Abdominal Surgeries, Bowel Movements, Comfort, Postoperative Thirst
Conditions
Keywords
Postoperative Thirst, Comfort, Bowel Movements, Abdominal surgeries, Nursing care, perioperative care
Brief summary
The aim of this study is to evaluate the effects of oral rinsing with water in the postoperative period on thirst, comfort level, and bowel motility in patients undergoing abdominal surgery under general anesthesia. This study was conducted as a randomized controlled trial with pretest-posttest design, including intervention and control groups. It was carried out between June 2024 and December 2024 with patients undergoing elective abdominal surgery. Sample size was calculated using G\*Power 3.1.9.7 software, with an effect size of 0.50, α=0.05, and power=0.85. A total of 82 participants (41 per group) were initially planned, and considering a 10% data loss, the study was completed with 98 participants (49 in each group). Patients were stratified according to their diagnoses and randomized in a 1:1 ratio using block randomization with a random number table. Three data collection forms were used. SPSS 22.00 package program was used to analyze the data. Skewnes-Kurtosis analyses were performed to determine the conformity of the data to a normal distribution. Frequency (n) and percentage (%) distributions were calculated to determine the sociodemographic and clinical characteristics of the participants. A t-test for independent samples was used to determine the mean differences between two independent groups, a t-test for dependent samples was used to compare pre- and post-intervention measurements, and a single-factor analysis of variance (ANOVA) was used for repeated measures. Cohen's d effect size was calculated to assess the significance of the difference between the groups in terms of the intervention. Statistical significance was accepted as p\<0.05.
Interventions
OTHERoral rinsing
The experimental group received a postoperative mouth rinse with pure water.
No additional intervention will be made to the control group; only data collection forms will be applied.
Sponsors
Cumhuriyet University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Masking description
This study used a stratified random sampling method. Patients were stratified by clinical diagnosis and gender and randomized into blocks. Using a random number table, the first patient to arrive was assigned to the experimental group, and subsequent patients were sampled using a 1:1 allocation method until strata and blocks were equal in both groups.
Intervention model description
Randomised conrtolled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
Included Criteria * To communicate, * Aged 18 or older, * Agreed to participate * Scheduled for elective surgery.
Exclusion criteria
* Over 80 years old, * Had a mental disorder that prevented them from rinsing their mouth, * Unconscious after surgery, were at * Risk of swallowing water during rinsing, * Underwent emergency surgery. Refusion Criteria * Refused to complete the post-test * Intensive care after surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Scores of Mental State Assessment pre-test post-test on experimental group | 1 day | Mini Mental State Assessment (MMSA): A cognitive screening tool with 11 items in five domains (orientation, registration, attention/calculation, recall, language). Scores range 0-30; ≤23 indicates impairment. Administration takes 5-10 minutes. Turkish validity and reliability are established. |
| Personal Information experimental group | 1 day | Personal Information Form: Developed by researchers based on literature and clinical observation. The first section includes demographic and clinical data (age, gender, education, diagnosis, preoperative fasting time, postoperative oral intake time). The second section records bowel sounds. |
| Scores of Surgical Period Thirst Discomfort pre-test post-test on experimental group | 1 day | Surgical Period Thirst Discomfort Scale (SPTDS): Adapted to 6 items with a 3-point Likert scale (0-2). Total score is 0-12; higher scores indicate greater thirst-related discomfort.Surgical Period Thirst Discomfort Scale (SPTDS) |
| Comfort levels pre-test post-test on experimental group | 1 day | VAS-10: A 10-cm line used to evaluate comfort; 0 = lowest, 10 = highest comfort. Higher scores reflect greater comfort. |
| Scores of Mental State Assessment pre-test post-test on control group | 1 day | Mini Mental State Assessment (MMSA): A cognitive screening tool with 11 items in five domains (orientation, registration, attention/calculation, recall, language). Scores range 0-30; ≤23 indicates impairment. Administration takes 5-10 minutes. Turkish validity and reliability are established. |
| Personal Information control group | 1 day | Personal Information Form: Developed by researchers based on literature and clinical observation. The first section includes demographic and clinical data (age, gender, education, diagnosis, preoperative fasting time, postoperative oral intake time). The second section records bowel sounds. |
| Scores of Surgical Period Thirst Discomfort pre-test post-test on control group | 1 day | Surgical Period Thirst Discomfort Scale (SPTDS): Adapted to 6 items with a 3-point Likert scale (0-2). Total score is 0-12; higher scores indicate greater thirst-related discomfort.Surgical Period Thirst Discomfort Scale (SPTDS) |
| Comfort levels pre-test post-test on control group | 1 day | VAS-10: A 10-cm line used to evaluate comfort; 0 = lowest, 10 = highest comfort. Higher scores reflect greater comfort. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORPınar YILMAZ EKER, Asst. Prof. Dr.
Cumhuriyet University
STUDY_DIRECTORAyşegül KAYA İMREK, Res. Asst.
Cumhuriyet University
Outcome results
None listed