在ICU中进行过口腔气管输入治疗的清醒患者的口渴干预计划的构建:混合方法研究
Yingyang Li1, Mengyuan Qiao2, Linlin Hou3
1Department of Critical Care Surgery, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang 471003, China.
Nursing research and practice
|October 31, 2025
概括
饥渴显著影响重症监护室 (ICU) 患者的横口气管输管. 这项研究开发了一种系统干预方案,以控制口渴,改善患者舒适度和口腔水分.
科学领域:
- 关键护理护理 关键护理护理
- 症状管理 症状管理
- 患者的舒适性 患者的舒适性
背景情况:
- 饥渴是ICU中经过横口气道输管治疗的清醒患者的普遍和令人痛苦的症状.
- 这些患者无法口头表达口渴,导致潜在的忽视他们的需求.
- 由于缺乏系统的干预方案来控制这一群体的口渴,迫切需要开发.
研究的目的:
- 构建一个系统的干预协议,以控制清醒的患者的口腔呼吸道输管在ICU的口腔管道输管.
- 为解决在重症监护机构中遇到口渴的患者未得到满足的需求.
主要方法:
- 一个逐步的多方法研究,整合了定性研究,证据综合和Delphi方法.
- 定性研究探讨了患者的体验和护理需求与口渴有关.
- 德尔菲方法涉及21名专家,通过代咨询来完善干预协议.
主要成果:
- 获得了高专家参与度 (95.45%100%) 和权威 (0.89).
- 观察到关于干预策略的重要性和可行性的显著共识 (肯德尔的W > 0.36,p < 0.001).
- 制定了最终协议,包括口渴评估,干预策略和有效性评估.
结论:
- 开发的口渴干预计划对ICU中经过口腔气管输管的清醒患者具有科学有效性.
- 该协议为管理口渴症状提供了有效的指导.
- 实施该计划可以改善口腔水分和患者舒适度.
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