The Effect of Intraoral Spray Application on Thirst and Thirst Comfort in Patients Undergoing Gynecological Surgery

Study Overview
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Brief Summary
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It is important for healthcare professionals to provide care for gynecologic surgery patients using current evidence-based approaches. In this context, this study was planned to determine the effect of intraoral cold water spray application on thirst and thirst comfort in the postoperative period in patients undergoing gynecological surgery.

Detailed Description
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Hypotheses of the Research H01: Application of cold water spray into the mouth has no effect on thirst in patients undergoing gynecological surgery. H02: Application of cold water spray into the mouth has no effect on thirst comfort in patients undergoing gynecological surgery. H11: Application of cold water spray into the mouth has an effect on thirst in patients undergoing gynecological surgery. H12: Application of cold water spray into the mouth has an effect on thirst comfort in patients undergoing gynecological surgery.

Official Title
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The Effect of Intraoral Spray Application on Thirst and Thirst Comfort in Patients Undergoing Gynecological Surgery: A Randomized Controlled Study

Conditions
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Application Site Discomfort

Intervention / Treatment
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* Other: water spray application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Being a patient who is scheduled for benign laparoscopic elective gynecological surgery under general anesthesia, No upper gastrointestinal system anomaly and/or disease, Being a patient whose score is classified as grade I or II according to the American Society of Anesthesiologists (ASA), Being between the ages of 18-65, Not smoking, Being able to communicate at a level that can answer research questions. Exclusion Criteria: The integrity of the oral and tongue mucosa is disrupted before surgery, Having cognitive impairment or any neurological, renal, cardiac or pulmonary chronic disease, Morbidly obese Those who use psychiatric drugs

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experiment<br>In cold water applications, 50 cc bottles with plastic spray heads will be used. New materials will be used for each patient. Interventions will be carried out by the researcher and. Cold water kept in the refrigerator at +4 degrees will be placed in 50 cc spray bottles for the experimental group and will be sprayed orally to the patients 3 times an hour in the postoperative period. The spray will be applied to the patient's mouth, upper palate, top of the tongue, right inner cheek, and left inner cheek. Patients will be given approximately 0.5 mL of water via spray in each application. | Other: water spray application<br>* cold water kept in the refrigerator at +4 degrees<br>|
| No Intervention: Control<br>Spray application will not be applied to patients in the control group. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thirst Severity Scale (Numerical Rating Scale) | This scale was determined based on studies in the literature where the severity of thirst was evaluated using a numerical rating scale. It will be used to objectively evaluate the thirst levels of patients. It will be evaluated between 0-10 points with SDQ. While a score of 0 indicates that there is no thirst, a score of 10 indicates that the most severe thirst is felt. (Lee et al. 2020). | 1st, 3rd, 5th, 6th hours postoperatively | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Thirst Discomfort Scale | The Turkish validity and reliability of the scale was conducted by Çiftçi et al. in 2023. The scale is used to determine the level of dehydration-related discomfort in surgical patients. There are 3 sub-dimensions in the scale (intraoral movements, psychological movements, extraoral movements). The scale was developed as a 5-point Likert type. It is scored as 1 = It does not bother me at all, 5 = It bothers me a lot. The Thirst Disorder Scale is calculated based on the total item score. There are no reverse items in the scale. The lowest score from the scale is 12 and the highest score is 60. As the score obtained from the sub-dimension increases, the level of discomfort in that dimension increases. As the score obtained from the scale increases, the level of thirst discomfort of patients increases (Çiftçi et al., 2023). | 1st, 3rd, 5th, 6th hours postoperatively | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Gynecologic surgery, water spray, discomfort, thirst