Journal of Perianesthesia Nursing最新文献

{"title":"Incidence and Risk Factors of Pressure Injury in Patients Undergoing Spinal Surgery in the Prone Position: A Retrospective Cohort Study","authors":"Thanyawit Ninlaphut MSN, RN, CRNA,&nbsp;Nittaya Boonsri BNS, RN, CRNA,&nbsp;Nichawan Koompong MD, MSc","doi":"10.1016/j.jopan.2025.03.006","DOIUrl":"10.1016/j.jopan.2025.03.006","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was performed to investigate the incidence rate and risk factors associated with pressure injuries (PIs) in patients undergoing spinal surgery in the prone position.</div></div><div><h3>Design</h3><div>A retrospective cohort study.</div></div><div><h3>Methods</h3><div>A total of 590 patients who underwent spinal surgery in the prone position were compared for potential risk factors–related PIs. The preoperative patient characteristics, intraoperative factors, and postoperative outcomes were collected using a patient record form based on existing literature. Univariate and multivariate logistic regression analyses were conducted to identify independent risk factors for the occurrence of PIs.</div></div><div><h3>Findings</h3><div>The overall incidence rate of PIs was 26.94%. The most commonly affected areas were the face, chest, and anterior superior iliac spine (89.94%, 89.30%, and 77.35%, respectively). Most patients developed stage 1 (89.30%) and stage 2 (11.70%) PIs. Multivariate analysis revealed that anemia (adjusted odds ratio [AOR] = 2.13, 95% confidence interval [CI] = 1.09 to 4.16, <em>P</em> = .026), obesity (AOR = 2.29, 95% CI = 1.26 to 4.97, <em>P</em> = .004), operation time exceeding 6 hours (AOR = 4.49, 95% CI = 2.31 to 8.74, <em>P</em> &lt; .001), and blood loss greater than 750 mL (AOR = 6.45, 95% CI = 2.42 to 25.95, <em>P</em> &lt; .001) were significant risk factors for PI occurrence. In the subgroup analysis, the risk of PIs was evaluated based on the operation time. Anemia significantly increased the risk of PIs in surgeries lasting more than 6 hours (AOR = 2.75, 95% CI = 1.34 to 4.79, <em>P</em> = .004). Obesity was a significant risk factor for both shorter surgeries (AOR = 2.59, 95% CI = 2.06 to 5.97, <em>P</em> = .004) and longer surgeries (AOR = 4.50, 95% CI = 2.75 to 8.44, <em>P</em> = .001). Blood loss greater than 750 mL was a significant risk factor for PI occurrence in both shorter surgeries (AOR = 4.42, 95% CI = 2.42 to 19.95, <em>P</em> &lt; .001) and longer surgeries (AOR = 8.24, 95% CI = 2.98 to 45.86, <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>Health care professionals play a crucial role in optimizing patient health before surgery, particularly patients with anemia, obesity, significant blood loss, and prolonged operation times. Intraoperative management strategies should be implemented to prevent PIs during spinal surgeries in the prone position.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1567-1571.e1"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975708","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 Crucial Role of the Perianesthesia Nurse in Preadmission Assessment With Unexpected Findings: A Case Report","authors":"Sara Edwards DNP, APRN-CNP, EBP-C,&nbsp;Jeanie M. Bochenek DNP, RN, NCSN, EBP-C,&nbsp;Tracy Taylor DNP, RN, EBP-C,&nbsp;Stephen McGhee DNP, RN, PGCE, RNT","doi":"10.1016/j.jopan.2025.03.008","DOIUrl":"10.1016/j.jopan.2025.03.008","url":null,"abstract":"<div><div>Tetralogy of Fallot is a congenital heart condition comprising four hallmark structural heart defects: ventricular septal defect, pulmonary stenosis, overriding aorta, and right ventricular hypertrophy, which may lead to patients experiencing low levels of oxygen saturation. Patients with tetralogy of Fallot may appear cyanotic; however, patients with adequate pulmonary blood flow may remain asymptomatic and undetected. The preadmission history and assessment skills of the perianesthesia nurse are essential to provide patient-centered care. This paper highlights the importance of the role of the perianesthesia nurse when completing comprehensive health histories and physical assessments before any procedures and care provided.