Perioperative Nursing Research Articles

Perioperative Nursing Progress of Elderly Patients Undergoing Hip Arthroplasty

Perioperative Nursing Progress of Elderly Patients Undergoing Hip Arthroplasty

The Effect of a Smartphone-Based Perioperative Nursing Intervention: Prayer, Education, Exercise Therapy, Hypnosis, and Music toward Pain, Anxiety, and Early Mobilization on Cardiac Surgery

Background: Cardiac surgery can elicit both physical and psychological responses. Prayer, exercise therapy, education, hypnosis, and music are expected to be able to overcome pain, anxiety, and immobilization in the cardiac surgery. This study was to create a smartphone-based peri-operative nursing intervention model that was able to reduce pain, anxiety, and increase early mobilization cardiac surgery patients.Design and methods: This study consisted of three stages. The first stage was research and development, the second was true experimental design, and the third was cross sectional design. The samples size was 86 respondents. The intervention models for the treatment group comprised of a smartphone-based therapy of prayer, education, exercise, hypnosis, and music. The control group was given standard hospital intervention according to the clinical pathway.Results: The majority of respondents were adults, male, high school graduate in the treatment group and bachelor graduate in the control group, CABG type of surgery, and having pain history. The intervention had a significant effect on reducing pain scale and anxiety level as well as increasing early mobilization (p<0.05). The intervention had a direct effect on pain and anxiety, but it had no direct effect on early mobilization. However, it gave indirect effect on early mobilization that was mediated by anxiety.Conclusions: The models can be used by nurses to reduce pain, anxiety and to increase early mobilization on cardiac surgery patients. Significance for public health This research is very important to do because it provides great benefits to the community who will undergo cardiac surgery, so that patients are able to intervene to overcome the problem of pain, anxiety, and immobilization, these abilities have an impact on improving the quality of life during cardiac surgery procedures.

Adoption of Novel Nano Bio-vascular Stent in Carotid Artery Stenosis Stent Intervention and Perioperative Nursing Analysis.

This work was developed to explore the adoption value of bacterial cellulose (BC) and heparin (He) combined with novel nano bio-vascular stents in carotid artery stent implantation, as well as the nursing methods and effects during the perioperative period. Based on the BC artificial blood vessel preparation method, the BC-He novel nano bio-vascular stent was fabricated after the modification of the medium method. Infrared spectroscopy (FTIR), X-ray photoelectron spectroscopy (XPS), and X-ray electron diffraction (XRD) were performed to analyze the crystal structure and chemical structure of the material. In addition, scanning electron microscope (SEM) and transmission electron microscope (TEM) were employed to observe the micro-morphology of the stent. The mechanical properties and thermal stability of the materials were also characterized. Then, with 98 patients undergoing carotid artery stenting (CAS) as the research object, BC-He novel nano bio-vascular stent was applied to treat patients with arterial stenosis. According to different nursing methods, patients were assigned to the conventional nursing group (group A) and perioperative nursing group (group B). The postoperative complications, nursing effect, and satisfaction degree of the two groups were compared. It turned out that the BC-He novel nano bio-vascular stent was a kind of micro-mesh structure. There were characteristic absorption peaks of BC and He in BC-He, and there were N and S from He. Moreover, it also contained BC and He characteristic diffraction peaks, its tensile strength was significantly lower than BC, and its thermal stability was higher than BC. The preoperative carotid artery stenosis ranged from 50 % to 75 %, and the postoperative stenosis rate of restenosis patients treated with BC-He novel nano bio-vascular stent was less than 10 %. In addition, there were 92 patients (93.88 %) whose symptoms improved or markedly improved within 1 to 2 weeks after the operation, and 78 patients (79.6 %) had improved hemodynamic parameters. The incidence of postoperative complications in group A was dramatically superior to that in group B (P < 0.05). The total effective rate of nursing care and the degree of nursing satisfaction in group B were better than those in group A (P < 0.05). In short, BC-He novel nano bio-vascular stent had good mechanical properties and thermal stability, which was a safe and effective material for the treatment of carotid artery stenosis. In addition, the perioperative nursing method was effective and was of certain clinical adoption value.

