Journal of Perianesthesia Nursing最新文献

{"title":"Response to “Evaluation of Brachial Plexus Nerve Variations in Axilla by Ultrasonography”","authors":"Patricia Neira-Somoza BSN , David Lopez-Lopez MD , Rocio Mato-Bua MD , Ana Prado-Rodriguez MD","doi":"10.1016/j.jopan.2024.06.118","DOIUrl":"10.1016/j.jopan.2024.06.118","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 708-709"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357982","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":"Don’t Forget the Downstream","authors":"Vallire Hooper PhD, RN, CPAN, FASPAN, FAAN","doi":"10.1016/j.jopan.2024.08.014","DOIUrl":"10.1016/j.jopan.2024.08.014","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 701-702"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358499","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 Hand Massage Applied Before Cataract Surgery on Anxiety, Surgical Fear, Pain and Physiological Parameters","authors":"","doi":"10.1016/j.jopan.2023.12.018","DOIUrl":"10.1016/j.jopan.2023.12.018","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to determine the effect of hand massage applied before cataract surgery on anxiety, surgical fear, pain, and physiological parameters.</div></div><div><h3>Design</h3><div>Randomized controlled experimental study.</div></div><div><h3>Methods</h3><div><span>The sample of this prospective randomized controlled experimental study comprised 60 patients (30 intervention and 30 control) who had cataract surgery in the Eye Operating Room of a hospital. Data were collected with The Personal Information Form, Physiological Parameters Registration Form, </span>Visual Analog Scale (VAS)-Anxiety, Surgical Fear Questionnaire, and VAS-Pain scale. In the study, patients in the intervention group received a 10 minutes hand massage before cataract surgery.</div></div><div><h3>Findings</h3><div>Results showed that the anxiety and surgery fear of patients decreased after hand massage (for all; <em>P</em> &lt; .05). While the VAS-Pain score of the intervention group was 1.00 (2.00), it was 2.00 (1.00) for the control group (<em>P</em> &lt; .05). The total Surgical Fear Questionnaire mean scores of the patients in the intervention group after hand massage was lower compared with the control group (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Hand massage applied before cataract surgery reduced the patients' anxiety, surgical fear, pain levels and positively affected their physiological parameters.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 831-838"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077037","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":"PAS-7 is Superior to APAIS for Assessing Preoperative Anxiety in the Chinese Population","authors":"","doi":"10.1016/j.jopan.2023.12.022","DOIUrl":"10.1016/j.jopan.2023.12.022","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was to analyze the reliability and validity of the Perioperative Anxiety Scale-7 (PAS-7), which was created by Chinese medical professionals, by using the State-Trait Anxiety Scale (STAI-S) as the standard for the diagnosis of preoperative anxiety, and to compare whether there is a difference between the PAS-7 and the Amsterdam Preoperative Anxiety and Information Scale (APAIS) in the diagnosis of preoperative anxiety in the Chinese population.</div></div><div><h3>Design</h3><div>This study was an observational study.</div></div><div><h3>Methods</h3><div><span>The PAS-7, APAIS, and STAI-S were all completed the day before surgery. The internal consistency<span><span> test was used to evaluate the scale's reliability, and exploratory factor analysis and </span>confirmatory factor analysis were used to assess the scale's </span></span>construct validity. Pearson correlation was used to analyze the correlation between PAS-7 and STAI-S, and APAIS. The area under the receiver operating characteristic (ROC) curve was used to compare the diagnostic value of PAS-7 and APAIS.</div></div><div><h3>Findings</h3><div><span>The PAS-7 Cronbach's α coefficient was 0.804. The indicators of the overall fitting coefficient were within the acceptable range. PAS-7 scores correlated well with STAI-S and APAIS scores (</span><em>P</em> &lt; .01). The area under the ROC curve of PAS-7 was 0.808 (0.752-0.856), and the area under the ROC curve of APAIS was 0.674 (0.611-0.733). The difference between areas was 0.133 (0.0612-0.206), <em>P</em> &lt; .001, and the diagnostic value of PAS-7 was higher than that of APAIS.