Effects of an Individualized Fasting Program on Fasting Time and Comfort in Infants and Young Children During the Perioperative Period

Li, Canping; Shao, Hanqing; Huang, Shoujiang; Zhang, Tingting; Su, Xiaohua; Zhu, S

doi:10.1016/j.jopan.2019.08.014

Cited by 3 publications

(3 citation statements)

References 28 publications

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“…Pesquisadores chineses, que buscaram avaliar o impacto da implementação de um programa de jejum pré-operatório individualizado quanto ao tempo de abstenção alimentar de crianças, verificaram que a estimativa relativamente precisa do horário da cirurgia, a partir da confirmação do cronograma das operações cirúrgicas, portou-se como crucial dentro do programa proposto. Além disso, a administração de líquidos claros nas duas horas precedentes à cirurgia atuou de forma efetiva na redução do tempo de jejum, o que foi facilitado pela suposição acurada do momento de início do procedimento (20) . Alguns autores discutem que regimes ainda mais flexíveis para a privação de líquidos claros (uma hora antes da cirurgia) seriam importantes no que se refere à diminuição do período de jejum pré-anestésico, visto que, mesmo com modelos de duas horas de abstenção desses fluidos, os pacientes acabam jejuando excessivamente (19) .…”

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“…Finalmente, a orientação a respeito do jejum pré-operatório direcionada aos pais ou cuidadores do cliente pediátrico é fundamental para o cumprimento dos períodos de privação de sólidos e líquidos apropriados (20) . Assim, a conversação entre profissionais e responsáveis pelo paciente pode impedir simultaneamente períodos exacerbados de jejum, justificados pela falta de compreensão sobre esta prática, assim como, pela crença de que quanto mais elevado o tempo de jejum maior o benefício para a criança (9,20) .…”

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Preoperative fasting time in children undergoing elective surgical procedures

et al. 2021

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Objective: to verify the preoperative fasting time in children undergoing elective surgical procedures. Methods: cross-sectional study, carried out with information obtained from 20 children’s medical records, submitted to descriptive and inferential statistical analysis. Results: the median fasting time was 8.03 hours. The shortest time recorded was 7 hours and 45 minutes and the longest 17 hours and 30 minutes. School children had the longest pre-anesthetic fasting time. In 16 cases, fasting after midnight was prescribed. There was no statistically significant difference between fasting time and the variables age groups and surgical specialties. No correlation was found between the child’s age and fasting time. Conclusion: the median fasting time was shorter than that found in other studies. The patients fasted for longer intervals than recommended. Fasting time was not related to age group, surgical specialty, and age of the child.

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Preoperative fasting time in children undergoing elective surgical procedures

et al. 2021

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“…The proposal and clinical practice of this theory may enrich the connotation of holistic nursing and also improve the quality of nursing. For instance, pain and comfort assessments have been implemented by American anaesthesiologists as part of daily routine nursing practice [9]. Postoperative patient comfort is also one of the important components of surgical medicine [10].…”

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Reliability and validity analyses of the postoperative comfort scale for patients with lung cancer undergoing endoscopic surgery and an evaluation of patient comfort

Yuan,

Zhao,

You

et al. 2024

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BACKGROUND: Lung cancer is one of the most common malignant tumours that threaten human health globally. Radical resection under thoracoscopic guidance has been accepted as the major therapeutic option for treating lung cancer clinically. However, the procedure still has some adverse impacts on the comfort of patients following thoracoscopic surgery. OBJECTIVE: To analyse the reliability and validity of the postoperative comfort scale for patients with lung cancer undergoing endoscopic surgery and to evaluate patient comfort. METHODS: With 210 patients with lung cancer undergoing endoscopic surgery as the participants, this study was performed to assess the reliability and validity of the postoperative comfort scale for patients with lung cancer undergoing endoscopic surgery, with the assessment performed by eight experts. RESULTS: The postoperative comfort scale included 28 items and consisted of four dimensions (physiological, psychological, socio-cultural and environmental). The total Cronbach’s alpha coefficient of the scale was 0.851, and the split-half reliability coefficient was 0.875. Meanwhile, the content validity index (CVI) was 0.875∼1, and the scale-level average CVI was 0.99. The Chi-square/degree-of-freedom ratio of construct validity was 2.844, suggesting a good model-fitting. Furthermore, the overall average score of patient comfort was 3.72 ± 0.57, with scores ranging between 3.59 ± 0.71 and 3.83 ± 1.06 across all four dimensions, with the lowest score in the physiological dimension. CONCLUSION: The postoperative comfort scale has good reliability and validity and can be applied for the postoperative comfort assessment of patients undergoing endoscopic surgery for lung cancer. Overall, the degree of patient comfort in this assessment was moderate, meaning targeted measures may be required to further improve patient comfort, especially in the physiological dimension.

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