Journal of Perianesthesia Nursing最新文献

{"title":"Decreasing Postsurgical Length of Stay in the Postanesthesia Care Unit for Obstructive Sleep Apnea and Obese Patients Using Exspiron Minute Ventilation Monitoring.","authors":"Lindsay Holt, Cresilda Newsom, JoAnn Daugherty","doi":"10.1016/j.jopan.2024.05.021","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.05.021","url":null,"abstract":"<p><strong>Purpose: </strong>In the postanesthesia care unit (PACU), it is imperative to monitor respiration and ventilation, especially in patients diagnosed with or at risk for obstructive sleep apnea (OSA). Research studies have been published to highlight the importance of minute ventilation monitoring (MVM) as an early warning system of impending respiratory compromise, warranting studies to assess timely safe discharge in this high-risk population at UC San Diego Health.</p><p><strong>Design: </strong>This quantitative study was conducted using a two-group comparative design method.</p><p><strong>Methods: </strong>Length of stay was measured in 100 patients identified as high risk in the surgical setting with diagnosed or suspected OSA or a documented body mass index ≥40 with and without the use of MVM to evaluate its impact on PACU length of stay. Fifty patients were monitored using the University of California San Diego (USCD) Health standard of care monitoring of respiratory rate, pulse oximetry, and capnography when indicated, then compared to 50 patients monitored with the UCSD Health standard of care with the addition of MVM using the Exspiron monitoring device.</p><p><strong>Findings: </strong>PACU length of stay decreased for those who received MVM (M = 106.22, SD = 56.85) than those who did not (M = 140.96, SD = 81.55), a statistically significant difference of 34.74 (95% CI, 6.64 to 62.83), t(97) = 2.46, P = .016. Total time savings between the 2 groups was 1,843 minutes of PACU bed occupancy.</p><p><strong>Conclusions: </strong>The use of minute ventilation monitoring in addition to the standard of care in postsurgical patients can significantly reduce the length of high-risk patients with known or suspected OSA safely from the postoperative care unit.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903353","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":"Investigating the Effect of Singing Bowl Sound on the Level of State-trait Anxiety and Physiological Variables of Patients Awaiting Angiography.","authors":"Zahra Hasani, Sepideh Mohammadi, Hengameh Karimi","doi":"10.1016/j.jopan.2024.04.012","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.04.012","url":null,"abstract":"<p><strong>Purpose: </strong>Many patients are anxious and fearful while waiting for angiography, which may negatively affect the performance of this test and their physiological variables. The aim of this study was to investigate the effect of singing bowl sounds on situational anxiety and physiological variables of patients awaiting angiography.</p><p><strong>Design: </strong>A semiexperimental pretest and post-test study.</p><p><strong>Methods: </strong>This semiexperimental pretest and post-test study with 2 groups was conducted from October 2022 to March 2023 in 60 patients (30 in the intervention group and 30 in the control group) awaiting angiography at the Angiography Department of Rouhani Hospital, affiliated with Babol University of Medical Sciences. One hour before angiography, the intervention group received the singing bowl intervention in addition to routine departmental interventions, whereas the control group received only routine departmental interventions. The State-Trait Anxiety Inventory Form Y-1 was used to measure anxiety.</p><p><strong>Findings: </strong>State-trait anxiety after the intervention was significantly lower in the intervention group than in the control group (P = .00). Systolic and diastolic blood pressure, pulse rate, and respiration were the same in the intervention and control groups before and after the intervention and showed no statistically significant difference (P > .05).</p><p><strong>Conclusions: </strong>The results indicated that the singing bowl intervention led to an improvement in anxiety in patients waiting for angiography. Considering that this intervention was performed with a simple, cheap, and accessible instrument, it is therefore suggested that this method be used to reduce state-trait anxiety in clinical anxiety-provoking conditions. Since the physiological variables of the patients before and after the intervention showed no statistically significant difference in both groups, it is suggested that the physiological variables should be investigated in future studies and several clinical situations so that a scientific opinion on the effect of the singing bowl on these variables can be given with more certainty.