부인과 수술 환자의 수술 전 금식기간 탈수량이 수술 후 오심·구토에 미치는 영향
Effects of Preoperative Dehydration on Postoperative Nausea and Vomiting in Gynecological Surgery Patients
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The purpose of this study was to investigate the effect of dehydration from preoperative fasting on postoperativenausea and vomiting in patients who underwent gynecologic surgeries. Methods: Study design was a prospectivedescriptive study. A total of 75 patients in a university hospital were selected. Data were collected from March17 to May 16, 2014 using self-report questionnaires and clinical electronic chart. Results: Factors influencing thedevelopment of postoperative nausea and vomiting were type of surgery (t=3.44, p=.001), use of PCA (t=-2.16,p=.034), and preoperative dehydration level (t=5.93, p<.001), and these variables accounted for 51.7% of postoperativenausea and vomiting. Among these variables, preoperative dehydration amount (β=.56) showed the largestinfluence in the difference in postoperative nausea and vomiting. Conclusion: Reducing dehydration during preoperativefasting can prevent occurrence of postoperative nausea and vomiting. Development of a clinical guidelineis necessary to give directions for the prevention of dehydration during preoperative fasting and to ensure the properduration of fasting according to patient characteristics, type of surgery and time of surgery.
Abstract
The purpose of this study was to investigate the effect of dehydration from preoperative fasting on postoperativenausea and vomiting in patients who underwent gynecologic surgeries. Methods: Study design was a prospectivedescriptive study. A total of 75 patients in a university hospital were selected. Data were collected from March17 to May 16, 2014 using self-report questionnaires and clinical electronic chart. Results: Factors influencing thedevelopment of postoperative nausea and vomiting were type of surgery (t=3.44, p=.001), use of PCA (t=-2.16,p=.034), and preoperative dehydration level (t=5.93, p<.001), and these variables accounted for 51.7% of postoperativenausea and vomiting. Among these variables, preoperative dehydration amount (β=.56) showed the largestinfluence in the difference in postoperative nausea and vomiting. Conclusion: Reducing dehydration during preoperativefasting can prevent occurrence of postoperative nausea and vomiting. Development of a clinical guidelineis necessary to give directions for the prevention of dehydration during preoperative fasting and to ensure the properduration of fasting according to patient characteristics, type of surgery and time of surgery.
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