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

NCT ID: NCT06507696

Last Updated: 2024-07-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-01

Study Completion Date

2023-03-31

Brief Summary

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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.

Detailed Description

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In this study, the investigators compared the effectiveness of two of the methods proposed in the literature for the relief of postoperative thirst.

These methods are ice application and wet gauze. A numerical comparison scale was used to assess and monitor thirst (0=no thirst, 10=worst perceived thirst).

In patients with a thirst score of 4 and above in the early postoperative period, the duration of thirst severity and the method of quenching thirst with oral ice or wet gauze impregnation were compared. In addition, a control group without any intervention was included. The thirst conditions of these three groups were compared.

A total of 240 patients, 80 in each group, were included in the study. Oral ice was applied in one group, wet gauze in the second group and no intervention was applied in the third group.

Conditions

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Patient Satisfaction Nursing Caries Post-Op Complication

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment Randomized controlled
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Ice Application

* 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.

Group Type EXPERIMENTAL

Ice Application

Intervention Type OTHER

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

Wetted Gauze Application

* 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.

Group Type EXPERIMENTAL

Wetted Gauze Application

Intervention Type OTHER

Sterile gauze soaked with drinking water

No intervention

Patients in the control group did not receive any application

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ice Application

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

Intervention Type OTHER

Wetted Gauze Application

Sterile gauze soaked with drinking water

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* 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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Acibadem University

OTHER

Sponsor Role lead

Responsible Party

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Yasemin Uslu

Assoc. Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Fevzi Toraman, Prof. Dr.

Role: STUDY_DIRECTOR

Acıbadem Mehmet Ali Aydınlar Üniversitesi

Locations

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Yasemin Uslu

Istanbul, Ataşehir, Turkey (Türkiye)

Site Status

Acıbadem University

Istanbul, Eyalet/Yerleşke, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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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.

Reference Type RESULT
PMID: 31269122 (View on PubMed)

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.

Reference Type RESULT
PMID: 27685093 (View on PubMed)

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.

Reference Type RESULT
PMID: 31997333 (View on PubMed)

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.

Reference Type RESULT
PMID: 25493487 (View on PubMed)

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.

Reference Type RESULT
PMID: 29580594 (View on PubMed)

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.

Reference Type RESULT
PMID: 21157173 (View on PubMed)

Other Identifiers

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2022-21/01

Identifier Type: -

Identifier Source: org_study_id

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