Investigation of the Effect of Preoperative Fasting Period on Comfort According to Kolcaba’s Comfort Theory

Year 2025, Volume: 9 Issue: 1, 102 - 112, 31.01.2025

Aslınur Tepekaya Deniz Şanlı

Abstract

Investigation of the Effect of Preoperative Fasting Period on Comfort According to Kolcaba’s Comfort Theory

Abstract

ABSTRACT
Purpose: This study was aimed at investigating the effect of preoperative fasting periods on the preoperative comfort levels of patients according to Kolcaba’s Comfort Theory.
Materials and Methods: This descriptive and correlational study included 267 patients. The study data were collected using the General Comfort Questionnaire. In the analysis of the data, the independent sample t test, one-way analysis of variance, Pearson correlation analysis and linear regression analysis were used.
Results: While the increase in the duration of preoperative fluid fasting caused a decrease in their mean scores for the relief and transcendence sub-dimensions of the sense dimension, and the physical, environmental and sociocultural comfort sub-dimensions of the context dimension; the increase in the duration of preoperative solid fasting caused a decrease in their mean scores for the relief and transcendence sub-dimensions of the sense dimension, and the physical, environmental and sociocultural comfort sub-dimensions of the context dimension and the overall questionnaire (p<0.05).
Conclusion: The increase in the patients’ durations of both preoperative fluid and solid fasting decreased their mean scores for the most of sub-dimensions; the increase in the patients’ durations of preoperative solid fasting also decreased their mean score for the overall questionnaire.