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1427-1430"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993959","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":"2026 National Conference in San Francisco!","authors":"","doi":"10.1016/S1089-9472(25)00536-2","DOIUrl":"10.1016/S1089-9472(25)00536-2","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Page ii"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625072","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 Effects of Maxillary Nerve Block in Septoplasty","authors":"Nezir Yılmaz MD ,&nbsp;Burak Çilingir MD","doi":"10.1016/j.jopan.2025.02.010","DOIUrl":"10.1016/j.jopan.2025.02.010","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effect of suprazygomatic maxillary nerve block (SMB) in patients undergoing septoplasty surgery.</div></div><div><h3>Design</h3><div>Randomized controlled trial.</div></div><div><h3>Methods</h3><div>A total of 60 patients who met the inclusion criteria were enrolled in this prospective, randomized controlled study. The patients were divided into two groups: group C (control group) and group B (block group). The groups were compared in terms of demographic variables, American Society of Anesthesiologists scores, hemodynamic<span><span><span> parameters (mean arterial pressure and heart rate), visual analog scale (VAS) pain scores, </span>postoperative recovery<span> quality (QoR-15 scores) (Quality of recovery-15 (QoR-15)), and the need for rescue </span></span>analgesics.</span></div></div><div><h3>Findings</h3><div>There were no statistically significant differences between the groups regarding age, gender, or American Society of Anesthesiologists scores (<em>P</em> &gt; .05). Baseline hemodynamic parameters were similar between the groups (<em>P</em><span> &gt; .05). However, mean arterial pressure and heart rate were significantly lower in group B at 15, 30, 45, and 60 minutes postoperatively (</span><em>P</em> &lt; .05). Visual analog scale scores at 0, 2, 6, and 12 hours were significantly lower in group B (<em>P</em> &lt; .05). QoR-15 scores were also significantly higher in group B (<em>P</em> &lt; .05), while the patients need rescue analgesics was lower in this group (<em>P</em> &lt; .05). There was no significant difference in the total number of postoperative analgesic doses between the two groups (<em>P</em> &gt; .05).</div></div><div><h3>Conclusions</h3><div>The application of SMB during septoplasty surgery provides improved perioperative hemodynamic stability, reduced postoperative pain, and enhanced recovery quality. The SMB can be considered a valuable component of a multimodal analgesic approach in septoplasty surgeries.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1502-1506"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267739","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":"Systematic Summary of Best Evidence for Preventing Delayed Recovery After General Anesthesia in Older Patients","authors":"Meng Fan MSCN, NP ,&nbsp;Shengqiang Zou MM ,&nbsp;Yiting Wang MSCN, SN ,&nbsp;Xihu Yang MD ,&nbsp;Yiyun Sun MSCN, NP ,&nbsp;Yaji Yao MM","doi":"10.1016/j.jopan.2025.04.001","DOIUrl":"10.1016/j.jopan.2025.04.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To summarize the best evidence for preventing delayed recovery (DR) after general anesthesia in older patients.</div></div><div><h3>Design</h3><div>Summary of best evidence.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted in both Chinese and international databases to identify evidence on preventing DR after general anesthesia in older patients. The databases searched included BMJ Best Practice, UpToDate, Joanna Briggs Institute, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, The Association of Perioperative Registered Nurses, American Society of Anesthesiologists, Canadian Anesthetists Society, Cochrane Library, PubMed, Medlive, Chinese Anesthesia website, China National Knowledge Infrastructure, and Wanfang Data. The search encompassed clinical decisions, guidelines, evidence summaries, systematic reviews, and expert consensus statements, spanning from the establishment of the database to September 2024. Two reviewers independently screened and evaluated the literature, and then extracted and summarized the evidence according to the Joanna Briggs Institute Grades of Recommendation and Levels of Evidence.</div></div><div><h3>Findings</h3><div>A total of 13 articles were included, namely 3 clinical decisions, 5 guidelines, and 5 expert consensus statements. Thirty-one best evidence points were derived across nine areas, including preoperative assessment, brain protection strategies, fluid management, circulation management, respiratory management, temperature regulation, internal environment stabilization, neuromuscular monitoring, and recovery management.