Leila Sadati , Ehsan Golchini , Abdolreza Pazouki , Fatemeh Jesmi , Mohadeseh Pishgahroudsari ,
Volume 72, Issue 4 (7-2014)
Abstract
Background: Nowadays, new methods are emerging each month for a better operation with fewer complications. Laparoscopic surgery have remarkable advantages, Compared to open, such as smaller incision, less manipulation of the digestive system, less postoperative pain, fewer wound complication and faster discharge from the hospital. Therefore it is preferred by patients and surgeons and is replacing the traditional open surgical methods. However, any operation causes significant panic for patients and lack of knowledge about the surgical method is found to cause poor surgical outcomes, such as recovery time after the surgery we evaluated the effect of preoperative education on the recovery time of laparoscopic cholecystectomy candidates.
Methods: This randomized clinical control trial was performed at Imam Khomeini and Alborz Hospitals in Karaj from February 2010 till January 2011. Using randomized sampling method, 100 female candidates for laparoscopic cholecystectomy were divided into two equal groups of case and control. The case group received detailed information about operating room’s condition, surgical equipment, anesthesia method, advantages and disadvantages of laparoscopic procedures, and patient’s role in self-care at recovery, whilst the control group received no education before the surgery. The two groups were compared regarding recovery time based on Aldrete modified checklist and mean time to reach the Aldrete consciousness score of 9 and the incidence of nausea was assessed among them.
Results: The analysis showed that there was a significant difference between the mean time to reach Aldrete consciousness modified checklist score of 9 between the case and control group (18.04±3.87 vs. 29.66±5.44, respectively, P<0.001), therefore the case group had shorter recovery time than the control group. 10 of the case group (20%) and 3 of the control group (6%) had nausea after recovery (P=0.037, OR=0.255 (CI 95%: 0.066-0.992)).
Conclusion: Preoperative education of patients can significantly decrease the recovery time after laparoscopic cholecystectomy surgery. Therefore, it is strongly recommended to include the preoperative education in routine care of laparoscopic cholecystectomy patients for better surgical outcomes.
Mohammadhossein Dehghani , Seyedmohammadreza Niktabar , Amirreza Samei, Shamsodin Mohammadi,
Volume 79, Issue 1 (4-2021)
Abstract
Background: Anesthesia duration can play a significant role in post-operative complications. Therefore, the present study investigated the effect of auditory sensory stimulation with a familiar voice on anesthesia return in patients undergoing rhinoplasty.
Methods: This study was performed on 80 patients who were candidates for rhinoplasty surgery in Yazd Trauma and Burn Hospital from September-2018 to October-2019. The patients were randomly divided into two groups of 40: control and intervention. For patients in the control group, routine nursing care was performed after entering the recovery room. In addition to routine care, the patients in the intervention group were stimulated with a 15-minute pre-recorded audio. Patients' hemodynamic parameters were recorded before and after hearing stimulation. Also, the return time of the patient from anesthesia was recorded. Finally, the collected data were entered into SPSS software (Ver. 22) and analyzed using an independent sample t-test and Repeated mesasure ANOVA.
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Results: The results of this study showed that from the fifth minute after auditory sensory stimulation, the mean arterial pressure (MAP) in the intervention group was significantly higher than the control group (P<0.05). So that MAP in recovery (as the last follow-up) in the intervention group with a mean of 86.85±4.11 mmHg was significantly higher than the control group with a mean of 81.88±6.68 mmHg (P<0.001). Besides, the duration of recovery from anesthesia in the intervention group was significantly less than the control group (mean time: 24.05±3.39 min vs. 34.70±70.73 min; P<0.001). Finally, nausea was observed in only 7.5% of patients in the control group and agitation was reported in 5% of the control group and 5% of the intervention group (P>0.05).
Conclusion: According to the results, the use of auditory sensory stimuli with a familiar voice can significantly decrease the duration of recovery from anesthesia. Also, it plays a crucial role in changing the SBP, DBP, and MAP of these patients to normal levels.
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