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进入神经重症监护病房的患者强烈口渴的动态变化和危险因素:一项观察性研究
Peng Zhao1,2, Yansi Luo1, Lijun Xiang1
1Nanfang Hospital, Southern Medical University, Guangzhou, China.
在神经重症监护室 (Neuro-ICU) 患者中,强烈的口渴很常见,在早上最严重. 危险因素包括消化不良和口腔干燥,需要针对性的干预措施.
科学领域:
- 关键护理医学 关键护理医学
- 神经科学 护理 护理
- 症状管理 症状管理
背景情况:
- 饥渴是重症监护室 (ICU) 患者普遍和令人痛苦的症状.
- 对于强烈口渴的波动性和促成因素的理解有限,特别是在神经重症监护病房 (Neuro-ICU) 内.
研究的目的:
- 为了研究神经-ICU患者的口渴强度随着时间的推移的动态模式.
- 确定与这种患者群体中经历强烈口渴相关的关键风险因素.
- 为在神经-ICU环境中开发个性化干预口渴管理提供数据.
主要方法:
- 一项前性观察性研究,涉及230名神经-ICU患者.
- 在每天八个时间点使用数值评分表 (NRS) 评估口渴强度.
- 收集的数据包括人口统计,疾病特征,治疗方法和生理/生化标志物.
- 强烈口渴的危险因素 (NRS>7) 通过自行设计的问卷进行分析.
主要成果:
- 整天,口渴强度呈下降趋势,在上午7点达到峰值 (NRS 6.13 ± 2.14),并在晚上21点达到最低 (NRS 4.02 ± 2.72).
- 在观察到的神经ICU患者中,强烈口渴的发生率为47.4%.
- 强烈口渴的重要预测因素包括口难 (OR=1.44),口口呼吸 (OR=2.20),高血糖 (OR=2.58) 和异口 (OR=3.05).
结论:
- 在Neuro-ICU患者中,口渴强度波动很大,口渴强度的总体发病率很高.
- 通过及时评估口渴严重程度,识别高风险患者至关重要.
- 以患者特征和风险因素为基础的个性化干预措施对于有效的口渴管理至关重要.
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