Pain Levels In Patients Research Articles

A Comparative Study to Evaluate the Anesthetic Efficacy of Buffered Versus Non-buffered 2% Lidocaine During Inferior Alveolar Nerve Block.

The study aimed to compare the clinical efficacy, safety, and acceptability ofbuffered lidocaine (8.4% sodium bicarbonate and 2% lidocaine with 1:80,000 adrenaline) versus non-buffered lidocaine (2% lidocaine with 1:80,000 adrenaline) during inferior alveolar nerve block. Fifty patients who required bilateral extractions in a single arch were included in this study. One hundred extractions were carried out, and all of the patients had nerve blocks during the procedure. We also took note of the patient's pain level as measured on a visual analog scale, as well as the start of the action, duration of postoperative analgesia, and occurrence of any problems. The duration of anesthesia was assessed by the feeling of numbness and the first sign of pain. All the patients in both study groups reported subjective numbness of the lips and tongue. The depth of anesthesia was evaluated by pain and comfort during the procedure with a visual analog scale and showed no significant difference between the two groups. The onset of action for the pterygomandibular nerve block was 1.240.31 minutes (buffered)and 1.710.51 minutes (non-buffered). When compared, the duration of anesthesia was 327.18102.98 minutes (buffered) and 129.0826.85 minutes (non-buffered). This study concludes that the buffered solution has a faster onset of action than the non-buffered solution. Both solutions exhibit similar intraoperative efficacy. The duration of postoperative anesthesia was prolonged with buffering. Buffering also reduced pain scores during the early postoperative period.

Effects of Transcutaneous Electrical Nerve Stimulation on Chronic Pelvic Pain in Women: A Systematic Review and Meta-Analysis

Introduction: The study aimed to identify the effects of transcutaneous electrical nerve stimulation (TENS) in women with chronic pelvic pain (CPP) by conducting a systematic review and meta-analysis of randomized controlled trials. Methods: We used five international databases from 2000 to 2020 and selected the clinical trials that reported the effects of TENS on CPP. We excluded the case reports, acute pelvic pain reports, men-related, animal-related, and intravaginal and intrarectal electrical stimulation articles. The level of pain (based on the visual analog scale) was considered for pooling data through the meta-analysis. Results: Ten studies met the inclusion criteria, and three articles were included in the meta-analysis. The results showed that TENS application mildly reduced pain in women with primary dysmenorrhea (mean difference = −1.29; 95% CI: −2.57 to −0.01; Z = 1.98, p = 0.05). Also, to reduce pain in patients with CPP, the TENS must be applied at least for 20 min, with a pulse duration of 50–400 μs, at a frequency of 2–120 Hz. The meta-analysis was followed by assessing the risk of bias, including publication bias. Based on the Cochrane risk of bias evaluation, the majority of the included trials were assessed with moderate methodological quality. Conclusion: TENS application can mildly improve the level of pain in patients with CPP caused by primary dysmenorrhea. Although no distinct agreement was observed among the effective parameters, the high-frequency mode with maximum tolerated intensity was more effective compared to the low-frequency mode.

Effect of music intervention on subjective scores, heart rate variability, and prefrontal hemodynamics in patients with chronic pain.

