临床与病理杂志2025，Vol.45Issue(4)：470-478,9.DOI:10.11817/j.issn.2095-6959.2025.250004
ICU经口气管插管患者口渴管理的审查指标制订及证据转化的障碍因素
Development of audit criteria and identification of barriers to evidence implementation in thirst management for ICU patients with oral endotracheal intubation
摘要
Abstract
Objective:Patients with oral endotracheal intubation in the Intensive Care Unit(ICU)are highly susceptible to distressing thirst due to mechanical ventilation and fasting.Improper management may lead to anxiety,unplanned extubation,and other adverse events.This study aims to develop audit criteria for thirst management in ICU patients with oral endotracheal intubation,evaluate the current clinical implementation of best evidence,and identify and assess barriers to evidence translation to facilitate improvement in clinical practice. Methods:Based on the best available evidence on thirst management for ICU patients with oral endotracheal intubation,a comprehensive literature quality assessment was performed.A total of 26 best evidence items were analyzed for clinical applicability,and audit criteria were developed accordingly.A baseline audit was conducted in the ICU of a tertiary hospital in Wuxi,Jiangsu Province,to assess the gap between current practice and best evidence. Results:A total of 16 audit criteria were developed from 17 applicable evidence statements.The baseline audit showed that 11 of the 16 criteria had an implementation rate below 60%,with 9 of them scoring 0.Identified barriers to evidence translation included:lack of attention to thirst management by nursing staff;insufficient knowledge of thirst-related care;absence of thirst assessment tools;unavailability of moisturization materials;lack of standardized oral care and hydration protocols;outdated clinical workflows for thirst management;and insufficient patient and family education materials related to thirst. Conclusion:There is a significant gap between current clinical practice and best evidence in the management of thirst among ICU patients with oral endotracheal intubation.Clinical nurses should actively adopt best evidence to improve thirst relief and overall care quality for this patient population.关键词
重症监护病房/机械通气/经口插管/口渴管理/审查指标/障碍因素/循证护理Key words
Intensive Care Unit/mechanical-ventilation/oral intubation/thirst management/audit criteria/barrier factor/evidence-based nursing引用本文复制引用
卞红,何平,俞萍,周之音,周英凤,孙芹,胡丹丽..ICU经口气管插管患者口渴管理的审查指标制订及证据转化的障碍因素[J].临床与病理杂志,2025,45(4):470-478,9.基金项目
无锡市双百后备拔尖人才项目(HB2023037) （HB2023037）
无锡市科协软课题项目(KX-23-C057).This work was supported by the Wuxi Double Hundred Reserve Top Notch Talents Project(HB2023037)and the Wuxi Association for Science and Technology Soft Project(KX-23-C057),China. （KX-23-C057）
