Abstract:Objective: to understand how caregivers experience surgical children’s fasting and how they realize their thirst in the perioperative period. Method: descriptive study of qualitative nature, carried out with 15 caregivers of children between 1 and 12 years old after surgery in a teaching hospital. For analysis, the Collective Subject Discourse method was used. Results: four thematic units emerged: surgical children in the presence of fasting and thirst; realizing thirst in surgical children; experiencing and f… Show more
“…The nursing team working in the PACU therefore needs to consider thirst as an object of care intentionally, identifying, measuring, assessing safety and using effective strategies to reduce the child's thirst (17) . The team, however, usually feels insecure to treat thirst (18) in the anesthetic recovery phase, as it does not have systematic instruments that assess safety to offer a method of relieving pediatric thirst, prolonging the suffering of the child and his family (9,19) .…”
Objective: to elaborate, validate and evaluate the reliability of the Safety Protocol for Pediatric Thirst Management in the immediate postoperative period. Method: methodological quantitative research, based on the assumptions on measurement instrument development. The protocol was elaborated after literature review, interview with specialists and observation of the child’s anesthetic recovery. The judges performed theoretical validation through apparent, semantic and content analysis. Content Validity Index was calculated for content validation, whose minimum established concordance was 0.80. Protocol’s reliability was evaluated in children between three and 12 years old in the Post Anesthesia Care Unit. Results: in its final version, the protocol consisted of five evaluation criteria: level of consciousness, movement, airway protection, breathing pattern and nausea and vomiting. It presented easy comprehension and relevant content, and all indexes exceeded the minimum agreement of 0.80. Pairs of nurses applied the protocol 116 times to 58 children, resulting in a high reliability index (kappa general = 0.98) Conclusion: the unprecedented protocol developed is valid and is a useful tool for use in anesthetic recovery, aiming to assess safety for reducing the thirst of infant patients.
“…The nursing team working in the PACU therefore needs to consider thirst as an object of care intentionally, identifying, measuring, assessing safety and using effective strategies to reduce the child's thirst (17) . The team, however, usually feels insecure to treat thirst (18) in the anesthetic recovery phase, as it does not have systematic instruments that assess safety to offer a method of relieving pediatric thirst, prolonging the suffering of the child and his family (9,19) .…”
Objective: to elaborate, validate and evaluate the reliability of the Safety Protocol for Pediatric Thirst Management in the immediate postoperative period. Method: methodological quantitative research, based on the assumptions on measurement instrument development. The protocol was elaborated after literature review, interview with specialists and observation of the child’s anesthetic recovery. The judges performed theoretical validation through apparent, semantic and content analysis. Content Validity Index was calculated for content validation, whose minimum established concordance was 0.80. Protocol’s reliability was evaluated in children between three and 12 years old in the Post Anesthesia Care Unit. Results: in its final version, the protocol consisted of five evaluation criteria: level of consciousness, movement, airway protection, breathing pattern and nausea and vomiting. It presented easy comprehension and relevant content, and all indexes exceeded the minimum agreement of 0.80. Pairs of nurses applied the protocol 116 times to 58 children, resulting in a high reliability index (kappa general = 0.98) Conclusion: the unprecedented protocol developed is valid and is a useful tool for use in anesthetic recovery, aiming to assess safety for reducing the thirst of infant patients.
“…The DC Dry throat and Constant saliva swallowing presented better accuracy performance and were reported by patients with thirst in the perioperative period ( 25 - 27 ) . Swallowing saliva is one of the main strategies used by the patient in an attempt to relieve thirst, and can be performed through the administration of artificial components or mechanically or chemically stimulated by chewing gum ( 28 ) .…”
Objective: to verify the clinical validity of the proposition of a new nursing diagnosis called perioperative thirst, based on the diagnostic accuracy of its clinical indicators, including the magnitude of effect of its etiological factors. Method: clinical diagnostic validation study with a total of 150 surgical patients at a university hospital. Sociodemographic variables and clinical indicators related to thirst were collected. The latent class analysis technique was used. Results: two models of latent classes were proposed for the defining characteristics. The model adjusted preoperatively included: dry lips, thick saliva, thick tongue, desire to drink water, caregiver report, dry throat and constant swallowing of saliva. In the postoperative period: dry throat, thick saliva, thick tongue, constant swallowing of saliva, desire to drink water, bad taste in the mouth. The factors related to “high ambient temperature” and “dry mouth” are associated with the presence of thirst, as well as the associated conditions “use of anticholinergics” and “intubation”. The prevalence of thirst was 62.6% in the pre and 50.2% in the immediate postoperative period. Conclusion: the diagnostic proposition of perioperative thirst showed good accuracy parameters for its clinical indicators and etiological effects. This proposition in a nursing taxonomy will allow greater visibility, appreciation and treatment of this symptom.
“…As a subjective symptom, perioperative thirst affects patients undergoing surgery and results in intense preoperative and postoperative discomfort for patients in all age groups . Left untreated, thirst generates severe distress for patients, and nurses should investigate its relevance in clinical practice during the perioperative period …”
Section: Perioperative Patient Thirstmentioning
confidence: 99%
“…Perioperative patients may experience thirst before and after surgery. Since 2010, nurse researchers have examined the effects of thirst on the patient's surgical experience, the intensity of his or her symptoms based on a specific scale for rating perioperative thirst, aspects related to evaluating the safety of thirst relief methods, and postoperative thirst relief strategies …”
reviewing the purpose/goal and objectives, and completing the online Examination and Learner Evaluation at http:// www.aornj ournal.org/conte nt/cme. A score of 70% correct on the examination is required for credit. Participants receive feedback on incorrect answers. Each applicant who successfully completes this program can immediately print a certificate of completion. Event: #20505 Session: #0001 Fee: Free for AORN members. For non-member pricing, please visit http://www.aornj ournal.org/conte nt/cme. The contact hours for this article expire February 28, 2023. Nonmember pricing is subject to change.
PURPOSE/GOALTo provide the learner with knowledge of best practices related to the management of perioperative thirst. OBJECTIVES 1. Discuss the incidence and etiology of perioperative thirst. 2. Identify key factors related to mitigating perioperative thirst. 3. Describe safety factors affecting the management of perioperative thirst.
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