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Evaluation of Thirst in the Early Postoperative Period in Patients Undergoing Orthopedic Surgery

Published:December 29, 2022DOI:https://doi.org/10.1016/j.jopan.2022.08.007

      ABSTRACT

      Background

      Thirst, is a subjective symptom that has a high incidence in the early postoperative period and causes patients to experience intense discomfort.

      Purpose

      The aim of this study is to determine thirst and the factors affecting thirst in the early postoperative period in patients undergoing orthopedic surgery.

      Design

      The research was carried out as a descriptive-cross sectional study with 177 patients between September 2021 and January 2022.

      Methods

      Data were collected using the “Descriptive and clinical features form,” “Thirst and Symptoms Associated with Thirst Evaluation Form.” For descriptive analysis, frequency, percentage distribution, mean, and minimum-maximum values were analyzed. The Chi-square test was used to compare the data according to the groups. Before starting the research, necessary ethics committee and institutional permission were obtained.

      Findings

      The mean perioperative thirst time of the patients was 15.25 ± 3.61 hours and the mean anesthesia time was 2.32 ± 1.13 hours. When the perioperative thirst duration was compared with the type of surgery, duration of operation, type of anesthesia, duration of anesthesia, duration of fasting, intubation and duration of stay in PACU, there was a statistical significance between them (P > .05).

      Conclusion

      The most common symptoms in patients undergoing orthopedic surgery were thirst and dry mouth. Surgery type, operation duration, anesthesia type, anesthesia duration, fasting duration, intubation status and duration of stay in PACU were the factors affecting the perioperative thirst status of the patients.

