Importance of Intravenous Fluid administration in Patients’ Reference to the Emergency Department from Patients and Their Companions’ Point of View

Main Article Content

Alireza Ala
Samad Shams Vahdati
Elham Kheslati
Babak Abri Aghdam
Sama Rahnemayan

Abstract

Objectives: In this study, we evaluated the importance and effect of fluid therapy in patients referred to the emergency department in terms of patient satisfaction from recovery.


Methods: In this descriptive analytical study, 215 patients and 290 companions were included. Patients who were prescribed intravenous fluids in the emergency room of a university hospital, and their companions were asked questions about the importance of fluid therapy in improving their clinical symptoms and filled a questionnaire about the importance of fluid therapy in the process of patients' recovery.


Results: Overall 54.9% of patients and 43.1% of their relatives believed that they cannot recover unless they receive IV fluid therapy with suitable medicine. Also 97.2% of patients and 96.6% of their companions thought that drugs effects increase if they are administered with IV fluid.


Conclusions: Based on the findings of this study, unfortunately the majority of patients and patients' companions commented on a topic outside their specialty despite not having sufficient and academic information about treatment and medicine. The effectiveness and usefulness of serum therapy has also been acknowledged.

Article Details

Section
Original Research

References

1. Pines JM, Pilgrim RL, Schneider SM, Siegel B, Viccellio P. Practical implications of implementing emergency department crowding interventions: summary of a moderated panel. Acad Emerg Med Off J Soc Acad Emerg Med. 2011 Dec;18(12):1278–82.
2. Öztürk Y. Acil Servise Başvuran Olguların Aciliyet Konusundaki Bilgi ve Tutumlarının Değerlendirilmesi. Tıp Araştırmaları Derg. 2014;12(1):20–5.
3. Lowthian J, Curtis AJ, Cameron P, Stoelwinder J, Cooke M, McNeil J. Systematic review of trends in emergency department attendances: an Australian perspective. Emerg Med J. 2010;28:373–7.
4. Carret MLV, Fassa ACG, Domingues MR. Inappropriate use of emergency services: a systematic review of prevalence and associated factors. Cad Saude Publica. 2009 Jan;25(1):7–28.
5. Thijssen WAMH, van Mierlo E, Willekens M, Rebel J, Sandel MH, Giesen P, et al. Complaints and Diagnoses of Emergency Department Patients in the Netherlands: A Comparative Study of Integrated Primary and Emergency Care. PLoS One [Internet]. 2015 Jul 1;10(7):e0129739–e0129739. Available from: https://pubmed.ncbi.nlm.nih.gov/26131564
6. Callen JL, Blundell L, Prgomet M. Emergency department use in a rural Australian setting: are the factors prompting attendance appropriate? Aust Health Rev. 2008 Nov;32(4):710–20.
7. Kozek-Langenecker SA, Jungheinrich C, Sauermann W, Van der Linden P. The effects of hydroxyethyl starch 130/0.4 (6%) on blood loss and use of blood products in major surgery: a pooled analysis of randomized clinical trials. Anesth Analg. 2008 Aug;107(2):382–90.
8. Toraman F, Evrenkaya S, Yuce M, Aksoy N, Karabulut H, Bozkulak Y, et al. Lactic Acidosis after Cardiac Surgery Is Associated with Adverse Outcome. Heart Surg Forum [Internet]. 2009 Oct 15;7(2 SE-):E155–9. Available from: https://journal.hsforum.com/index.php/HSF/article/view/1075
9. Gandhi SD, Weiskopf RB, Jungheinrich C, Koorn R, Miller D, Shangraw RE, et al. Volume replacement therapy during major orthopedic surgery using Voluven (hydroxyethyl starch 130/0.4) or hetastarch. Anesthesiology. 2007 Jun;106(6):1120–7.
10. Waters JH, Gottlieb A, Schoenwald P, Popovich MJ, Sprung J, Nelson DR. Normal saline versus lactated Ringer’s solution for intraoperative fluid management in patients undergoing abdominal aortic aneurysm repair: an outcome study. Anesth Analg. 2001 Oct;93(4):817–22.
11. Handy JM, Soni N. Physiological effects of hyperchloraemia and acidosis. Br J Anaesth. 2008 Aug;101(2):141–50.
12. Tatli O, Şimşek P, Gürsoy A, Topbas M, Ozer V, Gunduz A. How Important is Intravenous fluid Administration to Patients Presenting to the Emergency Department and Their Families? Eurasian J Emerg Med. 2017 Sep 22;17.
13. Cohen MZ, Torres-Vigil I, Burbach BE, de la Rosa A, Bruera E. The meaning of parenteral hydration to family caregivers and patients with advanced cancer receiving hospice care. J Pain Symptom Manage. 2012 May;43(5):855–65.
14. Malia C, Bennett MI. What influences patients’ decisions on artificial hydration at the end of life? A Q-methodology study. J Pain Symptom Manage. 2011 Aug;42(2):192–201.
15. Morita T, Tsunoda J, Inoue S, Chihara S. Perceptions and decision-making on rehydration of terminally ill cancer patients and family members. Am J Hosp Palliat Care. 1999;16(3):509–16.
16. Chiu T-Y, Hu W-Y, Chuang R-B, Cheng Y-R, Chen C-Y, Wakai S. Terminal cancer patients’ wishes and influencing factors toward the provision of artificial nutrition and hydration in Taiwan. J Pain Symptom Manage. 2004 Mar;27(3):206–14.
17. Musgrave CF, Bartal N, Opstad J. Intravenous hydration for terminal patients: What are the attitudes of Israeli terminal patients, their families, and their health professionals? J Pain Symptom Manage [Internet]. 1996;12(1):47–51. Available from: http://www.sciencedirect.com/science/article/pii/0885392496000486