Preoperative Nursing Intervention Research Articles

Level of Mediations on Pain and Satisfaction Level of Patients Undergoing Abdominal Surgery

The main objective of the study was to analyse the level of mediations on pain and satisfaction level of patients undergoing abdominal surgery. This cross sectional study was conducted at Fatima Jinnah Medical University Lahore. The study was performed with 124 patients undergoing abdominal surgery under general anesthesia aged 18-65, with no diagnosis of cancer, no chronic pain, hospitalized for at least 24 hour following the surgical procedure, undergoing elective surgery and agreeing to participate. The data was collected from 124 patients with mean age 18 to 40 years. The data was collected from both genders. Of a total of 124 abdominal-surgery patient subjects, 58.1% were male, 94.3% were married, 61.3% had undergone surgery, and 41.1% had undergone total gastrectomy. Among the 124 participants, 47 were included in the control group, 36 in experimental group. Regarding their general characteristics, no significant differences in any aspects were observed. It is concluded that preoperative nursing intervention for pain has positive effects for patients undergoing abdominal surgery.

Preoperative nursing visit reduces preoperative anxiety and postoperative complications in patients with laparoscopic cholecystectomy

Background:Anxiety is a kind of emotional disorder caused by acute conditions or trigger. It is manifested in the components of the autonomic nervous system, for instance, stress, anxiety, nervosity, and discomfort. Most patients with anxiety are more active, nervous, and alert to various stimuli. Inappropriate management of early postoperative anxiety will not only prolong recovery but also increase the risk of other complications. We conduct a randomized clinical trial to investigate the influences of nursing visits against the preoperative anxiety and postoperative complications in patients undergoing laparoscopic cholecystectomy (LC).Methods:This is a single center, placebo-controlled randomized trial, which will be performed from August 2020 to December 2020. The trial is performed in accordance with the SPIRIT Checklist for randomized studies. It is authorized by the Ethics Committee of Taizhou Hospital of Zhejiang Province (D20211-34). Two hundred patients undergoing LC will be included in this study. Patients are randomly divided into 2 groups: experiential group (n = 100) or control group (n = 100). The experimental group is given preoperative nursing visit to each patient 1 day before the operation, whereas the control group did not receive the preoperative nursing intervention. The patients in experience group also received education on the surgery team and the environment of operating room, the process of anesthesia, advantages of laparoscopic surgery, and the postoperative care from recovery room to discharge. The primary outcomes include State-Trait anxiety level and postoperative visual analogue scale. Secondary outcomes include total consumption of analgesics and postoperative complications.Results:Figure (a) will show the comparison of outcomes between 2 groups.Conclusion:The preoperative nursing visit may decrease the anxiety and the complications after operation in patients receiving LC.Trial registration:This study protocol is registered in Research Registry (researchregistry5924).

Influence of Williams life skills training on preoperative anxiety and trait coping syle in patients undergoing general anesthesia elective surgery

Objective To investigate the effect of Williams life skills training (WLST) on preoperative anxiety and trait coping strategies in patients undergoing general anesthesia for elective surgery. Methods A total of 120 patients undergoing general anesthesia for elective surgery were randomly divided into observation group and control group according to random number table method with 60 cases each. The control group was given general preoperative nursing intervention, on the basis of which the observation group gave WLST. Before and after the intervention, the Amsterdam Preoperative Anxiety and Information Scale and Trait Coping Style Questionnaire were used to evaluate the patients. Results Before intervention, there was no significant difference between the two groups (P> 0.05). After intervention, the preoperative anxiety and information needs scores of the observation group was (10.02 ± 2.53) and (4.02 ± 1.05) points respectively, while in the control group was (15.89 ± 3.20) and (7.96 ± 1.62) points respectively, the difference was statistically significant (t= 7.952, 8.447, P <0.05), and negative coping score was (29.07 ± 6.14) points lower than the control group (33.86 ± 7.12) points, positive response score was (33.89 ± 7.64) points higher than the control group (29.77 ± 6.71) points, the difference was statistically significant (t= 7.647, 7.981, P <0.05). Conclusion WLST can effectively improve preoperative anxiety in patients undergoing general anesthesia and improve their coping ability, which is conducive to the successful implementation of anesthesia and surgery. Key words: Surgical procedures, operative; Life skills training; Amsterdam Preoperative Anxiety and Information Scale; Preoperative anxiety; Coping style