Improving Perioperative Communication During the COVID-19 Pandemic.

ABSTRACTPerioperative communication can be ineffective and result in delays or adverse events. Coronavirus disease 2019 (COVID‐19) has placed demands on health care leaders and personnel to integrate information quickly and accurately. When caring for patients diagnosed with COVID‐19 or whose infection status was unknown, perioperative personnel at one facility discovered communication gaps associated with the environmental cleaning process and hand‐over reports. A project team comprising perioperative nurses created five tools to provide critical information to help diverse team members share the same mental model. The project team created one tool in English and Spanish to meet the needs of environmental services personnel whose primary language was Spanish. The team created another tool to support communication with central processing department personnel and facilitate prioritization of case cart cleaning when needed. The development and implementation of the communication tools helped to provide a safe working environment during the COVID‐19 pandemic.

Rapid Rehabilitation Program Can Promote the Recovery of Gastrointestinal Function, Speed Up the Postoperative Rehabilitation Process, and Reduce the Incidence of Complications in Patients Undergoing Radical Gastrectomy.

Objective To explore the influence of rapid rehabilitation programs on gastrointestinal function, rehabilitation process, and complications of patients undergoing radical gastrectomy. Methods Of ninety-eight radical gastrectomy cases assessed for eligibility from January 2018 to July 2020, 43 patients who received routine perioperative nursing were assigned to the control group (CG), and 55 patients given a rapid rehabilitation program were assigned to the research group (RG). The recovery of gastrointestinal function, pain, nutritional status, complications, rehabilitation process, quality of life, and nursing satisfaction were compared. Results After nursing, in contrast to the CG, the RG showed significantly better recovery of gastrointestinal function (the first time to eat (t = 7.701, P < 0.01), the first time to anal exhaust (t = 9.342, P < 0.01), the first time to defecation (t = 2.061, P=0.040), and the recovery time to bowel sounds (t = 16.030, P < 0.01)), notably improved pain and nutritional status, and showed fewer complications (X2 = 9.385, P=0.002). Rapid rehabilitation protocol also showed shorter recovery time and higher quality of life and nursing satisfaction of patients versus the routine perioperative nursing (all P < 0.05). Conclusion The rapid rehabilitation program can accelerate the recovery of gastrointestinal function and postoperative rehabilitation and reduce the incidence of complications in patients undergoing radical gastrectomy.

Operation Allies Refuge and Operation Allies Welcome: Military Perioperative and Perianesthesia Nursing Support to the Afghan Evacuation Mission

Nursing has a long and celebrated history of providing life-saving care during crises and periods of great need. Following the government collapse in Afghanistan and the withdrawal of US troops, a severe humanitarian and human rights crisis emerged. The US military participated in one of the largest and most complex humanitarian missions in history to aid Afghan relief efforts. US and coalition forces evacuated more than 130,000 people in the chaotic Allied airlift from the Kabul Airport. The overarching missions, Operation Allies Refuge and Operation Allies Welcome, provided humanitarian support to at-risk Afghan nationals who contributed to the Global War on Terrorism efforts, as well as US citizens living in Afghanistan. Landstuhl Regional Medical Center (LRMC), an overseas military treatment facility located in Germany, supported the healthcare needs of Afghan evacuees and injured US service members during the humanitarian crisis. LRMC clinicians provided emergent, urgent, and specialty care while advocating for evacuee health, wellness, and living conditions. Perioperative and perianesthesia nurses were essential to the humanitarian response, as many evacuees and injured US service members arrived in Germany requiring immediate surgical interventions. In this article, we describe the vital contributions of military perioperative and perianesthesia nurses to the Operation Allies Refuge and Operation Allies Welcome missions, and share our experiences providing humanitarian relief. Military and civilian healthcare planners can learn from our humanitarian relief contributions, experiences, and lessons to strategically prepare their health systems to respond to future crises.

