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    Effect of Oral Carbohydrate Solution Administered Before Hip Arthroplasty on Preoperative Anxiety and Postoperative Patient Comfort: A Randomized Controlled Trial
    (Elsevier Science Inc, 2023) Ertural, Fadime; Celik, Gulden Kucukakca; Ozcelik, Hanife
    Purpose: This study aimed to determine the effect of oral carbohydrate solution (OCS) administered before hip arthroplasty (HA) on preoperative anxiety and postoperative patient comfort. Design: The study was a randomized controlled clinical trial. Methods: Fifty patients undergoing HA were randomized into two groups: The intervention group (n = 25) received OCS before surgery, and the control group (n = 25) fasted from midnight till surgery. The patients' preoperative anxiety was assessed using the State-Trait Anxiety Inventory (STAI), symptoms affecting post-operative patient comfort parameters using the Visual Analog Scale (VAS), and comfort levels specific to HA surgery using the Post-Hip Replacement Comfort Scale (PHRCS). Pre-and post-operative blood glucose levels of the patients were measured.Findings: In intragroup and intergroup assessments, the decrease in the preoperative and postoperative anxi-ety, pain, thirst, hunger, and nausea/vomiting levels were statistically significant (P < .05) in the OCS group. The OCS group's comfort levels specific to hip replacement were higher than those of the control group (P <= .001). In the intergroup and intragroup assessment of the patients' blood glucose levels, there was a statisti-cally significant difference in favor of the OCS group (P < .05).Conclusions: The results of this study provide evidence supporting OCS administration before HA surgery.(c) 2022 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.
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    Pain and Anxiety in Cataract Surgery: Comparison Between the First and Second Eye Surgeries
    (Galenos Publ House, 2021) Akoglu, Caner Ali; Celik, Gulden Kucukakca; Inci, Figen
    Objective: This study aimed to determine and compare the pain and anxiety levels in the perioperative period of patients undergoing cataract surgery on both eyes. Materials and Methods: The study used a descriptive design to assess 60 patients who had undergone cataract surgery on both eyes. The visual analog scale (VAS) and the State-Trait Anxiety Inventory were used to evaluate the subjective parameters of patients in the surgical process. Objective measurements in the perioperative process were recorded in the physiological parameters form. Results: The state anxiety levels of patients in the preoperative period of the first eye surgery were found to be higher compared with that of the second eye surgery (p=0.003). In addition, patients were determined to have more severe anxiety in the preoperative period of the first eye surgery (VAS: 4.510) and before (VAS: 4.483) and during the perioperative period (VAS: 4.150) of the second eye surgery. Patients had a higher pain score and a higher state of anxiety after clinic admission in the postoperative period of the second eye surgery compared with that of the first eye surgery (p<0.05). The diastolic blood pressure value before the operation and the pulse and respiratory rate during the operation were higher in the first eye surgery than in the second eye surgery (p=0.038; p=0.000; p=0.000, respectively). Conclusion: The results of the subjective and objective measurements revealed that the anxiety experienced in the first cataract surgery made the perceived anxiety and sensation of pain more sensitive in the second eye surgery.