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903328","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":"A 5-Year Clinical Experience of Pediatric Ophthalmic Ambulatory Surgery Under General Anesthesia From a Chinese Tertiary Children's Hospital.","authors":"Zhehuan Zhang, Tianchen Wu, Anken Wang, Chenhao Yang","doi":"10.1016/j.jopan.2024.04.011","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.04.011","url":null,"abstract":"<p><strong>Purpose: </strong>Ambulatory surgery (same-day or day surgery) is an efficient medical practice. However, there were few reports regarding the safety of ophthalmic ambulatory surgery for children under general anesthesia. This study aims to explore its clinical complications.</p><p><strong>Design: </strong>A retrospective observational study.</p><p><strong>Methods: </strong>The clinical data of pediatric patients who received ambulatory ophthalmic surgery under general anesthesia at the Children's Hospital of Fudan University from January 2015 to December 2019 were analyzed retrospectively. Postoperative complications, unplanned reoperation, delayed discharge, and other adverse events were analyzed.</p><p><strong>Findings: </strong>Consecutive patients (N = 4,616) had an average age of 4.6 ± 2.6 years. The primary surgical procedures included chalazion incision and curettage (62.89%), strabismus surgery (18.98%), trichiasis surgery (14.36%), eyelid or orbital mass resection (2.49%), blepharoptosis surgery (0.91%), and other procedures (0.37%). The average operative time was 25.28 ± 20.45 minutes (n = 2,698), while the average length of hospital stay was 8.45 ± 2.61 hours. No serious adverse events or death happened. One case had delayed postoperative hemorrhage, one had a postoperative infection, and two had delayed discharge. The rate of unplanned reoperation was 0.39% 90 days after surgery, with recurrence of chalazion and postoperative complications of ptosis as the primary reasons.</p><p><strong>Conclusions: </strong>Pediatric ophthalmic ambulatory surgery under general anesthesia is a feasible and efficient operation mode with few complications for simple procedures with good general conditions. Further randomized controlled studies are needed to provide strong evidence of the safety and socioeconomic efficacy of this mode.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903352","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 Study of Remazolam Combined With Propofol on Painless Gastroscopy: A Randomized Controlled Trial.","authors":"Xiaohong Wu, Yali Chen, Tuo Luo, Yusong Liu, Lin Zeng","doi":"10.1016/j.jopan.2024.04.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.04.006","url":null,"abstract":"<p><strong>Purpose: </strong>Gastroscopy is one of the most commonly used diagnostic modalities for upper gastrointestinal disorders. Remazolam besylate, a new type of ultrashort-acting benzodiazepine drug, has been less studied in gastroscopy. In this study, we studied the efficacy and safety of remazolam combined with propofol for painless gastroscopy.</p><p><strong>Design: </strong>This was a single-center, placebo-controlled randomized trial.</p><p><strong>Methods: </strong>One hundred patients undergoing painless gastroscopy were included in this study and randomly divided into 2 groups (n = 50 per group): the control group (Con group) and the remazolam group (Rem group). Sufentanil, remazolam, and propofol were used to anesthetize the patients, and then, the effects of different solutions on these patients were compared and analyzed. The patient's general condition, vital signs at different times, the dosage of propofol (mg) and additional times, complications, duration of gastroscopy (minutes), recovery time (minutes), length of stay in the recovery room (minutes), and adverse reactions were recorded.</p><p><strong>Findings: </strong>Rem group systolic blood pressure was more stable (P < .05). The amount of additional propofol in Rem group was less (P < .05). The incidence of hypotension, bradycardia, and dizziness was lower in Rem group, as well as the time of awakening and stay in the recovery room were shorter (P < .05).</p><p><strong>Conclusions: </strong>Remazolam combined with sufentanil and propofol has less effect on hemodynamics in painless gastroscopy, and the patients have shorter awakening times.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890647","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":"Perianesthesia Malignant Hyperthermia Virtual Escape Room for Interactive Learning","authors":"","doi":"10.1016/j.jopan.2024.06.028","DOIUrl":"10.1016/j.jopan.2024.06.028","url":null,"abstract":"<div><h3>Background Information</h3><p>Malignant Hyperthermia (MH) is a rare but serious and potentially fatal perioperative complication resulting from inhaled volatile anesthetics. Early detection in intraoperative and perianesthesia care units is crucial to patient survival.</p></div><div><h3>Objectives of Project</h3><p>Preparation for the rare occurrence of MH is imperative to the care of the anesthetized patient, nurses must be aware of the processes and early interventions. Virtual education escape rooms offer employee engagement and optimize critical thinking skills in a safe environment. The virtual platform offers critical thinking prompts to follow a sequence of interventions in the management for MH.