Music interventions have been proposed in recent years as a treatment for chronic pain. However, the mechanisms by which music relieves pain are unclear, and the effects of music intervention on physiological indicators in patients with chronic pain remain to be explored. This study aimed to explore whether a music intervention would have effects on subjective pain ratings, heart rate variability, and functional connectivity of the cerebral cortex in patients with chronic pain. A randomized controlled study was conducted on 37 pain patients aged 18-65 years, with the control group receiving usual care, and the intervention group receiving music intervention (8-150 Hz, 50-70 dB) for 30 min before bedtime for 7 days on top of usual care. Pain visual analog scale and heart rate variability were used as subjective and objective physiological indices before and after the music intervention, respectively. Changes in oxyhemoglobin and deoxyhemoglobin concentrations in the cerebral cortex were measured by functional near-infrared spectroscopy, and whole-brain correlation analysis was used to quantify the connectivity of prefrontal brain regions associated with the pain response. Results showed that patients with chronic pain in the intervention group had significantly lower visual assessment scale scores, as well as significantly lower overall voluntary mobility during pain episodes, resulting in relatively higher vagal innervation compared to the control group. In addition, connections between the bilateral dorsolateral prefrontal cortex (BA9, BA46) and frontal areas (BA10) were significantly higher in the intervention group. This study demonstrates the effectiveness of the combined application of music interventions with usual care in reducing pain levels in patients with chronic pain and provides insight into the pathological mechanisms of music interventions for analgesia, providing direction for new baseline indicators for quantitative clinical assessment of pain. The study was registered in the Chinese Clinical Trial Registry (No. ChiCTR2100052993). [https://www.chictr.org.cn/showproj.aspx?proj=136268], identifier [ChiCTR2100052993].

Is there any correlation between physical activity and severity of knee osteoarthritis in secondary referral hospital in Indonesia?

Introduction and Aim: Osteoarthritis is a pathological condition of the joints that is degenerative and progressive, affecting two-thirds of people over 65 years of age, with a prevalence of 1.39 million among males and 1.69 million in females. The main clinical manifestation of osteoarthritis is joint pain. The incidence and progression of knee osteoarthritis are strongly influenced by risk factors, consisting of systemic factors including age, sex, hormonal factors, and biomechanical factors such as obesity, physical activity, and muscle weakness. The purpose of this study was to determine if there was a relationship between physical activity, the severity of knee osteoarthritis and the level of pain based on the Kellgren-Lawrence system in gender. Materials and Methods: This research was conducted in a cross-sectional design with 26 participants at Baptis Hospital in Batu City. As references for the interview, the GPPAQ and the WOMAC questionnaire were used. The Kellgren-Lawrence system is used to assess knee osteoarthritis. Results: The Spearman correlation test results showed no significant relationship between physical activity and the severity of knee osteoarthritis, and no significance between physical activity and the degree of pain in general or by gender. Conclusion: There was no statistically significant relationship between physical activity with the severity of knee osteoarthritis and the level of pain in males and females patients at Baptis Hospital in Batu City.

PERBANDINGAN TINGKAT NYERI PADA PASIEN TERPASANG VENTILASI MEKANIK SELAMA ISTIRAHAT DAN TINDAKAN KEPERAWATAN RUTIN DI RUANG INTENSIVE CARE UNIT RUMAH SAKIT PUSAT PERTAMINA

Pain is the most common stressor experienced by patients in the ICU. Nearly 5 million patients are treated in the Intensive Care Unit (ICU), and 71% experience pain during treatment. Most of the pain felt by patients in the ICU is when the patient is mechanically ventilated. Pain can occur during routine nursing actions such as positioning, suction, and oral hygiene. This study aims to compare the level of pain in patients on mechanical ventilation during rest and routine nursing actions in the Intensive Care Unit of Pertamina Central Hospital. This research is an analytical observational research design with a cross-sectional approach, a sample of 31 patients with mechanical ventilation installed and the sampling technique used is non-probability sampling with accidental sampling. Data were taken using the Critical Pain Observation Tool (CPOT) questionnaire to measure pain levels. The results showed that there was a comparison of pain levels during rest and positioning with a comparison value of 15.00 (p<0.05); There is a comparison of pain levels during rest and suction action with a comparison value of 15.00 (p<0.05); There is a comparison of pain levels during rest and oral hygiene measures with a comparison value of 7.00 (p <0.05).

Preliminary study: quantification of chronic pain from physiological data.

