在ICU患者的口渴:一个范围审查
Megumi Horinouchi1, Hideaki Sakuramoto2, Ayako Fukushima3
1Department of Nursing, Hospital of the University of Occupational and Environmental Health, Kitakyushu, JPN.
Cureus
|June 16, 2025
概括
饥渴影响了66%的重症监护室 (ICU) 患者. 目前的干预措施,如口腔保湿缺乏关于最佳频率的证据,需要研究来解决危险因素,并改善ICU的口渴管理.
科学领域:
- 关键护理医学 关键护理医学
- 症状管理 症状管理
- 证据综合 证据综合
背景情况:
- 饥渴是重症监护室 (ICU) 中的一个普遍症状.
- 之前对ICU患者口渴的审查有局限性.
- 需要全面了解口渴的流行,风险因素,测量和干预措施.
研究的目的:
- 系统地探索和绘制有关ICU患者口渴的文献.
- 识别有关口渴患病率,危险因素,测量和干预措施的研究缺口.
- 引导未来的研究,以改善ICU的口渴管理.
主要方法:
- 进行了一个范围审查,搜索了PubMed,CINAHL,CENTRAL和Igaku Chuo Zasshi.
- 两位独立审稿人根据包含/排除标准对文献进行了选.
- 从53项符合条件的研究中提取数据.
主要成果:
- 在ICU患者中,口渴的综合流行率为66%.
- 确定的危险因素包括败血症,胃肠道疾病,止痛药,利尿药,高血糖和升高的.
- 干预的重点是口腔/唇部保湿;最佳频率尚不清楚. 缺乏客观的测量工具.
结论:
- 在ICU患者中,口渴非常普遍,并确定了几种危险因素.
- 目前的干预措施,如口腔保湿缺乏关于有效性和最佳频率的强有力的证据.
- 进一步的研究至关重要,以验证测量工具,并确定最优的干预策略,对ICU的口渴.
相关概念视频
Acute Kidney Injury IV: Diagnostic Studies and Prevention
64
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
64
Acute Kidney Injury VI: Nursing Management
69
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
69
Regulation of Water Intake
1.4K
Osmolality refers to the number of solute particles per kilogram of solvent in a solution. Plasma osmolality specifically indicates the total number of solute particles per kilogram of water in blood plasma. This value reflects the body's hydration status and is tightly regulated through mechanisms controlling water intake and output. While water consumption is a conscious decision, the body has intrinsic regulatory systems to maintain fluid balance. Dehydration, a state of water deficit...
1.4K
Acute Kidney Injury I: Introduction
83
Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
83
Acute Kidney Injury III: Clinical Manifestations
105
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
105
Primary Motives: Hunger and Thirst
358
Hunger and thirst are fundamental physiological drives crucial for maintaining homeostasis and ensuring the survival of both humans and animals. These drives are regulated through complex interactions between the brain, hormones, and sensory receptors.
Hunger arises when the brain detects changes in the body's nutrient levels, including glucose, lipids, amino acids, and hormones such as ghrelin and leptin. The hypothalamus plays a central role in hunger regulation. The lateral hypothalamus...
Hunger arises when the brain detects changes in the body's nutrient levels, including glucose, lipids, amino acids, and hormones such as ghrelin and leptin. The hypothalamus plays a central role in hunger regulation. The lateral hypothalamus...
358


