Liberating Electrophysiology Preprocedure NPO Status

Q3 Nursing

Journal of Radiology Nursing Pub Date : 2024-03-01 DOI:10.1016/j.jradnu.2024.01.001

Nicole Newman DNP, CRNP, CCRN , Kristen Zulkosky PhD, RN, CNE, CHSE

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引用次数: 0

Abstract

Background

Fasting at midnight is standard practice for patients undergoing inpatient electrophysiological (EP) procedures, creating discomfort and dissatisfaction.

Methods

This single-center, cross-sectional observational study utilized a standard-of-care (SOC) group who remained nil per os at midnight and an evidence-based (EB) group who received clear liquids up to 2 hours before their procedure. Each participant completed a Likert scale survey assessing fasting satisfaction and a retrospective chart review was completed to assess adverse outcomes.

Results

Subjects’ hunger in the SOC group (M = 4.067) differed significantly from the EB group (M = 3.167), U = 254.5, z = 2.883, p = .004, r = 0.372. Subjects' thirst in the SOC group (M = 4.367) differed significantly from the EB group (M = 3.1), U = 186, z = 3.896, p = <.001, r = 0.503. Hypoglycemia in the SOC group was statistically significant from the EB group.

Conclusion

Allowing clear liquids 2 hours before EP procedures reduced patient thirst and hunger without adverse outcomes.

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解放电生理学术前 NPO 状态

方法这项单中心横断面观察性研究使用了标准护理（SOC）组和循证护理（EB）组，标准护理组在午夜保持零饥饿，循证护理组在手术前 2 小时内接受清流食。每位受试者都填写了一份评估空腹满意度的李克特量表调查，并完成了一份回顾性病历以评估不良后果。结果SOC组受试者的饥饿感（M = 4.067）与EB组（M = 3.167）有显著差异，U = 254.5，z = 2.883，p = .004，r = 0.372。SOC 组受试者的口渴程度（M = 4.367）与 EB 组（M = 3.1）有显著差异，U = 186，z = 3.896，p = <.001，r = 0.503。SOC 组的低血糖症与 EB 组相比具有统计学意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Radiology Nursing Nursing-Advanced and Specialized Nursing

CiteScore

0.80

自引率

0.00%

发文量

审稿时长

57 days

期刊介绍： The Journal of Radiology Nursing promotes the highest quality patient care in the diagnostic and therapeutic imaging environments. The content is intended to show radiology nurses how to practice with compassion, competence, and commitment, not only to patients but also to the profession of nursing as a whole. The journal goals mirror those of the Association for Radiologic & Imaging Nursing: to provide, promote, maintain , and continuously improve patient care through education, standards, professional growth, and collaboration with other health care provides.