It is unknown if physiological changes associated with chronic pain could be measured with inexpensive physiological sensors. Recently, acute pain and laboratory-induced pain have been quantified with physiological sensors. To investigate the extent to which chronic pain can be quantified with physiological sensors. Data were collected from chronic pain sufferers who subjectively rated their pain on a 0 to 10 visual analogue scale, using our recently developed pain meter. Physiological variables, including pulse, temperature, and motion signals, were measured at head, neck, wrist, and finger with multiple sensors. To quantify pain, features were first extracted from 10-second windows. Linear models with recursive feature elimination were fit for each subject. A random forest regression model was used for pain score prediction for the population-level model. Predictive performance was assessed using leave-one-recording-out cross-validation and nonparametric permutation testing. For individual-level models, 5 of 12 subjects yielded intraclass correlation coefficients between actual and predicted pain scores of 0.46 to 0.75. For the population-level model, the random forest method yielded an intraclass correlation coefficient of 0.58. Bland-Altman analysis shows that our model tends to overestimate the lower end of the pain scores and underestimate the higher end. This is the first demonstration that physiological data can be correlated with chronic pain, both for individuals and populations. Further research and more extensive data will be required to assess whether this approach could be used as a "chronic pain meter" to assess the level of chronic pain in patients.

Pengaruh Fisioterapi terhadap Penurunan Nyeri pada Pasien Rheumatoid Artritis di Klinik Fisioterapi Kota Jambi

Rheumatoid Arthritis sufferers nationally in Indonesia are dominated by someone who has entered the age of Pre-elderly to the elderly in the age range between 55-64 years (15.5%), 67-74 years (18.6%), and ages above 75 years is at the number (18.9%), when totaled between the pre-elderly age up to 53% suffering from Rheumatoid Arthritis (Riskesdas 2018). Rheumatoid arthritis is a joint disease that occurs due to an autoimmune disorder that causes inflammation of the joints that causes pain, heat, stiffness, weakness. The solution offered to prevent this from happening is to provide physiotherapy to the aching joints. The goal is to reduce pain levels in patients undergoing physiotherapy at a physiotherapy clinic. The research method used in this study is quantitative, with a sample of 60 people, the method used is Pre Experimental Design with Pre Test and Post Test One Group design with intervention given to patients measured at each stage of physiotherapy. Research Results: Most of them are male (53.33%). Most of them are adults and elderly (35%) The description of the patient's pain level before physiotherapy is done, all patients experience pain, most of which are on a moderate to severe scale. After doing physiotherapy on T1 severe pain became 0%, and mild pain was 21.67%, on T2 mild pain was 6.67% and no pain was no pain 13.33%, while T3 was mostly in the no pain category (68.33%). The results of the statistical test obtained a p-value of 0.000. It can be concluded that physiotherapy is very effective in reducing pain levels in patients with pain rheumatoid artritis.

Efektivitas Intervensi Relaksasi Imaginasi Terbimbing Terhadap Penurunan Kecemasan dan Nyeri pada Pasien Paliatif

Anxiety and pain are problems that often occur in patients with chronic diseases. One of the goals of palliative care is to relieve physical symptoms that are felt and other things that make physical and psychological stress. Alternative and complementary medicine approaches can be an option for palliative patients and families where conventional treatment has not been able to reduce or relieve the symptoms they feel. : Complementary therapies can be provided to patients receiving palliative care, to integrate a multi-professional palliative approach. The development of effective intervention selection is very important for the success of its treatment. Guided imagination is one of the complementary therapies that can provide physical and psychological benefits. Therefore, the purpose of this literature study was to determine the effectiveness of guided imaginary relaxation in reducing anxiety and pain levels in palliative patients. Methods: This literature review was compiled using the databases of EBSCOHost, Clinical Key Nursing and Sage Journal. Four articles were obtained that were following the randomized control randomization research method. Results: After further analysis of the four articles, guided imagination techniques accompanied by music were more effective in reducing pain and anxiety and could increase feelings of well-being when combined with other complementary therapies such as progressive muscle relaxation and hand massage. Conclusion: Within the various complementary therapies available, each aims to develop a holistic balance for the individual by enhancing physical, psychological, and spiritual well-being. Guided imagery helps patients by diverting their attention from the disease, its associated side effects, negative thoughts, and emotions, and focusing instead on pleasant things.

