Effect of Toddlers' Feeding before Abdominal Operations on Postoperative Complications | ||
| Egyptian Journal of Health Care | ||
| Article 10, Volume 7, Issue 2, June 2016, Pages 120-132 PDF (546.79 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhc.2016.105193 | ||
| Authors | ||
| Faransa A Ahmed1; Nora A Zaky1; Ibrahim A Ibrahim2 | ||
| 1Department of Pediatric Nursing, Faculty of Nursing, Assiut University | ||
| 2Pediatric Surgery Unit, Faculty of Medicine, Assiut University. | ||
| Abstract | ||
| Toddlers are required to be fasting before general anaesthesia with the aim of reducing the volume and acidity of their stomach contents. It is thought that fasting reduces the risk of regurgitation and aspiration of gastric contents during surgery. The stomach is not emptied of liquids and solids in the same way, and therefore preoperative fasting should not be the same for both. Human milk leaves the stomach more rapidly than artificial milk, and the emptying of non- human milk is similar to that of solids. This study aimed to determine the effects of toddlers' feeding (clear fluid, breast milk, formula milk and adult food) before abdominal operations on postoperative complications and to improve nurses' knowledge about pre and post-operative care especially preoperative fasting and immediate post-operative complications. A Comparative descriptive research design was used to conduct the study in the pediatric surgical unit at Assiut university children Hospital. It included 100 children (25 children for each group) who were selected randomly, aged from 1 to 3 years. One tool was used for collecting data in this study consist of three part; part (1); A structured interview questionnaire, it included personal and clinical data of children related to surgery, part (2) child's food consumption pattern and part three include Observation sheet to assess the postoperative complication. The study results revealed that, no one of breast milk and clear fluids feeding toddlers suffered from any immediate post operative complications (aspiration, regurgitation and vomiting), will aspirated, regurgitated and vomited cases were found among toddlers received adult food higher than toddlers received artificial milk. Conclusion: Based on the results of the current study it was concluded that the toddlers received human milk and clear fluid have less immediate post-operative complications while the toddlers received adult food and artificial milk have higher percent of immediate post operative complication. Recommendations: Organized an educational sessions for health staff worked in pediatric surgical hospital about correct method of toddlers' fasting preoperative (type of food and fasting time) to prevent immediate post-operative complications, recommended to do further researches in this field. | ||
| Keywords | ||
| Feeding Types; Abdominal Operations; Perioperative Nursing Role; Postoperative Complications; fasting time and Toddler Stage | ||
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