</p></div><div><h3>Process of Implementation</h3><p>Implementation of an evidence-based multidisciplinary project aimed to improve recognition and intervention of MH protocol. Utilizing virtual escape rooms allows for subtle prompts in critical reasoning for the learner to protocolize the treatment plan for MH. The treatment of MH requires a series of steps to achieve stabilization of the perioperative patient. Identifying clear roles and responsibilities in a virtual space creates effective team building, clear communication and ultimately improves patient outcomes.</p></div><div><h3>Statement of Successful Practice</h3><p>Communication of team roles and responsibilities solidified the problem, approach and solution of MH crisis. With content from lecture and case study, nursing participated in a virtual escape room. The escape room offered a series of subtle prompts which subconsciously created a nursing response process for MH crisis. Post-education survey revealed an increase in knowledge in the management of MH in perioperative areas. Learners were able to quickly identify the treatment pathway for patients experiencing MH crisis.</p></div><div><h3>Implications for Advancing the Practice of Perianesthesia Nursing</h3><p>A misdiagnosis in the hypermetabolic state of MH may lead to fatal complications for the anesthetized patient. Recognition of signs and symptoms is imperative to early diagnosis and appropriate interventions.</p></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960938","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":"“Never Lose Your Nerve”: Standardizing Perioperative Cranial Nerve Assessments Using a Neuro Tool Box","authors":"","doi":"10.1016/j.jopan.2024.06.011","DOIUrl":"10.1016/j.jopan.2024.06.011","url":null,"abstract":"<div><h3>Background Information</h3><p>In the perioperative setting, patients undergoing craniotomies require thorough baseline neurological exams. Exams are repeated frequently in the postoperative phase of care and are valuable to recognize early signs of deviations. Our nurses occasionally expressed hesitancy in caring for this patient population due to the perceived complexity of the assessments and their lack of competency and confidence level. A staff survey showed up to 26% of nurses felt unsure about different knowledge-based questions. When measuring confidence level, 67% of staff lacked confidence in their assessment skills. Furthermore, survey data showed variable, inconsistent assessment practices.</p></div><div><h3>Objectives of Project</h3><p>To provide a standardized process and tools to perform congruent perioperative neurological assessments. To improve the quality of care and patient safety by hastening the identification and early intervention of neuro changes. To increase nursing knowledge and confidence levels in their neuro assessments.</p></div><div><h3>Process of Implementation</h3><p>We partnered with perioperative leadership and educators to collaborate on the concept of a standardized kit and development of a “Neuro Toolbox.” We surveyed staff to assess nursing knowledge. A kit was created containing evidence-based tools to assess patients consistently. Educational references were included to allow for staff review. We distributed boxes to each unit and coordinated in-services to educate staff on the toolbox. We performed ongoing reminders of this resource through emails and unit huddles.</p></div><div><h3>Statement of Successful Practice</h3><p>This standardized practice promotes high quality care of our craniotomy patients by providing safe and consistent care. Nurses have shared positive post-implementation feedback and we have seen high utilization of the toolbox, especially among newer staff. It is now being used as a tool for standard practice in our unit. Requests were made to expand the Neuro Toolbox to other units.</p></div><div><h3>Implication for Advancing the Practice of PeriAnesthesia Nursing</h3><p>The neuro tool kit is an example of how a collaborative, innovative, and standardized approach to our current practice helped nurture growth, education and foster confidence in our perioperative nurses while caring for this highly specialized patient population. Furthermore, promoting accountability, safety and optimizing patient outcomes.</p></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960932","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":"Ketamine Infusion Treatment (KIT): Emerging Role of PACU RNs in the Care of Veterans with Treatment-Refractory Depression (TRD) and Severe Suicidal Ideation (SI)","authors":"","doi":"10.1016/j.jopan.2024.06.041","DOIUrl":"10.1016/j.jopan.2024.06.041","url":null,"abstract":"<div><h3>Background</h3><p>Depression remains one of leading mental health conditions in the military. TRD is associated with reduced quality of life, social and occupational impairment, and higher likelihood of prior suicide attempts; veterans are particularly vulnerable to multiple psychiatric disorders, making them more susceptible to TRD amplifying clinical and economic burdens and treatment represents significant challenge for physicians.