Research Information System
INTERNATIONAL JOURNAL OF NURSING PRACTICE, no.2, pp.156-165, 2015 (SCI-Expanded)
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 12h or longer had higher hunger, thirst, nausea and pain scores. The mean trait anxiety score of patients fasting 12h 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.