Pub Date : 2025-12-01DOI: 10.1016/j.jopan.2025.01.028
Kenan Gümüs PhD, RN , Cem Celiktas MsC, RN
Purpose
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.
Design
This research is a descriptive and cross-sectional study.
Methods
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).
Findings
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).
Conclusions
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.
{"title":"Assessment of Pressure Injury Risk and Affecting Factors in the Operating Room","authors":"Kenan Gümüs PhD, RN , Cem Celiktas MsC, RN","doi":"10.1016/j.jopan.2025.01.028","DOIUrl":"10.1016/j.jopan.2025.01.028","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Design</h3><div>This research is a descriptive and cross-sectional study.</div></div><div><h3>Methods</h3><div>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).</div></div><div><h3>Findings</h3><div><span>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 (</span><em>P</em> < .001; <em>P</em> = .020; <em>P</em><span> < .001, respectively). In addition, patients with joint prosthesis, those who used walking aids, and those with semidependent mobility had higher 3S IPIRAS scores (</span><em>P</em> = .017; <em>P</em> = .001; <em>P</em><span><span> = .003, respectively). In particular, patients who underwent neurosurgery, </span>orthopedics<span>, and gynecology operations and patients in physical status classification of IV had higher 3S IPIRAS scores (</span></span><em>P</em> < .001; <em>P</em><span> < .001, respectively). Patients with high serum albumin levels (4.6-4.8 g/dL) had lower 3S IPIRAS scores (</span><em>P</em> = .001).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1445-1450"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","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}
Pub Date : 2025-12-01DOI: 10.1016/j.jopan.2025.02.012
Tugba Nur Oden PhD , Fatma Demir Korkmaz PhD , Sezgin Ulukaya MD
Purpose
To investigate the effect of care bundle implementation (CBI) on inadvertent perioperative hypothermia (IPH) in transplant recipients.
Design
A prospective nonparallel cohort study.
Methods
This study was conducted in three periods: DIM. (1) Detection (D), which identified practical deficiencies in hypothermia prevention among transplant recipients; (2) Implementation (I), which involved training perioperative team members on hypothermia management and the CBI; and (3) Measurement (M), which assessed the impact of the CBI on IPH in organ transplant recipients. Data from the D and M periods were compared.
Findings
A total of 71 organ transplant recipients participated in the study, 34 in the D period and 37 in the M period. The compliance with all steps of the care bundle increased from 0% to 78.4% (P < .001, D vs M, respectively). The incidence of IPH decreased 40% (P < .001). Body temperatures in the M period were approximately 0.8 to 1 °C higher than in the D period, intraoperative (P = .02), on admission to the intensive care unit (P < .001), and postoperative (P < .001), respectively.
Conclusions
The implementation of care bundles based on evidence-based practices was successful in identifying practical deficiencies in hypothermia prevention, reducing the incidence of IPH, and increasing body temperatures in transplant recipients. It is recommended that systematic approaches be developed for care bundles, incorporating multidisciplinary perioperative team members, to prevent hypothermia in surgical departments.
