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患者术前禁食时间及术前术后健康状况的调查

Investigation of Preoperative Fasting Time and Preoperative and Postoperative Well-Being of Patients.

作者信息

Bayramoğlu Burçe Gözde, Akyüz Nuray

机构信息

Department of Surgery Room Nursing, University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Department of Surgical Nursing, İstanbul University-Cerrahpaşa, Florence Nightingale Faculty of Nursing, İstanbul, Turkey.

出版信息

Florence Nightingale J Nurs. 2022 Feb;30(1):33-39. doi: 10.5152/FNJN.2022.21047.

DOI:10.5152/FNJN.2022.21047
PMID:35635345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8958228/
Abstract

AIM

This study aimed to investigate the preoperative fasting time and preoperative and postoperative well-being of patients.

METHOD

This is a descriptive study. In Istanbul, between January and June 2016, 130 patients from the Training and Research Hospital Urology Clinic were included in the study. In collecting the data of the research, the information form, which included the descriptive features and surgical intervention information of the patients, and together with the scale of "Quality of Recovery-40 Questions (QoR-40)" was used. Mean, Standard Deviation, Median, Frequency, Ratio, Minimum, Maximum, Students' t-Test, Mann Whitney U-test, Paired Samples T-Test, Pearson and Spearman's Correlation Analysis were used for data analysis.

RESULTS

The mean age was 57.48 ± 11.12, 79.2% of the patients were male and 63.8% of them underwent robotic prostatectomy. It was observed that the mean of times for preoperative fasting, solid foods, liquid foods were 11.26 ± 2.17, 12.56 ± 2.47, 11.26 ± 2.17 hours. The percent score of patients who felt hungry, thirsty, and dryness of the mouth was 30.8, 48.5, and 40, respectively, and patients had complaints such as nausea, fatigue, and feeling anxious before surgery.

CONCLUSION

It was determined that patients were still hungry after midnight until surgery and remained hungry for a long time. The preoperative and postoperative well-being was adversely affected; however, there was no statistically significant relationship between the preoperative fasting time and postoperative well-being of patients, duration of hospitalization (p > .05).

摘要

目的

本研究旨在调查患者的术前禁食时间以及术前和术后的健康状况。

方法

这是一项描述性研究。2016年1月至6月期间,在伊斯坦布尔,培训与研究医院泌尿外科诊所的130名患者被纳入研究。在收集研究数据时,使用了包含患者描述性特征和手术干预信息的信息表,以及“恢复质量-40问题量表(QoR-40)”。数据分析采用均值、标准差、中位数、频率、比率、最小值、最大值、学生t检验、曼-惠特尼U检验、配对样本t检验、皮尔逊和斯皮尔曼相关性分析。

结果

平均年龄为57.48±11.12岁,79.2%的患者为男性,其中63.8%接受了机器人前列腺切除术。观察到术前禁食、固体食物、液体食物的平均时间分别为11.26±2.17、12.56±2.47、11.26±2.17小时。感到饥饿、口渴和口干的患者百分比分别为30.8%、48.5%和40%,患者在手术前有恶心、疲劳和焦虑等主诉。

结论

确定患者在午夜至手术期间仍感到饥饿,且长时间处于饥饿状态。术前和术后的健康状况受到不利影响;然而,患者术前禁食时间与术后健康状况、住院时间之间无统计学显著关系(p>.05)。

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Initiation of a critical pathway for pancreaticoduodenectomy at an academic institution--the first step in multidisciplinary team building.在一所学术机构启动胰十二指肠切除术关键路径——多学科团队建设的第一步。
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Anaesthesist. 2006 Jun;55(6):643-9. doi: 10.1007/s00101-006-0991-x.
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Randomized clinical trial of the effects of oral preoperative carbohydrates on postoperative nausea and vomiting after laparoscopic cholecystectomy.口服术前碳水化合物对腹腔镜胆囊切除术后恶心呕吐影响的随机临床试验
Br J Surg. 2005 Apr;92(4):415-21. doi: 10.1002/bjs.4901.
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