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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ice Application | Experimental |
|
|
| Wetted Gauze Application | Experimental |
|
|
| No intervention | No Intervention | Patients in the control group did not receive any application |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ice Application | Other | Drinking water was placed in a syringe and filled in the refrigerator |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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.
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) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Fevzi Toraman, Prof. Dr. | Acıbadem Mehmet Ali Aydınlar Üniversitesi | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yasemin Uslu | Istanbul | Ataşehir | 34752 | Turkey (Türkiye) | ||
| Acıbadem University |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31269122 | Result | 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. | |
| 27685093 | 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. |
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| ID | Term |
|---|---|
| D017060 | Patient Satisfaction |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D010335 | Pathologic Processes |
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Parallel Assignment Randomized controlled
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| Wetted Gauze Application | Other | Sterile gauze soaked with drinking water |
|
| Istanbul |
| Eyalet/Yerleşke |
| 34752 |
| Turkey (Türkiye) |
| 31997333 | 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. |
| 25493487 | 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. |
| 29580594 | 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. |
| 21157173 | 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. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |