Journal of Korean Academy of Nursing

Original Articles

The Effect of Pain Relieving Intervention During Infiltration among Gamma Knife Surgery Patients for Stereotactic Frame Fixation: Young Jun Jang, Hyeon Ok Kim; J Korean Acad Nurs 2018;48(2):221-231. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.221

Abstract PDF: Abstract Purpose
This study aimed to compare the effects of three interventions on pain, blood pressure, and pulse rate during infiltration anesthesia in patients about to undergo gamma knife surgeries.
Methods
The three interventions employed in a university-affiliated Hospital in J City, South Korea were as follows: EMLA cream plus Vapocoolant spray (Vapocoolant, n=30), EMLA cream plus 10.0% Lidocaine spray (Lidocaine, n=30), and EMLA cream only (EMLA, n=30). The equivalent control-group pre test - post test study design was used. Pain was assessed subjectively using the numeric rating scale (NRS) and objectively using a Galvanic Skin Response (GSR) tester. NRS scores were assessed after infiltration anesthesia and the GSR was assessed during infiltration anesthesia. Blood pressure and pulse rate were assessed twice: before and after infiltration anesthesia. Data were collected between August 3, 2016 and March 24, 2017.
Results
NRS scores after infiltration anesthesia and the GSR during infiltration anesthesia were significantly lower in the Vapocoolant group than in the Lidocaine and EMLA groups (F=13.56, p<.001 and F=14.43, p<.001, respectively). The increase in systolic blood pressure (F=4.77, p=.011) and in pulse rates (F=4.78, p=.011) before and after infiltration anesthesia were significantly smaller in the Vapocoolant group than in the Lidocaine and EMLA groups; however, no significant differences were observed in diastolic blood pressures (F=1.51, p=.227).
Conclusion
EMLA cream plus Vapocoolant spray was the most effective intervention to relieve pain and to lower increase in systolic blood pressure and pulse rate caused by infiltration anesthesia for stereotactic frame fixation. Thus, application of Vapocoolant spray in addition to EMLA cream is highly recommended as a nursing intervention for patients undergoing gamma knife surgeries.

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The Effect of a Hand Massage Program on Anxiety and Immune Function in Clients with Cataract Surgery under Local Anesthesia: Kyung Sook Cho; Journal of Korean Academy of Nursing 1999;29(1):97-106. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1999.29.1.97

This study was designed to investigate the effect of a hand massage program on anxiety and immune function in patients during cataract surgery. The hand massage program, in this study, consisted of hand massage and hand-holding. The subjects were sixty-three patients, thirty for the experimental and thirty-three for the control group, who were admitted at Kang Nam St. Mary's Hospital for cataract surgery. This study was carried out from December 10, 1997 to February 26, 1998. The level of anxiety as measured by the Visual Analogue Scale, systolic blood pressure, diastolic blood pressure, and pulse rate were measured before, after hand massage, and after hand-holding. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, lymphocyte, and natural killer cell percentages also were measured before hand massage and five minutes before the end of the operation. Data were analyzed by t-test, ANCOVA, repeated measure ANOVA, and Bonferroni multiple comparisons. The results were as follows : 1) After hand massage, psychological anxiety levels decreased significantly compare with before hand massage in the experimental group, not in the control group. After hand holding, there were significant decrease in both groups. 2) There were no significant differences on systolic blood pressure, diastorlc blood pressure, and pulse rates in both groups. 3) The hand massage program decreased epinephrine, norepinephrine, and cortisol significantly in the experimental group and increased epinephrine, norepinephrine, and cortisol in the control group. 4) There were no differences in blood sugar levels, neutrophil and lymphocyte percentages in white blood cells after the hand massage program. However, natural killer cells in lymphocytes were significantly increased in the experimental group. These findings indicate that a hand massage program could be a effective nursing intervention in decreasing the psychological and physiological anxiety levels and improving immune function in clients having cataract surgery under local anesthesia.

Citations

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An intervention study of a combined intervention of positioning and hand massage in patients undergoing radiofrequency catheter ablation
Yun Kyeong Lee, Mihae Im, Haeryun Cho
Nursing Open.2023; 10(3): 1404. CrossRef
Effects of Extremity Massage on Preoperative Anxiety: A Three-Arm Randomized Controlled Clinical Trial on Phacoemulsification Candidates
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Journal of PeriAnesthesia Nursing.2020; 35(3): 277. CrossRef
The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention
Eun Sil Shin, Myung-Hee Kim
Journal of Korean Academy of Nursing.2018; 48(4): 465. CrossRef
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The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
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Kory Floyd
Western Journal of Communication.2014; 78(4): 383. CrossRef
Analysis of Studies on Hand Massage Published in Korea: On the Effects of Sleep, Pain, Anxiety and Depression
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The Korean Journal of Rehabilitation Nursing.2012; 15(1): 47. CrossRef
Effects of Foot Reflexology on Fatigue, Sleep and Pain: A Systematic Review and Meta-analysis
Jeongsoon Lee, Misook Han, Younghae Chung, Jinsun Kim, Jungsook Choi
Journal of Korean Academy of Nursing.2011; 41(6): 821. CrossRef
Effects of Hand Holding on Self-esteem and Assertiveness in Women Patients with Depression
Mi-Hae Sung, Mi Young Choi, Ok Bong Eum
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(2): 154. CrossRef
Effects of Self-Foot Reflexology on Stress, Fatigue and Blood Circulation in Premenopausal Middle-Aged Women
Soo Hyun Jang, Kye Ha Kim
Journal of Korean Academy of Nursing.2009; 39(5): 662. CrossRef
The effects of handholding on anxiety in cataract surgery patients under local anaesthesia
Jung‐Soon Moon, Kyung‐Sook Cho
Journal of Advanced Nursing.2001; 35(3): 407. CrossRef

