Effect of Early Postoperative Drinking Water on Postoperative Recovery Quality of Patients With Thyroid Surgery
Trial Snapshot
- Phase
- Not Applicable
- Enrollment
- 94
- Locations
- 1
- Primary Endpoint
- QoR-15 score on the first day after surgery
Study Overview
Brief Summary
This study is a single-center, prospective and randomized controlled study to investigate the effects of early recovery of oral intake (E) and late recovery of oral intake (L) on postoperative recovery quality and satisfaction of patients undergoing thyroid surgery. The study's primary outcome is quality of recovery-15 scale (Qor-15).
Detailed Description
The subjects of this study are patients who will receive thyroid surgery in Peking Union Medical College Hospital. After the patient is included in the experiment, when the patient meets the exit criteria of the PACU, the patient will be randomly assigned to early resumption of oral intake group and late resumption of oral intake group to receive different treatments. Finally, researchers will collecte and evaluate the different outcome indicators of the two groups of patients.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Double (Investigator, Outcomes Assessor)
Masking Description
The anesthesiologists will obtain the group of patients through computer randomization before the patients leave the Post-Anesthesia Care Unit, and guide the patients to drink water. The questionnaire collectors and outcomes assessor will not be informed of the group of patients.
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •ASA Physical Status I-II
- •Body mass index 18.5-29.9kg/m2
- •First operation on operation day
- •Thyroid surgery
Exclusion Criteria
- •Patients or family members cannot understand the conditions and objectives of this study
- •Preoperative patients with acute pharyngitis, hoarseness, cough, dysphagia, and high risk of aspiration
- •The surgeons or anesthesiologists point out that the patient is not suitable for early postoperative drinking (such as considering the injury of recurrent laryngeal nerve or lymphatic vessels during the operation)
- •Exclusion criteria of QoR-15* (*QoR-15 exclusion criteria:
- •Unable to understand words and language;
- •Difficult to cooperate due to mental disorders;
- •History of alcohol or drug abuse;
- •Any serious pre-existing medical condition that can limit the objective evaluation after surgery;
- •Any life-threatening complications;
- •Emergency surgery)
Arms & Interventions
Early resumption of oral intake
Drink 30-50ML of normal temperature water after meeting the PACU transfer out standard. If the patient swallows successfully and does not cough, after returning to the ward, the medical staff of the ward will guide him or her to resume drinking and eating early: patient will resume drinking water within one hour after returning to the ward, a small amount of water for many times until the amount of drinking water reaches 300ml. If the patient does not have discomfort symptoms, he or she will resume eating according to normal drinking and eating habits.
Intervention: Early resumption of oral intake (Behavioral)
Late resumption of oral intake
Drink 30-50ML of normal temperature water after 6h after the operation. A small amount of water can be used several times, and the amount of water can reach 300ml. If the patient does not have any discomfort symptoms, it can guide the patient to recover diet according to his/her normal eating habits.
Intervention: Late resumption of oral intake (Behavioral)
Outcomes
Primary Outcomes
QoR-15 score on the first day after surgery
Time Frame: one day
Using QoR-15 questionnaire to evaluate the quality of perioperative recovery. QoR-15 consists of 15 comprehensive questions, including physical comfort (5 items), psychological support (2 items), physical independence (2 items), emotional state (4 items), and pain (2 items), each item is scored with 0-10 points, 0 represents poor state, 10 represents good state, and the total score is the QoR-15 score of the patient.
Secondary Outcomes
- Postoperative pain(through patient discharge, an average of 3-4 day)
- QoR-15 score on the day of discharge(one day)
- Patient satisfaction(through patient discharge, an average of 3-4 day)
- Length of hospital stay(through patient discharge, an average of 3-4 day)
- Recovery of digestive function(through recovery of digestive function, an average of 1-2 day after surgery)
- Total drainage volume after operation(through removal of drainage tube, an average of 2 day)