Belete Kumlachew Geta, Ashagrie Henos Enyew, Workie Misganaw Mengie, Ahmed Seid Adem
Department of Anesthesia, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
J Patient Rep Outcomes. 2022 Jun 18;6(1):69. doi: 10.1186/s41687-022-00476-5.
Thirst is a powerfully distressing sensation that occurs most frequently in the immediate postoperative period. Postoperative thirst is prevalent, the moderate-to-severe type is estimated to affect 53.2-69.8% of patients and causes significant patient discomfort.
The objective of this study was to assess the prevalence, and factors associated with postoperative thirst among surgical patients in PACU at the University of Gondar Comprehensive Specialized Hospital from April 20 to June 27, 2021.
An institution-based cross-sectional study was conducted at the University of Gondar Comprehensive Specialized Hospital. A total of 424 participants were included in the study. Statistical analysis had performed using SPSS 26.00 version statistical software. Binary logistic regression analysis was performed to identify the association between the prevalence of postoperative thirst and independent variables and only variables with p-value < 0.2 were entered into the multivariable analysis. The strength of the association was presented by odds ratio and 95% Confidence interval. P-value < 0.05 was considered statistically significant.
The prevalence of postoperative thirst among postsurgical patients was 59% (95% CI = 54.74-64.13). Inadequate preloading (Adjusted odes ratio (AOR) = 2.137 95% CI 1.260-3.624), prolonged Nil Per Os (NPO) time (AOR = 13.80 95% CI 2.93-65.37), general anesthesia (AOR = 3.90 95% CI 3.56-11.25), and axillary body temperature ≥ 37.5 °C (AOR = 8.07 95% CI 3.63-17.96) were significantly associated with postoperative thirst. Low room temperature (< 20 °C) was protective for the occurrence of postoperative thirst (AOR = 0.162 95% CI 0.37-0.707).
The prevalence of postoperative thirst remains high and need commitment in close monitoring of PACU patients and immediate intervention. We also urge that high-level, ongoing research be conducted in this area, as postoperative thirst is a very common problem with a lot to discover.
口渴是一种极为痛苦的感觉，在术后即刻最为常见。术后口渴很普遍，据估计，中重度口渴影响53.2%至69.8%的患者，并给患者带来极大不适。
本研究的目的是评估2021年4月20日至6月27日期间，贡德尔大学综合专科医院麻醉后护理单元（PACU）手术患者术后口渴的患病率及相关因素。
在贡德尔大学综合专科医院进行了一项基于机构的横断面研究。共纳入424名参与者。使用SPSS 26.00版统计软件进行统计分析。进行二元逻辑回归分析以确定术后口渴患病率与自变量之间的关联，仅将p值<0.2的变量纳入多变量分析。关联强度以比值比和95%置信区间表示。p值<0.05被认为具有统计学意义。
术后患者口渴的患病率为59%（95%CI=54.74-64.13）。术前预充不足（调整后比值比（AOR）=2.137，95%CI 1.260-3.624）、禁食时间延长（AOR=13.80，95%CI 2.93-65.37）、全身麻醉（AOR=3.90，95%CI 3.56-11.25）以及腋窝体温≥37.5°C（AOR=8.07，95%CI 3.63-17.96）与术后口渴显著相关。低温室（<20°C）对术后口渴的发生具有保护作用（AOR=0.162，95%CI 0.37-0.707）。
术后口渴的患病率仍然很高，需要密切监测PACU患者并立即进行干预。我们还敦促在该领域开展高水平的持续研究，因为术后口渴是一个非常常见的问题，有很多有待发现之处。