Effects of quality control circle activity on reducing the rate of surgery delay and cancellation in hypertension patients with day surgery

Objective To explore the effects of quality control circle (QCC) on the rate of delay and cancellation caused by raised blood pressure before in hypertension patients undergoing day surgery. Methods We formed a QCC team and carried out the activity reducing the rate of delay and cancellation caused by raised blood pressure before in hypertension patients undergoing day surgery . From July to October 2015, a total of 248 hypertension patients were selected in control group (before activity) . And then, we implemented investigation of the current situation, collected data and set targets by QCC activity. From November 2015 to February 2016, a total of 276 hypertension patients were selected in experimental group (after activity) . Finally, we evaluated the effects of QCC activity after implementing improved measures. Results After carrying out QCC activity, the standard-reaching rate of preoperative blood pressure raised from 89.52% before activity to 94.93%; the rate of cancellation and delay before reduced from 9.27% to 3.62%; the medication compliance increased from 7.26% before activity to 13.40%, the satisfaction of nurses added from 90.72% before activity to 95.65%, and with significant differences (P<0.05) . Besides, there were improvements in techniques of QCC, communication skills, problem-solving skills, work enthusiasm and team spirit among team members. Conclusions The implementation of QCC activity effectively reduces the rate of delay and cancellation caused by raised blood pressure before in hypertension patients undergoing day surgery, improves nursing quality and patient' satisfaction, enhances nurses' overall quality. Besides, it reflects the importance of preoperative nursing intervention and promotes ordered as well as efficient operation in work specification of day ward. Key words: Hypertension; Quality control circle; Day surgery; Preoperative nursing; Surgery delay

Effects of a psychological intervention programme on mental stress, coping style and immune function in percutaneous coronary intervention patients.

PurposeThis study aimed to assess the effects of a psychological intervention programme on the mental stress, coping style and cortisol and IL-2 levels of patients undergoing percutaneous coronary intervention (PCI).MethodsA total of sixty cardiovascular patients scheduled for PCI with clear anxiety and depression screened by the Hospital Anxiety and Depression Scale were randomly divided into an experimental (n = 30) and control (n = 30) group. The participants in the experimental group received cognitive therapy, relaxation therapy and emotional support. Self-reported questionnaires, including the Self-Report Symptom Checklist (SCL-90) and the Medical Coping Mode Questionnaire (MCMQ), and levels of IL-2 and cortisol were collected at baseline and the day before discharge.ResultsCompared with the controls, patients in the intervention group had a better mental state and coping style (confrontation), higher levels of IL-2 and lower levels of cortisol (all P<0.05).ConclusionsThe psychological intervention programme effectively improved mental state, reduced negative coping styles, increased levels of IL-2, and decreased cortisol levels in patients undergoing PCI. This programme may be an effective preoperative nursing intervention for PCI patients.Trial registrationChinese Clinical Trail Registry ChiCTR-IOR-16007864

Effect of preoperative systematic nursing intervention on physiological stress and negative emotion of patients with thyroid

