中华护理杂志 ›› 2023, Vol. 58 ›› Issue (14): 1750-1757.DOI: 10.3761/j.issn.0254-1769.2023.14.012
李营阳(), 乔亚欣, 候琳琳, 蒋恩社, 景孟娟, 李黎明()
收稿日期:
2023-02-24
出版日期:
2023-07-20
发布日期:
2023-07-14
通讯作者:
李黎明,E-mail:syliliming868199@126.com作者简介:
李营阳:男,本科(硕士在读),护师,E-mail:1962561140@qq.com
基金资助:
LI Yingyang(), QIAO Yaxin, HOU Linlin, JIANG Enshe, JING Mengjuan, LI Liming()
Received:
2023-02-24
Online:
2023-07-20
Published:
2023-07-14
摘要:
目的 提取、评价和总结ICU经口气管插管患者口渴管理的相关证据,为医护人员的科学管理提供依据。方法 系统检索BMJ Best Practice、CINAHL、Cochrane Library、Clinical Trials、Embase、PubMed、UpToDate、Web of Science、国际指南协作网、美国国立指南数据库、英国国家卫生与临床优化研究所网站、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、加拿大安大略省注册护士协会网站、苏格兰校际指南网、中国知网、中国生物医学文献数据库、万方数据库、维普数据库、医脉通等数据库或网站中关于ICU经口气管插管患者口渴管理的证据,包括临床决策、证据总结、指南、推荐实践、专家共识、系统评价和随机对照试验等,检索时限为建库至2022年11月20日。由2名经过循证护理培训的研究者独立进行文献的质量评价,并结合专家建议对证据进行提取和汇总。结果 共纳入17篇文献,包括4篇临床决策、1篇证据总结、4篇系统评价、8篇随机对照试验。总结出26条关于ICU经口气管插管患者口渴管理的最佳证据,包括危险因素识别、口渴的评估、口渴的干预和效果评价4个方面。结论 该研究总结的最佳证据可为临床医护人员管理ICU经口气管插管患者的口渴症状提供循证依据。在应用证据时,医护人员要结合患者的意愿和具体的临床情境,正确运用证据,解决患者的口渴问题。
李营阳, 乔亚欣, 候琳琳, 蒋恩社, 景孟娟, 李黎明. ICU经口气管插管患者口渴管理的证据总结[J]. 中华护理杂志, 2023, 58(14): 1750-1757.
LI Yingyang, QIAO Yaxin, HOU Linlin, JIANG Enshe, JING Mengjuan, LI Liming. Evidence summary of thirst management in patients with oral tracheal intubation in ICU[J]. Chinese Journal of Nursing, 2023, 58(14): 1750-1757.
[1] |
韩遵海, 何茵, 鹿振辉, 等. 危重症患者口渴护理的研究进展[J]. 中华护理杂志, 2021, 56(5):782-785.
DOI URL |
Han ZH, He Y, Lu ZH, et al. Research progress on nursing care of thirst in critically ill patients[J]. Chin J Nurs, 2021, 56(5):782-785.
DOI URL |
|
[2] |
Kjeldsen CL, Hansen MS, Jensen K, et al. Patients’ experience of thirst while being conscious and mechanically ventilated in the intensive care unit[J]. Nurs Crit Care, 2018, 23(2):75-81.
DOI URL |
[3] | 吴春兰, 罗倩, 付豹, 等. 重症医学科经口气管插管辅助通气患者口渴感的现状调查及影响因素分析[J]. 中国呼吸与危重监护杂志, 2022, 21(5):316-321. |
Wu CL, Luo Q, Fu B, et al. Investigation on the status quo of thirst and analysis of influencing factors in patients with oral intubation-assisted ventilation in critical medicine department[J]. Chin J Respir Crit Care Med, 2022, 21(5):316-321. | |
[4] | 林榕, 李红. 危重症患者口渴的研究进展[J]. 中华护理杂志, 2016, 51(11):1348-1351. |
Lin R, Li H. Research progress of thirst in critically ill patients[J]. Chin J Nurs, 2016, 51(11):1348-1351. | |
[5] |
Lin R, Li H, Chen LL, et al. Prevalence of and risk factors for thirst in the intensive care unit:an observational study[J]. J Clin Nurs, 2023, 32(3/4):465-476.
