在重症监护室的成年患者的口渴:一个范围审查
Marleen Flim1, Tone Rustøen2, Bronagh Blackwood3
1Gelre Hospitals, department of intensive care, Albert Schweitzerlaan 31, 7334 DZ Apeldoorn, the Netherlands; Expertise centre for Intensive Care Rehabilitation Apeldoorn (ExpIRA), Albert Schweitzerlaan 31, 7334 DZ Apeldoorn, the Netherlands.
饥渴是重症监护室 (ICU) 患者的常见和令人痛苦的症状,通常具有高强度. 目前对其原因和有效干预措施的知识仍然有限,这突显了需要进一步研究和临床关注的需要.
科学领域:
- 关键护理医学 关键护理医学
- 症状管理 症状管理
- 患者体验 患者体验
背景情况:
- 饥渴是重症监护室 (ICU) 患者常见和令人痛苦的症状.
- 了解口渴的多面性质,包括其原因,风险因素和对患者福祉的影响,对于有效的护理至关重要.
- 关于口渴与其他症状的同时发生以及测量工具的验证,研究有限.
研究的目的:
- 进行关于ICU患者口渴的综合文献综述.
- 为了确定潜在的原因,风险因素,以及对口渴的诊断方法.
- 探索ICU环境中的症状并发和口渴管理策略.
主要方法:
- 使用乔安娜·布里格斯研究所的方法进行了范围审查.
- 在主要数据库 (PubMed,MEDLINE,EMBASE,CINAHL) 进行了搜索,截至2024年4月.
- 包括的研究集中在ICU或高依赖单位24小时以上的成年患者 (≥18岁),报告口渴或异口症.
主要成果:
- 从907个独特的记录中,包括了21项研究.
- 饥渴强度是最常被研究的方面 (11项研究).
- 对口渴体验质量,测量仪器验证和症状同时出现的研究仍然有限,干预措施主要集中在口腔护理上.
结论:
- 饥渴是ICU中显著和令人痛苦的症状,其特点是患病率和强度高.
- 有一个显著的知识差距,关于严重病患者的原因,有效的干预措施,和降低风险的最小化策略的渴望.
- 医疗保健提供者必须认识到口渴是主要症状,并了解其触发因素和管理方法,建议使用口腔护理干预措施,如冷水棉和薄荷醇作为一线方法.
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