Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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J. Perianesth. Nurs. · Jul 2020
A Practical Approach to Acute Postoperative Pain Management in Chronic Pain Patients.
In the United States, more than 100 million people suffer from chronic pain. Among patients presenting for surgery, about one in four have chronic pain. Acute perioperative pain management in this population is challenging because many patients with chronic pain require long-term opioids for the management of this pain, which may result in tolerance, physical dependence, addiction, and opioid-induced hyperalgesia. ⋯ This article aims to summarize practical considerations for acute postoperative pain management in patients with chronic pain conditions. A patient-centered acute pain management plan, including nonopioid analgesics, regional anesthesia, and careful selection of opioid medications, can lead to adequate analgesia and satisfaction with care. Also, a meticulous rotation from one opioid to another may decrease opioid requirement, increase analgesic effectiveness, and improve satisfaction with care.
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J. Perianesth. Nurs. · Jun 2020
Effects of Extremity Massage on Preoperative Anxiety: A Three-Arm Randomized Controlled Clinical Trial on Phacoemulsification Candidates.
The present study aimed to compare the effects of foot and hand massage on preoperative anxiety. ⋯ Application of hand or foot massage seems to be effective in managing anxiety in patients waiting for phacoemulsification cataract surgery.
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J. Perianesth. Nurs. · Jun 2020
Randomized Controlled TrialThe Effects of Intraoperative Progressive Muscle Relaxation and Virtual Reality Application on Anxiety, Vital Signs, and Satisfaction: A Randomized Controlled Trial.
This study aimed to determine the effects of intraoperative progressive muscle relaxation (PMR) and the application of virtual reality (VR) on anxiety, vital signs, and satisfaction levels during a knee arthroscopy operation. ⋯ Intraoperative PMR and VR can be used as nursing interventions to increase satisfaction and positively affect vital signs in patients who undergo surgery with spinal anesthesia.
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J. Perianesth. Nurs. · Apr 2020
Randomized Controlled TrialThe Effect of Virtual Reality and Kaleidoscope on Pain and Anxiety Levels During Venipuncture in Children.
The study aimed to determine the effect of two different distractions on pain perceptions and anxiety during venipuncture in children. ⋯ The use of virtual reality goggle and kaleidoscope methods during venipuncture are effective in reducing children's perception of pain and anxiety. The most effective method of reducing perception of pain and anxiety is using the virtual reality goggle.
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J. Perianesth. Nurs. · Feb 2020
Randomized Controlled TrialThe Effect of Hand Massage Before Cataract Surgery on Patient Anxiety and Comfort: A Randomized Controlled Study.
This study aimed to determine the effectiveness of hand massage on patient anxiety and comfort before cataract surgery. ⋯ Hand massage reduced the anxiety of patients, positively affected their vital signs, and increased their comfort.