</div></div><div><h3>Conclusions</h3><div>The PAS-7 scale has high reliability and validity and can be used to assess preoperative anxiety in patients undergoing elective surgery. PAS-7 is superior to APAIS for assessing preoperative anxiety in the Chinese population.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 853-858"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471855","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":"Effectiveness of Peer-Based and Conventional Video Education in Reducing Perioperative Depression and Anxiety Among Coronary Artery Bypass Grafting Patients: A Randomized Controlled Trial","authors":"","doi":"10.1016/j.jopan.2023.12.002","DOIUrl":"10.1016/j.jopan.2023.12.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Depression and anxiety are common comorbidities in patients undergoing coronary artery bypass grafting<span> (CABG), with potential adverse effects on surgical outcomes. Effective interventions to reduce depression and anxiety in these patients are therefore warranted. This study investigated the effectiveness of peer-based video education compared to conventional video education in reducing perioperative depression and anxiety in CABG patients.</span></div></div><div><h3>Design</h3><div>A three-arm, parallel, randomized, controlled trial design was employed.</div></div><div><h3>Methods</h3><div><span>A total of 114 participants were randomly assigned to 1 of 3 groups (n = 38 per group): standard education (control), conventional video education, and peer-based video education. State anxiety levels were measured using the Spielberger State Anxiety Questionnaire at 1 day before surgery (baseline), 1 hour before surgery, and 4 weeks after surgery. Depression levels were measured using the Beck Depression Inventory Short-Form at baseline and 4 weeks after surgery. Statistical analyses, including χ</span>²<span>, Fisher's exact test, one-way analysis of variance, and repeated-measures analysis of variance, were applied to analyze the collected data.</span></div></div><div><h3>Findings</h3><div>Both peer-based and conventional video education groups demonstrated lower preoperative anxiety levels compared to the control group. However, only the peer-based video education group exhibited a statistically significant difference (<em>P</em> &lt; .05). Four weeks after surgery, anxiety and depression levels decreased in all participants compared to baseline, with no statistically significant differences among the three groups.</div></div><div><h3>Conclusions</h3><div>Our findings suggest that peer-based video education is more effective in controlling preoperative anxiety in patients undergoing CABG than conventional video education and standard education. Moreover, video-based education, whether conventional or peer-based, appears to be as effective as standard education in reducing anxiety and depression 4 weeks after CABG surgery. Further research is warranted to investigate the influence of content and presentation methods on patient outcomes and explore the potential long-term benefits of video-based education in promoting patient care.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 741-749"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984240","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 Cold Oral Applications in the Management of Postoperative Thirst: A Systematic Review","authors":"","doi":"10.1016/j.jopan.2023.11.014","DOIUrl":"10.1016/j.jopan.2023.11.014","url":null,"abstract":"<div><h3>Purpose</h3><div>Thirst is one of the most bothersome symptoms experienced by surgical patients. Effective thirst intervention and management in the Post Anesthesia Care Unit<span> (PACU) and hospital wards is critical because patients are less sedated and more aware than in the past. There is a need to review the literature on the identification and management of thirst in the inpatient and PACU settings. The aim of this systematic review was to examine the available evidence on the effectiveness of oral cold applications on thirst in postoperative patients.</span></div></div><div><h3>Design</h3><div><span>This was a systematic review study. Articles in PUBMED, Web of Science, ScienceDirect, TÜBİTAK-ULAKBİM, and TRDizin databases between January 2008 and January 2023 that included oral cold applications to relieve the thirst of patients in the </span>postoperative period were included.