The Effect of Nursing Intervention of Postoperative Thirst in Patients after Laparoscopic Cholecystectomy

Abstract

Objective To explore the best method to relieve thirst in patients after laparoscopic cholecystectomy through comparison. Methods 60 patients after undergoing laparoscopic cholecystectomy were randomized into Q-tip group and spraying group. In the Q-tip group, warm boiled water-absorbing Q-tips were applied to embrocate the lips of patients and in the spraying group warm boiled water was sprayed into the oral cavity of the patients once per hour or given when needed within 6 hours after operation so as to compare which method was more effective to relieve thirst. Results Operations were performed well in both groups and there was no postoperative complication. It was shown that warm boiled water spraying achieved better result in relieving thirst 6 hours after operation (P<0.05). Conclusions Warm boiled water spraying is more effective than warm boiled water-absorbing Q-tip unction to relieve thirst in patients after laparoscopic cholecystectomy.

Prevalence and factors associated with thirst among postsurgical patients at University of Gondar comprehensive specialized hospital. Institution-based cross-sectional study

“…Although thirst is not normally considered an important issue during postoperative period, one must pay attention, considering its complexity and the fact that it is one of the most stressful and impetuous experiences in immediate postoperative period(IPP) [ 4 ].Thirst is a strong distressing sensation that suppresses all other sensations; patients complain about it often in the post-anesthesia care unit. Thirst affect sleep quality and increase anxiety in patients, which affects their life quality and thus raises concern from medical staff [ 5 , 6 ].…”

Effect of Spray Use on Mouth Dryness and Thirst of Patients Undergoing Major Abdominal Surgery: A Randomized Controlled Study

“…Xiaolan et al found that the application of warm boiled water spray is more effective than a cotton swab moistened with warm boiled water to relieve thirst in patients after laparoscopic cholecystectomy. 24 Gulia et al, in a studies conducted with intensive care patients, found that a bundle application (cold wet oral swabs to wipe oral cavity and cold water mouth spray) was more effective on thirst and mouth dryness in patients compared to the control group (control group was not given any intervention). 25 Puntillo et al found that the use of bundle application (oral swabs and ice-cold water sprays, and menthol lip moisturizer) was more effective in relieving thirst and dry mouth than the control group (usual oral care).…”

Penurunan Rasa Haus dan Mulut Kering Pada Pasien Pasca Operasi Abdomen Menggunakan Spray Air Dingin

“…Studi lain membuktikan pemberian spray air hangat lebih efektif untuk menurunkan rasa haus pasien pasca operasi laparaskopi. Pemberian swab di dalam rongga mulut dapat dengan mudah terjatuh dan menyebabkan aspirasi sedangkan pemberian spray lebih aman, dapat membasahi seluruh mukosa mulut dan merangsang sekresi saliva (Xiaolan, 2018). Penelitian lain tentang pemberian air dingin pada pasien pasca operasi lebih efektif menurunkan rasa haus dibandingkan dengan pemberian air dengan suhu ruang (Conchon & Fonseca, 2018).…”

“…Prinsip pemberian spray air dingin yaitu melembabkan dan menyegarkan mukosa mulut sehingga tidak dianjurkan untuk diberikan melebihi petunjuk pemakaian yaitu sebanyak 2-3 ml setiap 30 menit sekali. Pemberian spray air dingin akan menyebabkan aspirasi bila digunakan secara berlebihan (Xiaolan, 2018).…”

“…Hasil penelitian pada kelompok yang menggunakan metode manajemen rasa haus dengan mengulum es batu, berkumur air matang dan berkumur dengan obat kumur menunjukkan rata-rata lama waktu menahan rasa haus responden yang diberi perlakuan yang paling lama adalah pada kelompok mengulum es batu selama 93 bahwa mengulum es batu lebih lama menahan rasa haus pasien dibandingkan dengan berkumur dengan air matang dan berkumur dengan obat kumur (Armiyati et al, 2019). Manajemen rasa haus menggunakan swab saline beku di dalam rongga mulut dapat meningkatkan risiko aspirasi sedangkan pemberian spray lebih aman, dapat membasahi seluruh mukosa mulut dan dapat meningkatkan sekresi saliva sehingga haus dapat menurun (Xiaolan, 2018). Pemberian intervensi berbasis air dingin terbukti lebih efektif untuk meningkatkan rasa nyaman karena dapat mengurangi rasa haus dan mulut kering pada pasien.…”