Kirtil İnci, Aydin Ebrar
Department of Nursing, Faculty of Health Sciences, Yeditepe University, Istanbul, Turkey.
Nurs Health Sci. 2025 Mar;27(1):e70048. doi: 10.1111/nhs.70048.
This study is a cross-sectional study aimed to determine the association between preoperative fasting time and anxiety level and early postoperative pain intensity, nausea-vomiting severity, and sleep quality in patients undergoing orthopedic surgery. The study was conducted between March and June 2024 and completed with 188 patients. In the study, patient information form, Amsterdam Preoperative Anxiety and Information Scale, and Richards-Campbell Sleep Questionnaire were used. Correlation analysis indicated a significant negative correlation between postoperative sleep quality and pain intensity. There was a significant positive correlation between preoperative anxiety level and preoperative solid food fasting and fluid fasting times. According to the multiple linear regression model, preoperative anxiety level was found to have a significant effect on pain severity, and pain severity at the postoperative 24th hour significantly affected postoperative sleep quality. Adjusting patients' fasting durations prior to surgical interventions according to evidence-based guideline recommendations and monitoring anxiety closely are simple, practical, and safe measures that could alleviate postoperative pain and nausea-vomiting and improve sleep quality, potentially enhancing outcomes, comfort, and the quality of care.
本研究为横断面研究，旨在确定骨科手术患者术前禁食时间与焦虑水平、术后早期疼痛强度、恶心呕吐严重程度及睡眠质量之间的关联。该研究于2024年3月至6月进行，共纳入188例患者。研究中使用了患者信息表、阿姆斯特丹术前焦虑与信息量表以及理查兹 - 坎贝尔睡眠问卷。相关性分析表明，术后睡眠质量与疼痛强度之间存在显著负相关。术前焦虑水平与术前固体食物禁食时间和液体禁食时间之间存在显著正相关。根据多元线性回归模型，发现术前焦虑水平对疼痛严重程度有显著影响，术后第24小时的疼痛严重程度对术后睡眠质量有显著影响。根据循证指南建议调整手术干预前患者的禁食时长，并密切监测焦虑情况，是简单、实用且安全的措施，可减轻术后疼痛和恶心呕吐，改善睡眠质量，可能提高手术效果、舒适度及护理质量。
