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Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital

Background. Preoperative fasting (POF) is physiologically and precautionary important during anesthesia and surgery. POF from midnight has been practiced despite the recommended shorter practice. Objective. Assessing preoperative fasting among adult patients scheduled for elective surgery at Kenyatt...

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Autores principales: Njoroge, George, Kivuti-Bitok, Lucy, Kimani, Samuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5405382/
https://www.ncbi.nlm.nih.gov/pubmed/28487877
http://dx.doi.org/10.1155/2017/2159606
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author Njoroge, George
Kivuti-Bitok, Lucy
Kimani, Samuel
author_facet Njoroge, George
Kivuti-Bitok, Lucy
Kimani, Samuel
author_sort Njoroge, George
collection PubMed
description Background. Preoperative fasting (POF) is physiologically and precautionary important during anesthesia and surgery. POF from midnight has been practiced despite the recommended shorter practice. Objective. Assessing preoperative fasting among adult patients scheduled for elective surgery at Kenyatta National Hospital (KNH). Methods. A descriptive cross-sectional study involving 65 surgical patients. A questionnaire of mixed questions on demographics, reasons, source of instructions, opinion on instructions, time, premedication practices, outcome, and complains on NPO was used. Analysis was quantitatively done with SPSS v. 22. Ethical approval was obtained from KNH-UoN ERC. Results. Of the respondents 93.8% lacked knowledge on the correct reasons for POF and felt that the instructions were unclear and less important <50%. POF instructions were administered by nurses 80%, anesthetists 15%, and surgeons 5%. Most of respondents (73.8%) fasted > 15 hours. The POF outcomes were rated moderately challenging as follows: prolonged wait for surgery 44.6%, thirst 43.1%, hunger 36.9%, and anxiety 29.2%. Conclusion. Nurses are critical in providing POF instructions and care, and patient knowledge level is a mirror reflection of the quality of interventions. This underscores the need to build capacity for nurses and strengthen the health system to offer individualized preoperative interventions as well as monitoring and clinical auditing of fasting practices.
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spelling pubmed-54053822017-05-09 Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital Njoroge, George Kivuti-Bitok, Lucy Kimani, Samuel Int Sch Res Notices Research Article Background. Preoperative fasting (POF) is physiologically and precautionary important during anesthesia and surgery. POF from midnight has been practiced despite the recommended shorter practice. Objective. Assessing preoperative fasting among adult patients scheduled for elective surgery at Kenyatta National Hospital (KNH). Methods. A descriptive cross-sectional study involving 65 surgical patients. A questionnaire of mixed questions on demographics, reasons, source of instructions, opinion on instructions, time, premedication practices, outcome, and complains on NPO was used. Analysis was quantitatively done with SPSS v. 22. Ethical approval was obtained from KNH-UoN ERC. Results. Of the respondents 93.8% lacked knowledge on the correct reasons for POF and felt that the instructions were unclear and less important <50%. POF instructions were administered by nurses 80%, anesthetists 15%, and surgeons 5%. Most of respondents (73.8%) fasted > 15 hours. The POF outcomes were rated moderately challenging as follows: prolonged wait for surgery 44.6%, thirst 43.1%, hunger 36.9%, and anxiety 29.2%. Conclusion. Nurses are critical in providing POF instructions and care, and patient knowledge level is a mirror reflection of the quality of interventions. This underscores the need to build capacity for nurses and strengthen the health system to offer individualized preoperative interventions as well as monitoring and clinical auditing of fasting practices. Hindawi 2017-04-12 /pmc/articles/PMC5405382/ /pubmed/28487877 http://dx.doi.org/10.1155/2017/2159606 Text en Copyright © 2017 George Njoroge et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Njoroge, George
Kivuti-Bitok, Lucy
Kimani, Samuel
Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital
title Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital
title_full Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital
title_fullStr Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital
title_full_unstemmed Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital
title_short Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital
title_sort preoperative fasting among adult patients for elective surgery in a kenyan referral hospital
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5405382/
https://www.ncbi.nlm.nih.gov/pubmed/28487877
http://dx.doi.org/10.1155/2017/2159606
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