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Surgery causes anxiety in children and negatively affects postoperative pain control. Various distraction methods, such as virtual reality (VR), have been shown to reduce anxiety levels and improve surgical outcomes. This study aimed to determine the effect of watching cartoons through a VR headset before surgery on systolic blood pressure, postoperative pain, and anxiety levels as primary, secondary, and tertiary outcomes, respectively, in children aged 7-12 years undergoing tonsillectomy and adenoidectomy. This randomized controlled experimental study was conducted at a tertiary hospital between November 10, 2023, and June 1, 2024, among 102 children scheduled for tonsillectomy and adenoidectomy, who were randomly divided into an experimental group (n = 51; VR intervention) and a control group (n = 51; no intervention). The primary outcomes were anxiety levels measured using the Perioperative Multidimensional Anxiety Scale for Children and postoperative pain evaluated using the Visual Analog Scale. Sociodemographic characteristics and vital signs were also assessed. Systolic blood pressure values were significantly lower in the experimental group at than in the control group at all time points (p < 0.05). Postoperative pain values were lower in the experimental group (3.35 ± 1.43 vs. 6.53 ± 1.36, p < 0.05), with similar results observed 8 h post-surgery (1.29 ± 1.08 vs. 6.57 ± 1.17, p < 0.05). Anxiety values were also significantly lower in the experimental group (24.12 ± 11.17 vs. 69.41 ± 12.56, p < 0.05), with similar results observed 8 h post-surgery (12.35 ± 10.50 vs. 67.0 ± 11.37, p < 0.05). VR technology, particularly through watching the Shrek cartoon, significantly reduced systolic blood pressure, pain, and anxiety levels in children undergoing tonsillectomy and adenoidectomy. Thus, VR could be an effective noninvasive tool for managing pain and anxiety in pediatric patients during the preoperative and postoperative periods. ClinicalTrials.gov (NCT06763276).

Surgery represents a significant risk factor for the development of pressure injuries. However, risk factors related to positioning‐induced pressure‐injuries in surgical operating rooms have not been adequately investigated. Therefore, this study aimed to determine the presence of pressure injuries and associated risk factors related to patient positioning in the operating room. This prospective, descriptive, and cross‐sectional study was conducted between November 2023 and July 2024 in operating rooms of a university hospital, including surgeries from various surgical departments, with a cohort of 140 patients determined using a G*Power analysis. Data collection tools included the ‘Individual Characteristics Form’, ‘Risk Assessment Scale for Pressure Injuries Related to Surgical Positioning’ and ‘Postoperative Patient Evaluation Form’, with data collected pre, intra and postoperatively. We found that 25.7% of patients developed Stage I pressure injuries post‐surgery, with the supine position being the most prevalent risk factor (p = 0.023). Patients with diabetes, higher body mass index, advanced age, longer surgeries and certain anaesthesia types had significantly increased risks (p < 0.05). Furthermore, 17.9% of patients were classified as high‐risk. These findings underscore the need for nurses to monitor high‐risk patients closely, adjust positioning as needed and develop tailored care plans to mitigate risk.

ObjectiveSurgery causes anxiety in children and negatively affects postoperative pain control. Various distraction methods, such as virtual reality (VR), have been shown to reduce anxiety levels and improve surgical outcomes. This study aimed to determine the effect of watching cartoons through a VR headset before surgery on systolic blood pressure, postoperative pain, and anxiety levels as primary, secondary, and tertiary outcomes, respectively, in children aged 7-12 years undergoing tonsillectomy and adenoidectomy.MethodsThis randomized controlled experimental study was conducted at a tertiary hospital between November 10, 2023, and June 1, 2024, among 102 children scheduled for tonsillectomy and adenoidectomy, who were randomly divided into an experimental group (n = 51; VR intervention) and a control group (n = 51; no intervention). The primary outcomes were anxiety levels measured using the Perioperative Multidimensional Anxiety Scale for Children and postoperative pain evaluated using the Visual Analog Scale. Sociodemographic characteristics and vital signs were also assessed.ResultsSystolic blood pressure values were significantly lower in the experimental group at than in the control group at all time points (p < 0.05). Postoperative pain values were lower in the experimental group (3.35 ± 1.43 vs. 6.53 ± 1.36, p < 0.05), with similar results observed 8 h post-surgery (1.29 ± 1.08 vs. 6.57 ± 1.17, p < 0.05). Anxiety values were also significantly lower in the experimental group (24.12 ± 11.17 vs. 69.41 ± 12.56, p < 0.05), with similar results observed 8 h post-surgery (12.35 ± 10.50 vs. 67.0 ± 11.37, p < 0.05).ConclusionVR technology, particularly through watching the Shrek cartoon, significantly reduced systolic blood pressure, pain, and anxiety levels in children undergoing tonsillectomy and adenoidectomy. Thus, VR could be an effective noninvasive tool for managing pain and anxiety in pediatric patients during the preoperative and postoperative periods.Trial registrationClinicalTrials.gov (NCT06763276).

Pulse oximeters utilise the pulsatile nature of arterial blood flow to distinguish it from venous flow and estimate oxygen saturation in arterial blood. Pulse oximetry is primarily used in hospital wards, emergency rooms, intensive care units, operating rooms and home care. The objective of this study is to determine whether the use of nail polish of various colours have an effect on oximeter readings of oxygen saturation value. The sample group of this study is comprised of 40 healthy women. In the first phase of the study, readings were taken on left and right hand fingers, with no nail polish, to determine any differences in oxygen saturation value. In the second phase of the study, 10 different colours of nail polish, namely dark red, yellow, dark blue, green, purple, brown, white, metallic, black and pink, of the same brand were applied. Readings were recorded once oxygen saturation values on the screen became stable. Number and percentage distributions along with Wilcoxon signed ranks and Friedman test were used in the analysis of data. Only red nail polish did not yield statistically significant reading results. We conclude that different nail polish colours cause a clinically significant change in pulse oximeter readings in healthy volunteers.

The aim of this descriptive study was the quality of sleep and the affecting factors in patients hospitalized in Coronary Intensive Care Unit (CICU). To determine the sleep quality and the affecting factors of the patients a 1-10 point scale was used. The mean age of the 100 patients was 55.5±16.59 (range:21-93) years old. The patients were hospitalized for myocardial infarction (35%), congestive heart failure (29%) and they were hospitalized with an mean of 4.7±1.16 days. While the patient sleep quality mean score at home was in average 7.39±1.87 it has been determined that the first night after the hospitalization the mean score reaching the lowest level was 5.42±2.39 and that the mean of the CICU was 6.83±2.15 and that after the transfer to the clinic the score was reaching (7.39±2.18) the same score as the sleep quality at home. While the change in sleep quality related to the diagnostic of the patients was not considered as statistically significant.

Despite the growing awareness on pain management, mild and severe pain is still common among hospitalized patients. Inadequate treatment has been mostly linked to health care workers' failure to assess patients' pain and to intervene appropriately. To determine the pain management knowledge and attitudes of the nurses working in training and research hospital in Turkey and their relationship to demographic and educational factors. Descriptive and cross-sectional study design was used. A total of 246 nurses were included in the study. The percentage working at a surgical unit was 48.8% and 77.2% were staff nurses. Only 11.8% had taken a pain management course and 31.7% had read a book or journal on pain. The authors have found that, the nurses did not have adequate knowledge and the positive attitude for pain management although it is a very important part of patient care. We suggest that results be taken into account when the content of graduate and postgraduate training programs is determined and guidelines are prepared.