Effect of a preoperative evidence-based care education on postoperative recovery of cardiac surgery patients: A quasi-experimental study.

INTRODUCTION: Preoperative nursing care affects many factors such as reducing the length of hospital stay of the patients in the perioperative period, the rate of postoperative complications, the duration of the operation, decrease of postoperative pain level and early mobilization. AIMS: We aimed to determine the effect of preoperative evidence-based care education that given to cardiac surgery clinical nurses on the postoperative recovery of patients. METHODS: The research was planned as quasi-experimental. Eighty-six patients who underwent cardiovascular surgery were divided into control and intervention groups. First, the ongoing preoperative care practices and patient recovery outcomes of the clinic were recorded for the control group data. Second, education was provided for the clinical nurses about the preoperative evidence-based care list, and a pilot application was implemented. Finally, the evidence-based care list was applied by the nurses to the intervention group, and its effects on patient outcomes were evaluated. The data were collected using the preoperative evidence-based care list, descriptive information form, intraoperative information form and postoperative patient evaluation form. RESULTS: The evidence-based care list was applied to the patients in the intervention group, with 100% adherence by the nurses. All pain level measurements in the intervention group were significantly lower in all measurements (p = .00). The body temperature measurements (two measurements) of the intervention group were higher (p = .00). The postoperative hospital stays of the control group and the intervention group were 11.21 ± 8.41 and 9.50 ± 3.61 days. CONCLUSION: The presented preoperative evidence-based care list can be used safely in nursing practices for patients. It provides effective normothermia, reduces the level of pain, shortens the hospital stay and reduces the number of postoperative complications. RELEVANCE TO CLINICAL PRACTICE: By applying a preoperative evidence-based care to patients undergoing cardiac surgery, pain levels, hospital stays and the number of complications decrease, and it is possible to maintain normothermia. An evidence-based care can be used to ensure rapid postoperative recovery for patients undergoing cardiac surgery.

Comparison of postoperative pain, anxiety, and sleep quality in robotic-assisted and manual total knee replacement surgery.

This study aimed to comparatively evaluate postoperative pain, anxiety, and sleep quality in patients after robotic-assisted and manual total knee replacement surgery. Patients who underwent either robotic or manual total knee replacement (TKR) surgery were analyzed in this cross-sectional observational study. Volunteers who were conscious, mentally healthy, without primary sleep disorders, without chronic uncontrolled diseases, 18 years of age or older, able to understand verbal warnings, and who agreed to participate in the study after being informed about the purpose of the study were included in the study. A total of 80 patients who underwent robotic-assisted TKR and 87 patients who underwent manual TKR were participated in the study. Data were collected using the "Patient Description Form" Visual Analog Scale, Richards-Campbell Sleep Scale, and State Anxiety Scale. All patients were operated on by the same physicians and received standard perioperative care. In the study, a statistically significant difference was found between the education level of the patients and the type of surgery (p = 0.007). According to the average scores, it was observed that the patients in the robotic group had higher pain levels, better sleep quality, and higher anxiety levels compared to the manual group. There was a significant correlation between the level of pain felt on the 1st and 2nd day (p = < 0.001) and state anxiety levels with gender (p = 0.010) in the robotic group. For the robotic group, pain on day 2 was mostly affected by pain on day 1 and state anxiety. For the manual group, pain on day 2 was mostly affected by pain on day 1. According to our results, patients who underwent robotic-assisted TKR had higher pain levels, better sleep quality, and higher anxiety levels than patients who underwent manual TKR.

Operating room professionals' attitudes towards patient safety and the influencing factors.

OBJECTIVE: To determine operating room professionals'attitudes towards patient safety and the influencing factors. METHODS: This study was conducted in research hospitals in Izmir, Turkey using descriptive, cross-sectional and correlation research designs. The sample of this study consisted of 477 individuals including nurses, physicians and anesthesia technicians. Data were collected using the Sociodemographic and Working Characteristics Form and the Safety Attitudes Questionnaire. Descriptive statistics method, and Pearson's correlation and the multiple regression models were used for data analysis. RESULTS: Operating room professionals' attitudes towards patient safety were at moderate levels. Regarding the influencing factors, team cooperation obtained the highest score, whereas stress recognition obtained the lowest score. As a result of the regression analysis, age, male gender and receiving patient safety training explains 15.4% of the professionals' safety attitudes. CONCLUSIONS: Receiving patient safety training was found to be the most important variable of all.