Comparison of the Efficiency of Two Different Methods in Managing Early Postoperative Thirst

NCT06507696 | Completed

• 1 other identifier: 2022-21/01
• Study Type: interventional
• Target: 240
• Locations: 1 country
• Sites: 2

Brief Summary

Postoperative thirst is one of the most common problems in patients. Thirst is a subjective symptom. Thirst can cause unwanted problems in patients such as anxiety, discomfort and nausea. It may even cause anxiety, hypertension, dysrhythmia, non-compliance with treatment and increased need for anesthesia. Although different methods have been applied in the management of thirst in the existing literature and positive results have been obtained, studies with high evidence value are very limited. The aim of this study was to compare the effectiveness of two different methods in thirst management.

Conditions

Patient Satisfaction; Nursing Caries; Post-Op Complication

Keywords

thirst management; postoperative care; surgical patient; surgical thirsty

Outcome Measures

Primary Outcomes (1)

• Thirst score

  Visual Comparion Scale (VCS) was used to assess thirst. In this scale, thirst was graded from 0 to 10. 0=no thirst, 10=the most severe thirst. The scale was evaluated as 0-3 points mild thirst, 4-6 points moderate thirst, 7-10 points severe thirst. * First follow-up (T1): Patient's thirst level measured by VCS and intervention (ice application or wet gauze application) * Second follow-up (T2); evaluation was performed with VCS 5 minutes after the application. * Third follow-up (T3); evaluation was performed with VCS 30 minutes after the application. * Fourth follow-up (T4); assessment was performed with VCS 60 minutes after the application. Fifth follow-up (T5); evaluation was performed with VCS 90 minutes after the application. The thirst level of the patient was measured 5 times in total. At 90 minutes, data collection was terminated. Scores between 5 measurement values were compared.

  Using Thirst Visual Comparion Scale score after immediately after surgery (T1) 5th min.(T2), 30th min.(T3), 60th min.(T4), 90th min.(T5)

Study Arms (3)

Ice Application

EXPERIMENTAL

* In ice application, 5 ml of drinking water was filled in a 10 ml syringe and frozen by inserting a plastic piston into it and then these frozen ice cubes were given into the mouths of the patients. * The ice cubes were prepared before the application and stored in the freezer section of the refrigerator. * The ice was taken out of the frozen syringe and the nurse moved it around the patient's mouth to melt it. * By holding the ice cubes from the piston part to the researcher, the patient was allowed to suck and melt them in the mouth.

Other: Ice Application

Wetted Gauze Application

EXPERIMENTAL

* During wetted gauze application, sterile gauze swabs were wetted with drinking water. * Sterile gauze swabs (10 cm\*10cm) were wetted with 5 ml and applied for 5 minutes. * The wetted end part of the gauze swabs was allowed to be sucked in the patient's mouth by the researcher.

Other: Wetted Gauze Application

No intervention

NO INTERVENTION

Patients in the control group did not receive any application

Interventions

Ice Application OTHER

Drinking water was placed in a syringe and filled in the refrigerator

Ice Application

Wetted Gauze Application OTHER

Sterile gauze soaked with drinking water

Wetted Gauze Application

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients aged 18-65 years
• undergoing elective surgery
• Patients undergoing surgery other than gastrointestinal system surgery
• Patients in class I, II, III according to the American anesthesiologists' association classification (ASA)
• Patients who have completed a minimum of 6 hours of strict fasting and 3 hours of thirst
• Patients who can verbally express a thirst level of 4 points or more according to visual benchmark scale in the early postoperative period
• Patients who comply with the safety protocol in the early postoperative period
• Patients who can express their thirst in the early postoperative period/recovery unit
• Patients with a duration of surgical anesthesia ≥1 hour and taken to the recovery unit at the end of surgery will be included in the study.

You may not qualify if:

• Emergency planned surgeries
• Patients who had a second surgical intervention during the hospitalization period
• Patients who need intensive care after surgery
• Patients with problems in the extubation process after surgery
• Patients with altered state of consciousness after surgery
• Patients with fluid electrolyte imbalance (hypovolemia and sodium imbalance)
• Patients with swallowing difficulties and fluid intake restriction
• Foreign patients with language barriers
• Patients with menthol allergy
• Patients with problems in the head, neck, throat and mouth will be excluded from the sample.
• Women who have just given birth and are breastfeeding.

Sponsors & Collaborators

• Acibadem University: lead

Study Sites (2)

Yasemin Uslu

Istanbul, Ataşehir, 34752, Turkey (Türkiye)

Location

Acıbadem University

Istanbul, Eyalet/Yerleşke, 34752, Turkey (Türkiye)

Location

Related Publications (6)

• Serato VM, Fonseca LF, Birolim MM, Rossetto EG, Mai LD, Garcia AKA. Package of menthol measures for thirst relief: a randomized clinical study. Rev Bras Enferm. 2019 Jun 27;72(3):600-608. doi: 10.1590/0034-7167-2018-0057. English, Portuguese.

  PMID: 31269122 RESULT

• Peyrot des Gachons C, Avrillier J, Gleason M, Algarra L, Zhang S, Mura E, Nagai H, Breslin PA. Oral Cooling and Carbonation Increase the Perception of Drinking and Thirst Quenching in Thirsty Adults. PLoS One. 2016 Sep 29;11(9):e0162261. doi: 10.1371/journal.pone.0162261. eCollection 2016.

  PMID: 27685093 RESULT

• Nascimento LAD, Garcia AKA, Conchon MF, Aroni P, Pierotti I, Martins PR, Nakaya TG, Fonseca LF. Advances in the Management of Perioperative Patients' Thirst. AORN J. 2020 Feb;111(2):165-179. doi: 10.1002/aorn.12931.

  PMID: 31997333 RESULT

• Nascimento LA, Fonseca LF, Rosseto EG, Santos CB. [Development of a safety protocol for management thirst in the immediate postoperative period]. Rev Esc Enferm USP. 2014 Oct;48(5):834-43. doi: 10.1590/s0080-6234201400005000009. Portuguese.

  PMID: 25493487 RESULT

• 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 Apr;33(2):153-161. doi: 10.1016/j.jopan.2016.03.009. Epub 2017 Mar 21.

  PMID: 29580594 RESULT

• Cho EA, Kim KH, Park JY. [Effects of frozen gauze with normal saline and ice on thirst and oral condition of laparoscopic cholecystectomy patients: pilot study]. J Korean Acad Nurs. 2010 Oct;40(5):714-23. doi: 10.4040/jkan.2010.40.5.714. Korean.

  PMID: 21157173 RESULT

MeSH Terms

Conditions

Patient Satisfaction; Postoperative Complications

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Fevzi Toraman, Prof. Dr.

  Acıbadem Mehmet Ali Aydınlar Üniversitesi

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof.

Model Details: Parallel Assignment Randomized controlled

Study Record Dates

• First Submitted: July 12, 2024
• First Posted: July 18, 2024
• Study Start: January 1, 2023
• Primary Completion: March 31, 2023
• Study Completion: March 31, 2023
• Last Updated: July 18, 2024

Record last verified: 2024-07

Locations

TU (2)