Observation on the Effect of Intelligent Machine-Assisted Surgery and Perioperative Nursing.

Orthopedic surgery and care during the perioperative period are the key to the treatment of orthopedic diseases, which can quickly and effectively treat orthopedic diseases and can quickly recover during the perioperative period. Therefore, this paper focuses on the observation of the effect of intelligent machine-assisted surgery and perioperative care, combined with smart wearable devices and C-arm camera calibration; the details of the bone surgery are assisted by the machine, and then the recognition ability is accelerated by writing into the digital bone bank. Based on machine vision, CNN training and learning are designed to design a machine-assisted perioperative nursing method. This paper also designed a bone surgery test experiment and perioperative adverse event data analysis, combined with the data obtained from the experiment, designed a comparison experiment with traditional surgery and perioperative nursing. The experimental results show that the success rate of machine-assisted surgery is increased by nearly 2%–15% compared with traditional surgery; and the rehabilitation degree of machine-assisted perioperative nursing is 15.83% higher than that of traditional perioperative nursing.

Pain Management and Education for Ambulatory Surgery: A Qualitative Study of Perioperative Nurses

BACKGROUND: Ambulatory surgery presents unique challenges regarding adequate pain management and education. Studies have documented issues with transfer of information and patient comfort. Our objective was to explore perioperative nurses' perspectives of current practices and challenges with pain management and education. Materials and methods: We received full-review institutional review board approval. We used a qualitative descriptive design and conducted four focus group interviews, with 24 total participants from two perioperative areas of an academic medical center, using a standardized script.

What have we learned from the surveys of the AEC, AECP and the Observatory of Infection in Surgery? Compliance with postoperative infection prevention measures and comparison with the AEC recommendations

Before planning improvement strategies, it is crucial to know the degree of implementation of preventative measures for postoperative infection. The aggregated results of 3 surveys carried out by the Observatory of Infection in Surgery to members of 11 associations of surgeons and perioperative nurses are presented. The questions were aimed to determine the knowledge of the scientific evidence, personal beliefs and the actual use of the main measures. Of 2295 respondents, 45.1% did not receive feedback on the infection rate of their unit. Insufficient knowledge of some of the main prevention recommendations and some disturbing rates of use were observed. The preferred strategies to improve compliance with preventive guidelines and their degree of implementation were investigated. A gap between scientific evidence and clinical practice in the prevention of infection in different surgical specialties was confirmed.

Sertifika Programlarının Cerrahi Hemşirelerinin Öz Etkililik- Yeterlilik Düzeyine Etkisi

Abstract&#x0D; Objective: The aim of this study is to determine the effect of the certificate programs that perioperative nurses working in different surgical clinics participate in on their self efficacy-sufficiency levels.&#x0D; Methods: The sample of the study consisted of 68 perioperative nurses. The data were collected using "Personal Information Form" and "Self-Efficacy Scale". A pre-test was applied to the participants before the certificate program, and a post-test was applied at the end of the program. &#x0D; Results: It was determined that the nurses' self-efficacy scale pre-test total score before the certification program was 90.44 ± 9.27, and the post-test total score after the certification program was 90.70 ± 9.04. While there was a significant decrease in starting behavior after the certificate program in the sub-dimensions of the scale. It was found that there was a significant increase in the sub-dimensions of completing behavior and struggling with obstacles.&#x0D; Conclusion: Certificate programs have been found to be beneficial in the formation of behavioral changes of perioperative nurses and in increasing their self-efficacy perception.

