Journal of Perianesthesia Nursing最新文献

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Call for Awards Nominations! 征集奖项提名！

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/S1089-9472(24)00472-6

引用次数: 0

Call for 2026 Conference Speakers / Member-Get-A-Member 征集 2026 年大会发言人/会员招募

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/S1089-9472(24)00473-8

引用次数: 0

The Effect of Providing Education to Patients Undergoing Coronary Angiography on Vital Signs 为接受冠状动脉造影术的患者提供教育对生命体征的影响。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.017

Purpose

This study was conducted to determine the effect of providing preprocedural education to patients undergoing coronary angiography on their vital signs.

Design

The study was a randomized controlled experimental study with a pretest/post-test control group design.

Methods

The study was conducted in the Cardiology Service of a hospital in Eskişehir between November 2021 and April 2022. Power analysis identified that it was appropriate to include 79 individuals in the experimental group, 79 individuals in the control group, and a total of 158 individuals. The experimental group was trained using the "Structured Education Manual" prepared by the researchers.

Findings

The education had an influence on the stabilization of vital signs after the procedure compared to preprocedure. When the comparison of vital signs before and after the education was analyzed, systolic blood pressure and diastolic blood pressure differed significantly between 11 measurements in both groups (P < .05). The systolic and diastolic blood pressure of the experimental group measured before the procedure was higher than their other measurements after the procedure. Heart rate, respiratory rate, and saturation value in both groups displayed a statistically significant difference between 11 measurements (P < .05). In the experimental group, heart rate and respiratory rate before the procedure were higher than the postprocedure measurements. The saturation value of the experimental group at 150 minutes after the procedure was higher than the other measurements.

Conclusions

Education given to patients before undergoing a coronary angiography procedure had a positive effect on the patients’ vital signs. It is recommended that patients undergoing a coronary angiography procedure be provided with audio-visual training by nurses before the procedure.

目的：本研究旨在确定对接受冠状动脉造影术的患者进行术前教育对其生命体征的影响：该研究是一项随机对照实验研究，采用前测/后测对照组设计：研究于 2021 年 11 月至 2022 年 4 月在埃斯基谢希尔一家医院的心脏病科进行。功率分析表明，实验组和对照组的人数分别为 79 人和 79 人，共计 158 人。实验组使用研究人员编写的 "结构化教育手册 "进行培训：与术前相比，教育对术后生命体征的稳定有影响。在对教育前后的生命体征进行比较分析时，两组患者的收缩压和舒张压在 11 次测量中均存在显著差异（P 结论：教育对患者术后生命体征的稳定具有重要作用：在接受冠状动脉造影术前对患者进行教育对患者的生命体征有积极影响。建议接受冠状动脉造影术的患者在术前接受护士的视听培训。

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引用次数: 0

Continuous Erector Spinae Plane Block for Postoperative Analgesia in Elderly Patients After Thoracoscopic Lobectomy 胸腔镜肺叶切除术后老年患者术后镇痛的连续脊束肌平面阻滞疗法

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2024.01.001

Purpose

The purpose of this study was to compare the effect of ultrasound-guided continuous erector spinae plane block to continuous thoracic paravertebral block on postoperative analgesia in elderly patients who underwent thoracoscopic lobectomy.

Design

Randomized controlled trial.

Methods

Elderly patients (N = 50) who underwent nonemergent thoracoscopic lobectomy in the thoracic surgery department of our hospital from January 2019 to December 2020 were selected and randomly divided into continuous erector spinae block (ESPB; n = 25) group and continuous thoracic paravertebral block (TPVB; n = 25) group. The patients in the two groups were guided by ultrasound with ESPB or TPVB before anesthesia induction. The visual analog scale at rest and cough in 2 hours, 6 hours, 8 hours, 12 hours, 24 hours, 48 hours after surgery, the supplementary analgesic dosage of tramadol, time of tube placement, the stay time in postanesthesia care unit (PACU), the first ambulation time after surgery, the length of postoperative hospital stay and postoperative complications were recorded.