</p></div><div><h3>Objectives of Project</h3><p>To involve and educate PACU RNs in the implementation of non-traditional treatment procedure (ketamine infusion) in the PACU setting.</p></div><div><h3>Process of Implementation</h3><p>Since 2019 DVAHCS has been involved in preliminary use of ketamine infusion treatment (KIT) for TRD following established National Guidelines. Metrics gathered were utilized as criterion in the inception of local guidelines and development of Medical Center Policy (MCP).</p><p>The PACU RN champion involved during preliminary process helped identified necessary process changes and collaborated with interdisciplinary team members to develop MCP guidelines.</p><ul><li><span>a.</span><span><p>A designated PACU bay area was selected where treatment can be done.</p></span></li><li><span>b.</span><span><p>Collaborated with IT team: update electronic health record documentation.</p></span></li><li><span>c.</span><span><p>Templated orders were created to minimize medication errors and facilitate its timely availability.</p></span></li><li><span>d.</span><span><p>Established time out verification process with attending psychiatrist prior to treatment &amp; debriefing at completion seeking process improvement.</p></span></li></ul><p>The PACU-RN champion collaboratively worked with Mental Health and TRD specialists, Educators and Managers developing a multi-spectral learning plan ensuring patient safety and PACU RNs competency for this new practice.</p></div><div><h3>Statement of Successful Practice</h3><p>Since implementation July 2023, ketamine infusion treatment was referred to 12 veteran patients. 5 of them are inter-facility consults, only two was able to qualify. The treatment was initiated with TRD specialist monitoring patient’s response during infusion. Dose administered is adjusted accordingly during treatment. These veterans’ PHQ-9 score was 25 and now scored 4. There was no significant adverse event noted during the whole treatment process. 100% nurses demonstrated an all-embracing attitude, shared their insight as noted in the survey.</p></div><div><h3>Implications for Advancing the Practice of Peri Anesthesia Nursing</h3><p>The PACU nurses unswerving involvement, participation in planning, inception, execution and continuous assessment lead to a successful implementation of this initiative.</p><p>They will play a critical and decisive role in increasing utilization while addressing prudent dynamism by welcoming innovative treatment therapies.</p></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960967","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 Point of Care (POC) Glucose Management: A Collaborative Approach","authors":"","doi":"10.1016/j.jopan.2024.06.032","DOIUrl":"10.1016/j.jopan.2024.06.032","url":null,"abstract":"<div><h3>Background Information</h3><p>There is substantial evidence demonstrating links between perioperative hyperglycemia and adverse clinical outcomes such as surgical site infection, increased rate of myocardial infarction and stroke in patients with diabetes. The stress of surgery and anesthesia also alters the homeostasis between hepatic glucose production and utilization of glucose in peripheral tissues. Preoperative carbohydrate loading with Enhanced Recovery After Surgery (ERAS) was found to decrease the catabolic state during fasting, increase insulin sensitivity and decrease the incidence of postoperative hyperglycemia. All patients on ERAS pathways at our facility have orders for preoperative glucose testing. Routine glucose testing on patients not on ERAS pathways was not a standard prior to this project, leading to inconsistent preoperative glucose testing of ERAS patients. This project aimed to improve testing in ERAS patients by expanding point of care (POC) glucose testing of surgical patients. Prior to March 2022, the compliance average rate POC glucose performed in patients on ERAS pathway was 55%.</p></div><div><h3>Objectives of Project</h3><p>The goal of this project was to improve preoperative phase of care POC glucose testing compliance by 20% in ERAS patients from period March to July 2022.</p></div><div><h3>Process of Implementation</h3><p>Education on placing orders for POC glucose testing were disseminated to surgeons and surgery clinics. Macros in electronic health records were created providing reminders for anesthesia providers to test glucose. Additional docking stations and glucometers were obtained and placed in the preoperative and Recovery areas. POC glucose testing was extended to non-ERAS surgical patients, with weekly data shared to key stakeholders for follow up.</p></div><div><h3>Statement of Successful Practice</h3><p>The compliance of POC glucose testing for ERAS increased from 55% to 79%. Overall compliance of ERAS and non-ERAS surgical patients achieved an average of 89%. Out of total population checked, 80% of patients did not have diabetes, 20% with diabetes diagnosis. 18% of patients who were hyperglycemic in preop did not have diabetes diagnosis and would not have been tested prior to this project.