Objective To explore the effect of systematic nursing intervention on physiological stress index, anxiety and depression of patients with thyroid. Methods A total of 86 cases of patients with thyroid disease who received operation in our hospital from October 2014 to October 2015 were selected as the research objects and were divided into study group and control group according to the random number table, 43 cases in each group.In the control group, routine nursing intervention was carried out, and the research group was introduced into preoperative systematic nursing intervention on the basis of the control group.The systolic blood pressure, diastolic blood pressure, heart rate, numeric rating scales (NRS), self rating Anxiety Scale (SAS) score and self rating Depression Scale (SDS) score of the two groups at admission, after the intervention of 2 days and the 2nd, 4th after the operation were recored. Results There were no significant differences in systolic blood pressure, diastolic blood pressure and heart rate between the two groups (P>0.05) at the beginning.The results showed that the systolic blood pressure, diastolic blood pressure and heart rate of the patients in the study group were lower than those in the control group after 2 days and the 2nd, 4th, and the difference was statistically significant (P 0.05). After the operation 2nd and 4th, the NRS score of the study group was lower than that of the control group, and the difference was statistically significant (P 0.05). The SAS and SDS scores of the study group were significantly lower than that of the control group (2D) after the 2nd and 4th of the operation, and the difference was statistically significant(P<0.05). Conclusions The systematic nursing intervention mode for patients with thyroid surgery is helpful to reduce the physiological stress, and it can improve the negative emotional state of the patients, so it is worth to be further promoted in clinical practice. Key words: Systematic nursing; Thyroid surgery; Physiological stress; Negative emotion

Effectiveness of the Nursing Methodology in Pain Management after Major Ambulatory Surgery

Patients undergoing a surgical intervention for the first time are unfamiliar with the perioperative context, and they usually have no knowledge of postoperative pain management. In the preoperative circuit, there is no time to educate the patient in these terms. The professional profile of nurses allows this need to be addressed, and provides a regulated language to evaluate their effectiveness. This study evaluates the effectiveness of nursing counseling during a preoperative consultation for the management of postoperative pain and its effects on patient satisfaction at hospital discharge. This quasi-experimental study assesses the efficacy of preoperative nursing intervention in two groups, control (n = 185) and intervention (n = 195). Those in the intervention group attended a preoperative session during which they received information from nursing staff and took part in activities to learn about postoperative pain management and the perioperative circuit. Control group patients underwent the standard preoperative protocol. Data were compiled from January to December 2009. Statistically significant differences existed between the two groups regarding postoperative pain (visual analogue scale >3, 20.5% versus 11.5%; p = .023), patient satisfaction (87.1% versus 78.7%; p = .041), and surgical wound complications (13.9% versus 5.5%; p = .010). The results confirm the benefits of applying the nursing methodology in preoperative clinics.

The study of laparoscopic ovarian cystectomy in sequential hemostasis affect ovarian function

Objective To explore the laparoscopic ovarian cystectomy in sequential hemostasis for female patients with ovarian function .Methods 76 cases of patients with unilateral or bilateral ovarian cyst of our hospital from September 2011 to September 2012 were selected ,who were divided into the observation group and control group in accordance with the order of treatment .The observation group was 38 patients,intraoperative hemostasis were used sequential processing on bleeding wounds;The control group was 38 patients,intraoperative were used bipolar electro-coagulation treatment on bleeding wound to stop bleeding .Two groups were given the same preoperative nursing inter-vention,the two groups were observed and compared preoperative serum estradiol , luteinizing hormone and follicle-stimulating hormone and other hormone levels .Operative time were compared,respectively,1,4 months after surgery for hormone levels monitored.Results The mean operative time was （58.0 ±8.1） min in the observation group,（61.0 ±5.4）min in the control group,the two groups showed no significant difference （t =1.32,P〉0.05）;the observation group were preoperative serum estrogen diol （E2）values（131.4 ±9.6）poml/L,luteinizing hormone（LH） was （5.8 ±1.7）IU/L,follicle-stimulating hormone（FSH）（7.8 ±1.9）IU/L,were E2 preoperative value（128.3 ± 10.1）poml/L,LH value（5.8 ±2.2） IU/L,FSH（6.0 ±1.3） IU/L,the two groups showed no significant difference （t=1.34,0.82,1.02,all P〉0.05）;groups of patients after one month E2,FSH levels were decreased compared with the preoperative,with significant difference（the observation group,t=4.31,4.10,the control group t=4.18,4.15,all P〈0.05）;4 months after E2 levels were lower than that of the control group （t=5.22,P〈0.05）,LF,FSH levels were significantly higher than the observation group （t=4.20,5.09,all P〈0.05）.Conclusion Laparoscopic ovarian cystectomy in sequential method can effectively maintain hemostatic levels of sex hormones, the normal physiological function of ovarian protection for the effective way to stop bleeding ,which is worthy of further clinical practice . Key words: Ovarian cysts; Gynecologic surgical procedures; Hemostasis,surgical; Gonadal hormones