</div></div><div><h3>Methods</h3><div>The PICOT-SD (Patients Interventions Comparison Outcome Time-Study Design) method was used as an eligibility criterion for inclusion in the study. The eligibility criteria included that the articles were written in English-Turkish and within the target dates, the studies included nursing interventions, the primary outcome of the studies was thirst, and the study sample included postoperative patients. The risk of bias was assessed using the RoB2 tool developed by Cochrane.</div></div><div><h3>Findings</h3><div>A total of 254 articles were retrieved from the databases using the specified keywords. 244 articles did not meet the study criteria: 30 were excluded because they were not interventional studies, 61 were not conducted in a postoperative population, 56 were duplicates, and 79 were not on a related topic. A total of 10 studies consisting of randomized controlled trials<span> and quasi-experimental articles met the criteria for our review. Oral cold applications effectively reduced the thirst rate of postoperative patients and improved their health-related quality of life. The intervention has also been shown to reduce other anesthesia-related complications.</span></div></div><div><h3>Conclusions</h3><div><span>This systematic review<span> concluded that cold oral applications have promising effects on thirst, dry mouth, and health-related quality of life. Cold oral applications are cost-effective and suitable for large-scale </span></span>health care applications.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 907-914"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140332259","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":"An Innovative Study Focused on Reducing Unnecessary Oxygen Exposure in Pediatric Patients","authors":"","doi":"10.1016/j.jopan.2023.12.026","DOIUrl":"10.1016/j.jopan.2023.12.026","url":null,"abstract":"<div><h3>Purpose</h3><div>In the perioperative period, fractional-inspired oxygen is used at values up to 80% to stay within the safe range, even for a short time. A clear value for the safe range has not been specified, and therefore, clinicians prefer a high oxygen value. This study aims to reduce unnecessary oxygen exposure in pediatrice patients and to provide the optimum fractional inspired oxygen value.</div></div><div><h3>Design</h3><div>The study was designed as a prospective randomized controlled study, including 139 patients aged 1 to 8 years without comorbidity.</div></div><div><h3>Methods</h3><div><span>Three groups were formed by adjusting the fractional inspired oxygen to 30%, 50%, or 80% intraoperatively. In the intraoperative period, a strict inspired oxygen protocol (hypoxemia threshold was SpO</span>₂<span><span> &lt; 90) and oxygen reserve index, fractional expired oxygen value, and peripheral oxygen saturation were used to maintain the balance of </span>hypoxemia and hyperoxemia.</span></div></div><div><h3>Findings</h3><div>One hundred and nine children were included. The mean oxygen reserve index was significantly lower in the 30% group than in the other groups (0.09 ± 0.05, <em>P</em><span> &lt; .0001). The mean arterial pressure in the 30% group was significantly lower than the 80% group but within the normal range (78 ± 6 mmHg, </span><em>P</em> &lt; .003). There was no significant difference between the groups regarding delirium and pain in the recovery unit.</div></div><div><h3>Conclusions</h3><div>Due to the known and unknown harmful effects of unnecessary oxygen exposure, it may be time to use optimal oxygen and to fear unnecessary oxygen, not less oxygen. As the next step, we think studies should be conducted with patient groups with lower oxygen concentrations (eg, %21 vs %24 vs %30), more patients, and arterial blood gas monitoring.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 881-886"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307153","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":"When Less is More: De-implement Low-Value Practices in Perianesthesia Nursing Care","authors":"Margo Halm PhD, RN, NEA-BC, FAAN ,&nbsp;Elyse Laures PhD, RN ,&nbsp;Lilly Olson BSN, RN, CCRN ,&nbsp;Kirsten Hanrahan DNP, ARNP, CPNP-PC, FAAN","doi":"10.1016/j.jopan.2023.12.027","DOIUrl":"10.1016/j.jopan.2023.12.027","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 921-925"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142358403","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":"General Anesthesia Exposure in Infancy and Childhood: A 10-year Bibliometric Analysis","authors":"","doi":"10.1016/j.jopan.2023.12.006","DOIUrl":"10.1016/j.jopan.2023.12.006","url":null,"abstract":"<div><h3>Purpose</h3><div><span>Heated discussions have divided health care providers and policymakers on the risks versus benefits of general anesthesia in </span>pediatric populations. We conducted this study to provide a comprehensive bibliometric analysis of general anesthesia in this specific population over the past decade.