</div></div><div><h3>Conclusions</h3><div>The integration and clinical application of best evidence by health care professionals can reduce the incidence of DR after general anesthesia in older patients.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1438-1444"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734501","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 Breathing Exercise With Incentive Spirometer on Pain, Anxiety, Comfort, and Physiological Parameters Before and After Cardiac Surgery: A Randomized Controlled Experimental Study","authors":"Hatice Çiftçi MSc, RN ,&nbsp;Sevda Korkut PhD, RN ,&nbsp;Suat Karaca MD","doi":"10.1016/j.jopan.2025.02.005","DOIUrl":"10.1016/j.jopan.2025.02.005","url":null,"abstract":"<div><h3>Purpose</h3><div><span>This study was conducted to investigate the effect of breathing exercise with </span>incentive spirometer on pain, anxiety, comfort, and physiological parameters in cardiac surgery patients before and after surgery.</div></div><div><h3>Design</h3><div>The research was conducted as a single-center, prospective, randomized controlled experimental study.</div></div><div><h3>Methods</h3><div>Patients in the intervention I group had breathing exercises performed, in addition to the routine practices of the clinic for 5 days after surgery. Patients in intervention II group had breathing exercises in addition to routine practices for 5 days before surgery and 5 days after surgery. In the control group, only the routine practice of the clinic was performed.</div></div><div><h3>Findings</h3><div>On postoperative days 1 and 5, the pain and anxiety levels of the intervention I and II groups were significantly lower, and the comfort level was significantly higher than the control group. On the post-op first day, partial oxygen pressure values of the patients in the intervention II group were significantly higher than the others. The heart rate of the individuals in the intervention I group on the first post-op day was significantly lower than the other two groups. Post-op days 1 and 5, SaO2 values were significantly higher in the intervention groups compared with the control group.</div></div><div><h3>Conclusions</h3><div>Breathing exercises performed with incentive spirometer<span><span> before and after the operation decreased the pain and anxiety levels of the patients and increased their comfort. However, it was determined that this application did not create a significant difference in vital signs (except heart rate), pulmonary function test values (except SaO2), and </span>arterial blood gas values (except partial oxygen pressure).</span></div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1460-1468"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250482","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":"Turkish Version of Barriers to Perioperative Hypothermia Prevention (Bs-PHP) Scale: A Validity and Reliability Study","authors":"İnci Kırtıl PhD, RN ,&nbsp;Özlem Şahi̇n Akboğa PhD, RN","doi":"10.1016/j.jopan.2025.03.003","DOIUrl":"10.1016/j.jopan.2025.03.003","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to both translate into Turkish and adapt culturally the Barriers to Perioperative Hypothermia Prevention (Bs-PHP) scale, and also to determine the validity and reliability of the Turkish version.</div></div><div><h3>Design</h3><div>This is a methodological study.</div></div><div><h3>Methods</h3><div><span>The study was conducted between May and September 2024 with 242 participants, including operating room nurses, anesthesia technicians, and anesthesiologists. Data were collected using a demographic characteristics form and the Bs-PHP scale form. Descriptive statistics, independent samples </span><em>t</em><span><span> test, analysis of variance, exploratory and confirmatory factor analyses, </span>Cronbach's α coefficient<span>, discrimination analysis, item-total score correlation, test-retest analysis, and structural equation modeling were used for data analysis.