Patient Satisfaction with Women vs Men Surgical Interns and Senior Residents

INTRODUCTION: Patient satisfaction with surgical resident care is not well characterized. This study aimed to understand whether patient evaluation of surgical trainees varies by gender. METHODS: General surgery inpatients were invited to evaluate surgical resident care using a modified Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey (S-CAHPS) after positively identifying photos of surgical trainees. S-CAHPS items were scored by the “top-box” method. Patient evaluations of women vs men were stratified by training level and compared. RESULTS: Ninety-one percent of approached patients participated (n = 324/357, mean age = 62.2 years, 50.3% male). Patient demographics, pain level, and attitudes towards resident care were similar between those evaluating women vs men trainees. Women surgical interns were recognized by patients at a lower rate than men (75% vs 87.2%, p=.01). S-CAHPS scores for women vs men interns were equivalent except for spending sufficient time with the patient (75.6% vs 88.0%, p = 0.02). For senior residents (PGY3-PGY5), there was no difference in patient recognition of women vs men (83.9% vs 85.2%, p = 0.91) or in any S-CAHPS domain (all p > 0.05). CONCLUSION: Gender differences in patient evaluation of surgical trainees are resolved by the senior years, with patients reporting the quality of care of women and men senior surgical residents to be equivalent across all S-CAHPS domains. Future work should aim to understand how to best incorporate patient evaluation into trainee assessment to support development, including a focus on ensuring patients recognize and understand the role of resident care providers regardless of gender. Table 1. - Consumer Assessment of Healthcare Providers and Systems Surgical Care Survey Scores of Women vs Men Surgical Trainees S-CAHPS item Patient evaluations indicating top-box score, women vs men interns (%) p Value, Fisher’s exact test Patient evaluations indicating top-box score, women vs men senior residents (%) p Value, Fisher’s exact test Using any number from 0 to 10, where 0 is the worst intern doctor/senior resident possible and 10 is the best intern doctor/senior resident possible, what number would you use to rate all your care from this trainee? 51.2 vs 56.8 .42 60.3 vs 54.1 .32 Would you recommend this intern doctor/senior resident to your friends and family? 78.5 vs 84.7 .28 86.3 vs 87.8 .85 During your stay in the hospital, did this intern doctor/senior resident listen carefully to you? 90.5 vs 94.6 .29 95.8 vs 96 1.0 During your stay in the hospital, did this intern doctor/senior resident spend enough time with you? 75.6 vs 88.0 .02 88.1 vs 89.2 .85 During your stay in the hospital, did this intern doctor/senior resident encourage you to ask questions? 78.1 vs 81.4 .61 92.4 vs 84.9 .08 During your stay in the hospital, did this intern doctor/senior resident show respect for what you had to say? 95.2 vs 97.0 .48 99.2 vs 96.0 .14 During your stay in the hospital, did this intern doctor/senior resident discuss the outcome of your surgery with you? 60.0 vs 70.6 .13 85.6 vs 89.0 .45 During your stay in the hospital, did this intern doctor/senior resident make sure you were physically comfortable or had enough pain relief? 77.8 vs 81.2 .61 93.3 vs 85.6 .05 Evaluations that received top-box scores across all 8 S-CAHPS items, % 32.1 vs 38.0 .41 48.3 vs 38.0 .11

Effects of the combination of loxoprofen sodium and sodium hyaluronate on osteoarthritis and knee function

