影响ICU患者口渴的因素:混合方法系统审查
Xue-Mei Xie1, Dan Huang2, Shuang Chun3
1Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Intensive & critical care nursing
|August 30, 2024
概括
饥渴显著影响重症监护室 (ICU) 的患者. 本综述确定了影响口渴的个人,疾病,治疗,心理和护理因素,以指导更好的患者管理.
科学领域:
- 关键护理医学 关键护理医学
- 护理研究 护理研究
- 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.
- 了解导致口渴的多方面因素对于有效的患者护理和干预开发至关重要.
研究的目的:
- 系统地审查和综合影响ICU患者口渴的因素.
- 提供一个全面的参考,用于控制口渴和制定针对性干预措施在ICU设置.
主要方法:
- 对13项研究进行了系统审查 (2项定性,11项定量).
- 截至2023年7月,在12个电子数据库中进行了搜索.
- 采用JBI混合方法研究综合,使用Stata 17.0和RevMan 5.3分析定量数据,使用元聚合分析定性数据.
主要成果:
- 11个因素与口渴有定量联系,包括机械通风的使用,生理学得分,呼吸率,血清和药物 (利尿剂,血管活性药物).
- 定性和定量发现被整合到五个类别:个人特征,疾病因素,治疗因素,心理因素和护理因素.
- 与治疗相关的因素被确定为导致口渴的重要因素.
结论:
- 在ICU患者中,口渴是一个普遍而严重的问题,需要多层次的干预.
- 管理策略应考虑个人特征,生活方式,心理状态和护理.
- 医疗保健专业人员必须主动识别和解决影响口渴的因素,以便及时预防和干预.
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