{"title":"Implementing a Care Bundle to Prevent Inadvertent Perioperative Hypothermia in Organ Transplant Recipients: A Prospective Nonparallel Cohort Study","authors":"Tugba Nur Oden PhD , Fatma Demir Korkmaz PhD , Sezgin Ulukaya MD","doi":"10.1016/j.jopan.2025.02.012","DOIUrl":"10.1016/j.jopan.2025.02.012","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the effect of care bundle implementation (CBI) on inadvertent perioperative hypothermia (IPH) in transplant recipients.</div></div><div><h3>Design</h3><div>A prospective nonparallel cohort study.</div></div><div><h3>Methods</h3><div>This study was conducted in three periods: DIM. (1) Detection (D), which identified practical deficiencies in hypothermia prevention among transplant recipients; (2) Implementation (I), which involved training perioperative team members on hypothermia management and the CBI; and (3) Measurement (M), which assessed the impact of the CBI on IPH in organ transplant recipients. Data from the D and M periods were compared.</div></div><div><h3>Findings</h3><div>A total of 71 organ transplant recipients participated in the study, 34 in the D period and 37 in the M period. The compliance with all steps of the care bundle increased from 0% to 78.4% (<em>P</em> < .001, D vs M, respectively). The incidence of IPH decreased 40% (<em>P</em> < .001). Body temperatures in the M period were approximately 0.8 to 1 °C higher than in the D period, intraoperative (<em>P</em><span> = .02), on admission to the intensive care unit (</span><em>P</em> < .001), and postoperative (<em>P</em> < .001), respectively.</div></div><div><h3>Conclusions</h3><div>The implementation of care bundles based on evidence-based practices was successful in identifying practical deficiencies in hypothermia prevention, reducing the incidence of IPH, and increasing body temperatures in transplant recipients. It is recommended that systematic approaches be developed for care bundles, incorporating multidisciplinary perioperative team members, to prevent hypothermia in surgical departments.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1513-1520.e1"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610121","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}
Pub Date : 2025-12-01DOI: 10.1016/j.jopan.2025.02.009
Yi-Chen Chen RN , Jann Foster PhD, RN , Man-Ling Wang PhD, MD , Anne Marks PhD, RN , Virginia Schmied PhD, RN , Kai-Mei Chang RN , Hong-Guang Su PhD, MD , Nan-Hsuan Tsao MSN, RN , Hsiao-Yean Chiu PhD, RN
Purpose
Children undergoing general anesthesia have a considerably high risk of emergence delirium (ED), which is a long-underestimated condition. The purpose of this study was to translate and validate the CAPD into traditional Chinese (CAPD-TC), for use with pediatric patients undergoing general anesthesia for elective orthopedic surgery.
Design
A prospective observational study.
Methods
Children who underwent elective orthopedic surgery and were admitted to postanesthesia care units in Taiwan between October 2023 and July 2024 were included. ED was evaluated using the traditional Chinese version of the Cornell Assessment of Pediatric Delirium (CAPD-TC) concerning delirium diagnostic criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, text revision. We tested construct validity with confirmatory factor analysis and assessed known-group validity by comparing CAPD-TC scores across age (preschool vs school age) and pain severity (mild vs moderate-to-severe). Internal reliability, inter-rater reliability, and diagnostic accuracy were also evaluated using receiver operating characteristic curve analysis.
Findings
A total of 200 children (aged 2 to 12 years, mean age: 9.2 years) were included. In accordance to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, text revision criteria, 34.5% developed ED. Confirmatory factor analysis revealed a three-factor structure with an acceptable model fit. CAPD-TC revealed high known-group validity for pain severity and age with reliability analysis of Cronbach’s α of 0.83 and inter-rater reliability of 0.88. Receiver operating characteristic analysis identified an optimal cutoff of 11 points and an area under the curve of 0.95, sensitivity of 97.0%, and specificity of 76.0%.
Conclusions
The CAPD-TC effectively detects ED during the anesthesia recovery phase in children undergoing elective orthopedic surgery. Our findings indicate CAPD-TC as a reliable tool for timely ED assessment.