Purpose: To determine the treatment efficacy of the combination of loxoprofen sodium and sodium hyaluronate in osteoarthritis (OA), and its role in knee joint function.
 Methods: 98 patients with OA admitted to Guang'an People's Hospital, Sichuan, China were allocated into control group (CNG, given loxoprofen sodium n, = 51) and study group (SG, given loxoprofen sodium and sodium hyaluronate, n = 47). Both groups were compared in terms of the levels of inflammatory factor, Lysholm, VAS, WOMAC scores, treatment effects, serum MDA, NO, SOD levels, adverse effects, and blood rheology indices.
 Results: The study group had higher SOD levels, and higher BALP and BGP than CNG (p < 0.05). SG had lower TRACP-5b and blood rheological indices than CNG (p < 0.05). The difference in the incidence of adverse reactions was not statistically significant between the two groups (p > 0.05).
 Conclusion: The combination of loxoprofen sodium and sodium hyaluronate effectively improves the function and blood rheological indices of knee joints. It reduces the occurrence of adverse reactions and the level of pain in patients with OA, and improves OA prognosis. However further clinical trials are required prior to application in clinical practice.

A multicenter interventional study aimed to assess the effectiveness of Lavanda aroma in reducing anxiety and pain in patients undergoing PROstatic BIOpsy (LA-BIOPRO): Study protocol

Background: A prostatic biopsy is a diagnostic test used in cases of suspected prostate cancer. The patient expresses significant levels of anxiety from the very first outpatient visits; anxiety and pain management is essential for a successful outcome of the procedure. Lavender oil is one of the essential oils that is commonly used in aromatherapy to reduce anxiety and pain, its low toxicity and side effects have made it the preferred treatment in complementary medicine. Aim: To assess the 'effectiveness of lavender scent in decreasing the levels of anxiety and pain in patients undergoing a prostatic biopsy. Methods: An interventional non-pharmacological, randomized, two-arm, multi-center, nonprofit study. The SS Antonio e Biagio e Cesare Arrigo Hospital and the City of Alessandria Clinic, Monza Polyclinic of Alessandria, will enroll consecutively all adult patients undergoing outpatient prostatic biopsy from April 1, 2022, to October 1, 2022. The Numerical Rating Scale and Hamilton Anxiety Rating Scale will be used for assessments. Conclusion: Lavender oil aromatherapy could have a clinically significant effect on reducing pain and anxiety during prostatic biopsy procedures; its simple use, safety, and low cost provide a therapeutic option to be considered, complementary to other medical interventions in certain clinical settings.

The Challenges of Managing Pain in the Intensive Care Unit.

Pain management in the intensive care unit can be challenging. It is important to assess and reassess the patient for pain using the appropriate pain assessment tool for the patient's condition. It is critical to use these tools for compliance to best practice recommendations by The Joint Commission, the Society of Critical Care Management, and the American Association of Critical Care Nurses. Critical care nurses need to know the types of pain and how everyday nursing care and procedures affect the patient's pain level. This article reviews the types and characteristics of pain, the best practice guidelines, and shares a pathway for the best management of a patient's pain.

The effect of Dyangs’ sensory stimulation on the level of consciousness, pain and restlessness in ventilated patients: a clinical trial study

The effect of Dyangs’ sensory stimulation on the level of consciousness, pain and restlessness in ventilated patients: a clinical trial study

Penerapan Mobilisasi Dini Terhadap Penurunan Tingkat Nyeri Pada Pasien Pasca Operasi Di RS TK III Bhakti Wira Tamtama Semarang

