The Effect Of Preoperative Carbohydrate Drink On Blood Glucose And Anxiety

Artikel Jurnal The Effect Of Preoperative Carbohydrate Drink On Blood Glucose And Anxiety

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ABSTRACT

Background:Surgery would cause a stress response. Stress response can be raised as psychological, anesthesia or surgical stress. Patients undergoing elective surgery often experience preoperative anxiety, a psychological problem with the activation of neuroendocrine and inflammation systems. The anxiety experienced by patients can pose significant problems in management of patients. Hemodynamic instability, autonomic and endocrine stimulation may worsen metabolic condition caused by surgery.

Objective:To determine the effect of carbohydrate drink on patients' preoperative blood glucose and anxiety levels.

Methods:This was a double blind randomized clinical experimental study. They were divided into two groups: a control group that underwent night fasting and the treatment group that received 400 ml of 12.5% ​​carbohydrate drink 2-3 hours preoperatively. Assessment of the anxiety levels and blood glucose levels were done in the premedication room. The data were analyzed with path analysis.

Results:Carbohydrate drink caused a significant reduction (p. <0,05) in the patients’ preoperative anxiety levels with a path coefficient of -0,771. The changes of blood glucose levels did not significantly (p>0.05) decreased the patients' preoperative anxiety levels with a path coefficient of -0.173.

Conclusion:Carbohydrate drink has a significant effect on the decrease of patients' preoperative anxiety levels. While the changes in blood glucose levels do not have a significant effect on patients' preoperative anxiety levels and do not increase the effect of carbohydrate drink in decreasing anxiety levels.

Keywords:Carbohydrate drink, blood glucose level, preoperative anxiety level.

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