Findings

There were no significant differences between the two groups in visual analog scale score at rest and cough at each time point and supplementary analgesic dosage of tramadol within 48 hours after surgery (P > .05). The time of tube placement and the postoperative hospital stay in ESPB group was significantly shorter than that in TPVB group (P < .05). There were no differences in PACU residence time and first ambulation time between the two groups (P > .05). There were 4 patients in TPVB group and 2 patients in ESPB group who had nausea and vomiting (P > .05), 1 case of pneumothorax and 1 case of fever in the TPVB group. There were no incision infections or respiratory depression requiring clinical intervention in either group.

Conclusions

Both ESPB and TPVB alleviated the patients postoperative pain effectively for elderly patients underwent thoracoscopic lobectomy. Compared with TPVB, patients with ESPB have a shorter tube placement time, fewer complications and faster postoperative recovery.

目的：本研究旨在比较超声引导下连续性竖脊肌平面阻滞与连续性胸椎旁阻滞对接受胸腔镜肺叶切除术的老年患者术后镇痛的效果：随机对照试验：选取2019年1月至2020年12月在我院胸外科接受非急诊胸腔镜肺叶切除术的老年患者（N=50），随机分为连续性竖脊肌阻滞（ESPB；n=25）组和连续性胸椎旁阻滞（TPVB；n=25）组。两组患者在麻醉诱导前均在超声引导下进行 ESPB 或 TPVB。记录术后2小时、6小时、8小时、12小时、24小时和48小时休息和咳嗽时的视觉模拟量表、曲马多的辅助镇痛剂量、置管时间、麻醉后护理病房（PACU）停留时间、术后首次下床活动时间、术后住院时间和术后并发症：两组患者在术后 48 小时内休息和咳嗽时的视觉模拟量表评分以及曲马多的辅助镇痛剂量无明显差异（P>0.05）。ESPB组的置管时间和术后住院时间明显短于TPVB组（P .05）。TPVB组有4名患者出现恶心和呕吐，ESPB组有2名患者出现恶心和呕吐（P > .05），TPVB组有1例气胸，1例发烧。两组患者均未发生需要临床干预的切口感染或呼吸抑制：结论：ESPB 和 TPVB 都能有效减轻接受胸腔镜肺叶切除术的老年患者的术后疼痛。与 TPVB 相比，ESPB 患者的置管时间更短、并发症更少、术后恢复更快。

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引用次数: 0

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.010

Purpose

Pain is an expected symptom in surgical patients, despite advances in pharmacology, surgical procedures, and perioperative care. The aim of this study was to examine the similarities and differences between nurse-postoperative patient dyads of the same or differing cultures/ethnicities with regard to perceptions, social norms, and behaviors related to pain and pain management.

Design

This was a descriptive qualitative study.

Methods

The sample consisted of six nurses (2 Hispanic, 2 Black, 2 Caucasian) and 12 patients of the same and different culture/ethnicity than their nurse) on a postoperative unit within 48 hours of surgery. A structured interview guide was developed to explore the attitudes, social norms, and behaviors of nurses related to pain and pain management, and a separate interview guide was developed for postoperative patients. All transcripts were analyzed and coded using Carini's principles.

Findings

Nurses used the pain scale to quantify pain intensity but did not conduct a comprehensive pain assessment. Nurses were concerned about opioid side effects and addiction and hesitated to provide opioids after the first postoperative day. Patients expected complete and immediate pain relief, with no worry about short-term opioid use. Patients did not believe that culture played a role in their care, but nurses were more comfortable caring for patients from the same cultural background. The use of complementary and nonpharmacologic pain management techniques was not well known by nurses and patients, but should be used in conjunction with medications.

