Dergiler / Kocatepe Tıp Dergisi / 2026 / Cilt: 27 Sayı: 3

LAPAROSKOPİK KOLESİSTEKTOMİ AMELİYATI OLAN HASTALARIN PERİOPERATİF DÖNEMDEKİ AÇLIK SÜRELERİNİN İYİLEŞME KALİTESİ ÜZERİNE ETKİSİ

THE EFFECT OF PERIOPERATIVE PERIOD FASTING PERIOD ON THE QUALITY OF HEALING OF PATIENTS HAVING LAPAROSCOPIC CHOLESYSTECTOMY SURGERY

Sayfa
296–301
Yayın Tarihi
2026-07-20
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Extended fasting in both the preoperative and postoperative periods had significantly negative effects on recovery quality, patient support, freedom of movement, pain, emotional state, and physical comfort.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:OBJECTIVE: This study was conducted to examine the effect of fasting periods on the quality of recovery of patients who underwent laparoscopic cholecystectomy.
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Temel Bulgular & Veri:MATERIAL AND METHODS: This study was conducted using a descriptive and correlational design. 200 patients who underwent laparoscopic cholecystectomy were included in the study.
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Sonuç & Katkı:Extended fasting in both the preoperative and postoperative periods had significantly negative effects on recovery quality, patient support, freedom of movement, pain, emotional state, and physical comfort.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Fasting period · nursing · quality of recovery

Özet

OBJECTIVE: This study was conducted to examine the effect of fasting periods on the quality of recovery of patients who underwent laparoscopic cholecystectomy. MATERIAL AND METHODS: This study was conducted using a descriptive and correlational design. 200 patients who underwent laparoscopic cholecystectomy were included in the study. Data; It was collected with the data collection form prepared by the researchers and the Quality of Recovery 40 Survey. In the analysis of data; for descriptive statistics, p percentages, means, standard deviations, and minimum–maximum values were calculated. The Mann-Whitney U test, a nonparametric test, was used to compare two independent groups. Relationships between numerical variables were examined with the Pearson correlation coefficient. RESULTS: In the research, it was found that the average fasting period in the perioperative period for patients who underwent laparoscopic cholecystectomy was 17.90 ± 2.61 hours. The mean score for quality of recovery was found to be 160.58 ± 19.40. Patients who underwent laparoscopic cholecystectomy were found to have above-average scores on the quality of recovery and subscales of patient support, freedom of movement, pain, emotional state, and physical comfort. It was concluded that as the fasting period is prolonged, both preoperatively and postoperatively, the quality of recovery, patient support, freedom of movement, pain, emotional state and physical comfort are negatively affected (p<0.05). CONCLUSIONS: Patients included in the study were found to experience prolonged fasting periods, which were associated with various complications. Extended fasting in both the preoperative and postoperative periods had significantly negative effects on recovery quality, patient support, freedom of movement, pain, emotional state, and physical comfort.

Abstract

OBJECTIVE: This study was conducted to examine the effect of fasting periods on the quality of recovery of patients who underwent laparoscopic cholecystectomy. MATERIAL AND METHODS: This study was conducted using a descriptive and correlational design. 200 patients who underwent laparoscopic cholecystectomy were included in the study. Data; It was collected with the data collection form prepared by the researchers and the Quality of Recovery 40 Survey. In the analysis of data; for descriptive statistics, p percentages, means, standard deviations, and minimum–maximum values were calculated. The Mann-Whitney U test, a nonparametric test, was used to compare two independent groups. Relationships between numerical variables were examined with the Pearson correlation coefficient. RESULTS: In the research, it was found that the average fasting period in the perioperative period for patients who underwent laparoscopic cholecystectomy was 17.90 ± 2.61 hours. The mean score for quality of recovery was found to be 160.58 ± 19.40. Patients who underwent laparoscopic cholecystectomy were found to have above-average scores on the quality of recovery and subscales of patient support, freedom of movement, pain, emotional state, and physical comfort. It was concluded that as the fasting period is prolonged, both preoperatively and postoperatively, the quality of recovery, patient support, freedom of movement, pain, emotional state and physical comfort are negatively affected (p<0.05). CONCLUSIONS: Patients included in the study were found to experience prolonged fasting periods, which were associated with various complications. Extended fasting in both the preoperative and postoperative periods had significantly negative effects on recovery quality, patient support, freedom of movement, pain, emotional state, and physical comfort.