DOI URL |
[6] |
Sato K, Okajima M, Taniguchi T. Association of persistent intense thirst with delirium among critically ill patients:a cross-sectional study[J]. J Pain Symptom Manage, 2019, 57(6):1114-1120.
DOI URL |
[7] |
Zengin N, Ören B, Üstündag H. The relationship between stres-sors and intensive care unit experiences[J]. Nurs Crit Care, 2020, 25(2):109-116.
DOI URL |
[8] |
Clark J, Archer SK. Thirst interventions in adult acute care-what are the recommended management options and how ef-fective are they?:a systematic review[J]. Dimens Crit Care Nurs, 2022, 41(2):91-102.
DOI URL |
[9] |
Halm MA. Managing thirst in the critically ill[J]. Am J Crit Care, 2022, 31(2):161-165.
DOI PMID |
[10] |
Puntillo K, Arai SR, Cooper BA, et al. A randomized clinical trial of an intervention to relieve thirst and dry mouth in intensive care unit patients[J]. Intensive Care Med, 2014, 40(9):1295-1302.
DOI PMID |
[11] | 张小雪, 何朝珠, 涂惠, 等. 冰水喷雾对经口气管插管病人口渴程度的影响[J]. 护理研究, 2021, 35(2):325-328. |
Zhang XX, He CZ, Tu H, et al. Effect of ice water spray on thirst of patients undergoing oral intubation[J]. Chin Nurs Res, 2021, 35(2):325-328. | |
[12] | 李一恒. 三种喷雾剂对气管插管清醒患者口渴感的缓解效果比较[D]. 太原: 山西医科大学, 2022. |
Li YH. Comparison of relieving effects of three sprays on thirst of awake patients with tracheal intubation[D]. Taiyuan: Shanxi Medical University, 2022. | |
[13] |
Alper BS, Haynes RB. EBHC pyramid 5.0 for accessing preap-praised evidence and guidance[J]. Evid Based Med, 2016, 21(4):123-125.
DOI URL |
[14] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018:45-50. |
Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018:45-50. | |
[15] |
Foster MJ, Shurtz S. Making the critical appraisal for summaries of evidence(CASE) for evidence-based medicine(EBM):critical appraisal of summaries of evidence[J]. J Med Libr Assoc, 2013, 101(3):192-198.
DOI URL |
[16] | The Joanna Briggs InstituteJBI. Checklist for systematic reviews[EB/OL].(2017-07-15)[2023-01-05]. https://jbi.global/cri-tical-appraisal-tools. |
[17] | The Joanna Briggs InstituteJBI. Checklist for randomized controlled trials[EB/OL].(2017-07-15)[2023-01-05]. https://jbi.global/critical-appraisal-tools. |
[18] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
Wang CQ, Hu Y. JBI evidence pre-classification and evidence recommendation level system(2014 edition)[J]. J Nurses Train, 2015, 30(11):964-967. | |
[19] | Isaac ML, Curtis JR. Palliative care:issues in the intensive care unit in adults[EB/OL].(2022-04-06)[2022-12-27]. https://www.uptodate.cn/contents/zh-Hans/palliative-care-issues-in-the-intensive-care-unit-in-adults?search=Palliative+care%3A+issues+in+the+intensive+care+unit+in+adults&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1. |
[20] | Baer AN. Clinical manifestations of sjögren’s syndrome:exoc-rine gland disease[EB/OL].(2022-04-27)[2022-12-27]. https://www.uptodate.cn/contents/zh-Hans/clinical-manifestations-of-sjogrens-syndrome-exocrine-gland-disease?search=Clinical+manifestations+of+sj%C3%B6gren%27s+syndrome%3A+exocrine+gland+disease&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1. |
