Journal of Perianesthesia Nursing最新文献

{"title":"Postoperative Movement-evoked Pain Trajectories in Abdominal Surgery Patients: A Retrospective Study.","authors":"Zihao Xue, Jingying Huang, Minjun Liu, Haiou Qi","doi":"10.1016/j.jopan.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.006","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to characterize the early postoperative movement-evoked pain (MEP) trajectories in patients undergoing major abdominal surgery and to explore factors that may influence MEP trajectories.</p><p><strong>Design: </strong>A single-center, retrospective analysis.</p><p><strong>Methods: </strong>This retrospective study was conducted on 268 patients who underwent major abdominal surgery at a university hospital in China. Data were extracted from the hospital's electronic medical records and the DoCare Anesthesia Clinical Information System. MEP trajectories were assessed at four time points: in the postanesthesia care unit (PACU), and on postoperative days 1, 2, and 3. Longitudinal latent profile analysis was employed to classify patients into different groups based on similar pain trajectory characteristics over time. Ordinal logistic regression was used to analyze potential factors associated with different pain trajectory profiles.</p><p><strong>Findings: </strong>Three latent classes of MEP trajectories were identified and classified into no pain, mild pain, and moderate-to-severe pain trajectories. Factors significantly associated with MEP trajectory membership included opioid consumption during operation, opioid consumption during PACU, and patient-controlled analgesia consumption.</p><p><strong>Conclusions: </strong>Perioperative and perianesthesia health care providers, especially nurses, should strategically optimize opioid use during surgery and proactively manage pain in the early recovery period. Perioperative and perianesthesia nurses play a critical role in postoperative pain management, specifically in guiding pain assessment and treatment interventions, analgesic dosing, and information transfer during care transitions.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235682","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 Pressure Injury Risk and Affecting Factors in the Operating Room.","authors":"Kenan Gümüs, Cem Celiktas","doi":"10.1016/j.jopan.2025.01.028","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.028","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to determine the risk of pressure injury in the operating theater in patients undergoing surgical intervention and to identify the factors contributing to this risk.</p><p><strong>Design: </strong>This research is a descriptive and cross-sectional study.</p><p><strong>Methods: </strong>This study included 203 patients who underwent surgery in a training and research hospital. Data were collected using a patient descriptive information form and the 3S Intraoperative Pressure Injury Risk Assessment Scale (IPIRAS).</p><p><strong>Findings: </strong>The mean age of the patients was 54.96% ± 13.43%, and 51.7% were male. Patients aged 61 to 86 years, smokers, and patients with chronic diseases had higher 3S IPIRAS scores (P < .001; P = .020; P < .001, respectively). In addition, patients with joint prosthesis, those who used walking aids, and those with semidependent mobility had higher 3S IPIRAS scores (P = .017; P = .001; P = .003, respectively). In particular, patients who underwent neurosurgery, orthopedics, and gynecology operations and patients in physical status classification of IV had higher 3S IPIRAS scores (P < .001; P < .001, respectively). Patients with high serum albumin levels (4.6-4.8 g/dL) had lower 3S IPIRAS scores (P = .001).</p><p><strong>Conclusions: </strong>Some individual and surgical characteristics of patients increase the risk of pressure injury in the operating room. Targeted interventions for at-risk populations will contribute to the prevention of pressure injury development.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210027","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 Prevalence and Effect of Prewarming on Unintentional Perioperative Hypothermia in Patients Undergoing Major Abdominal Surgery Walking to the Operating Room: A Non-randomized Prospective Intervention Study.","authors":"Charlotte Rosenkilde, Dorthe Hasfeldt, Hanne Irene Jensen","doi":"10.1016/j.jopan.2025.01.021","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.021","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to determine the prevalence of unintentional perioperative hypothermia with and without preoperative warming and evaluate the effect of prewarming on core temperature in patients undergoing major abdominal surgery walking to the operating room (OR).</p><p><strong>Design: </strong>A non-randomized prospective intervention study.</p><p><strong>Methods: </strong>Participants were patients scheduled for major abdominal surgery and walking to the OR. The control group received a forced-air warming system during the surgery, whereas the intervention group received a forced-air warming system throughout the perioperative period. Core temperature was assessed on arrival to the OR and in 30-minute intervals after induction of anesthesia and during surgery and on arrival at the postanesthesia care unit (PACU).