Preoperative psychological nursing intervention promotes recovery of patients with esophageal cancer

Preoperative psychological nursing intervention promotes recovery of patients with esophageal cancer

The effect of preoperative nursing intervention on the complication in elderly patients with hypertension combined with coronary heart disease after Percutaneous Coronary Intervention

Objective To explore preoperative nursing intervention on the complication of elderly patients with hypertension combined with coronary heart disease after PCI,and to provide a reference for clinical care.Methods Multivariate logistic regression analysis was used to analyze the risk factors of the complications in the elderly patients with hypertension combined with coronary heart disease in our hospital from 2009 to 2011.According to the analysis result,the patients who hospitalized from January to July 2012 were treated with preoperative nursing intervention,and clinical effect was compared.Results The risk factors of complication occurrence included age,anxiety,diabetes,disease awareness.The complication occurrence rate before nursing intervention was 34.2％ (40/117),after the intervention complication rate was 11.1％ (13/117) and the difference was statistically significant (P ＜ 0.05).Conclusions Preoperative nursing intervention can reduce the complications occurrence in in elderly patients with hypertension combined with coronary heart disease after Percutaneous Coronary Intervention Key words: Elderly ; Hypertension; Preoperative nursing intervention ; Coronary heart disease

The effect of respiratory nursing intervention on postoperative respiratory function and life quality of lung cancer patients

Objective To explore the effect of respiratory nursing intervention on the lung cancer patients.Methods Ninety lung cancer patients with operation therapy were divided into the observation group and the control group.The control group was used conventional care,the observation group was given preoperative respiratory nursing intervention based on the control group.Postoperative respiratory function,complications,hospitalization time and life quality were compared between two groups.Results The scores of cough,pulmonary rales,expectoration difficulty in observation group were significantly lower than those in the control group (P ＜ 0.05).Complications,hospitalization time in the observation group was significantly less than those in the control group,the life quality score was higher than that in the control group (P ＜ 0.05).Conclusions Respiratory nursing intervention can improve lung cancer patients with postoperative respiratory function,reduce the complications,and improve the life quality. Key words: Respiratory nursing intervention; Lung cancer; Respiratory function; Life quality

Effect of preoperative nursing care on the negative mood of patients with AIMAH

Objective To discuss the effect of preoperative nursing care on the patients with AIMAH.Methods Totals of 40 patients with AIMAH received the nursing intervention such as health education,psychological nursing,etc.They were investigated with SAS and SDS,and sleep time was measured before and after the intervention.Results Totals of 40 patients were in different degree of negative mood when enrolled to hospital.Before and after nursing intervention,the SAS and SDS scores of patients were lower [(51.56±10.16) vs (40.68±7.42),(58.64±11.14) vs (42.63±7.98)],and their sleep time was extended [(5.82±0.31 ) h vs (6.96±0.42) h],and the difference was statistically significant ( t=4.212,3.305,respectively ;P＜0.05).Conclusions Nursing intervention for the patients with AIMAH is very useful,it can improve the patients' negative mood,compliance,and promote their recovery. Key words: Preoperative nursing intervention; AIMAH; Laparoscopy; Negative mood

The Effects of Pre-operative Visual Information and Parental Presence Intervention on Anxiety, Delirium, and Pain of Post-Operative Pediatric Patients in PACU

