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Special Issue Editors

Special Issue Information

Dear Colleagues,

Due to acute and chronic diseases, millions of patients worldwide each year undergo various types of surgical interventions in order to prevent or minimize the risk of disability or even death. These treatments are always a source of physical, mental and emotional stress for patients. Inadequate care in the preoperative, intraoperative and postoperative period may increase the number of adverse events, extend the duration of hospital stay, raise examination costs and, consequently, overall health care expense. Multidisciplinary and integrated approach, from the moment of qualifying the patient to the surgery until full recovery, can improve the quality of care. Patient satisfaction is one of the determinants of good perioperative care. However, patient satisfaction is a subjective, complex and multidimensional measure. The level of satisfaction may be determined by, for instance, the patient's health condition, fear of surgery, pain control after surgery, communication between the doctor/nurse and the patient and the quality of nursing care. Being aware of this sensitive subject, we would like to highlight the latest research into pre-operative, intra-operative and post-operative care and patient satisfaction. We invite you to submit original research, systematic literature reviews and meta-analyses.

Prof. Dr. Lucyna Tomaszek
Prof. Dr. Irena Milaniak
Prof. Dr. Wioletta Mędrzycka-Dąbrowska
Guest Editors

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Keywords

surgery
adverse events
postoperative pain
analgesia
anxiety
delirium
nutrition
safety
nursing care
patient satisfaction

Published Papers (2 papers)

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Research

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13 pages, 948 KiB

Open AccessArticle

Nicotine Dependence and the Level of Motivation for Ceasing Smoking in the Case of Patients Undergoing Vascular Surgeries Versus the Optimisation of Perioperative Care—Pilot Survey

by Renata Piotrkowska, Wioletta Mędrzycka-Dąbrowska, Piotr Jarzynkowski and Robert Ślusarz

Int. J. Environ. Res. Public Health 2022, 19(16), 10393; https://doi.org/10.3390/ijerph191610393 - 20 Aug 2022

Cited by 2 | Viewed by 1634

Abstract

Introduction: Smoking is one of key risk factors of cardiovascular diseases, including abdominal aortic aneurysm (AAA), peripheral arterial disease (PAD), and carotid artery disease (CAD). Despite attempts being made to make the society aware of the consequences of passive and active smoking, as well as worldwide and nationwide epidemiologic research reflecting the scale of the problem, there are still a lot of smokers. Aim: The purpose of the study was to assess the relationship between the degree of addiction and the level of motivation for ceasing smoking in the case of patients before vascular surgery. Furthermore, to point out factors that have a significant impact on the level of nicotine dependence and motivation for ceasing smoking. Methods: The survey included patients qualified for vascular surgeries. The patients were active smokers: 69.3% men and 30.7% women. The survey was conducted in the form of a questionnaire based on standard research tools: the Fagerström Test for Nicotine Dependence (FTND), the Test of Motivation for Ceasing Smoking by Nina Schneider, and the original questionnaire aimed at collecting social and demographic data. Results: Most patients showed a high or moderate degree of nicotine dependence: 46.5% and 40.6%, respectively. An average nicotine dependence ratio based on the Fagerström test was 6.23 ± 2.39. An average motivation for the ceasing smoking ratio was 4.88 ± 2.76. Only 34.7% of the patients had a high motivation for ceasing smoking. Over half of the patients (61.4%) attempted to cease smoking in the past. Conclusions: Most patients undergoing vascular surgeries showed a high or moderate degree of nicotine dependence and low motivation to quit smoking. The greater the addiction to nicotine, the lower the motivation to quit smoking. Social and demographic factors do not affect the degree of nicotine addiction and the motivation to quit smoking. Years of smoking had an impact on the incidence of chronic obstructive pulmonary disease (COPD). Full article

(This article belongs to the Special Issue Perioperative Healthcare and Patient Satisfaction)

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Review

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13 pages, 640 KiB

Open AccessReview

Analgesic Use in Patients during Cardio-Pulmonary Resuscitation

by Sebastian Dąbrowski, Sandra Lange and Andrzej Basiński

Int. J. Environ. Res. Public Health 2023, 20(4), 3654; https://doi.org/10.3390/ijerph20043654 - 18 Feb 2023

Viewed by 1734

Abstract

Introduction: Cardiopulmonary resuscitation-induced consciousness is a newly recognized phenomenon with an increasing incidence. A return of consciousness during cardiopulmonary resuscitation affects up to 0.9% of cases. Patients may also experience physical pain associated with chest compressions, as most victims of cardiac arrest who are subjected to resuscitative efforts sustain ribs or sternum fractures. Methods: A rapid review was carried out from August 2021 to December 2022. Results: Thirty-two articles were included in the rapid review. Of these, eleven studies focused on the return of consciousness during CPR, and twenty-one on CPR-induced chest injuries. Conclusion: A small number of studies that have dealt with the return of consciousness associated with cardiopulmonary resuscitation made it hard to clearly determine how often this occurs. There were more studies that dealt with chest trauma during resuscitation, but no study considered the use of analgesics. Of note, there was no standardized therapeutic approach as far as the use of analgesics and/or sedatives was considered. This is probably due to the lack of guidelines for analgesic management during cardiopulmonary resuscitation and peri-resuscitative period. Full article

(This article belongs to the Special Issue Perioperative Healthcare and Patient Satisfaction)

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