[21] | Baer AN. Diagnosis and classification of sjögren’s syndrome[EB/OL].(2022-06-16)[2022-12-27]. https://www.uptodate.cn/contents/zh-Hans/diagnosis-and-classification-of-sjogrens-syndro-me?search=Diagnosis+and+classification+of+sj%C3%B6gren%27s+syndrome&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1. |
[22] | Baer AN, Sankar V. Treatment of dry mouth and other non-ocular sicca symptoms in sjögren’s syndrome[EB/OL].(2022-05-02)[2022-12-27]. https://www.uptodate.cn/contents/zh-Hans/treatment-of-dry-mouth-and-other-non-ocular-sicca-symptoms-in-s-jogrens-syndrome?search=Treatment+of+dry+mouth+and+other+non-ocular+sicca+symptoms+in+sj%C3%B6gren%27s+syndrome&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1. |
[23] | 姜利, 彭小莉, 童辉, 等. 住院患者口渴非药物干预的证据总结[J]. 中国临床护理, 2022, 14(7):441-445. |
Jiang L, Peng XL, Tong H, et al. Summary of evidence of non-drug intervention for thirst of inpatients[J]. Chin Clin Nurs, 2022, 14(7):441-445. | |
[24] |
Garcia AK, Fonseca LF, Aroni P, et al. Strategies for thirst relief:integrative literature review[J]. Rev Bras Enferm, 2016, 69(6):1215-1222.
DOI URL |
[25] | Gao Y, Xu HF, Yang YH, et al. Study on the efficacy and safety of oral care in ICU patients based on meta-analysis[J]. Contrast Media Mol Imaging, 2022, 2022:5337181. |
[26] |
Jang CS, Shin YS. Effects of combination oral care on oral health,dry mouth and salivary pH of intubated patients:a randomized controlled trial[J]. Int J Nurs Pract, 2016, 22(5):503-511.
DOI URL |
[27] |
Atashi V, Yazdannik A, Mahjobipoor H, et al. The effects of aloe vera-peppermint(veramin) moisturizing gel on mouth dryness and oral health among patients hospitalized in intensive care units:a triple-blind randomized placebo-controlled trial[J]. J Res Pharm Pract, 2018, 7(2):104-110.
DOI URL |
[28] | 涂文怡, 尹志勤, 叶丹, 等. 急性A型主动脉夹层患者术后气管插管期间口渴管理的研究[J]. 护士进修杂志, 2020, 35(9):824-827. |
Tu WY, Yin ZQ, Ye D, et al. Study on thirst management during tracheal intubation in patients with acute type A aortic dissection after operation[J]. J Nurses Train, 2020, 35(9):824-827. | |
[29] | 张小雪, 何朝珠, 吴洁华, 等. 基于口渴管理安全策略饮少量冰水对经口气管插管患者口渴影响的研究[J]. 护理学报, 2020, 27(8):47-50. |
Zhang XX, He CZ, Wu JH, et al. Study on the effect of drinking a small amount of ice water on thirst of patients undergoing orotracheal intubation based on thirst management safety strategy[J]. J Nurs Chin, 2020, 27(8):47-50. | |
[30] | 闫灵君, 万博雅, 朴京京, 等. 冰刺激疗法预防经口气管插管机械通气病人口渴的实证研究[J]. 循证护理, 2021, 7(18):2518-2521. |
Yan LJ, Wan BY, Piao JJ, et al. An empirical study on ice stimulation therapy to prevent thirst in patients with mechanical ventilation through oral tube intubation[J]. Chin Evid Based Nurs, 2021, 7(18):2518-2521. | |
[31] |
Li SJ, Mi J, Tang YC. A qualitative study of nurses’ perception on patients’ thirst in intensive care units[J]. Intensive Crit Care Nurs, 2022, 69:103184.
DOI URL |
[32] |
龚静欢, 胡三莲, 朱凌燕. 心力衰竭患者口渴感的评估和干预进展[J]. 中华护理杂志, 2020, 55(4):549-553.
