Short-term versus long-term fasting prior to elective coronary angiography
Keywords:
elective coronary angiography, patient satisfaction, hypotension, hypoglycaemia, fastingAbstract
Aim: To compare the incidence of immediate complications and patient satisfaction amongst short-term versus long-term fasting groups underwent for elective coronary angiography.
Background: Before cardiac intervention procedures, patients usually kept Nil per oral for unexpected longer time to reduce the potential risk of inhaling acidic stomach content.
Introduction: Coronary Angiography, diagnostic procedure to diagnose coronary artery disease performed under local anaesthesia to achieve minimal sedation stated that no longer fasting is required for conscious sedation.
Methods: This was a quasi-experimental study with quantitative evaluative-comparative approach. Data gathered from the patients admitted for elective coronary angiography, collect baseline data and kept NPO either for 2 hours or 6 hours randomly. Assess the clinical profiles as pre, intra and post-procedural and assess the patient’s satisfaction 30 minutes of the procedure. Immediate outcome included nausea, vomiting, hypotension and hypoglycaemia.
Results: 110 patients (55 in each group) participated in this study. On comparison, Similar incidence of nausea and vomiting among two groups were observed, hypotension was slightly more in short-term and hypoglycemic incidence were more in long-term fasting group. Short-term fasting group was strongly satisfied than another group.
Discussion: The current fasting practice results is more discomfort and dissatisfaction for the patients who may sometimes end up waiting several hours longer than the planned 6 hours of fasting.
Conclusion: This study revealed that short-term fasting improves the care quality and patient satisfaction regarding the procedure of coronary angiography.
Implications for nursing: It should be the responsibility of nurse to assess the impact of short-term fasting on care quality as there will be less risk of procedure cancellation, thereby reducing the risk of delaying the diagnosis.
Implications for nursing policy: Patient satisfaction affects clinical outcomes, patient retention, and medical malpractice claims. It affects the timely, efficient, and patient-centered delivery of quality health care.
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