</p><p><strong>Findings: </strong>Overall, 30 patients were included in the control group and 30 patients in the intervention group. Five patients (16.7%) in the intervention group and 19 patients (63.6%) in the control group were hypothermic at a given time in the perioperative period. The prevalence of hypothermia was significantly lower in the intervention group from 30 minutes after induction of anesthesia until arrival in the postanesthesia care unit. Prewarming reduced the drop in core temperature.</p><p><strong>Conclusions: </strong>The prewarming method combined with peroperative active warming with forced-air warming in patients walking to the OR reduces the drop in core temperature and the prevalence of unintentional perioperative hypothermia throughout the perioperative period.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210030","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 Watching Nature-based Videos With Virtual Reality Glasses on Surgical Fear and Anxiety in Patients Scheduled for Open Heart Surgery.","authors":"Sabriye Gül, Aydan Akkurt Yalcinturk","doi":"10.1016/j.jopan.2025.01.015","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.01.015","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the study was to examine the effect of watching nature-based videos with virtual reality (VR) glasses on surgical fear and anxiety in patients scheduled for open heart surgery.</p><p><strong>Design: </strong>The present study used a randomized-controlled experimental design.</p><p><strong>Methods: </strong>The study was conducted between December 2023 and February 2024 at a cardiovascular surgery training and study hospital in Istanbul. The patients were randomly divided into 2 groups as the experimental (n = 30) and control groups (n = 30). After the experimental group was informed about the preoperative preparation, they watched a nature-based video with VR glasses. The control group was informed only about preoperative preparation. The data were collected by using the \"Personal Information Form,\" \"Surgical Fear Questionnaire,\" and \"State-Trait Anxiety Inventory.\"</p><p><strong>Findings: </strong>When the post-test mean scores of Surgical Fear Questionnaire were evaluated, they were found to be 35.80 ± 12.26 in the experimental group and 55.60 ± 10.91 in the control group. The post-test mean scores of the patients in the experimental group were significantly lower than those of the patients in the control group (P < .05). The post-test mean scores of the patients on State-Trait Anxiety Inventory-I were were 42.03 ± 6.99 in the experimental group and 63.80 ± 6.65 in the control group. The post-test mean scores of the patients in the experimental group were significantly lower than those of the control group (P < .05).</p><p><strong>Conclusions: </strong>Watching nature-based videos with VR glasses reduced both surgical fear and anxiety in patients scheduled for open heart surgery.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210029","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":"Attitude and \"Self-Compassion and Purpose\" as Factors Influencing Nurses' Intentions to Engage in Mindful Self-care in the Perianesthesia Setting.","authors":"Brenda K Sanya, Dawn L Denny, Rhoda A Owens, Glenda Lindseth, Thomas Petros","doi":"10.1016/j.jopan.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.jopan.2025.02.008","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined relationships among variables shaping intention to engage in mindful self-care in nurses working in the perianesthesia setting.</p><p><strong>Design: </strong>The study employed a cross-sectional design guided by the Theory of Planned Behavior to explore relationships between variables.</p><p><strong>Methods: </strong>An online survey, approved by the ethics board, collected data from 85 perianesthesia nurses recruited via the American Society of PeriAnesthesia Nurses Listserv. Participants completed the Modified Theory of Planned Behavior Questionnaire and the Mindful Self-care Scale.</p><p><strong>Findings: </strong>Perceived behavioral control (r = 0.318, P = .003) and attitude (r = 0.616, P < .001) showed positive correlations with intentions to engage in self-care, while subjective norms had no significant association (r = -0.025, P = .821). Mindful awareness, perceived behavioral control, and self-compassion and purpose correlated significantly with most variables, except subjective norms. Regression analyses demonstrated attitude (β = 0.51, t = 5.63, P ≤ .001) and self-compassion and purpose (β = 0.29, t = 2.54, P = .013) as significant factors influencing the intention of perianesthesia nurses to engage in mindful self-care. Overall, the model for intent to engage in mindful self-care demonstrated a good fit using the significant factors from the Theory of Planned Behavior, F(8, 76) = 9.33; P = .001 with an adjusted R² of 0.44. On average, perianesthesia nurses engaged in mindful self-care 2 to 3 days per week.</p><p><strong>Conclusions: </strong>This cross-sectional study of perianesthesia nurses found attitude and self-compassion and purpose to be significant predictors of intention to engage in self-care for an average of 2 to 3 days per week. Findings from this study add evidence that positive attitude and self-compassion and purpose significantly influence nurses' intentions to engage in self-care, suggesting these factors are key targets for interventions to improve nurses' well-being and performance.