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Effects of Hand Massage and Hand Holding on the Anxiety in Patients with Local Infiltration Anesthesia: Hyun Jung Oh, Jeong Sook Park; Journal of Korean Academy of Nursing 2004;34(6):924-933. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2004.34.6.924

Abstract PDF

Purpose

This study was to examine the effects of hand massage and hand holding as nursing interventions on the anxiety in patients with local infiltration anesthesia.

Method

The design of this study was a nonequivalent, control group, non- synchronized design. The subjects of this study consisted of 15 patients for the hand group, 15 patients for the hand holding group and 17 patients for the control group awaiting surgery in the operation room of a general hospitalin Daegu. As an experimental treatment, hand massage was carried out by the Hand Massage Protocol developed by Snyder(1995) and interpreted by Cho(1998) and hand holding developed by Cho(1998). The data were analyzed by SPSS/WIN, T-test, ANOVA, Cronbach's α, and the Scheffe test.

Results

The hand massage group and hand holding group were more effective than the control group in reducing anxiety, VAS score, systolic blood pressure and pulse rate.

Conclusion

Hand massage and hand holding are effective nursing interventions that alleviates the psychological and physiological anxiety of patients with local infiltration anesthesia. In particular, the simple contact of hand holding is regarded as an effective and easily accessible nursing intervention in the operating room.

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Sung-Hyun Tark, Jee-In Hwang
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The Effects of Hand Massage in Patients Who Underwent Transradial Percutaneous Coronary Intervention
Eun Sil Shin, Myung-Hee Kim
Journal of Korean Academy of Nursing.2018; 48(4): 465. CrossRef
Effects of the Provision of Information on Anxiety in Patients during Outpatient Surgery: A Systematic Review
Ae-Ri Jung, In-Sook Lee
Perspectives in Nursing Science.2016; 13(1): 48. CrossRef
Effectiveness of Hand Massage Combined with Analgesics on Pain Control in Patients with Terminal Cancer
Yunmi Lee, Hosoon Yoon, Sungwoon Lee, Young Mi Kim
The Korean Journal of Hospice and Palliative Care.2016; 19(4): 296. CrossRef
Intraoperative Caring Behavior and Anxiety as Perceived by Patients Undergoing Spinal Surgery under Local Anesthesia
Jung Suck Ha, Eun Nam Lee
Journal of muscle and joint health.2015; 22(2): 96. CrossRef
Effects of handholding and providing information on anxiety in patients undergoing percutaneous vertebroplasty
Bong‐Hee Kim, Hee‐Young Kang, Eun‐Young Choi
Journal of Clinical Nursing.2015; 24(23-24): 3459. CrossRef
Effect of Aroma Hand Massage on Anxiety and Immune Function in Patients with Gynecology Surgery under Local Anesthesia
Yun Ah Kim, Mi Hae Sung
Korean Journal of Women Health Nursing.2014; 20(2): 126. CrossRef
The Effect of Hand Holding and Nei-Guan Acupressure on Anxiety and Pain under Local Anesthetic Patients during Surgery
Sun Hee Park, Hee Jung Jang
The Journal of the Korea Contents Association.2014; 14(11): 378. CrossRef
Analysis of Studies on Hand Massage Published in Korea: On the Effects of Sleep, Pain, Anxiety and Depression
In-Ja Kim, Yu-Na Cho
The Korean Journal of Rehabilitation Nursing.2012; 15(1): 47. CrossRef
Effects of Hand Holding on Self-esteem and Assertiveness in Women Patients with Depression
Mi-Hae Sung, Mi Young Choi, Ok Bong Eum
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(2): 154. CrossRef

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Effects of ASPAN's Evidence-based Clinical Practice Guidelines for Promotion of Hypothermia of Patients with Total Knee Replacement Arthroplasty: Je Bog Yoo, Hyun Ju Park, Ji Yeoun Chae, Eun Ju Lee, Yoo Jung Shin, Justin Sangwook Ko, Nam Cho Kim; J Korean Acad Nurs 2013;43(3):352-360. Published online June 28, 2013; DOI: https://doi.org/10.4040/jkan.2013.43.3.352

Abstract PDF

Purpose

In this study an examination was done of the effects of the American Society of PeriAnesthesia Nurses (ASPAN) Evidence-Based Clinical Practice Guidelines on body temperature, shivering, thermal discomfort, and time to achieve normothermia in patients undergoing total knee replacement arthroplasty (TKRA) under spinal anesthesia.