Conclusions

Nursing education stresses cultural competence, but nurses emphasize "treating all patients the same," which creates a cognitive dissonance, with implications for education. Nurses should conduct a comprehensive pain assessment to inform pain management and nonpharmacologic and complementary therapies should be available on the postoperative unit.

目的：尽管药理学、手术程序和围手术期护理取得了进步，但疼痛仍是手术患者的一种预期症状。本研究旨在探讨相同或不同文化/种族的护士-术后患者二人组在疼痛和疼痛管理的相关认知、社会规范和行为方面的异同：这是一项描述性定性研究：样本包括 6 名护士（2 名西班牙裔、2 名黑人、2 名高加索裔）和 12 名患者（与护士的文化/种族相同和不同），他们都在术后 48 小时内接受过手术。为探讨护士对疼痛和疼痛管理的态度、社会规范和行为，制定了结构化访谈指南，并为术后患者制定了单独的访谈指南。采用 Carini 原则对所有记录进行了分析和编码：护士使用疼痛量表来量化疼痛强度，但并未进行全面的疼痛评估。护士们担心阿片类药物的副作用和成瘾性，因此在术后第一天后迟迟不愿提供阿片类药物。患者希望疼痛能立即得到完全缓解，而不必担心阿片类药物的短期使用。患者并不认为文化在护理中起作用，但护士更愿意护理具有相同文化背景的患者。护士和患者对使用辅助和非药物止痛技术并不十分了解，但这些技术应与药物一起使用：结论：护理教育强调文化能力，但护士却强调 "对所有病人一视同仁"，这造成了认知上的不一致，对教育产生了影响。护士应进行全面的疼痛评估，为疼痛管理提供依据，术后病房应提供非药物疗法和辅助疗法。

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引用次数: 0

A Sexist Subject: Autoimmune Disease 性别歧视的话题：自身免疫性疾病

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2024.07.009

V. Doreen Wagner PhD, RN, CNOR, FAORN, FAAN

引用次数: 0

The Crucial Role of Nursing in the Advancement and Implementation of Regional Anesthesia 护理在推进和实施区域麻醉中的关键作用

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2024.07.003

Burhan Dost MD , Alessandro De Cassai MD

引用次数: 0

The Effect of Menthol Ice on Laparoscopic Cholecystectomy Patients' Thirst, Dry Mouth, Mouth Taste, and Bad Mouth Odor: A Randomized Controlled Trial 腹腔镜胆囊切除术患者口渴、口干、口腔异味和口臭的影响：随机对照试验

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.024

Purpose

This study aimed to determine the effect of menthol ice application on thirst, dry mouth, mouth taste, and bad mouth odor in patients who underwent laparoscopic cholecystectomy in the postoperative period.

Design

The study was conducted as a randomized controlled trial with an experimental design.

Methods

The study sample consisted of 90 patients who underwent laparoscopic cholecystectomy and met the inclusion criteria. Patients were divided into three groups by randomization program. Patients in the menthol ice and ice popsicle (ice prepared with drinking water only) group were administered menthol ice/ice popsicle (10 mL) twice at 20 minutes intervals. Patients in the control group did not receive any intervention. Routine practices of the clinic were performed by the nurses of the general surgery clinic. Postoperative thirst intensity, severity of dry mouth, bad taste, and bad odor in the mouth were evaluated at 0, 20, and 40 minutes.

Findings

No statistically significant difference was found between the sociodemographic and clinical characteristics of the patients in the control group, menthol ice group, and ice popsicle group (P > .05). A statistically significant difference was found between the 3 groups in terms of thirst intensity and severity of dry mouth at times at the 20th and 40th minutes after the application (P < .01). We found a statistically significant difference between the bad taste and bad odor sensation scores of the patients in the control and intervention groups at the 20th and 40th minutes after the application (P < .05).

Conclusions

The study concluded that menthol ice and ice popsicle application are effective strategies to reduce the intensity of thirst, severity of dry mouth, bad taste, and bad odor in postoperative patients.