DOI URL |
Gong JH, Hu SL, Zhu LY. Evaluation and intervention of thirst in patients with heart failure[J]. Chin J Nurs, 2020, 55(4):549-553. | |
[33] |
姜艳, 宋庆娜, 臧蕊, 等. ICU患者护理质量评价指标体系的构建[J]. 中华护理杂志, 2020, 55(2):177-181.
DOI URL |
Jiang Y, Song QN, Zang R, et al. Construction of nursing quality evaluation index system for ICU patients[J]. Chin J Nurs, 2020, 55(2):177-181.
DOI URL |
[1] | 薛瑾, 王清, 蒋玲, 程念开, 黄琴, 倪兴梅, 顾肖, 陈怡雷, 夏莲子. ICU患者谵妄管理临床决策支持系统的构建与应用研究[J]. 中华护理杂志, 2023, 58(9): 1037-1042. |
[2] | 雒晓燕, 崔仁善, 许秀梅, 崔苗苗, 郭玲茹, 周丹. 基于“互联网+”的护理干预对癌症患者疼痛影响的Meta分析[J]. 中华护理杂志, 2023, 58(9): 1056-1062. |
[3] | 倪秀梅, 徐凤玲, 陈浩, 宫娟, 章翀, 王翠, 李宝芹, 胡少华. 基于肺部超声的气道廓清方案在ICU机械通气患者中的应用[J]. 中华护理杂志, 2023, 58(9): 1076-1081. |
[4] | 陈芳, 江智霞, 杨明静, 罗倩, 张霞. 贵州省ICU护理人员对机械通气患者口渴认知及干预行为的调查研究[J]. 中华护理杂志, 2023, 58(9): 1104-1111. |
[5] | 张琦, 陈丽艳, 李媛媛, 张爱华, 杨丽娟. 非创伤性下肢截肢患者生活体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1112-1119. |
[6] | 王利秀, 李建芳, 程红霞, 罗彦, 杨冰香, 刘茜. 造血干细胞移植并发移植物抗宿主病患者皮肤护理的最佳证据总结[J]. 中华护理杂志, 2023, 58(9): 1120-1126. |
[7] | 张若林, 楼妍, 吴婉英, 王春兰, 傅丽英, 周瑶, 洪美容, 徐毓露, 冯欣悦. 癌症患者照顾者角色过渡体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1127-1134. |
[8] | 董永泽, 许秀君, 沈华娟, 周美玲, 贾艳清. 维持性血液透析患者动静脉血管通路穿刺管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(9): 1135-1141. |
[9] | 刘苑菲, 徐语同, 马亚君, 刘永刚, 崔念奇, 张玉萍, 马伟光, 金静芬. 三级综合医院成人ICU护士伦理冲突现状及影响因素研究[J]. 中华护理杂志, 2023, 58(8): 915-920. |
[10] | 安晓, 薛雅婷, 夏雨, 王红. ICU患者替代决策者决策疲劳现状及影响因素分析[J]. 中华护理杂志, 2023, 58(8): 949-955. |
[11] | 赵宝生, 李振香, 马超群, 王艳艳, 范桂敏, 李涵, 郑晓丽. 青少年自杀未遂患者心理体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(8): 979-985. |
[12] | 孙建华, 罗红波, 李尊柱, 李奇, 李欣, 赵明曦, 马鸿鸣, 井杰, 刘金榜, 崔文博, 张青, 马玉芬, 王小亭. 成人重症患者床旁超声引导鼻肠管置入的证据总结[J]. 中华护理杂志, 2023, 58(8): 986-992. |
[13] | 黄楚贤, 施忠英, 罗晨, 李红艳. 神经性厌食患者饮食行为管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(8): 993-1000. |
[14] | 郭员志, 张红梅, 赵培, 王琦, 李玉环, 王淑芬, 于洋. 乳腺癌术后淋巴水肿预防与护理的循证实践[J]. 中华护理杂志, 2023, 58(7): 773-780. |
[15] | 荆凤, 王园园, 邢唯杰, 徐蕾, 胡雁. 乳腺癌患者芳香化酶抑制剂诱导的骨关节症状预防和管理的证据总结[J]. 中华护理杂志, 2023, 58(7): 808-815. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||