title: Evaluating the effects of preoperative fasting and fluid limitation.
abstract: The aim of the study was to evaluate the effects of preoperative fasting and fluid limitation in patients undergoing laparoscopic cholecystectomy. Although traditional long-term fasting is not recommended in current preoperative guidelines, this is still a common intervention. Visual analogue scale was used to assess hunger, thirst, sleepiness, exhaustion, nausea and pain; State and Trait Anxiety Inventory was used to assess the preoperative anxiety of 99 patients undergoing elective laparoscopic cholecystectomy. Mean time of preoperative fasting and fluid limitation were, respectively, 14.70 ± 3.14 and 11.25 ± 3.74 h. Preoperatively, 58.60% of the patients experienced moderate anxiety. Patients fasting 12 h or longer had higher hunger, thirst, nausea and pain scores. The mean trait anxiety score of patients fasting 12 h or longer was statistically significantly higher. Receiving nothing by mouth after midnight preoperatively is a persisted intervention and results in discomfort of patients. Clinical protocols should be revised and nurses should be trained in current fasting protocols.
authors.affiliation: Department of Fundamentals of Nursing, School of Nursing, Gulhane Military Medical Academy, Ankara, Turkey.
authors.forename: Betül
authors.initials: B
authors.lastname: Tosun
authors.forename: Ayla
authors.initials: A
authors.lastname: Yava
authors.forename: Cengizhan
authors.initials: C
authors.lastname: Açıkel
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000453:epidemiology; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000523:psychology; D003430:Cross-Sectional Studies; D017558:Elective Surgical Procedures / Q000009:adverse effects / Q000523:psychology; D005215:Fasting; D005221:Fatigue / Q000453:epidemiology; D005260:Female; D006801:Humans; D006815:Hunger; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000453:epidemiology; D020250:Postoperative Nausea and Vomiting / Q000453:epidemiology; D011300:Preoperative Care; D057234:Preoperative Period; D013894:Thirst; D014421:Turkey; D055815:Young Adult
keywords: anxiety; hunger; oral intake limitation; preoperative fasting; thirst