Effect of WeChat-Based Health Preaching Combined with an Enhanced Recovery after Surgery Model on Perioperative Limb Motor Function and Complications in Orthopaedic Patients

Objective To evaluate the effect of WeChat-based health preaching combined with an enhanced recovery after surgery (ERAS) model on perioperative limb motor function and complications in orthopaedic patients.Methods By means of retrospective analysis, the medical data of 68 orthopaedic patients who received surgical treatment in our hospital (from 01, 2020–12, 2021) were collected, and the patients were equally divided into the study group (SG) and control group (CG) according to their admission order, with 34 cases each. From 7 d before surgery to the time of hospital discharge, WeChat-based health preaching combined with ERAS perioperative nursing was performed to patients in the SG, and routine orthopaedic perioperative nursing was performed to those in the CG. Before and after nursing, patients' Visual Analog Scale for Fatigue (VAS-F) scores, Houston Pain Outcome Instrument (HPOI) scores, and brief Fu-gI-Meyer (FMA) motor scores were investigated and the incidence rates of postoperative complications and nursing satisfaction of patients in the two groups were recorded. Results After nursing, SG obtained a significantly better VAS-F score and HPOI score (P < 0.001), significantly higher postoperative 7 d and predischarge lower limb FMA scores (20.06 ± 2.13 vs 18.38 ± 2.36, 27.50 ± 1.90 vs 24.09 ± 2.25, P < 0.05), and significantly lower annual incidence rate of complications compared with those of the CG (P < 0.05); and the nursing satisfaction scores of the SG and CG were 9.18 ± 0.82 points and 6.76 ± 0.91 points, respectively, indicating significantly higher nursing satisfaction in the SG than in the CG (P < 0.001). Conclusion The nursing model of WeChat-based health preaching combined with ERAS can effectively improve the knowledge level of orthopaedic patients, thereby improving their abilities of pain management and self-management, accelerating the recovery of their limb function, and reducing the incidence rate of postoperative complications. The patients are more satisfied with such nursing model, indicating its better promotion value.

Ultrasound Image under Artificial Intelligence Algorithm to Evaluate the Intervention Effect of Accelerated Rehabilitation Surgery Nursing on Laparoscopic Hysterectomy.

To explore the application value of accelerated rehabilitation surgery (ERAS) nursing in laparoscopic total hysterectomy, 120 patients who underwent laparoscopic total hysterectomy for benign uterine diseases in the hospital were selected as the research object. According to different nursing schemes, they were divided into 60 cases in the experimental group (ERAS nursing program) and 60 cases in the control group (traditional perioperative nursing). All patients underwent postoperative ultrasonography, and the intraoperative and postoperative rehabilitation indexes of the two groups were analyzed. Moreover, an improved standard Capon beamforming (ISCB) algorithm is proposed, which is compared with SCB algorithm, sequential regression algorithm (SER), and recursive least square (RLS) algorithm. The results showed that the center average power and background average power (−46.92, −33.85) of the ISCB algorithm were significantly lower than those of SCB algorithm (−36.18, −23.64), SER algorithm (−39.02, −27.31), and RLS algorithm (−34.88, −24.66), while the contrast and resolution (19.11, 15.57) were significantly higher than those of SCB algorithm (12.74, 9.01), SER algorithm (13.86, 7.89), and RLS algorithm (13.26, 8.26) (P < 0.05). The anal exhaust time (11.84 ± 2.15 hours), analgesic effect score (3.37 ± 1.03 points), hospitalization days (3.72 ± 0.74 days), and hospitalization expenses (11859.03 ± 735.24 ¥) in the experimental group were significantly lower than those in the control group (20.95 ± 3.44 hours, 6.12 ± 1.46 points, 5.48 ± 0.91 days, 16135.22 ± 680.55 ¥) (P < 0.05). The score of NRS evaluation scale in the experimental group (2.28 ± 0.37) was significantly better than that in the control group (4.09 ± 0.65) (P < 0.05). The proportion of patients in the experimental group (very satisfied + satisfied + generally satisfied) (100%) was significantly better than that in the control group (71%), and the difference was statistically significant (P < 0.05). In the experimental group, there were 2 cases of postoperative fever, 1 case of nausea and vomiting, and 2 cases of lower extremity venous thrombosis. In the control group, there were 4 cases of postoperative fever, 4 cases of nausea and vomiting, and 2 cases of lower extremity venous thrombosis. In summary, ultrasound imaging based on the ISCB algorithm can display the pelvic floor structure of patients undergoing laparoscopic total hysterectomy with high quality and improve the diagnostic rate of doctors. ERAS nursing can accelerate patients' postoperative rehabilitation, reduce postoperative pain, and improve patients' satisfaction. It was worthy to be popularized and applied in the clinic.

