上海护理2024，Vol.24Issue(9)：9-13,5.DOI:10.3969/j.issn.1009-8399.2024.09.003
ICU机械通气患者口渴管理的最佳证据总结
Best Evidence Summary for Thirst Management in Patients with Mechanical Ventilation in ICU
摘要
Abstract
Objective To evaluate and integrate the evidence for thirst management in mechanically ventilated patients in ICU,aiming to provide a basis for clinical nurses to deal with thirst symptoms.Methods Based on the"6S"evidence pyramid,the articles(guideline,clinical decision,evidence summary,expert consensus,randomized controlled trial,etc.)related to thirst during mechanical ventilation were retrieved in databases from January 01,2010 to April 01,2023,using Chinese terms as well as English terms"mechanical ventilation/tracheal intubation/tracheotomy/transoral endotracheal intubation"and"thirst/thirst perception/thirst distress/thirst intensity/thirst brief/thirst sensation/dry mouth/water deprivation/xerostomias/hyposalivation/hyposalivations/thirst nursing".Two investigators independently evaluated the quality of the included articles and rated the level of extracted evidence.Results A total of 11 articles were included,including 1 guideline,1 clinical decision,5 evidence summaries,1 expert consensus and 3 randomized controlled trials.A total of 22 pieces of evidence were summarized from 5 aspects:thirst symptom evaluation in mechanically ventilated patients;safety evaluation of thirst intervention;thirst symptom management strategy;health education;efficacy evaluation of thirst care.Conclusion Clinical nurses should pay attention to the thirst management of mechanically ventilated patients in the ICU and timely and accurately evaluate their thirst symptoms to maximize their comfort level.关键词
重症监护室/机械通气/口渴/证据总结Key words
ICU/Mechanical ventilation/Thirst/Summary of Evidence分类
医药卫生引用本文复制引用
张琦琦,俞荷花,杜婕,彭飞..ICU机械通气患者口渴管理的最佳证据总结[J].上海护理,2024,24(9):9-13,5.基金项目
上海申康医院发展中心技术规范化管理和推广项目(SHDC22022205). （SHDC22022205）
