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术后早期进食对阑尾切除术后儿童恢复的影响。

Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy.

作者信息

Rızalar Selda, Özbaş Ayfer

机构信息

Selda Rızalar, PhD, is Assistant Professor, Department of Surgical Nursing, Health Science Faculty, Medipol University, I·stanbul, Turkey. Ayfer Özbaş, PhD, is Associate Professor, Department of Surgical Nursing, Istanbul University Florence Nightingale Nursing Faculty, Abide-i Hurriyet cad. 34381 Şişli, Istanbul, Turkey.

出版信息

Gastroenterol Nurs. 2018 Mar/Apr;41(2):131-140. doi: 10.1097/SGA.0000000000000279.

Abstract

The aim of this study was to determine the effect of early postoperative feeding on recovery after appendectomy in children. It was undertaken as a multicenter study. Patients were randomly assigned to 2 groups, each containing 46 children. Postoperatively, liquid and solid food intake and evacuation of first flatus and stool were recorded for the intervention and routine care groups. Postoperative thirst, hunger, nausea, and pain levels were evaluated at regular intervals using the Visual Analogue Scale. Data were obtained as number, mean, and percentage, and statistically analyzed using the chi-square test and the 2-sample t test. A statistically significant difference was found for both the first evacuation of flatus and stool and the length of hospital stay. Patients in the intervention group had evacuated flatus and stool earlier and had a shorter hospital stay than the control group. In addition, a significant difference was found in hunger (48th hour), thirst (36th and 48th hours), and pain (48th hour) levels between the intervention and control groups. Early postoperative feeding in children who have had an appendectomy affects the occurrence of the first evacuation of flatus and stool, the length of hospital stay, and the level of hunger, thirst, and pain.

摘要

本研究的目的是确定术后早期喂养对儿童阑尾切除术后恢复的影响。该研究作为一项多中心研究开展。患者被随机分为2组,每组包含46名儿童。术后,记录干预组和常规护理组的液体和固体食物摄入量以及首次排气和排便情况。使用视觉模拟量表定期评估术后口渴、饥饿、恶心和疼痛程度。数据以数量、均值和百分比形式获取,并使用卡方检验和两样本t检验进行统计分析。在首次排气和排便以及住院时间方面发现了统计学上的显著差异。干预组患者排气和排便更早,住院时间比对照组更短。此外,干预组和对照组在饥饿(第48小时)、口渴(第36小时和第48小时)和疼痛(第48小时)程度上存在显著差异。阑尾切除术后的儿童早期喂养会影响首次排气和排便的发生、住院时间以及饥饿、口渴和疼痛程度。

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