11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePoster Guided View 42 416 The Effect of An Instructional Video Regarding the Operating Room Administered to Patients Undergoing Total Knee Replacement Surgery on Post-Operative Pain and Anxiety Yılmaz Sergen Öztoprak1, Serap Sayar2 1Karaman Training and Research Hospital, Operating Room, Karaman, 2KTO Karatay University, Faculty of Health Sciences, Nursing, Konya Background: Total knee replacement (TKR) surgery, being a major surgical intervention, often leads to intense pain and anxiety in patients during the postoperative period. The reduction of experienced pain and anxiety can positively impact the postoperative recovery process. Objectives: The aim of this study is to determine the impact of an instructional video about the operating room, administered to patients scheduled for TKR surgery during the preoperative period,on postoperative anxiety and pain. Methods This study was quasi-experimental design.The study was conducted in a training and research hospital in Türkiye between April 2022-October 2022.The research sample consisted of a total of 80 patients, with 40 in the intervention group and 40 in the control group.The intervention group underwent the administration of the State-Trait Anxiety Inventory(STAI-I) to assess anxiety levels one day before surgery. Patients in the intervention group were exposed to an instructional video related to the operating room.The instructional video was created by the researchers and was a 20-minute recording captured in the operating room environment. Conversely, the control group did not experience any interventions beyond routine preoperative care procedures. Pain levels were measured with Visual Anolog Scale(VAS) for both intervention and control groups at 6th and 12th hours post-surgery, while pain and anxiety levels were assessed at 24th hours post-surgery. Results: Between the intervention and control groups, no statistically significant difference was found in the mean VAS scores for all measurements(p>0.05).However, although there was no statistically significant difference in STAI-I averages between the groups before the intervention(F=1.153,p=0.028), a significant difference was observed in the STAI-I averages between the group that watched the video and the control group(F=75.406,p<0.001). Conclusion: The preoperative instructional video about the operating room undergoing TKR surgery didn’t have an impact on patients’ postoperative pain levels. However, it was found to reduce anxiety levels among the patients. 251 Allergy signaling in the operating room Cristina Moreira Martins1, Idalécio Mendes1, Eduarda Silva Lopes1, Fernanda Ruano1 1CHTMAD, Bloco Operatório, Lamego, Portugal Introduction: Health professionals must record allergies in each episode of care (DGS Rule 002/2012), which is a “highly recommended” practice by the WHO. There is a high number of medical errors associated with the poor/non-existent record of allergies and the failure to signal them, implying potential and serious complications in the safety of users. Problem: Users with allergies at CICA. Objective: To ensure the safety of patients with allergies in the CHTMAD CICA, reducing perioperative complications, improving safety and quality of care. Material and Methods: Using a quantitative, descriptive and cross-sectional study, data were collected on the number of users with reported allergies during the period from 01/01/2021 to 12/31/2022 and, subsequently, from 04/10 /2023 to 30/06/2023, after the implementation of a signaling procedure in the service - placement of a purple bracelet, with the name of the allergen, to all users with allergies and registration (in their absence) on the SClínico platform. Results: In the period prior to the implementation of allergy signs, 10630 users were intervened at CICA. 80.72% of users were unaware of having allergies, 0.86% had known and registered allergies, 18.06% had known/unregistered allergies, 0.36% had contradictory records. After the implementation of allergy signs, 782 users were intervened at CICA. 78.51% were unaware of allergies, 12.53% had known and registered allergies, 8.82% had known unrecorded allergies and 0.25% had contradictory records. Conclusion: The universe of users with allergies before and after the implementation of the signs is 19.27% and 21.61% respectively, demonstrating the reliability of the sample. The percentage of users with known unregistered allergies decreased from 93.70% to 40.82%. The percentage of users with known allergies registered increased from 4.39% to 57.98%. The procedure is low cost, recyclable, easy to implement and with a high benefit for the user’s safety.
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