</span></span></div></div><div><h3>Findings</h3><div><span>The study showed that the scale exhibited high internal consistency (Cronbach’s α = 0.90). Exploratory factor analysis indicated that the cumulative variance contribution was 63.47%, with a Kaiser-Meyer-Olkin value of 0.86. The results of the pre– and post–total test statistics were statistically significant (</span><em>P</em> &lt; .05), and the correlations among the scale's subdimensions ranged from low to moderate (<em>P</em> &lt; .001). The model fit indices, including χ²/<em>df</em> = 1.80, Root Mean Square Error of Approximation = 0.05, Goodness of Fit Index = 0.85, and Incremental Fit Index = 0.91, confirmed that the model demonstrated an acceptable level of fit.</div></div><div><h3>Conclusions</h3><div>The study demonstrated that the Turkish version of the Bs-PHP Scale is a valid and reliable instrument for identifying the perceived barriers to preventing inadvertent perioperative hypothermia among operating room staff.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1548-1556"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555407","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":"Comparison of the Teleflex Vasc Band Hemostat and the Terumo Radial (TR) Band Compression Device After Transradial Cardiac Catheterization: A Retrospective Study","authors":"Andrea Lacourciere MSN, RN, FNP, CCRN, NPD-BC, CNOR, CFER ,&nbsp;Ray “Brittany” Gannon PhD, MSN, AGPCNP-BC","doi":"10.1016/j.jopan.2025.02.015","DOIUrl":"10.1016/j.jopan.2025.02.015","url":null,"abstract":"<div><h3>Purpose</h3><div>Transradial access has emerged as the preferred approach for cardiac catheterization. A comprehensive evaluation of the available hemostatic compression devices is necessary, as their use may impact clinical outcomes. This study aimed to compare the time to hemostasis and the rate of early local vascular complications in patients greater than or equal to 18 years of age treated with either a Vasc Band hemostat or a Terumo Radial (TR) Band compression device after transradial cardiac catheterization.</div></div><div><h3>Design</h3><div>Single-center, retrospective cohort study.</div></div><div><h3>Methods</h3><div>The sample included 250 patients who underwent transradial cardiac catheterization from September 2022 to December 2022 at a 280-bed community hospital. Data were manually extracted from the electronic medical record system. The Mann-Whitney U test was used to assess the difference in time to hemostasis between groups. The χ² analyses was used to determine differences in rates of early local vascular complications between the groups.</div></div><div><h3>Findings</h3><div>There were no statistical differences in baseline and procedural characteristics between the two groups. For patients who underwent a diagnostic left heart catheterization only, there was a significant difference in time (minutes) to hemostasis between the two devices: (<em>Md</em> = 57, n = 164), U = 3517, z = 2.940, <em>P</em> = .003. Time (minutes) to hemostasis was reduced with Vasc Band (<em>Md</em> = 54.5, n = 118) than TR Band (<em>Md</em> = 68.5, n = 46). No significant differences in time to hemostasis were found between the two devices among patients who underwent percutaneous coronary intervention: (<em>Md</em> = 154.5, n = 56), U = 343, z = 0.205, <em>P</em> = .838. There were no significant differences in bleeding, hematoma formation, or ecchymosis between the band types.</div></div><div><h3>Conclusions</h3><div>This study is the first to compare outcomes of cardiac catheterization patients treated with the Vasc Band compared with the TR Band. Future prospective studies should assess the clinical outcomes of the Vasc Band in comparison with other radial artery compression devices.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1521-1526"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975681","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":"Free Webcasts for Members!","authors":"","doi":"10.1016/S1089-9472(25)00538-6","DOIUrl":"10.1016/S1089-9472(25)00538-6","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Page iv"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625074","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":"Cultivating Principles of Safety Culture Into Onboarding","authors":"M. Imelda Wright PhD, RN, CNOR ,&nbsp;Karrie Kernen MS-HPE, BSN, RN, CNOR","doi":"10.1016/j.jopan.2025.08.015","DOIUrl":"10.1016/j.jopan.2025.08.015","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 6","pages":"Pages 1637-1638"},"PeriodicalIF":2.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145625427","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}