The Effect of Cold Gargling on Oral Dryness, Thirst Severity, and Patient Satisfaction in Patients Who Have Undergone Major Abdominal Surgery: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 88
- 试验地点
- 1
- 主要终点
- Oral Dryness Severity
研究概览
简要总结
This randomized controlled trial examined the effect of cold water gargling on postoperative oral dryness, thirst severity, and patient satisfaction in patients who underwent major abdominal surgery. Patients were randomly assigned to either the intervention group (cold water gargling) or the control group (standard care). Thirst severity and oral dryness were assessed using a Visual Analog Scale (VAS; 0-10) at postoperative 8, 12, and 24 hours. Perioperative thirst-related discomfort was evaluated using the Perioperative Thirst Discomfort Scale (PTDS; score range 0-12), and patient satisfaction was assessed using a VAS (0-10) at postoperative 24 hours. The study was conducted at Erciyes University Faculty of Medicine Gevher Nesibe Hospital, General Surgery Clinic. A total of 88 patients were enrolled (44 per group). The study aimed to provide evidence for a simple, low-cost nursing intervention to improve postoperative patient comfort.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 years or older
- •Scheduled for elective major abdominal surgery
- •Able to communicate verbally
- •Willing to participate and provided written informed consent
- •No restriction on gargling (intact swallowing reflex)
排除标准
- •Presence of oral mucositis, oral ulceration, or any oral pathology
- •History of dysphagia or swallowing difficulties
- •Presence of nausea or vomiting preventing gargling
- •Altered level of consciousness or inability to cooperate
- •Receiving intravenous fluid therapy that resolves thirst symptoms
- •Patients who required reoperation during the study period
- •Patients transferred to the intensive care unit postoperatively
研究组 & 干预措施
Control group
Patients in the control group received standard postoperative care per hospital protocol. No gargling intervention was applied. Oral intake restrictions were maintained as per routine clinical practice.
Intervention group
Patients in the intervention group gargled with cold water (approximately 10 mL, 4°C) for 30 seconds at postoperative 8, 12, and 24 hours. Gargling was performed under nurse supervision. Patients were instructed not to swallow the water.
干预措施: Cold water gargling (Other)
结局指标
主要结局
Oral Dryness Severity
时间窗: Postoperative 8, 12, and 24 hours
Assessed using a Visual Analog Scale (VAS; 0=no oral dryness, 10=very severe oral dryness)
Thirst Severity
时间窗: Postoperative 8, 12, and 24 hours
Assessed using a Visual Analog Scale (VAS; 0=no thirst, 10=very severe thirst)
次要结局
- Perioperative Thirst-Related Discomfort(Postoperative 24 hours)
- Patient Satisfaction(Postoperative 24 hours)