Research Progress on Perioperative Nursing of Elderly Patients Undergoing Total Hip Arthroplasty for Femoral Neck Fracture with the Concept of Accelerated Rehabilitation Surgery

Research Progress on Perioperative Nursing of Elderly Patients Undergoing Total Hip Arthroplasty for Femoral Neck Fracture with the Concept of Accelerated Rehabilitation Surgery

The Effect of Spiritual Well-Being of Perioperative Nurses on Compassion

PurposeThis study aimed to determine the effects of spiritual well-being of perioperative nurses on their compassion. DesignThis was a prospective and cross-sectional study. MethodsThe sample for this study included 168 perioperative nurses working in the surgical clinics of a research hospital. Data was collected between August and October 2020 using “Nurses' Descriptive Characteristics, Compassion and Three-factor Spiritual Well-Being Scales”. Descriptive statistics, correlation and simple regression analysis were used to analyze the data. FindingsOur sample included 51% between the ages of 22 and 30, 85.7% women, 73.8% undergraduates, 33.3% general surgery clinicians, and 41.7% with a work experience of 5 to 9 years. Perioperative nurses were found to have moderate compassion and close to a good level spiritual well-being. Although all the descriptive features of the nurses contributed to their spiritual well-being, it was determined that the education level, the clinics they worked in and their working years in the profession were important factors in determining their compassion. Positive correlation was found between the Compassion and Spiritual Well-Being Scales (r = 1.000; P < .05). ConclusionsWe found that the spiritual well-being of perioperative nurses had an effect on compassion. Every patient deserves compassionate care. If spirituality increases compassion, it is acceptable for nurses to increase their awareness and knowledge of spiritual values.

A Systematic Review and Meta-Analysis of Risk Factors for Unplanned Intraoperative Hypothermia Among Adult Surgical Patients

PurposeUnplanned intraoperative hypothermia (UIH) is a frequent but preventable complication of surgery. Accurate identification of UIH risk factors allows nurses to minimize its negative outcomes. This study aimed to investigate the risk factors for UIH in adult surgical patients. DesignSystematic review and meta-analysis MethodsWe comprehensively searched PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Ovid Embase, and ClinicalTrials.gov from their inception until December 31, 2020 to identify available, related studies in English. Two authors independently extracted data from these studies. Data analysis was performed using Review Manager Version 5.3. ResultsThis meta-analysis included 12 studies involving 15,010 patients. The combined results showed that age [mean difference (MD) = 4.85, P < .0001; I2 = 94%], body mass index (MD = − 0.76, P = .001; I2 = 59%), ambient temperature [odds ratio (OR) = 0.82, P < .001; I2 = 54%], preoperative systolic blood pressure (MD = −14.68, P < .00001; I2 = 30%), preoperative heart rate (MD = − 13.25, P < .00001; I2 = 0%), duration of anesthesia (>2 h; OR = 2.67, P < .001; I2 = 0%), and intravenous fluid administration >1,000 mL (OR = 2.02, P = .01; I2 = 77%) were significantly associated with a higher risk of UIH. ConclusionsOur study demonstrated that various risk factors contribute to the development of UIH. Perioperative nurses should understand these risk factors in order to apply evidence-based procedures and improve patient outcomes. Due to the substantial clinical heterogeneity across studies, further studies are needed to verify these findings.

