Tosun Betül, Yava Ayla, Açıkel Cengizhan
Department of Fundamentals of Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey.
Int J Nurs Pract. 2015 Apr;21(2):156-65. doi: 10.1111/ijn.12239. Epub 2014 Feb 28.
The aim of the study was to evaluate the effects of preoperative fasting and fluid limitation in patients undergoing laparoscopic cholecystectomy. Although traditional long-term fasting is not recommended in current preoperative guidelines, this is still a common intervention. Visual analogue scale was used to assess hunger, thirst, sleepiness, exhaustion, nausea and pain; State and Trait Anxiety Inventory was used to assess the preoperative anxiety of 99 patients undergoing elective laparoscopic cholecystectomy. Mean time of preoperative fasting and fluid limitation were, respectively, 14.70 ± 3.14 and 11.25 ± 3.74 h. Preoperatively, 58.60% of the patients experienced moderate anxiety. Patients fasting 12 h or longer had higher hunger, thirst, nausea and pain scores. The mean trait anxiety score of patients fasting 12 h or longer was statistically significantly higher. Receiving nothing by mouth after midnight preoperatively is a persisted intervention and results in discomfort of patients. Clinical protocols should be revised and nurses should be trained in current fasting protocols.
本研究的目的是评估术前禁食和液体限制对接受腹腔镜胆囊切除术患者的影响。尽管目前的术前指南不推荐传统的长期禁食，但这仍是一种常见的干预措施。采用视觉模拟量表评估饥饿、口渴、嗜睡、疲惫、恶心和疼痛；使用状态-特质焦虑量表评估99例行择期腹腔镜胆囊切除术患者的术前焦虑情况。术前禁食和液体限制的平均时间分别为14.70±3.14小时和11.25±3.74小时。术前，58.60%的患者经历中度焦虑。禁食12小时或更长时间的患者饥饿、口渴、恶心和疼痛评分更高。禁食12小时或更长时间患者的特质焦虑平均得分在统计学上显著更高。术前午夜后禁食是一种持续存在的干预措施，会导致患者不适。临床方案应进行修订，护士应接受当前禁食方案的培训。