Keywords

Preoperative care, Preoperative period, Patient comfort, Perioperative nursing

References

• Collard CD, Gelman S. Prevention of Ischaemia –Reperfusion Injury. Anesthesiology 2001;94(6):1133-1138.
• Akan M, Ozbilgin S, Boztas N, et al. Effect of magnesium sulfate on renal ischemia-reperfusion
• Wever KE, Menting TP, Rovers M, et al. Ischaemic preconditioning in the animal kidney, a systematic review and meta-analysis. PLoS One 2012;7(2):1-10.
• Carden DL, Granger DN. Pathophysiology of ischemia–reperfusion injury. J Pathol 2000;190(3):255-266.
• Khajuria A, Tay C, Shi J, et al. Anesthetics attenuate ischemia-reperfusion induced renal injury: Effects and mechanisms. Acta Anaesthesiol Taiwanica 2014;52(4):176-184.
• Shokeir AA, Hussein AM, Awadalla A, et al. Protection against renal ischemia/reperfusion injury: A comparative experimental study of the effect of ischemic preconditioning vs. postconditioning. Arab J Urol 2012;10(4):418-424.
• Bagcik E, Ozkardesler S, Boztas N, et al. Effects of dexmedetomidine in conjunction with remote ischemic preconditioning on renal ischemia–reperfusion injury in rats. Brazilian J Anesthesiol (English Ed) 2014;64(6):382-390.
• Ergin B, Zuurbier CJ, Bezemer R, et al. Ascorbic acid improves renal microcirculatory oxygenation in a rat model of renal I/R injury. J Transl Intern Med 2016;3(3):116-125.
• Azari O, Kheirandish R, Azizi S, et al. Protective Effects of Hydrocortisone, Vitamin C and E Alone or in Combination against Renal İschaemia-Reperfusion Injury in Rat. Iran J Pathol 2015;10(4):272-280.
• Mohamed AEHA, Lasheen NN. Comparative study on the protective role of vitamin C and L-arginine in experimental renal ischemia reperfusion in adult rats. Int J Physiol Pathophysiol Pharmacol 2014;6(3):153-165.
• Oudemans-van Straaten HM, Spoelstra-de Man AME, de Waard MC. Vitamin C revisited. Crit Care 2014;18(4):1-13.
• Zhu Y Bin, Zhang YP, Zhang J, et al. Evaluation of Vitamin C supplementation on kidney function and vascular reactivity following renal ischemic injury in mice. Kidney Blood Press Res 2016;41(4):460-470.
• Korkmaz A, Kolankaya D. The protective effects of ascorbic acid against renal ischemia-reperfusion injury in male rats. Ren Fail 2009;31(1):36-43.
• Seo MY, Lee SM. Protective effect of low dose of ascorbic acid on hepatobiliary function in hepatic ischemia/reperfusion in rats. J Hepatol 2002;36(1):72-77.
• Pundir M, Arora S, Kaur T, et al. Effect of modulating the allosteric sites of N-methyl-D-aspartate receptors in ischemia-reperfusion induced acute kidney injury. J Surg Res 2013;183(2):668-677.
• Gröber U, Schmidt J, Kisters K. Magnesium in prevention and therapy. Nutrients 2015;7(9):8199-8226.
• Kavak EC, Bulmus FG, Bulmus O, et al. Magnesium: Does it reduce ischemia/reperfusion injury in an adnexal torsion rat model? Drug Des Devel Ther 2018;12:409-415.
• Kao MC, Jan WC, Tsai PS, et al. Magnesium sulfate mitigates lung injury induced by bilateral lower limb ischemia-reperfusion in rats. J Surg Res 2011;171(1):e97-e106.
• Marques dos Santos CH, Dourado DM, Kato da Silva BA, et al. Atorvastatin Protects Kidney from Remote Reperfusion Injury. Ann Vasc Surg 2018.
• Wietzikoski EGG, Foiatto JC, Czeczko NG, et al. Tadalafil protector effect during ischemia-reperfusion in rats. Acta Cir Bras 2017.
• Tsutsui H, Shimokawa T, Miura T, et al. Effect of monoamine oxidase inhibitors on ischemia/reperfusion-induced acute kidney injury in rats. Eur J Pharmacol 2018;818:38-42.
• Si Y, Bao H, Han L, et al. Dexmedetomidine protects against renal ischemia and reperfusion injury by inhibiting the JAK/STAT signaling activation. J Transl Med 2013.
• Özlülerden Y, Toktaş C, Aybek H, et al. The renoprotective effects of mannitol and udenafil in renal ischemia-reperfusion injury model. Investig Clin Urol 2017.
• Orvieto MA, Zorn KC, Mendiola F, et al. Recovery of Renal Function After Complete Renal Hilar Versus Artery Alone Clamping During Open and Laparoscopic Surgery. J Urol 2007;177(6):2371-2374.
• Simmons MN, Schreiber MJ, Gill IS. Surgical Renal İschaemia: A Contemporary Overview. J Urol 2008;180(1):19-30.
• Kocoglu H, Ozturk H, Ozturk H, et al. Effect of dexmedetomidine on ischemia-reperfusion injury in rat kidney: A histopathologic study. Ren Fail 2009;31(1):70-74.
• Fouad AA, Al-Mulhim AS, Jresat I, Morsy MA. Protective effects of captopril in diabetic rats exposed to ischemia/reperfusion renal injury. J Pharm Pharmacol 2013;65(2):243-252.
• Williams P, Lopez H, Britt D, et al. Characterization of Renal Ischaemia-Reperfusion Injury in Rats. J Pharmacol Toxicol Methods 1997;Feb:37(1):1-7.
• Singbartl K, Ley K. Protection from Ischaemia-Reperfusion Induced Severe Acute Renal Failure by Blocking E-Selectin. Crit Care Med 2000:28;2507-2514
• Hammad FT, Ojha S, Azimullah S, et al. Does β-Caryophyllene Protect against Renal Dysfunction Following İschaemia-Reperfusion Injury in the Rat? Int J Physiol Pathophysiol Pharmacol 2018;10(6):163–171.
• Yang S, Chou WP, Pei L. Effects of propofol on renal ischemia/reperfusion injury in rats. Exp Ther Med 2013;6(5):1177-1183.
• Li YW, Zhang Y, Zhang L, et al. Protective effect of tea polyphenols on renal ischemia/reperfusion injury via suppressing the activation of TLR4/NF-κB p65 signal pathway. Gene 2014;542(1):46-51.
• Yamaki VN, Goncalves TB, Coelho JV. et al.Protective effect of remote ischemic per-conditioning in the ischemia and reperfusion-induce renal injury in rats. Rev Col Bras Cir 2012;39:529-533.
• Yılmaz Selçuk N, Yakan B, San A, et al. Deneysel sıcak renal iskemi ve reperfüzyonda lipid peroksidasyonu ve alpha-tocopherol tedavisinin değerlendirilmesi. Türk Nefroloji Diyaliz ve Transplantasyon Dergisi Vol 1.; 1996.
• Luo LN, Xie DQ, Zhang XG, et al. Osthole decreases renal ischemia-reperfusion injury by suppressing JAK2/STAT3 signaling activation. Exp Ther Med 2016;12(4):2009-2014.
• Zhang J, Tang L, Li G Sen, Wang J. The anti-inflammatory effects of curcumin on renal ischemia-reperfusion injury in rats. Ren Fail 2018;40(1):680-686.
• Cochrane J, Williams BT, Banerjee A, et al. Ischaemic preconditioning attenuates functional, metabolic, and morphologic injury from ischemic acute renal failure in the rat. Ren Fail 1999;21(2):135-145.
• JI Xiang, MA Lu-Lin, LU Jian. Expression of kidney injury molecule-1 in renal ischemic postconditioning and its protective effect against renal ischemia-reperfusion injury in rats. J Peking Univ 2012;44:511-517.
• Zhao Z, Tang Z, Zhang W, et al. Magnesium isoglycyrrhizinate protects against renal-ischemia-reperfusion injury in a rat model via anti-inflammation, anti-oxidation and anti-apoptosis. Mol Med Rep 2017;16(3):3627-3633.
• Kozin S, Kravtsov A, Ivashchenko L, et al. Study of the Magnesium Comenate Structure, Its Neuroprotective and Stress-Protective Activity. Int J Mol Sci 2023;24(9):8046.
• Chen S da, Chen Y bin, Peng Y, et al. Role of PI3K/Akt signaling in the protective effect of magnesium sulfate against ischemia-perfusion injury of small intestine in rats. Chin Med J (Engl) 2010;123(11):1447-1452.
• Kressel M, Groscurth P. Distinction of apoptotic and necrotic cell death by in situ labelling of fragmented DNA. Cell Tissue Res 1994;278(3):549-556.
• Chang YK, Choi H, Jeong JY, et al. Dapagliflozin, SGLT2 Inhibitor, Attenuates renal ischemia-reperfusion injury. PLoS One 2016;11(7):1-14.
• Yang K, Li WF, Yu JF, et al. Diosmetin protects against ischemia/reperfusion-induced acute kidney injury in mice. J Surg Res 2017;214(86717):69-78.
• Herrera K, Cahoon RE, Kumaran S, Jez JM. Reaction mechanism of glutathione synthetase from Arabidopsis thaliana: Site-directed mutagenesis of active site residues. J Biol Chem 2007;282(23):17157-17165.