</div></div><div><h3>Design</h3><div>We summarized and quantitatively analyzed the studies related to general anesthesia in children and infants over the past decade.</div></div><div><h3>Methods</h3><div>Using the Web of Science Core Collection as the data source, we analyzed the literature using CiteSpace software, focusing on authors, countries, institutions, keywords, and references to identify hotspots and predict research trends.</div></div><div><h3>Findings</h3><div>A total of 2,364 publications on pediatric anesthesia<span> were included in the analysis. The number of related publications and citations steadily increased from 2013 to 2022. The United States was the leading country in terms of output, and University of Toronto was the primary contributing institution. Co-citation analysis revealed that over the past decade research has mainly focused on the long-term adverse effects of general anesthesia on neurodevelopment and acute perioperative crisis events. Keyword analysis identified infant sedation and drug selection and compatibility as promising areas for development. In addition, improving the quality of perioperative anesthesia will be a major research focus in the future.</span></div></div><div><h3>Conclusions</h3><div>Recent research in pediatric anesthesia has focused on mitigating the adverse effects of general anesthesia in infants and young children and studying the pharmacological compatibility of anesthetics. Our study results would assist researchers and clinicians in understanding the current research status and optimizing clinical practice in this field.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 772-781"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140194906","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 Scheduling Mode of Anesthesia Nurses Affects Postanesthesia Care Unit Efficiency: A Single-Center Retrospective Study From China","authors":"","doi":"10.1016/j.jopan.2023.11.015","DOIUrl":"10.1016/j.jopan.2023.11.015","url":null,"abstract":"<div><h3>Purpose</h3><div><span>Anesthesia nurses play an important postsurgical role during the </span>anesthesia recovery period<span>, which is characterized by a high incidence of complications related to anesthesia and surgery. Strengthening staff allocation and skill management in the postanesthesia care unit (PACU) is therefore particularly important in managing length of stay. We aimed to investigate the effect of two schedule modes for anesthesia nurses on PACU efficiency.</span></div></div><div><h3>Design</h3><div>A retrospective observational cohort study.</div></div><div><h3>Methods</h3><div>We conducted a retrospective study in a large tertiary academic medical center. In 2018, the PACU operated with traditional scheduling and the nurse-to-patient ratio was 1.2:1. The PACU implemented intensive scheduling and this ratio was adjusted to 1:1 in 2019 by adjusting the anesthesia nurse allocation scheme. We compared the number of admitted patients, length of PACU stay, the incidence of anesthesia-related complications, and nurse satisfaction with the two modes.</div></div><div><h3>Findings</h3><div>The total number of admitted patients was 10,531 in 2018 and 10,914 in 2019. PACU admitted 401 more patients in 2019 than in 2018, even with two fewer nurses per day. Nevertheless, the median length of PACU stay in 2019 was statistically significantly shorter than in 2018 (29 [22-40] vs 28 [21-39], <em>P</em><span> &lt; .001], while the incidence of anesthesia-related complications including postoperative pain, nausea and vomiting, hypertension, and shivering were comparable in the 2 years (</span><em>P</em> &gt; .091). The intensive scheduling implemented in 2019 received more satisfaction from nurses than the traditional scheduling applied in 2018 (<em>P</em> &lt; .01).</div></div><div><h3>Conclusions</h3><div>The scheduling of anesthesia nurses affects PACU efficiency. The intensive scheduling mode implemented in 2019 resulted in a comparable number of admitted patients, a better quality of care, and higher nurse satisfaction than those under the traditional scheduling mode.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"39 5","pages":"Pages 736-740"},"PeriodicalIF":1.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899620","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}