The purpose of this study was to test whether pre-operative visual information and parental presence had positive effects on anxiety, delirium, and pain in pediatric patients who awoke from general anesthesia in a post-surgical stage. This study used a non equivalent control-group post test design (n=76). Independent variables were provision of pre-operative visual information and parental presence for post-surgical pediatric patients in PACU (post anesthesia care unit). Dependent variables were anxiety, delirium, and pain in the pediatric patients measured three times at 10 minute intervals after extubation in the PACU. Measurements included Numerical Rating Scale for assessing state anxiety, Pediatric Anesthesia Emergence Delirium Scale by Sikich & Lerman (2004) for delirium, and Objective Pain Scale by Broadman, Rice & Hannallah (1988) for pain. Experimental group showed significantly decreased state anxiety at time points-10, 20, and 30 minutes after extubation. Delirium was significantly lower at 10 minutes and 30 minutes after extubation in the experimental group. Pain was significantly lower at 10 minutes after extubation in the experimental group. The results of this study suggest that this intervention can be a safe pre-operative nursing intervention for post-surgical pediatric patients at PACU.

Preoperative assessment and nursing intervention to elderly patients with osteoporotic compression fracture of spine treated by percutaneous kyphoplasty

To explore the effect of preoperative nursing assessment and intervention to elderly patients with osteoporotic compression fractures of spine treated by percutaneous kyphoplasty.Using percutaneous kyphoplasty to treat 49 elderly patients, age 70-89 years (average 75.5), The patients received preoperative nursing assessment and intervention.Pains were effectively relieved to the all patients, no complication occurred due to improper care.Percutameous kyphoplaty was effective method to treat elderly patients with osteoporotic compression fractures of spine, preoperative nursing assessment and intervention was important part of successful surgery. Key words: Elderly; Osteoporosis; PKP; Nursing; Assessment

Stress response and psychological intervention study of elderly patients with thoractomy in perioperative period

Objective To investigate stress response and psychological care interventions of elderly patients with thoracotomy in peri-operative period. Methods 100 patients undergoing selective thoracotomy were randomly divided into treatment group and control group, 50 in each group. Observation group received cognitive behavioral intervention, where the control group received psychological care in general wards. Preoperative anxiety and postoperative blood pressure, heart rate and postoperative physical recovery-related indicators were obtained and analyzed. Results The preoperative anxiety and postoperative pain was significantly lower than the control group(t = 8. 05,3. 47; P ＜ 0. 01). Postoperative time to pull out the chest lead pipe, and the first intestinal discharge time was earlier than the control group (t = 2. 98,2. 09;P ＜ 0. 01). Conclusions Elderly patients undergoing thoracotomy system preoperative nursing intervention can significantly reduce adverse surgical stress, help to reduce postoperative pain and accelerate postoperative physical rehabilitation to improve the treatment quality of care. Key words: Stress; Perioperative nursing; Aged; Psychological intervention

Effects of preoperative nursing intervention on the tolerance of catheter related bladder discomfort in patients with neurological surgery

Objective To investigate the effects of preoperative nursing intervention on tolerance of catheter related bladder discomfort in the patients with neurological surgery during anesthesia recovery period and postoperative period.Methods A total of 95 cases were randomized into two groups:the intervention group and the control group.The intervention group patients received nursing intervention for urethral catheterization before 1 day of operation;the control group received traditional preoperative health education of catheterization.Two groups of patients were indwelled catheter with general anesthesia before surgery.After surgery,evaluation scores of indwelling catheter irritation tolerance during anesthesia recovery period and conscious period after anesthesia,the extent of catheter irritation of patients felt and cases of patients who pulled off catheter themselves accidently were all compared.Results There was no significant difference in evaluation scores of indwelling catheter irritation tolerance during anesthesia recovery period;but during conscious period after anesthesia,the scores of the intervention group was significantly lower than that of the control group.There was also no significant difference in the extent of catheter irritation of patients feeled and cases of patients who pulled off catheter themselves accidently between the two groups.Conclusions Preoperative nursing intervention of catheterization can help patients to confront catheter related bladder discomfort and to improve tolerance during conscious period after anesthesia. Key words: Neurological surgery; Indwelling catheter; General anesthesia; Catheter related bladder discomfort; Nursing intervention

The Effect of Pre-warming for Patients under Abdominal Surgery on Body Temperature, Anxiety, Pain, and Thermal Comfort