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Bu Makaleye Atıf Yap

Katar, Ü., Aygüler, E., Tuna, P. T. (2026). LAPAROSKOPİK KOLESİSTEKTOMİ AMELİYATI OLAN HASTALARIN PERİOPERATİF DÖNEMDEKİ AÇLIK SÜRELERİNİN İYİLEŞME KALİTESİ ÜZERİNE ETKİSİ. Kocatepe Tıp Dergisi, Cilt: 27 Sayı: 3, 296–301. https://doi.org/10.18229/kocatepetip.1754045

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Kaynakça (31)

  1. He Y, Wang R, Wang F, Chen L, et al. The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis. Gland Surg. 2022;11(3):563-573.
  2. Sidik AI, Lishchuk A, Faybushevich AN, et al. Adherence to preoperative fasting guidelines in elective surgical patients. Cureus. 2024;16(10):e71554.
  3. Bayramoğlu BG, Akyüz N. Investigation of preoperative fasting time and preoperative and postoperative well- being of patients. Florence Nightingale J Nurs. 2022;30(1):33-9.
  4. Aslantas C, Tuna A. The effect of preoperative fasting time on physiological parameters in patients undergoing thyroid surgery. Med Sci. 2023;12(3):941-50.
  5. Yip A, Hogan S, Carey S. Interventions aimed at reducing fasting times in acute hospital patients: a systematic literature review. Nutr Clin Pract. 2021;36(1):133-52.
  6. Kirtil İ, Aydın E. Relationship between preoperative fasting duration and anxiety levels with postoperative pain, nausea-vomiting, and sleep quality in orthopedic surgical patients: a cross-sectional study. Nurs Health Sci. 2025;27(1):e70048.
  7. Liang Y, Yan X, Liao Y. The effect of shortening the preoperative fasting period on patient comfort and gastrointestinal function after elective laparoscopic surgery. Am J Transl Res. 2021;13(11):13067-75.
  8. İster G, Erbaş DH, Aslan FE. The effect of prolonged fasting before surgery on pain and anxiety. J Perianesth Nurs. 2025;40(2):377-380.
  9. Rahman AARA, Mahdy NE, Kamaly AM. Predictive factors affecting postoperative quality of recovery for patients undergoing surgery. IOSR J Nurs Health Sci. 2017;6(3):50-60.
  10. Bowyer A, Royse C. The importance of postoperative quality of recovery: influences, assessment, and clinical and prognostic implications. Can J Anaesth. 2016;63(2):176-83.
  11. Andersson V, Bergstrand J, Engström Å, Gustafsson S. The impact of preoperative patient anxiety on postoperative anxiety and quality of recovery after orthopaedic surgery. J Perianesth Nurs. 2020;35(3):260-4.
  12. Liu Y, Ma W, Zuo Y, Li Q. Opioid-free anaesthesia and postoperative quality of recovery: a systematic review and meta-analysis with trial sequential analysis. Anaesth Crit Care Pain Med. 2025;44(1):101453.
  13. Boney O, Moonesinghe SR, Myles PS, et al. Core Outcome Measures for Perioperative and Anaesthetic Care (COMPAC): a modified Delphi process to develop a core outcome set for trials in perioperative care and anaesthesia. Br J Anaesth. 2022;128(1):174-85.
  14. Shin S, Choi YS, Shin H, Yang IH, et al. Preoperative carbohydrate drinks do not decrease postoperative nausea and vomiting in type 2 diabetic patients undergoing total knee arthroplasty: a randomized controlled trial. J Am Acad Orthop Surg Glob Res Rev. 2021;29(1):35-43.