Adaptation of the Person-Centered Perioperative Nursing Scale to Turkish: A Validity and Reliability Analysis

This study aims to perform a detailed analysis of the validity and reliability of the Turkish version of the Person-Centered Perioperative Nursing Scale (PCPON). Methodological and descriptive study. This study was conducted online between December 2020 and February 2021, with 240 nurses working in the surgical wards of private hospitals in Istanbul, Turkey. Individual Characteristics Questionnaire and PCPON were used to collect data. Cronbach Alpha reliability analysis and Confirmatory Factor Analysis (CFA) were applied using R Project software to the data. As a result of the analysis, all corrected item correlation values for compassionate interaction, respect, comfort, sharing information, and expertise were found to be positive following the original factors structure of the scale. According to reliability analysis statistics, Cronbach's Alpha coefficients were calculated as 0.781, 0.758, 0.780, 0.750 and 0.808 for compassionate interaction, respect, comfort, sharing information, and expertise sub-dimensions, respectively. According to these findings, all five sub-dimensions had high reliability levels. As a result of CFA, the items in all sub-dimensions were statistically significant. Standardized factor loads were also positive in the five sub-dimensions of the scale. Based on these results, all PCPON items were under appropriate sub-dimensions. PCPON as adapted from English to Turkish had high levels of validity and reliability. It was concluded to be a valid and reliable scale, which we believe will be useful for our country in the fields of education, practice, and research to evaluate the attitudes and behaviors of surgical nurses towards the care-oriented nurse-patient relationship.

Using Evidence to Prevent Risk Associated With Perioperative Pressure Injuries

Pressure injuries (PI) are a significant concern for surgical patients due to prolonged immobility and potential exposure to other risk factors associated with procedures. PI prevention strategies should begin early in the patient's surgical encounter starting with preoperative assessment. Much literature has been published to discuss PI risk factors, assessment tools, and evidence-based prevention measures. The purpose of this article is to critically review current best evidence to holistically assess patient risk for Hospital Acquired Pressure Injuries (HAPI) and review current tools used for risk assessment, interventions to combat skin injuries, and discuss implications for practice in perioperative nursing.

Application of a perioperative nursing strategy in the surgical treatment of elderly patients: a narrative review†

Abstract With the steady increase of older people in society, a progressively greater number of patients belonging to the geriatric group need surgical treatment. Since elderly patients with reduced physiological reserve and organ failure often have chronic diseases, geriatric syndrome, and other clinical problems, the perioperative nursing of elderly patients is more complicated. Therefore, we need to comprehensively consider clinical issues, such as patients’ preoperative status, surgical risks, and postoperative quality of life and life expectancy, and conduct comprehensive evaluations and holistic, individualized, and continuous nursing and therapy through the participation of interdisciplinary teams to achieve better curative effects. Here, the perioperative nursing of elderly patients is reviewed, including preoperative evaluation and nursing, intraoperative management, and postoperative nursing.

Application of ERAS concept in perioperative nursing of minimally invasive hip arthroplasty.

Application of ERAS concept in perioperative nursing of minimally invasive hip arthroplasty.

The Process of Situational Awareness Embodiment of Perioperative Scrub Nurses: An Analytic Induction Approach

Purpose: This study aimed to identify and explore how perioperative scrub nurses embody their situational awareness to elucidate the association between research and application.Methods: This qualitative study employed an analytical induction approach. The analytical method reconstructed by Bloor (1978) and modified by Johnson (2004) was used to investigate and analyze the phenomenon in clinical practice. The study was conducted from January 12 to May 20, 2019. Data were collected using semi-structured interviews; the study subjects included 12 perioperative scrub nurses working at three university hospitals.Results: Perioperative scrub nurses embodied situational awareness by comparing and identifying general and abnormal situations throughout surgical procedures, setting priorities in their tasks, responding to situations according to the degree of emergency in the operating room, and developing an integrated view. Perioperative scrub nurses embodied situational awareness through typical patterns involving empirical cases based on experiences, apprenticeship-oriented training, information exchange among surgical team members, and self-directed simulation. Professional responsibility and the level of surgical emergency played an essential role in embodying these patterns.Conclusion: These findings will provide practical categories that will contribute to the development of strategies for practical education of novice perioperative scrub nurses and nursing students.