{"title":"Pediatric Emergence Delirium Following General Anesthesia for Orthopedic Surgery: Psychometric Properties of the Traditional Chinese Version of the Cornell Assessment of Pediatric Delirium","authors":"Yi-Chen Chen RN , Jann Foster PhD, RN , Man-Ling Wang PhD, MD , Anne Marks PhD, RN , Virginia Schmied PhD, RN , Kai-Mei Chang RN , Hong-Guang Su PhD, MD , Nan-Hsuan Tsao MSN, RN , Hsiao-Yean Chiu PhD, RN","doi":"10.1016/j.jopan.2025.02.009","DOIUrl":"10.1016/j.jopan.2025.02.009","url":null,"abstract":"<div><h3>Purpose</h3><div>Children undergoing general anesthesia have a considerably high risk of emergence delirium (ED), which is a long-underestimated condition. The purpose of this study was to translate and validate the CAPD into traditional Chinese (CAPD-TC), for use with pediatric patients undergoing general anesthesia for elective orthopedic surgery.</div></div><div><h3>Design</h3><div>A prospective observational study.</div></div><div><h3>Methods</h3><div>Children who underwent elective orthopedic surgery and were admitted to postanesthesia care units in Taiwan between October 2023 and July 2024 were included. ED was evaluated using the traditional Chinese version of the Cornell Assessment of Pediatric Delirium (CAPD-TC) concerning delirium diagnostic criteria outlined in the <em>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, text revision</em>. We tested construct validity with confirmatory factor analysis and assessed known-group validity by comparing CAPD-TC scores across age (preschool vs school age) and pain severity (mild vs moderate-to-severe). Internal reliability, inter-rater reliability, and diagnostic accuracy were also evaluated using receiver operating characteristic curve analysis.</div></div><div><h3>Findings</h3><div>A total of 200 children (aged 2 to 12 years, mean age: 9.2 years) were included. In accordance to <em>Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, text revision</em> criteria, 34.5% developed ED. Confirmatory factor analysis revealed a three-factor structure with an acceptable model fit. CAPD-TC revealed high known-group validity for pain severity and age with reliability analysis of Cronbach’s α of 0.83 and inter-rater reliability of 0.88. Receiver operating characteristic analysis identified an optimal cutoff of 11 points and an area under the curve of 0.95, sensitivity of 97.0%, and specificity of 76.0%.</div></div><div><h3>Conclusions</h3><div>The CAPD-TC effectively detects ED during the anesthesia recovery phase in children undergoing elective orthopedic surgery. Our findings indicate CAPD-TC as a reliable tool for timely ED assessment.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1494-1501.e2"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643953","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}
Pub Date : 2025-12-01DOI: 10.1016/j.jopan.2025.03.001
Hao C. He MSN , Bi J. Yu MSN , Shu Y. Mai MSN , Ye Liu MSN , Meng Y. Li MSN , Xiao Y. Yan BSN, MSN, PhD , Xiao H. Huang MSN
{"title":"Corrigendum to “Effects of Three Different Heating Devices on Patients Undergoing Surgery: A Network Meta-Analysis” [Journal of PeriAnesthesia Nursing 39 (2024) 839-846]","authors":"Hao C. He MSN , Bi J. Yu MSN , Shu Y. Mai MSN , Ye Liu MSN , Meng Y. Li MSN , Xiao Y. Yan BSN, MSN, PhD , Xiao H. Huang MSN","doi":"10.1016/j.jopan.2025.03.001","DOIUrl":"10.1016/j.jopan.2025.03.001","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Page 1644"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975654","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}
Pub Date : 2025-12-01DOI: 10.1016/S1089-9472(25)00499-X
{"title":"Information for Readers","authors":"","doi":"10.1016/S1089-9472(25)00499-X","DOIUrl":"10.1016/S1089-9472(25)00499-X","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Page A1"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624957","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}
Pub Date : 2025-12-01DOI: 10.1016/j.jopan.2025.09.001
Angela D. Pal PhD, APRN, ACNP-BC, CHSE
{"title":"Anticoagulation Update: Safe Management Strategies for the Perianesthesia Nurse","authors":"Angela D. Pal PhD, APRN, ACNP-BC, CHSE","doi":"10.1016/j.jopan.2025.09.001","DOIUrl":"10.1016/j.jopan.2025.09.001","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1635-1636"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625426","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}
Inadvertent post spinal hypothermia is a common and preventable complication during surgeries. This study aimed to determine the knowledge and practice of perioperative nurses regarding post spinal hypothermia management.
Design
A descriptive cross-sectional study.
Methods
A cross-sectional study was conducted in 2024. The population comprised operating room nurses working in educational hospitals affiliated with Alborz University of Medical Sciences. A sample of 172 nurses was selected using the census method. Data were collected using a researcher-developed questionnaire assessing knowledge and practice. The questionnaire's reliability was confirmed with Cronbach's alpha coefficients of 0.80 and 0.85 for the knowledge and practice sections, respectively. Data analysis was conducted using SPSS version 25, employing descriptive statistics, one-sample t-test, Pearson correlation, and one-way ANOVA.
