Application of reconstructed preoperative fasting and forbidding drink process in elective surgery patients of surgical oncology
10.3760/cma.j.issn.1674-2907.2017.05.009
- VernacularTitle:术前禁食禁饮再造流程在肿瘤外科择期手术患者中的应用
- Author:
Limin XIA
1
;
Lili CHEN
;
Xueyan LI
;
Minzhi DAI
;
Yunxia HUANG
Author Information
1. 325015,温州医科大学附属第一医院肿瘤外科
- Keywords:
Preoperative fasting and forbidding drink;
Reconstructed process;
Clear rice water
- From:
Chinese Journal of Modern Nursing
2017;23(5):628-632
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study how to shorten the time of preoperative fasting and forbidding drink in clinical practice and the clinical application of its reconstructed process.Methods A total of 226 elective surgery patients,from the Department of Surgical Oncology of the First Affiliated Hospital of Wenzhou Medical University from November 1st,2015 to November 20th,2015 and from December 10th,2015 to December 30th, 2015,were selected by convenient sampling method as the research object. They were divided into the control group (n=117) and the experimental group (n=109) by using the before-and-after study method. In the control group,traditional preoperative fasting and forbidding drink process was adopted. In the experimental group,the new reconstructed preoperative fasting and forbidding drink process was adopted. The actual time of preoperative fasting and forbidding drink and the incidence of preoperative related adverse events were compared between two groups.Results The actual time of preoperative fasting was (7.60±0.98) h in the experimental group,which was significantly shorter than that in the control group (14.48±5.08)h(t=13.849,P<0.01). The actual time of preoperative forbidding drink was (3.39±0.97) h in the experimental group,which was significantly shorter than that in the control group (11.47±4.99)h(t=19.545,P<0.01). In the experimental group,the total incidence of adverse responses such as thirst and hunger before operation was 14.7%(16/109),which was significantly lower compared to the control group 35.9%(42/117)(χ2=13.317,P<0.01). There was no intraoperative aspiration in both groups.Conclusions The standard implementation of the new preoperative fasting and forbidding drink process can effectively shorten the preoperative fasting and forbidding drink time and improve the preoperative discomfort of elective surgery patients.