      Keywords

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      References

        • Silva MB
        • Barreto LNM
        • Panato BP
        • et al.
        Clinical indicators for evaluation of outcomes of impaired tissue integrity in orthopedic patients: consensus study.
        Int J Nurs Knowl. 2018; 30: 81-86https://doi.org/10.1111/2047-3095.12204
        • Weinstein AM
        • Rome B
        • Reichmann WM
        • et al.
        Estimating the burden of total knee replacement in the United States.
        J Bone Joint Surg (Am Vol). 2013; 95: 385-392https://doi.org/10.2106/JBJS.L.00206
        • Maldonado RN
        • Conchon MF
        • Birolim MM
        • Fonseca LF.
        Thirst of the orthopedic surgical patient in the immediate postoperative.
        Revista Baiana De Enfermagem. 2020; 34: e34533https://doi.org/10.18471/rbe.v34.34533
        • Gül A
        • Andsoy II
        • Ozkaya B.
        Preoperative fasting and patients’ discomfort.
        Ind J Surg. 2018; 80: 549-553https://doi.org/10.1007/s12262-017-1657-4
        • Ravanini GDAG
        • Filho PEP
        • Luna RA
        • de Oliveira VA.
        Organic inflammatory response to reduced preoperative fasting time, with a carbohydrate and protein enriched solution; a randomized trial.
        Nutr Hosp. 2015; 32: 952-957https://doi.org/10.3305/nh.2015.32.2.8944
        • Rızalar S
        • Aydemir A
        • Topçu SY.
        Cerrahi hastalarının ameliyat öncesi ve sonrasında açlık ve susuzluk düzeylerinin incelenmesi.
        Sağlık ve Yaşam Bilimleri Dergisi. 2019; 1: 32-36https://doi.org/10.33308/2687248X.201912153
        • Arai S
        • Stotts N
        • Puntillo K.
        Thirst in critically ill patients: from physiology to sensation.
        Am J Crit Care. 2013; 22: 328-335https://doi.org/10.4037/ajcc2013533
        • Eren E.
        Ameliyat sonrası erken dönem susuzluğun yönetiminde oral su ve buz uygulamasının etkisi.
        İstanbul Üniversitesi Sağlık, Bilimleri Enstitüsü. İstanbul2018 ([Unpublished doctoral dissertation])
        • Nascimento LA
        • Garcia AKA
        • Conchon MF
        • et al.
        Advances in the management of perioperative patients' thirst.
        AORN J. 2020; 111: 165-179https://doi.org/10.1002/aorn.12931
        • American Society of Anesthesiologists (ASA)
        Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures.
        Anesthesiology. 2017; 126: 376-393https://doi.org/10.1097/ALN.0000000000001452
        • Aloamaka EO
        • Amabebe E
        • Ozoene JO
        • Obika LFO.
        Thirst perception, drinking, arginine vasopressin activity and associated neurohumoral factors.
        J African Assoc Physiol Sci. 2018; 6: 1-13https://doi.org/10.13140/RG.2.2.14974.23367
        • Aroni P
        • Nascimento LA
        • Fonseca LF.
        Avaliação de estratégias no manejo da sede na sala de recuperação pós-anestésica.
        Acta Paulista de Enfermagem. 2012; 25: 530-536https://doi.org/10.1590/S0103-21002012000400008
        • Stotts NA
        • Arai SR
        • Cooper BA
        • Nelson JE
        • Puntillo KA.
        Predictors of thirst in intensive care unit patients.
        J Pain Symp Manag. 2015; 49: 530-538https://doi.org/10.1016/j.jpainsymman.2014.07.001
        • Nascimento LA
        • Fonseca LF
        • Rosseto EG
        • Santos CB.
        Development of a safety protocol for management thirst in the immediate postoperative period.
        Revista da Escola de Efermagem da USP. 2014; 48: 831-840https://doi.org/10.1590/S0080-6234201400005000009
        • Pierotti I
        • Fracarolli IFL
        • Fonseca LF
        • Aroni P.
        Evaluation of the intensity and discomfort of perioperative thirst.
        Escola Anna Nery. 2018; 22e20170375https://doi.org/10.1590/2177-9465-ean-2017-0375
        • Garcia AKA
        • Fonseca LF
        • Lodi CR
        • Pierotti IO.
        Silêncio que permeia a sede perioperatória: um estudo de caso. Presented at: Encontro Internacional de Produção Científica Maringá.
        Maringá, Brazil2017 (October 24-26ISSN: 2594-4991. Accessed February 20, 2022)
        • Silva LCJR
        • Aroni P
        • Fonseca LF.
        I am thirsty! Experience of the surgical patient in the perioperative period.
        Revista SOBECC. 2022; 21 (2106): 75-81https://doi.org/10.5327/Z1414-4425201600020003
        • Conchon MF
        • Fonseca LF.
        Efficacy of an ice popsicle on thirst management in the immediate postoperative period: a randomized clinical trial.
        J Perianesth Nurs. 2018; 33: 153-161https://doi.org/10.1016/j.jopan.2016.03.009
        • Moon YH
        • Lee YH
        • Jeong IS.
        A comparison of effect between wet gauze with cold normal saline and wet gauze with cold water on postoperative thirst, oral cavity condition, and saliva pH.
        J Korean Acad FundamentNurs. 2015; 22: 398-405https://doi.org/10.7739/jkafn.2015.22.4.398
        • Oh KE
        • Song AR
        • Sok SR.
        Effects of aroma gargling, cold water gargling, and wet gauze application on thirst, halitosis, and sore throat of patients after spine surgery.
        Holistic Nursing Practice. 2017; 31: 253-259https://doi.org/10.1097/HNP.0000000000000219
        • Gulia S
        • Kumari V
        • Khatri N.
        Effectiveness of an intervention bundle on thirst intensity and dry mouth among patients admitted in ICU.
        Int J Health Sci Res. 2019; 9 (Accessed February 20, 2022): 397-408
        • Akbuğa GA
        • Başer M.
        Effect of preoperative oral liquid carbohydrate intake on blood glucose, fasting-thirst, and fatigue levels: a randomized controlled study.
        Br J Anesthesiol. 2021; 71: 247-253https://doi.org/10.1016/j.bjane.2021.02.053
        • Pavani MM
        • Fonseca FL
        • Conchon MF.
        Thirst in surgical patients: perceptions of the nursing team in inpatient units.
        J Nurs UFPE/Revista de Enfermagem UFPE. 2016; 10: 3352-3360https://doi.org/10.5205/reuol.9571-83638-1-SM1009201621
        • Nascimento LA
        • Nakaya TG
        • Conchon MF
        • et al.
        Prevalence, intensity and discomfort of thirst in surgical patients in the immediate post-operative period.
        Revista SOBECC. 2019; 24: 85-90https://doi.org/10.5327/Z1414-4425201900020006
        • Tosun B
        • Yava A
        • Açıkel C.
        Evaluating the effects of preoperative fasting and fluid limitation.
        Int J Nurs Pract. 2015; 21: 156-165https://doi.org/10.1111/ijn.12239
        • Lee CW
        • Liu ST
        • Cheng YJ
        • Chiu CT
        • Hsu YF
        • Chao A.
        Prevalence, risk factors, and optimized management of moderate-to-severe thirst in the post-anesthesia care unit.
        Sci Rep. 2020; 10: 1-10https://doi.org/10.1038/s41598-020-73235-5