Findings
The mean score of nurses' knowledge in preventing hypothermia was 54% ± 0.15, with 71.5% demonstrating moderate knowledge. The mean practice score was 44.6% ± 0.29, with 69.8% showing moderate practice. A positive correlation was found between knowledge and practice (r = 0.471, P < .0001). Nurses' knowledge and practice were significantly associated with prior hypothermia training (F = 65.72, P < .001 for knowledge; F = 14.7, P < .001 for practice) and education level (F = 36.04, P < .001 for knowledge; F = 8.19, P = .005 for practice).
Conclusions
This study reveals a need for improvement in perioperative nurses' knowledge and practice regarding post spinal hypothermia management. Implementing continuous training and encouraging advanced education can enhance nurses' ability to prevent hypothermia and manage its complications, potentially improving patient safety and outcomes in the perioperative setting.
目的：术后意外的脊髓低温是手术中常见的可预防的并发症。本研究旨在了解围手术期护士对脊柱后低温管理的认识和实践。设计：描述性横断面研究。方法：于2024年进行横断面研究。人口包括在阿尔博尔斯医科大学附属教育医院工作的手术室护士。采用普查方法抽取172名护士。数据收集使用研究人员开发的评估知识和实践的问卷。知识部分和实践部分的Cronbach's alpha系数分别为0.80和0.85，证实了问卷的信度。数据分析采用SPSS version 25，采用描述性统计、单样本t检验、Pearson相关和单因素方差分析。结果：护士对预防亚低温知识的平均得分为54%±0.15分，其中71.5%为中等知识。平均练习得分为44.6%±0.29分，其中69.8%为中等练习。结论：围手术期护士对脊髓后低温管理的知识和实践有待提高。实施持续培训和鼓励高等教育可以提高护士预防低温症和管理其并发症的能力，从而潜在地提高围手术期患者的安全性和预后。
{"title":"Knowledge and Practice of Perioperative Nurses Regarding Post Spinal Hypothermia Management: A Cross-sectional Study","authors":"Leila Sadati PhD , Nasim Jamshid Malekara MSc , Rana Abjar MSc","doi":"10.1016/j.jopan.2025.03.002","DOIUrl":"10.1016/j.jopan.2025.03.002","url":null,"abstract":"<div><h3>Purpose</h3><div>Inadvertent post spinal hypothermia is a common and preventable complication during surgeries. This study aimed to determine the knowledge and practice of perioperative nurses regarding post spinal hypothermia management.</div></div><div><h3>Design</h3><div>A descriptive cross-sectional study.</div></div><div><h3>Methods</h3><div><span>A cross-sectional study was conducted in 2024. The population comprised operating room nurses working in educational hospitals affiliated with Alborz University of Medical Sciences. A sample of 172 nurses was selected using the census method. Data were collected using a researcher-developed questionnaire assessing knowledge and practice. The questionnaire's reliability was confirmed with Cronbach's alpha coefficients of 0.80 and 0.85 for the knowledge and practice sections, respectively. Data analysis was conducted using SPSS version 25, employing descriptive statistics, one-sample </span><em>t</em>-test, Pearson correlation, and one-way ANOVA.</div></div><div><h3>Findings</h3><div>The mean score of nurses' knowledge in preventing hypothermia was 54% ± 0.15, with 71.5% demonstrating moderate knowledge. The mean practice score was 44.6% ± 0.29, with 69.8% showing moderate practice. A positive correlation was found between knowledge and practice (<em>r</em> = 0.471, <em>P</em> < .0001). Nurses' knowledge and practice were significantly associated with prior hypothermia training (<em>F</em> = 65.72, <em>P</em> < .001 for knowledge; <em>F</em> = 14.7, <em>P</em> < .001 for practice) and education level (<em>F</em> = 36.04, <em>P</em> < .001 for knowledge; <em>F</em> = 8.19, <em>P</em> = .005 for practice).</div></div><div><h3>Conclusions</h3><div>This study reveals a need for improvement in perioperative nurses' knowledge and practice regarding post spinal hypothermia management. Implementing continuous training and encouraging advanced education can enhance nurses' ability to prevent hypothermia and manage its complications, potentially improving patient safety and outcomes in the perioperative setting.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1541-1547"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576804","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}
This study aimed to investigate the impact of postoperative thirst and pain on surgical patients’ comfort.