目的：本研究旨在确定薄荷醇冰敷对腹腔镜胆囊切除术患者术后口渴、口干、口腔异味和口腔异味的影响：方法：研究样本包括 90 名接受腹腔镜胆囊切除术的患者：研究样本包括90名接受腹腔镜胆囊切除术且符合纳入标准的患者。通过随机程序将患者分为三组。薄荷冰和冰棒（仅用饮用水制备的冰块）组患者在 20 分钟间隔内服用薄荷冰/冰棒（10 mL）两次。对照组患者不接受任何干预。门诊的常规操作由普外科门诊的护士执行。分别在 0 分钟、20 分钟和 40 分钟对术后口渴程度、口干严重程度、口腔异味和臭味进行评估：对照组、薄荷冰组和冰棒组患者的社会人口学特征和临床特征之间没有统计学差异（P > .05）。三组患者在使用薄荷冰后第 20 分钟和第 40 分钟时的口渴程度和口干严重程度差异有统计学意义（P 结论：在使用薄荷冰后第 20 分钟和第 40 分钟时，三组患者的口渴程度和口干严重程度差异有统计学意义（P）：研究认为，使用薄荷冰和冰棒能有效减轻术后患者的口渴程度、口干严重程度、异味和臭味。

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引用次数: 0

Comparison of Analgesic Effects and Adverse Events of Hydromorphone PCIA Versus Sufentanil PCIA: A Retrospective Analysis 氢吗啡酮 PCIA 与舒芬太尼 PCIA 的镇痛效果和不良事件比较：回顾性分析

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.031

Purpose

The aim of this study was to compare the analgesic effect and adverse events of hydromorphone patient-controlled intravenous analgesia (PCIA) without background dose versus sufentanil PCIA with background dose in patients after surgery.

Design

A retrospective analysis.

Methods

From June 2020 to May 2021, 1,594 eligible postoperative patients who received PCIA were included in this study. According to the types of opioids, patients were divided into two groups: the sufentanil group and the hydromorphone group. The Numerical Rating Scale, Functional Activity Scale, and Level of Sedation were used to evaluate the analgesic effects between the two groups. In addition, total patient-controlled analgesia (PCA) use, effective number of PCA compressions, and adverse effects of PCIA were compared between the two groups.

Findings

At 24 hours (h) after surgery, the Functional Activity Scale score in the sufentanil group was higher than that in the hydromorphone group (P < .05). Compared with the sufentanil group, total PCA use, total number of PCA compressions and effective number of PCA consumptions were significantly decreased in the hydromorphone group during a 48 hours period (P < .05). There were no statistical differences in Numerical Rating Scale score, Level of Sedation score, and adverse events between two groups at 24 hours and 48 hours after surgery.

Conclusions

Compared with sufentanil PCIA with a background dose, under a similar analgesic effect, hydromorphone PCIA without a background dose provided lower PCA use. Our findings may provide useful evidence for more future studies related to postoperative analgesia.

目的：本研究旨在比较无背景剂量氢吗啡酮患者自控静脉镇痛（PCIA）与有背景剂量舒芬太尼患者自控静脉镇痛（PCIA）对术后患者的镇痛效果和不良反应：方法：回顾性分析：2020年6月至2021年5月，本研究纳入了1594名接受PCIA的合格术后患者。根据阿片类药物的种类，将患者分为两组：舒芬太尼组和氢吗啡酮组。采用数字评分量表、功能活动量表和镇静程度来评估两组患者的镇痛效果。此外，还比较了两组患者自控镇痛（PCA）的总用量、PCA按压的有效次数以及 PCIA 的不良反应：结果：术后 24 小时，舒芬太尼组的功能活动量表评分高于氢吗啡酮组（P 结论：舒芬太尼组的功能活动量表评分高于氢吗啡酮组（P）：与有背景剂量的舒芬太尼 PCIA 相比，在镇痛效果相似的情况下，无背景剂量的氢吗啡酮 PCIA 的 PCA 使用量更低。我们的研究结果可为今后更多与术后镇痛相关的研究提供有用的证据。