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210028","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":"Mary Hanna Award Winners","authors":"","doi":"10.1016/S1089-9472(25)00129-7","DOIUrl":"10.1016/S1089-9472(25)00129-7","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 3","pages":"Pages 473-474"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166832","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":"Music Interventions to Reduce Anxiety and Pain in Surgical Patients: An Umbrella Review.","authors":"Heather Parr, Jiale Hu","doi":"10.1016/j.jopan.2024.11.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.11.009","url":null,"abstract":"<p><strong>Purpose: </strong>Anxiety and pain are two of the most prevalent clinical problems seen in the perioperative period. Music intervention has been shown to decrease anxiety and pain levels in patients undergoing surgery. This umbrella review aimed to summarize current evidence regarding music listening and its effects on patient anxiety and pain during the perioperative period.</p><p><strong>Design: </strong>Qualitative umbrella review including systematic reviews and meta-analyses.</p><p><strong>Methods: </strong>A detailed search strategy of systematic reviews and meta-analyses published between 2007 and 2023 was conducted on MEDLINE (Pubmed), CINAHL (EBSCO), EMBASE (OVID), PsycINFO (EBSCO), and Cochrane. Data extraction and methodological quality grading was performed independently by two separate authors.</p><p><strong>Findings: </strong>Most included reviews found a statistically significant effect of music listening on anxiety and pain levels. All music interventions had high heterogeneity due to differing music types and characteristics. Music intervention by a certified music therapist and music preferences chosen by patients proved to have better results than listening to preassigned music.</p><p><strong>Conclusions: </strong>Music listening is a safe, cost-effective, and easy-to-implement intervention that can be used as a sole approach or complementary therapy to decrease anxiety and pain levels during the perioperative period.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192423","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":"Adult Agitation in the Postanesthesia Care Unit After General Anesthesia","authors":"Jonathan Vaughn DHA, MSN, CRNA","doi":"10.1016/j.jopan.2025.02.001","DOIUrl":"10.1016/j.jopan.2025.02.001","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 3","pages":"Pages 772-773"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144165802","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":"Thank You to ASPAN’s 2025 Conference Exhibitors","authors":"","doi":"10.1016/S1089-9472(25)00175-3","DOIUrl":"10.1016/S1089-9472(25)00175-3","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 3","pages":"Page 470"},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166731","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":"Global Research Trends in Preoperative and Intraoperative Anxiety in the Past Two Decades: Bibliometrics and Knowledge Atlas Analysis.","authors":"Jie Hu, Wanning Zhu, Fengxia Chen, Ying Liu, Ailing Lian","doi":"10.1016/j.jopan.2024.12.008","DOIUrl":"10.1016/j.jopan.2024.12.008","url":null,"abstract":"<p><strong>Purpose: </strong>Preoperative and intraoperative anxiety are closely related to perioperative treatment and disease prognosis of surgical patients. Reducing preoperative and intraoperative anxiety can greatly improve surgical efficacy. This study conducted a bibliometric analysis of both preoperative and intraoperative anxiety with the aim to summarize and make predictions in this field.</p><p><strong>Design: </strong>A bibliometrics analysis was conducted.</p><p><strong>Methods: </strong>Bibliometric research methods were used to download literature information from the Web of Science database; the time span was from January 1, 2003 to September 13, 2023. HistCitePro software was used for statistical analysis, and Microsoft Excel 2021 (Microsoft Corporation) was used for data statistics and chart drawing. VOSviewer (Centre for Science and Technology Studies (CWTS), Leiden University), Pajek64, SCImago Graphica, and Rstudio were used for data visualization.</p><p><strong>Findings: </strong>538 articles were included in the analysis. Over the past 2 decades, the number of published articles has steadily increased, reaching 79 by 2020. The United States and its universities are leading research efforts on preoperative and intraoperative anxiety. Relevant journals in the four fields of anesthesia, pain, pediatrics, and nursing are the main journals in this direction. Studies on preoperative and intraoperative anxiety were divided into five categories, each replaced by different keywords. Over time, research on anxiety reduction has gradually shifted from diseases, surgical methods, and patient cognition to modern high-tech technologies such as music and virtual reality.</p><p><strong>Conclusions: </strong>Research on reducing preoperative and intraoperative anxiety is at an active stage. In the future, how to eliminate anxiety through high technology and modern technology will become a hot topic.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192422","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}