The purpose of this study was to examine the effect of pre-warming on body temperature, anxiety, pain, and thermal comfort. Forty patients who were scheduled for abdominal surgery were recruited as study participants and were assigned to the experimental or control group. For the experimental group, a forced air warmer was applied for 45-90 min (M=68.25, SD=15.50) before surgery. Body temperature and anxiety were measured before and after the experiment, but pain and thermal comfort were assessed only after the surgery. Hypotheses were tested using t-test and repeated measured ANOVA. The experimental group showed higher body temperature than the control group from right before induction to two hours after surgery. Post-operative anxiety and pain in the experimental group were less than those of the control group. In addition, the score of thermal comfort was significantly higher in the experiment group. Pre-warming is effective in maintaining body temperature, lowering sensitivity to pain and anxiety, and promoting thermal comfort. Therefore, pre-warming can be recommended as a preoperative nursing intervention.

Evaluation on application effect of systematic nursing intervention before and after PTCA

Objective To explore the application effect of systematic nursing intervention in patients before and after PTCA. Methods 112 cases of percutaneoas transluminal coronary angioplasty (PTCA) patients were randomly divided into the experiment group and the control group. The systematic nursing intervention was given to the patients in the experiment group before and after the operation, and the general nursing intervention to the patients in the control group. The influence of the two nursing methods to PTCA patients was comparatively analyzed. Results There was no significant difference in each index before the intervention between the two groups (P>0.05). After the intervention, the score of anxiety was(53.89±7.95) in the experiment group, and(58.72±8.98)in the control group, showing a significant difference (P<0.05). The degrees of comfort and satisfaction in the experiment group were higher than those in the control group. Conclusions Preoperative and postoperative nursing intervention can effectively ease anxiety in patients, so that patients can better adapt and cope with the surgery. Thereby, it is help to improve the quality of operation. Key words: Systematic nursing intervention; PTCA technique; Application effect

Nursing before Posthectomy for Children

目的 探讨包皮环切术的术前护理方法.方法 随机抽取在门诊行包皮环切术的患儿100例.在术前一周,实施包皮翻转、包茎扩张、粘连松解,局部清洁积垢等术前护理措施,待炎症、粘连面完全愈合后再行包皮环切术.结果 采取本护理措施的100例患儿,行包皮环切术后,伤口均正常愈合,无1例发生感染,平均愈合时间为5.2天.结论 行包皮环切术前常规实施包皮翻转、包茎扩张、粘连松解,局部清洁积垢等术前护理措施,可以有效地减轻术后伤口的水肿、疼痛以及减少术后伤口的感染和再粘连机会,从而提高手术的成功率。

Nursing knowledge and the expansion of day surgery in the United Kingdom

Background The amount of surgery undertaken within United Kingdom Day Surgery Units has risen considerably over the past 15–20 years. Throughout this pioneering era, nursing roles and responsibilities within the modern surgical environment have developed although have largely shadowed medical advances. Evidence based nursing knowledge appears to have contributed very little to the recent success of day surgery. This may be due, in part, to the lack of attention given to modern surgical practices within current pre-registration nurse education programmes of study. Aim The aim of this educational audit was to evaluate the consideration given to modern surgical practices in the programmes of study of recently qualified staff nurses employed within Day Surgery Units in the United Kingdom in order to gauge the extent of the challenge. Method A postal audit was designed and sent to n = 247 Day Surgery Units. The audit was intended to elicit information from the staff nurses regarding their experiences of modern, elective day surgery during their nurse education programmes of study. Results Two hundred and seventy seven staff nurses responded revealing that the level of attention to day surgery practices within pre-registration programmes was extremely low. The professions’ actual and potential theoretical contribution to modern surgical practices was virtually nil. Their experience of pre-operative nursing intervention appeared mainly to involve the teaching of traditional surgical in-patients nursing skills. The inclusion of modern surgical practices into the theoretical assignments within the programmes of study was very limited. Once qualified, the vast majority of staff nurses experienced no additional formal education for their new role. Conclusions The results are discussed in relation to the re-focusing of pre-registration nurse education, changing clinical roles and the future of nursing within the modern surgical arena.