口服冷却在缓解ICU患者口渴的有效性:一个元分析
Shiqi Liang1, Rirong He2,3, Linyan Yuan1
1Division of Liver Surgery, Department of General Surgery, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Journal of clinical nursing
|September 17, 2025
概括
口腔冷却干预措施显著降低了重症监护室 (ICU) 患者的口渴强度和痛苦. 基于冷和薄荷的冷却方法显示出特别的有效性,为患者提供了更好的舒适性.
科学领域:
- 关键护理医学 关键护理医学
- 患者的舒适性和症状管理.
背景情况:
- 饥渴是重症监护室 (ICU) 患者普遍出现的症状之一.
- 口腔冷却干预措施显示有望缓解口渴.
- 现有证据需要进行批判性评估.
研究的目的:
- 评估口腔冷却干预措施在ICU患者减少口渴的有效性.
- 通过子组分析分析不同口腔冷却方法的有效性.
主要方法:
- 对随机对照试验 (RCT) 进行了系统的元分析.
- 搜索了主要的数据库 (PubMed,Embase,Cochrane图书馆等) 在2023年10月之前.
- 包括报告口渴强度或痛苦的RCT,使用GRADE评估证据确定性.
主要成果:
- 分析了8项涉及813名ICU患者的RCT.
- 口服冷却显著降低了口渴强度 (WMD = -2.73,p < 0.01;中度确定性).
- 口服冷却还降低了口渴困扰得分 (SMD = -0.80,p <0.01;低确定性).
- 寒冷刺激和寒冷-薄荷联合刺激在减少口渴强度方面是有效的.
结论:
- 口腔冷却干预措施,包括寒冷和薄荷醇,通过减少口渴强度和痛苦来使ICU患者受益.
- 结果表明,它是ICU口腔护理策略的一个有价值的补充,可以提高患者的舒适度.
- 研究方法的高度异质性需要仔细解释研究结果.
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