Thirst severity, thirst distress, and dry mouth in patients after coronary artery bypass surgery. Chronic ischemic heart disease
Conditions
Interventions
Intervention 1: Mentol lip moisturizer group (A): The researcher will use a menthol lip moisturizer that is prepared from a combination of 8 drops of peppermint oil, 1 teaspoon of beeswax, and 2 teasp
Sponsors
Oroumia University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: Willingness to participate in the study No history of open heart surgery Elective coronary artery bypass surgery Extubation in the intensive care unit duringthe first 8 hours after surgery Having physical status class I-III based on American Society of Anesthesiologists (ASA) physical status classification system Having Mallampati class I-II (difficulty of endotracheal intubation) getting a score of =95 based on the Mann Assessment of Swallowing Ability (MASA) Obtaining a score of 14-15 based on the Glasgow Coma Scale (GCS) Statement of thirst by a patient undergoing coronary artery bypass surgery being NPO Having no history of mental problems or dementia based on the patient's medical record Having no underlying disease such as diabetes or kidney disorders based on the patient's medical record Having no open wounds or diseases leading to scaling of the mouth and lips based on observation Having no nasal breathing problem
Exclusion criteria
Exclusion criteria: Having a heart attack or stroke after the operation or during the study Decreased level of consciousness or delirium during the study Re-referral to the operating room during the study Hyperthermia (axillary temperature above 38 degrees) Unwillingness to continue participation in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Thirst severity score. Timepoint: Before intervention and 30 minutes after the intervention. Method of measurement: Thirst severity will be assessed using the thirst severity Visual Analoge Scale (VAS). The overall score of this scale ranges from zero indicating no thirst to 10 indicating the worst thirst. The overall thirst scores have been classified as mild (0-3), moderate (4-6), and severe (7-10) based on a study by Yang et al. (2010).;Thirst distress score. Timepoint: Before intervention and 30 minutes after the intervention. Method of measurement: Thirst distress will be assessed using the Thirst Distress Scale (TDS). This tool has six items on a 5-point Likert scale from 1 (strongly disagree) to 5 (strongly agree). The overall score of this scale ranges from 6 to 30, with higher scores indicating more severe thirst distress.;Dry mouth score. Timepoint: Before intervention and 30 minutes after the intervention. Method of measurement: The score of dry mouth will be assessed using a Dry Mouth Assessment Checklist. This Checklist is a modified form based on the 11-item Dry Mouth Inventory developed by Agha-Hosseini et al. (2011). This checklist consists of two sections, including researcher observations and the researcher's questions from the patient. This checklist also contains 10 questions, with eight questions having yes/no options where yes scores 1 and no scores 0. In question 9 regarding tongue color, pink scores 0 and pale scores 1. In question 10 regarding tongue texture, normal texture scores 0 and abnormal texture scores 1. A higher score indicates greater dryness of the mouth. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAlireza Rahmani
Oroumia University of Medical Sciences
Outcome results
None listed