  15. Mousavie SH, Negahi A, Hosseinpour P, et al. The effect of preoperative oral versus parenteral dextrose supplementation on pain, nausea, and quality of recovery after laparoscopic cholecystectomy. J Perianesth Nurs. 2021;36(2):153-6.
  16. Gümüş K. The effects of preoperative and postoperative anxiety on the quality of recovery in patients undergoing abdominal surgery. J Perianesth Nurs. 2021;36(2):174-8.
  17. Myles P, Weitkamp B, Jones K, et al. Validity and reliability of a postoperative quality of recovery score: the QoR-40. Br J Anaesth. 2000;84(1):11-5.
  18. Karaman S, Arıcı S, Doğru S, et al. Validation of the Turkish version of the quality of recovery-40 questionnaire. Health Qual Life Outcomes. 2014;12:8.
  19. Itou K, Fukuyama T, Sasabuchi Y, et al. Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial. J Anesth. 2012;26:20-7.
  20. Udayasankar M, Udupi S, Shenoy A. Comparison of perioperative patient comfort with enhanced recovery after surgery (ERAS) approach versus traditional approach for elective laparoscopic cholecystectomy. Indian J Anaesth. 2020;64(4):316-21.
  21. Şişman H, Arslan S, Gezer D, et al. The effect of Apfel risk score and fasting times on postoperative nausea and vomiting. Perioper Care Oper Room Manag. 2022;29:100283.
  22. Şişman H, Aslan FE, Alptekin D, et al. Relationship between preoperative time of fasting and postoperative nausea and vomiting. J Pediatr Surg Nurs. 2020;9(1):18-21.
  23. Gustafsson U, Scott M, Hubner M, et al. Guidelines for perioperative care in elective colorectal surgery: Enhanced Recovery After Surgery (ERAS) Society recommendations: 2018. World J Surg. 2019;43:659-95.
  24. Melloul E, Lassen K, Roulin D, et al. Guidelines for perioperative care for pancreatoduodenectomy: Enhanced Recovery After Surgery (ERAS) recommendations 2019. World J Surg. 2020;44:2056-84.
  25. Weimann A, Braga M, Carli F, et al. ESPEN guideline: clinical nutrition in surgery. Clin Nutr. 2017;36(3):623-50.
  26. Canbolat Seyman Ç, Kaya Ç. Preoperatif diz eklemi fonksiyonu ve açlık süresinin diz artroplastisi sonrası kısa dönem hasta sonuçlarına etkisinin belirlenmesi: Analitik çalışma. Türkiye Klinikleri Journal of Nursing Sciences. 2023;15(1):17-23.
  27. Demirdağ H, Öner Cengiz H, Erdoğan B, Soytürk ES, Kurt B, Uygun AN. Ürolojik cerrahi girişim uygulanan hastalarda ameliyat öncesi açlık süresi ile ameliyat sonrası iyileşme kalitesi arasındaki ilişkinin belirlenmesi: Tanımlayıcı çalışma. Türkiye Klinikleri Journal of Nursing Sciences. 2024;16(1):17-25.
  28. Demirdağ H, Karaöz S. Ameliyat öncesi besin/sıvı kısıtlamasına ilişkin hastaların deneyimleri ve hemşirelerin konu ile ilgili bilgi ve uygulamaları. Florence Nightingale Journal of Nursing. 2015;23(1):1-10.
  29. Njoroge G, Kivuti-Bitok L, Kimani S. Preoperative fasting among adult patients for elective surgery in a Kenyan referral hospital. International Scholarly Research Notices. 2017;12(4):2159606.
  30. Lee JS, Song Y, Kim JY, et al. Effects of preoperative oral carbohydrates on quality of recovery in laparoscopic cholecystectomy: a randomized, double-blind, placebo-controlled trial. World J Surg. 2018;42:3150-7.
  31. Alsharkh WS, Aljuaid M, Huda AU, et al. Effect of total fasting hours on the overall quality of recovery after surgery: an observational study. Saudi J Anaesth. 2023;17(3):373-7.