</p></div><div><h3>Implications for Advancing the Practice of Perianesthesia Nursing</h3><p>Incidence of hyperglycemia is common in surgical patients with and without history of diabetes. Standardizing the process of POC glucose testing in surgical patients decreased inconsistency which enables early detection and implementation of intervention.</p></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141959391","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":"Transcatheter Aortic Valve Replacement Education Program; A Multi-Modal Approach","authors":"","doi":"10.1016/j.jopan.2024.06.026","DOIUrl":"10.1016/j.jopan.2024.06.026","url":null,"abstract":"<div><h3>Background Information</h3><p>Yale New Haven Hospital (YNHH) maintains Transcatheter Valve Certification™ by the American College of Cardiology. A multi-modal educational program was developed to increase staff members’ knowledge, understanding, and comfort level in caring for patients undergoing Transcatheter Aortic Valve Replacement (TAVR) procedures. The target audience included peri-anesthesia nurses, as well as nurses and technologists in the Cardiac Catheterization Laboratory (CCL).</p></div><div><h3>Objectives of Project</h3><p>TAVR is being increasingly performed not only for high-risk patients but also as a less invasive option for younger, lower risk patients to treat aortic stenosis. Early detection and management of complications associated with TAVR must be addressed with a timely and schematic approach to reduce incidence of potentially dangerous outcomes.</p></div><div><h3>Process of Implementation</h3><p>A gap analysis demonstrated a need for didactic Structural Heart nursing education. A multimodal approach was applied in developing a staff education program to increase knowledge of TAVR patient management. The program included a content expert lecture, case study review, and virtual escape room. Escape rooms allow for subtle prompts in critical reasoning for the learner to protocolize the treatment plan for TAVR complications. Identifying clear roles and responsibilities in a virtual space creates effective team building, clear communication and ultimately improves patient outcomes.</p></div><div><h3>Statement of Successful Practice</h3><p>In evaluating this educational program, pre and post surveys were deployed and interpreted. Professional Development Specialists saw a positive impact in TAVR complication recognition time as well as increased knowledge of peri-anesthesia and CCL staff, evidenced by pre and post intervention survey data. The surveys consisted of the same three questions and data revealed an increase in knowledge of participants when comparing pre and post intervention surveys:</p><p>Question #1=58%; Question #2=26%; and Question #3=71%. Staff reported a heightened level of awareness of common complications, leading to an increased confidence level in early detection and anticipation of interventions.</p></div><div><h3>Implications for Advancing the Practice of Perianesthesia Nursing</h3><p>Didactic, innovative nursing education improves perianesthesia patient outcomes.</p></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141960937","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":"Sociodemographic and Psychosocial Factors Affecting the Psychological Well-Being of Preoperative Surgical Patients","authors":"","doi":"10.1016/j.jopan.2023.10.007","DOIUrl":"10.1016/j.jopan.2023.10.007","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to determine the subjective psychological well-being levels and sociodemographic and psychosocial factors affecting the psychological well-being of preoperative surgical patients.</p></div><div><h3>Design</h3><p>This was a cross-sectional study.</p></div><div><h3>Methods</h3><p>This study was conducted between January 15, 2021 and July 15, 2021. The sample consisted of 236 surgical patients in a public hospital in the Thrace region of Turkey. Data were collected using a personal information form and the five-item World Health Organization Well-Being Index (WHO-5). The data were analyzed using numbers, percentages, mean, standard deviation, independent samples <em>t</em><span> test, one-way analysis of variance, Tukey's multiple comparison test, and linear regression analysis.</span></p></div><div><h3>Findings</h3><p>Participants had a mean WHO-5 score of 10.76 ± 6.21, indicating low subjective psychological well-being. Economic status, chronic disease<span> status, history of surgery<span>, having been on psychiatric medication or receiving professional psychological support, tobacco use, experiencing a significant life change in the last 3 months, and reporting experiencing frequent stress in everyday life were significant predictors of WHO-5 scores.</span></span></p></div><div><h3>Conclusions</h3><p>Preoperative surgical patients have low subjective psychological well-being, and their sociodemographic and psychosocial factors affect their psychological well-being.</p></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138488846","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}