Pain is a personal experience that is expressed differently. Medical procedures that often cause pain are surgery. Postoperative patients require maximum care to accelerate the return of body function, by providing early mobilization interventions. Early mobilization exercises can improve blood circulation which will trigger a decrease in pain. This study aims to determine the effect of early mobilization implementation on reducing pain levels in postoperative patients at Rumkit TK.III 04.06.02 Bhakti Wira Tamtama Semarang. Measurement of postoperative pain scale using Numeric Rating Scale. This study is a descriptive study with a one-case approach method. This study aims to determine the effect of early mobilization implementation on reducing pain levels in postoperative patients at Rumkit TK.III 04.06.02 Bhakti Wira Tamtama Semarang. The data collection method used is using observation sheets and early mobilization soup with inclusion criteria of 8 hours postoperative patients. The number of samples used was 2 people, the level of pain numeric rating scale 7-9 (severe pain), based on data analysis obtained the results that the level of pain of respondent I from scale 7 (severe pain) decreased to scale 5 (moderate pain), respondent I from scale 7 (severe pain) decreased to scale 5 (moderate pain) II from a scale of 7 (severe pain) decreased to 4 (mild pain). The application of early mobilization to reduce the pain scale in postoperative patients is recommended as an effective application of therapy in reducing the pain scale.

The effect of music on pain and anxiety in patients receiving chemotherapy during COVID-19.

This research has been conducted to determine the effect of music on pain and anxiety levels of patients receiving chemotherapy during COVID-19. The research has been carried out in a real trial model with 92 adult patients (45 in the experimental group who received chemotherapy and 47 in the control group). The data have been collected by the researcher with Google Forms (using State and Trait Anxiety Inventory [STAI] and visual analogue scale [VAS]) through the links sent to the phones of participants on the day they received chemotherapy, between March 2020 and July 2020. The mean scores obtained from the post-test STAI (53.11 ± 4.77) and VAS (3.44 ± 2.53) in the experimental group have been determined to statistically significantly decrease when compared to the pre-test measurement data (STAI: 54.26 ± 4.26; VAS: 4.22 ± 2.41) (p < 0.05). No statistically significant difference has been determined between pre-test and post-test mean scores of the patients in the control group. It has been observed that music applications reduce the pain and anxiety levels of patients receiving chemotherapy during the COVID-19 process. It can be recommended to use music applications in the management of pain and anxiety symptoms.

Impact of a sensory stimulation program conducted by family members on the consciousness and pain levels of ICU patients: A mixed method study.

BackgroundThe results of several studies show the different effects of a balanced sensory stimulation program (SSP) on patients with brain injury admitted to the intensive care unit (ICU), but these effects have been less studied based on mixed and comprehensive methods.MethodThis mixed-method study involved 66 patients with brain injury admitted to the ICU who were allocated into intervention (n = 33) and control (n = 33) groups using random stratified sampling. Patients in the intervention group received a sensory stimulation program from family members for 1 h daily during ICU hospitalization, while the control group received only routine care. Patients' level of consciousness and pain intensity were measured immediately before and after the intervention using Glasgow Coma Scale (GCS) and Behavioral Pain Scale (BPS), respectively. In-depth unstructured interviews were conducted with the patients in the intervention group 3 months after discharge from the ICU. These interviews were analyzed following Graneheim and Lundman (2004) conventional content analysis method.ResultsA significant difference was found between the study groups in terms of the mean difference of GCS (P =0.001) and BPS score (P = 0.001) before and after intervention. Patients in the intervention group had a higher mean GCS and a lower mean BPS than did patients in the control group. The main themes extracted from the qualitative analysis confirmed the results obtained from the quantitative phase of the study.ConclusionThe combination of the quantitative and qualitative findings suggested that amidst the many hardships and sufferings brain injury patients go through in the ICU, a sensory stimulation program offered by family members may have many benefits such as increased level of consciousness and reduced pain for these patients. Therefore, it is necessary to formulate a framework for this program and provide the needed facilities in order to benefit more from the capacity of such programs for ICU patients.

Effects of Williams Exercise and McKenzie Exercise on Pain Level and Oswestry Disability Index in Chronic Low Back Pain Patients

Effects of Williams Exercise and McKenzie Exercise on Pain Level and Oswestry Disability Index in Chronic Low Back Pain Patients

CLINICAL RESULTS AND PATIENT SATISFACTION AFTER TOTAL KNEE ARTROPLASTY: WHO ARE MORE SATISFIED?

