The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trial
Background: Patients undergoing orthopedics surgery experience the most severe postoperative pain. The fasting time is a factor that affects this complication. The aim of this study was to investigate the impact of fasting time reduction by using oral carbohydrate on postoperative pain and analgesic...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Iranian Journal of Nursing and Midwifery Research |
| Subjects: | |
| Online Access: | http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2021;volume=26;issue=4;spage=310;epage=315;aulast=Torabikhah |
| _version_ | 1819112234256695296 |
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| author | Mohsen Torabikhah Hojatollah Yousefi Amir-Hossein Monazami Ansari Amir Musarezaie |
| author_facet | Mohsen Torabikhah Hojatollah Yousefi Amir-Hossein Monazami Ansari Amir Musarezaie |
| author_sort | Mohsen Torabikhah |
| collection | DOAJ |
| description | Background: Patients undergoing orthopedics surgery experience the most severe postoperative pain. The fasting time is a factor that affects this complication. The aim of this study was to investigate the impact of fasting time reduction by using oral carbohydrate on postoperative pain and analgesic consumption in orthopedic patients. Materials and Methods: This randomized control trial was conducted between November 2017 and December 2018. Sixty-four patients were randomly assigned into the intervention (which consumed 200 mL of the 12.50% carbohydrate, 2 h before the surgery) and the control group (which was fasted from midnight). Postoperative pain was measured by visual analog scale; the amount of the consumed analgesics was also recorded. The data were analyzed by using Chi-square and t-test. Results: The mean (SD) of the pain scores in the control group immediately and 2, 4, 6, 12 and 24 h after consciousness were 7.19 (2.64), 6.69 (2.17), 6.31 (2.05), 6.16 (2.08), 6.06 (2.24), and 5.38 (1.86), respectively. These scores for the intervention group were 7.44 (1.48), 6.31 (1.25), 5.72 (1.17), 5.59 (1.43), 5.25 (1.13), and 4.97 (1.57). The mean of the pain scores between two groups was not different (p > 0.05). The amount of the consumed morphine (t61 = -2.10, p = 0.039), pethidine (t62 = -2.25, p = 0.028), and diclofenac (t62 = -2.51, p = 0.015) were significantly different between the two groups. Conclusions: The pain intensity in the patients with shortened fasting time was lower, but it was not statistically significant. Moreover, reducing fasting time by using carbohydrate significantly reduced the use of analgesics. |
| first_indexed | 2024-12-22T04:10:16Z |
| format | Article |
| id | doaj.art-31620abee843410ba6755d5b76b9ad5c |
| institution | Directory Open Access Journal |
| issn | 1735-9066 |
| language | English |
| last_indexed | 2024-12-22T04:10:16Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Iranian Journal of Nursing and Midwifery Research |
| spelling | doaj.art-31620abee843410ba6755d5b76b9ad5c2022-12-21T18:39:32ZengWolters Kluwer Medknow PublicationsIranian Journal of Nursing and Midwifery Research1735-90662021-01-0126431031510.4103/ijnmr.IJNMR_291_19The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trialMohsen TorabikhahHojatollah YousefiAmir-Hossein Monazami AnsariAmir MusarezaieBackground: Patients undergoing orthopedics surgery experience the most severe postoperative pain. The fasting time is a factor that affects this complication. The aim of this study was to investigate the impact of fasting time reduction by using oral carbohydrate on postoperative pain and analgesic consumption in orthopedic patients. Materials and Methods: This randomized control trial was conducted between November 2017 and December 2018. Sixty-four patients were randomly assigned into the intervention (which consumed 200 mL of the 12.50% carbohydrate, 2 h before the surgery) and the control group (which was fasted from midnight). Postoperative pain was measured by visual analog scale; the amount of the consumed analgesics was also recorded. The data were analyzed by using Chi-square and t-test. Results: The mean (SD) of the pain scores in the control group immediately and 2, 4, 6, 12 and 24 h after consciousness were 7.19 (2.64), 6.69 (2.17), 6.31 (2.05), 6.16 (2.08), 6.06 (2.24), and 5.38 (1.86), respectively. These scores for the intervention group were 7.44 (1.48), 6.31 (1.25), 5.72 (1.17), 5.59 (1.43), 5.25 (1.13), and 4.97 (1.57). The mean of the pain scores between two groups was not different (p > 0.05). The amount of the consumed morphine (t61 = -2.10, p = 0.039), pethidine (t62 = -2.25, p = 0.028), and diclofenac (t62 = -2.51, p = 0.015) were significantly different between the two groups. Conclusions: The pain intensity in the patients with shortened fasting time was lower, but it was not statistically significant. Moreover, reducing fasting time by using carbohydrate significantly reduced the use of analgesics.http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2021;volume=26;issue=4;spage=310;epage=315;aulast=Torabikhahfastingorthopedicspainpostoperativepreoperative period |
| spellingShingle | Mohsen Torabikhah Hojatollah Yousefi Amir-Hossein Monazami Ansari Amir Musarezaie The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trial Iranian Journal of Nursing and Midwifery Research fasting orthopedics pain postoperative preoperative period |
| title | The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trial |
| title_full | The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trial |
| title_fullStr | The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trial |
| title_full_unstemmed | The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trial |
| title_short | The effect of reducing the fasting time on postoperative pain in orthopaedic patients: A randomized controlled trial |
| title_sort | effect of reducing the fasting time on postoperative pain in orthopaedic patients a randomized controlled trial |
| topic | fasting orthopedics pain postoperative preoperative period |
| url | http://www.ijnmrjournal.net/article.asp?issn=1735-9066;year=2021;volume=26;issue=4;spage=310;epage=315;aulast=Torabikhah |
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