Design
A descriptive, cross-sectional research design was employed.
Methods
The study was conducted in the neurosurgery and general surgery departments of a university hospital in Turkey between October 2023 and May 2024. Data were collected using the Descriptive Characteristics Form, Thirst Discomfort Scale (TDS), Visual Analog Scale (VAS), and Perianesthesia Comfort Scale (PCS). Data analysis included descriptive statistics, Kruskal-Wallis and Independent Samples t tests, Pearson Correlation Analysis, and Hierarchical Linear Regression.
Findings
Among the participants, 56.8% were male, 89.2% were married, with an average age of 53.94 ± 15.17 years. The mean scores for the TDS, VAS, and PCS were 35.70 ± 8.14, 4.43 ± 2.11, and 122.67 ± 9.98, respectively. Thirst was significantly influenced by American Society of Anesthesiologists classification and marital status, while pain was affected by nausea and vomiting (P < .05). Comfort was significantly influenced only by education level (P < .05). Regression analysis indicated that both the TDS (β = −0.277; P < .001) and VAS (β = −0.128; P < .001) were significant predictors of the PCS (F = 19.352; P < .001; R2 = 0.224).
Conclusions
Thirst and pain are significant postoperative symptoms, influenced by various sociodemographic factors and by each other, and are key factors affecting patient comfort. Managing both thirst and pain is essential for improving patient comfort and enhancing the overall quality of care.
{"title":"The Impact of Postoperative Thirst and Pain on Surgical Patients’ Comfort","authors":"Özge İşeri PhD , Sevdanur Yücel RN, MSc , Omar Qahtan Abdulazeez Abdulazeez RN, MSc","doi":"10.1016/j.jopan.2025.03.011","DOIUrl":"10.1016/j.jopan.2025.03.011","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the impact of postoperative thirst and pain on surgical patients’ comfort.</div></div><div><h3>Design</h3><div>A descriptive, cross-sectional research design was employed.</div></div><div><h3>Methods</h3><div>The study was conducted in the neurosurgery and general surgery departments of a university hospital in Turkey between October 2023 and May 2024. Data were collected using the Descriptive Characteristics Form, Thirst Discomfort Scale (TDS), Visual Analog Scale (VAS), and Perianesthesia Comfort Scale (PCS). Data analysis included descriptive statistics, Kruskal-Wallis and Independent Samples <em>t</em> tests, Pearson Correlation Analysis, and Hierarchical Linear Regression.</div></div><div><h3>Findings</h3><div>Among the participants, 56.8% were male, 89.2% were married, with an average age of 53.94 ± 15.17 years. The mean scores for the TDS, VAS, and PCS were 35.70 ± 8.14, 4.43 ± 2.11, and 122.67 ± 9.98, respectively. Thirst was significantly influenced by American Society of Anesthesiologists classification and marital status, while pain was affected by nausea and vomiting (<em>P</em> < .05). Comfort was significantly influenced only by education level (<em>P</em> < .05). Regression analysis indicated that both the TDS (β = −0.277; <em>P</em> < .001) and VAS (β = −0.128; <em>P</em> < .001) were significant predictors of the PCS (F = 19.352; <em>P</em> < .001; R<sup>2</sup> = 0.224).</div></div><div><h3>Conclusions</h3><div>Thirst and pain are significant postoperative symptoms, influenced by various sociodemographic factors and by each other, and are key factors affecting patient comfort. Managing both thirst and pain is essential for improving patient comfort and enhancing the overall quality of care.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1578-1583"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668749","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}
Pub Date : 2025-12-01DOI: 10.1016/S1089-9472(25)00537-4
{"title":"Plan Now to Celebrate PANAW February 2-8, 2026","authors":"","doi":"10.1016/S1089-9472(25)00537-4","DOIUrl":"10.1016/S1089-9472(25)00537-4","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Page iii"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625073","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}
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