AMAÇ: Primer diz osteoartriti nedeni ile total diz artroplastisi (TDA) uygulanan hastaların ağrı, fonksiyonel durum ve memnuniyet düzeylerini değerlendirmek ve memnuniyet düzeyi ile demografik ve klinik özellikler arasındaki ilişkiyi incelemek amaçlanmıştır.&#x0D; GEREÇ VE YÖNTEM: Evre III veya IV primer diz osteoartriti nedeniyle TDA uygulanmış, operasyon üzerinden bir yıl geçmiş ve yeterli takibi olan 44 hastanın kayıtları retrospektif olarak tarandı. Demografik ve klinik özellikleri kaydedildi. Operasyon öncesi ve operasyon sonrası birinci yılda Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) ağrı şiddeti ve fonksiyonu değerlendirmek için kullanıldı. Hastaların operasyon sonrası birinci yıldaki memnuniyet düzeyi 5 puanlık bir likert skala ile değerlendirildi. &#x0D; BULGULAR: Tüm WOMAC skorları (WOMAC-ağrı, WOMAC-tutukluk, WOMAC-fonksiyon ve WOMAC-total) cerrahi sonrası birinci yılda cerrahi öncesine kıyasla istatistiksel anlamlı olarak düşüş gösterdi. TDA sonrası birinci yılda çok memnun ve memnun olan hastaların oranı %93,2 idi. Memnuniyet düzeyi, tüm WOMAC skorları ile istatistiksel olarak anlamlı negatif ilişki gösterdi. Kadın, yalnız yaşayan, bekar/dul, egzersiz programına devamlılık göstermeyen ve diğer vücut bölgelerinden kaynaklanan kas-iskelet ağrısı olanların memnuniyet düzeyi daha düşüktü (tüm p

Application of Medical-Nursing Integration Multidisciplinary-Assisted Surgical Wound Nursing Mode in Improving the Quality of Wound Treatment.

Surgical treatment is a common clinical intervention for trauma, but postoperative pain and poor nursing lead to slow wound recovery and wound infection. Therefore, it is extremely important to select effective nursing intervention methods to improve the quality of wound treatment. This study explored the application value of the wound care model of medical integration and multidisciplinary-assisted surgery in improving the quality of wound treatment. The results show that medical-nursing integration in multidisciplinary-assisted surgical wound nursing mode can improve the quality of wound treatment and pain level in patients, which is beneficial to improving team cohesion of medical staff and satisfaction evaluation of patients.

The Effect of Preoperative Nursing Visit on Anxiety and Pain Level of Patients After Surgery

PurposePreoperative education is an important part of surgical preparation. Nursing visits offer nurses the opportunity to provide personalized care. The aim of this study was to determine the effect of nursing visits before laparoscopic surgery on the anxiety and pain levels of patients in the postoperative period. DesignRandomized controlled clinical trial. MethodsData were collected from 135 patients who underwent laparoscopic surgery between March and October 2019 in Istanbul. During the nursing visits, the experimental group (n = 72) was educated by the operating room nurse, while the control group (n = 63) was educated by the service nurse. Data were collected using the State-Trait Anxiety Inventory and the Visual Analog Scale. The CONSORT checklist was followed. FindingsThe pre-education state anxiety scores of the control and experimental groups were similar and at a moderate level (P > .05). The state anxiety score of the experimental group visited by operating room nurses decreased more than that of the control group after education (P < .001). The postoperative state anxiety and pain scores of the control and experimental groups were found to be similar (P > .05). ConclusionsVisits by operating room nurses before laparoscopic surgery can be an effective method to reduce the anxiety level of patients. Obtaining the opinions of operating room nurses on care integration and organization of in-service education programs may be necessary.