None listed
Conditions
Interventions
Control group:Children who receive conventional preoperative fasting management
intervention group:Implement a multi-component "6-4-2" preoperative fasting management protocol in the target ward. The proposed tailored multi-component implementation strategies include: 1. Standard
2. Providing parents with illustrated fasting instruction sheets
3. Embedding fasting time reminders in the bedside call system
4. Establishing regular compliance audits and multidisciplinary feedback mechanisms.
Sponsors
Children's Hospital Affiliated to Shandong University (Jinan Children's Hospital)
Eligibility
Sex/Gender
All
Age
No minimum to 18 Years
Inclusion criteria
Inclusion criteria: I. Inclusion Criteria for Program Implementers (Medical Staff) (Must Meet All): 1. Possess a valid physician or nurse practitioner qualification certificate. 2. Have worked continuously in the target study ward for =1 year. 3. Their daily work directly involves the management, education, or prescription of preoperative fasting for children (e.g., ward nurses, anesthesiologists, surgeons). II. Inclusion Criteria for Target Population (Children and Their Guardians) (Must Meet All): 1. Children: Aged =18 years; scheduled for elective surgery with plans to return to a general ward postoperatively; require preoperative oral fasting. 2. Guardians: Must be the child’s primary legal guardian, capable of effective communication, and willing to voluntarily sign the informed consent form.
Exclusion criteria
Exclusion criteria: I. Exclusion Criteria for Program Implementers (Medical Staff): 1. Medical staff who are on long-term leave (e.g., maternity leave, sick leave) or away for further training during the study period and unable to participate in program training and implementation. 2. Medical staff who refuse to participate in this study. II. Exclusion Criteria for Target Population (Children and Their Guardians) (Excluded if Any Criteria Are Met): 1. Child-related: Undergoing emergency surgery, day surgery, or outpatient surgery; undergoing organ transplant surgery; delayed gastric emptying or abnormal gastrointestinal motility; severe underlying metabolic disorders such as severe liver or kidney dysfunction or diabetic ketoacidosis. 2. Guardian-related: Guardians with communication barriers who cannot understand the study content. II. Exclusion Criteria for Target Population (Children and Their Guardians) (Excluded if Any Criteria Are Met): 1. Child-related: Undergoing emergency surgery, day surgery, or outpatient surgery; undergoing organ transplant surgery; suffering from severe underlying metabolic disorders such as severe liver or kidney dysfunction or diabetic ketoacidosis. 2. Guardian-related: Guardians with communication barriers who cannot understand the study content.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Compliance rate of preoperative clear liquid fasting in pediatric patients; | — |
Secondary
| Measure | Time frame |
|---|---|
| Actual fasting duration for solid fatty foods (meat) before surgery;Non-fat solid foods (starchy, protein-based) actual fasting duration before surgery;Formula milk (powdered milk, cow's milk) actual fasting time before surgery;Actual fasting time before breastfeeding surgery;Actual fasting time before surgery for clear liquids. (Water, nutrient-rich high-carbohydrate beverages, carbonated drinks, clear tea, black coffee (without milk), and various pulp-free juices, but none should contain alcohol.);Incidence of hypoglycemia (intraoperative blood glucose <3.9 mmol/L);Incidence of hypotension;Perioperative intravenous fluid administration rate;Incidence of postoperative nausea and vomiting (PONV);Parent satisfaction;Child coverage rate;Core training completion rate for target medical staff;Knowledge level score of medical staff;Thirst Score;Hunger Score;Crying rate; | — |
Countries
China
Contacts
Public ContactLiu Ting
Children's Hospital Affiliated to Shandong University (Jinan Children's Hospital)
Outcome results
None listed