and Embase databases. Randomized control trials comparing PHC with placebo or any other standard treatments were included.</p><p><strong>Findings: </strong>Our systematic review screened 54 articles, and four randomized control trials with 766 patients were included. There was no significant difference between PHC and the control group for the prevention of postoperative vomiting (risk ratio [RR] = 0.43). However, the subgroup analysis showed some promise. At 24 hours, PHC significantly decreased the incidence of postoperative nausea (RR = 0.31), postoperative vomiting (RR = 0.17), and PONV (RR = 0.33). While at 48 hours, PHC showed nonsignificant results for the same outcomes. PHC did not result in significantly higher rates of analgesia use, headache, dizziness, longer durations of stay in the postanesthesia care unit, or longer duration for extubation, but it showed significantly lower results for the use of antiemetics. Furthermore, PHC showed higher rates of dry mouth.</p><p><strong>Conclusions: </strong>The findings suggest that PHC offers a promising option for PONV prophylaxis, particularly in surgical settings where early PONV are prevalent, with an acceptable safety profile. Further research is recommended to optimize dosing strategies and compare PHC with established antiemetics.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013604","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 Global Nursing Literature on Enhancing Recovery After Surgery Programs: A Bibliometric Analysis.","authors":"Belgüzar Güleç, Seçil Taylan, Fatma Eti Aslan","doi":"10.1016/j.jopan.2024.09.017","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.09.017","url":null,"abstract":"<p><strong>Purpose: </strong>To provide a structured macroscopic overview of the characteristics and advances in research related to the Enhancing Recovery after Surgery (ERAS) protocol.</p><p><strong>Design: </strong>A bibliometric analysis.</p><p><strong>Methods: </strong>Web of Science was selected as the search engine for the bibliometric analysis study, and data up to January 25, 2024 were included in the scan. The analysis was conducted using the \"biblioshiny\" application available in the Bibliometrics R package.</p><p><strong>Findings: </strong>A total of 769 studies were included in the review between 1991 and 2024. China produced the most publications on the subject, while the United States received the highest number of citations. A total of 213 global collaborations were identified, with the most frequent collaboration being between the United States and Canada (8 collaborations). The author Li K. contributed the most papers and the Journal of Perianesthesia Nursing published the most nursing papers on the topic. \"Enhanced recovery\" was the most frequently used keyword in the articles. In addition, China led in the number of publications, while the United Kingdom, China, Canada, and Sweden had the highest number of citations of all countries.</p><p><strong>Conclusions: </strong>This bibliometric study provided comprehensive information on global trends and hotspots in ERAS protocol care research. Developed countries were the most productive in this area of research. It was noted that publications in this study area did not meet the Lodka and Bradford laws.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980119","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}