Sede Do Paciente Cirúrgico Ortopédico No Pós-Operatório Imediato

Maldonado, Rayane Nascimbeni; Conchon, Marilia Ferrari; Birolim, Marcela Maria; Fonseca, Lígia Fahl

doi:10.18471/rbe.v34.34533

Cited by 5 publications

(16 citation statements)

References 12 publications

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“…The length of surgery was an independent risk factor for thirst discomfort 2 h after surgery. Thirst discomfort increased 0.382-fold for every 1 h increase in the duration of surgery, in contrast to a previous study (Maldonado, Conchon et al 2020).…”

Section: Intraoperative Factorscontrasting

confidence: 97%

“…The degree of thirst at 2 h and 6 h was an independent risk factor for thirst discomfort, consistent with previous results (Maldonado, Conchon et al 2020). In addition, thirst discomfort at 2 h was an independent risk factor for discomfort at 6 h. As observed previously, environmental humidity was an independent risk factor for thirst at 2 h and 6 h (Gong, Waldréus et al 2022).…”

Section: Postoperative Factorssupporting

confidence: 92%

“…In this study, the PTDS score in orthopaedic spine patients at 2h and 6h after surgery was investigated, and the physiological, psychological, environmental, and drug influencing factors before, during and after surgery were analyzed.. Surgical patients often have dry mouth and lips, parched tongue, lack of saliva, and other symptoms of thirst (Conchon, Nascimento et al 2015, Pavani MM 2016, Garcia, Nascimento et al 2017, Garcia AKA 2017. In this study, the PTDS score of spinal patients 2 h after surgery was 10 (range, 7,12), which was higher than that of patients in Brazil (Maldonado, Conchon et al 2020).…”

Section: Discussioncontrasting

confidence: 56%

“…In our cohort, the PTDS score 6 h after surgery was 7, suggesting that the duration of thirst discomfort is underestimated in clinical practice. The incidence of thirst 2 h after surgery was 294 (97%), higher than previously reported (Aroni 2012, Maldonado, Conchon et al 2020. This discrepancy in the results may be attributed to race, clinical status, environmental factors, and intraoperative use of medications.…”

Section: Discussioncontrasting

confidence: 55%

“…Doctors can assess the patients's fluid requirements through symptoms of thirst, fluid intake, and laboratory indicators (Hughes, Mythen et al 2018). In existing studies, thirst is related to surgery (Obika 2014), medication(J.O 2014, Conchon, Nascimento et al 2015, Maldonado, Conchon et al 2020, disease (Bots, Brand et al 2005), psychology (Silva, Aroni et al 2016), environment (Gong, Waldréus et al 2022) and so on. Diao (Diao Q.x.,Chen Y.h., 2019)have found that thirst lasted for more than 6h after cardiac surgery.…”

Section: Introductionmentioning

confidence: 99%

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Thirst discomfort and its influencing factors after spinal surgery: an observational study

Gao,

Ning,

et al. 2024

Preprint

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Objective To investigate the factors contributing to thirst discomfort in spinal surgery patients. Methods This study included patients who underwent spinal surgery in the ****** from February 2022 to July 2022. Data were obtained from questionnaires and electronic medical records. Spearman correlation analysis was performed using the Wilcoxon-Mann-Whitney and the Kruskal-Wallis H rank sum tests. The contributing factors to thirst discomfort were analyzed by stepwise regression. Results A total of 303 spinal surgery patients were included in the analysis. The thirst discomfort score 2 h after surgery was 10 (7–12). Preoperative factors contributing to thirst at this time point included Kolcaba’s General Comfort Questionnaire score (B=-0.36, p = 0.003), use of statins (B = 1.78, p = 0.004), and the type of admission (B=-0.94, p = 0.024). Intraoperative factors were the length of surgery (B = 0.38, p = 0.0032), use of α2 adrenergic agonists (B = 0.63, p = 0.016), and endotracheal intubation (B=-2.79, p = 0.030). Postoperative factors were the level of thirst at 2 h (B = 1.72, p < 0.001) and indoor relative humidity level at 2 h (B=-0.24, p = 0.043).

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Section: Intraoperative Factorscontrasting

confidence: 97%

Section: Postoperative Factorssupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 56%

Section: Discussioncontrasting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

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Thirst discomfort and its influencing factors after spinal surgery: an observational study

Gao,

Ning,

et al. 2024

Preprint

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Development and validation of a new nursing diagnosis: Perioperative thirst

Nascimento

Lopes

Fonseca

2021

Int J of Nursing Knowl

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Purpose: To develop and validate the content of the nursing diagnosis proposal for perioperative thirst.Methods: A content analysis by 34 judges. An online Delphi panel was used in one round, evaluating criteria of relevance, clarity and precision. Wilcoxon's one-tailed test was used and the content validity index to maintain the item was set to 0.80. Findings:The content validity index in relation to the evaluated items reached levels between 0.87-1.00. The final components of the diagnosis proposal included the following items as defining characteristics: dry mouth, dry throat, dry lips, thick saliva, thick tongue, constant swallowing of saliva, desire to drink water, bad taste in the mouth, and caregiver's report. Related factors are as follows: pre-and postoperative fasting, oral breathing, dehydration, hypovolemia, insensitive loss of hydration by breathing, dry mouth, habit of drinking water, high room temperature. Associated conditions: intubation, use of muscarinic and nicotinic anticholinergics and water restriction. Conclusions:All components of the nursing diagnosis were validated in relation to relevance, clarity, and accuracy, demonstrating high levels of agreement between experts.Qualitative observations were found to be fundamental for both combining and excluding some items.Implications for Nursing Practice: Improvement of refinement and clarity levels of this nursing diagnosis proposal aiding its inclusion in the NANDA International taxonomy and thus enabling greater understanding of the phenomenon of thirst in surgical patients. This study helps to explain and facilitate the identification of defining characteristics, related factors, and associated conditions for nurses, nursing students, and researchers on this subject.

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Clinical validation of the nursing diagnostic proposition perioperative thirst

Nascimento¹,

Conchon

Garcia

et al. 2023

Rev. Latino-Am. Enfermagem

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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.

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Sede Do Paciente Cirúrgico Ortopédico No Pós-Operatório Imediato

Cited by 5 publications

References 12 publications

Thirst discomfort and its influencing factors after spinal surgery: an observational study

Thirst discomfort and its influencing factors after spinal surgery: an observational study

Development and validation of a new nursing diagnosis: Perioperative thirst

Clinical validation of the nursing diagnostic proposition perioperative thirst

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