针对ICU患者口渴的非药物干预措施的有效性:系统性审查和网络元分析
Meng Xiao1, Fangfang Zhu2, Yanting Zhang1
1Department of Critical Care Medicine, Hubei Clinical Research Center for Critical Care Medicine, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
BMC nursing
|April 1, 2025
概括
冰薄荷水喷雾有效地减少了重症监护室 (ICU) 患者的口渴. 这种非药物干预建议用于缓解ICU环境中的口渴症状.
科学领域:
- 临界护理医学 临界护理医学
- 症状管理 症状管理
- 基于证据的实践.
背景情况:
- 饥渴是重症监护室 (ICU) 患者的一个令人痛苦的症状.
- 非药物干预措施有望缓解ICU口渴.
- 缺乏共识阻碍了对ICU的最佳干预选择.
研究的目的:
- 系统地比较ICU渴望的非药物干预措施.
- 确定最有效的干预措施来缓解ICU患者的口渴.
主要方法:
- 按照PRISMA指南进行系统审查和网络元分析.
- 搜索了八个数据库,查找到2024年10月12日的随机对照试验.
- 包括24篇文章,包括2480名ICU患者和14种干预类型.
主要成果:
- 与常规护理相比,薄荷药片,冰水注射,薄荷水喷雾,冰盐水喷雾,冰薄荷水喷雾和冰水喷雾显著减少了口渴 (P < 0.05).
- 根据Sucra,冰薄荷水喷雾被列为减少口渴的最佳干预措施.
- 网络元分析发现,在各种干预措施中,减少口渴的显著差异.
结论:
- 冰薄荷水喷雾是减少ICU患者口渴的最有效的非药物干预措施.
- 建议冰薄荷喷雾水用于临床使用,以管理ICU口渴.
- 未来的研究应该直接比较干预措施,并评估成本效益.
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