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Published on: August 24, 2019
Effect of Early Postoperative Feeding on the Recovery of Children Post Appendectomy
1Selda Rızalar, PhD, is Assistant Professor, Department of Surgical Nursing, Health Science Faculty, Medipol University, I·stanbul, Turkey. Ayfer Özbaş, PhD, is Associate Professor, Department of Surgical Nursing, Istanbul University Florence Nightingale Nursing Faculty, Abide-i Hurriyet cad. 34381 Şişli, Istanbul, Turkey.
Insights
Early postoperative feeding accelerates recovery in children after appendectomy. This approach significantly reduces hospital stays and improves patient comfort by managing hunger, thirst, and pain more effectively.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Appendectomy is a common surgical procedure in children.
- Postoperative recovery protocols can influence patient outcomes and hospital stay duration.
Purpose of the Study:
- To evaluate the impact of early postoperative feeding on recovery parameters in pediatric appendectomy patients.
- To compare outcomes between early feeding and routine care groups.
Main Methods:
- A multicenter, randomized controlled study involving 92 pediatric patients undergoing appendectomy.
- Patients were assigned to either an early feeding (intervention) or routine care (control) group.
- Data collected included time to first flatus/stool, hospital stay length, and patient-reported hunger, thirst, nausea, and pain using the Visual Analogue Scale.
Main Results:
- Early feeding significantly reduced the time to first flatus and stool passage.
- Patients in the early feeding group experienced a shorter hospital stay.
- Significant improvements were observed in hunger, thirst, and pain levels at specific postoperative intervals (36 and 48 hours) in the early feeding group.
Conclusions:
- Early postoperative feeding is a beneficial strategy for enhancing recovery after pediatric appendectomy.
- Implementing early feeding protocols can lead to faster gastrointestinal function recovery and reduced hospital length of stay.
- Early feeding positively impacts pediatric patients' comfort by alleviating postoperative hunger, thirst, and pain.
Abstract:
The aim of this study was to determine the effect of early postoperative feeding on recovery after appendectomy in children. It was undertaken as a multicenter study. Patients were randomly assigned to 2 groups, each containing 46 children. Postoperatively, liquid and solid food intake and evacuation of first flatus and stool were recorded for the intervention and routine care groups. Postoperative thirst, hunger, nausea, and pain levels were evaluated at regular intervals using the Visual Analogue Scale. Data were obtained as number, mean, and percentage, and statistically analyzed using the chi-square test and the 2-sample t test. A statistically significant difference was found for both the first evacuation of flatus and stool and the length of hospital stay. Patients in the intervention group had evacuated flatus and stool earlier and had a shorter hospital stay than the control group. In addition, a significant difference was found in hunger (48th hour), thirst (36th and 48th hours), and pain (48th hour) levels between the intervention and control groups. Early postoperative feeding in children who have had an appendectomy affects the occurrence of the first evacuation of flatus and stool, the length of hospital stay, and the level of hunger, thirst, and pain.
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