Methods

This study was an experimental study with a randomized controlled trial design. Participants (n=60) were patients who underwent TKRA between December 2011 and March 2012. Experimental group (n=30) received active and passive warming measures as described in the ASPAN's guidelines. Control group (n=30) received traditional care. Body temperature, shivering, thermal discomfort, time to achieve normothermia were measured in both groups at 30 minute intervals.

Results

Experimental group had slightly higher body temperature compared to control group (p=.002). Thermal discomfort was higher in the experimental group before surgery but higher in the control group after surgery (p=.034). It decreased after surgery (p=.041) in both groups. Time to achieve normothermia was shorter in the experimental group (p=.010).

Conclusion

ASPAN's guidelines provide guidance on measuring patient body temperature at regular intervals and on individualized and differentiated hypothermia management which can be very useful in nursing care, particularly in protecting patient safety and improving quality of nursing.

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Effect of the ASPAN Guideline on Perioperative Hypothermia Among Patients With Upper Extremity Surgery Under General Anesthesia: A Randomized Controlled Trial
Sookyung Kang, Soohyun Park
Journal of PeriAnesthesia Nursing.2020; 35(3): 298. CrossRef
Patient Care Interventions to Reduce the Risk of Surgical Site Infections
Kari L. Love
AORN Journal.2016; 104(6): 506. CrossRef
Effects of Forced Air Warming on Body Temperature, Shivering and Pain in Laparoscopic Cholecystectomy Patients*
Sung Joo Park, Sook Young Kim
Journal of Korean Academy of Fundamentals of Nursing.2015; 22(3): 287. CrossRef
Use of Web-Based Evidence-based Clinical Practice Guidelines for Patients following Gastrectomy: Effects on Body Temperature, Shivering, Perceived Thermal Comfort, and Satisfaction with Temperature Management
Sung-Jung Hong, Eunjoo Lee
Journal of Korean Academy of Fundamentals of Nursing.2014; 21(2): 112. CrossRef
Interventions for treating inadvertent postoperative hypothermia
Sheryl Warttig, Phil Alderson, Gillian Campbell, Andrew F Smith
Cochrane Database of Systematic Reviews.2014;[Epub] CrossRef

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Development of an Instrument to Measure Intra-Operative Caring Behaviors Perceived by Regional Anesthesia Patients: Mi-Jung Kim, Eun-Nam Lee; J Korean Acad Nurs 2012;42(5):749-758. Published online October 31, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.5.749

Abstract PDF

Purpose

The purpose of this study was to develop a tool for measuring the intra-operative caring as perceived by regional anesthesia patients.

Methods

A preliminary instrument with 54 questions, based on a literature review and semi-structured interviews with 11 regional anesthesia patients, was developed. A group of experts revised individual questions, and 34 questions were finally selected. This tool was tested with 137 regional anesthesia patients admitted to D university hospital in B city from August to October 2008.

Results

The validity and reliability of the tool were tested using factor analysis. After item analysis, one question with a correlation coefficient under .30 was discarded After performing factor analysis on the final 33 questions, 7 factors were identified; holistic needs fulfillment, consideration, protective environment, cautiousness, concern, information, physical comfort. The total variance shown in the test was 73.5%. A Cronbach alpha of 0.96 showed the reliability of the instrument.

Conclusion

Results of this study indicate that the tool is statistically reliable and valid to measure the intraoperative caring perceived by regional anesthesia patients. This tool can be utilized usefully in assessing the effects of nursing interventions for regional anesthesia patients.

Citations

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Caring Behaviors and Anxiety during Surgery among Patients Undergoing Surgery with Regional Anesthesia
Ji Young Ryoo, Hye Young Kim
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 305. CrossRef
Development of a protocol for procedures utilizing local anaesthesia and moderate sedation in the operating room
Eunha Ryoo, Soyoung Yu
Perioperative Care and Operating Room Management.2020; 20: 100100. CrossRef
The relationships between moral distress and quality of nursing care in oncology nurses
Sae Mi Kim, Yong Soon Shin
The Journal of Korean Academic Society of Nursing Education.2020; 26(4): 366. CrossRef
The Effect of Visual Information Blocking Nursing Intervention on Stress and Anxiety during Chemoport Insertion in Adult Cancer Patients of Operation Rooms
Mimi Lee, Wanju Park
Korean Journal of Adult Nursing.2018; 30(2): 194. CrossRef
A Review of the Korean Nursing Research Literature with Focus on Quantitative Measurement of Caring
Jeong-Hee Kim, Young Sook Park
Journal of Korean Academy of Community Health Nursing.2018; 29(2): 155. CrossRef
Intraoperative Caring Behavior and Anxiety as Perceived by Patients Undergoing Spinal Surgery under Local Anesthesia
Jung Suck Ha, Eun Nam Lee
Journal of muscle and joint health.2015; 22(2): 96. CrossRef

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