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引用次数: 0

Nursing Students' Perception of Missed Perioperative Nursing Care: Hermeneutic Phenomenology 护理专业学生对围术期护理遗漏的感知：诠释现象学。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing

Pub Date : 2024-10-01 DOI: 10.1016/j.jopan.2023.12.013

Purpose

Missed nursing care is a condition that is likely to be encountered frequently in the surgical care process and is generally related to the educational and emotional needs of the patients. Perception of and witnessing missed care can affect nursing images, expectations, and experiences by causing nursing students to experience professional disappointment. The purpose of the study was to explore nursing students' perception of perioperative missed nursing care (PMNC) according to "role theory" and Benner's "novice to expert" theories.

Design

The study used a qualitative design based on Heidegger's hermeneutical phenomenological approach.

Methods

Study data were collected using a semistructured interview form prepared by the researchers through face-to-face interviews lasting approximately 50 minutes. The analysis of the data was conducted using van Manen's thematic analysis. The Standards for Reporting Qualitative Research checklist was used in reporting the study.

Findings

This study, which was conducted to explore awareness of PMNC, consisted of 12 students, including five males and seven females. It was understood that nursing students noticed PMNC in clinical practice, experienced internal conflict about the issue, were concerned about the image of nursing, and experienced role and professional identity confusion. The themes of the study were formed in light of these experiences of nursing students. Three themes and 11 subthemes emerged in the study. The themes of the study were (1) perceived PMNC application-behavior patterns, (2) internal reflections of PMNC—its impact on professional identity development, and (3) perceptions of professionalism in perioperative nursing.

Conclusions

This study provided important data about the awareness of PMNC in the surgical clinical practice of nursing students in Turkey and the effects of this awareness on the professional roles and professional identity process. Students were aware of the behavioral patterns of PMNC and that they experienced internal conflict, anxiety about the nursing image, role confusion, and professional identity confusion due to this awareness. Some students justified the PMNC behaviors of the nurses and others saw themselves as the power to change the PMNC behaviors.

目的：护理遗漏是外科护理过程中可能经常遇到的一种情况，一般与患者的教育和情感需求有关。感知和目睹护理遗漏会影响护理形象、期望和体验，使护生产生职业失望感。本研究旨在根据 "角色理论 "和 Benner 的 "从新手到专家 "理论，探讨护生对围术期护理遗漏（PMNC）的感知：研究采用了基于海德格尔解释学现象学方法的定性设计：研究数据采用研究人员准备的半结构化访谈表，通过约 50 分钟的面对面访谈收集。数据分析采用 van Manen 主题分析法。研究报告采用了定性研究报告标准清单：本研究旨在探讨对 PMNC 的认识，共有 12 名学生参加，包括 5 名男生和 7 名女生。据了解，护理专业学生在临床实践中注意到了 PMNC，在这个问题上经历了内部冲突，对护理形象感到担忧，并经历了角色和职业身份的困惑。根据护生的这些经历形成了本研究的主题。研究中出现了三个主题和 11 个次主题。研究主题为：（1）感知到的PMNC应用--行为模式；（2）PMNC的内部反思--其对专业身份发展的影响；（3）对围手术期护理专业性的感知：这项研究提供了重要数据，说明土耳其护理专业学生在外科临床实践中对 PMNC 的认识，以及这种认识对专业角色和专业认同过程的影响。学生们意识到了 PMNC 的行为模式，并且由于这种意识，他们经历了内部冲突、对护理形象的焦虑、角色混乱和职业身份混乱。一些学生为护士的 PMNC 行为辩解，另一些学生认为自己有能力改变 PMNC 行为。

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