收稿日期: 2022-04-06
网络出版日期: 2023-03-22
基金资助
河南省科技厅重点研发专项(202102310455)
A summary of best evidence on nursing management of thirst after general anesthesia
目的 总结全麻术后患者口渴护理管理的最佳证据。 方法 计算机检索美国国家指南库、JBI循证卫生保健中心数据库、英格兰校际指南网站、英国国家卫生与临床优化研究所、加拿大安大略护理学会指南网、维普、万方、中国知网、UpToDate、PubMed、Web of Science、Embase、Cochrane Library等数据库中关于全麻术后口渴相关的文献，由2名研究人员独立完成质量评价，并进行证据提取及汇总。 结果 共纳入6篇文献，包括3篇指南、2篇最佳实践、1篇系统评价。汇总了风险因素、口渴评估、早期预防、症状管理、教育培训5个方面共20条证据。 结论 本研究纳入的文献总体质量较高，但纳入文献大部分来源于国外，护理人员应结合科室现状及患者意愿将全麻术后口渴护理管理方案转化为临床实践，以减轻患者口渴感。
李烨 , 刘芳丽 , 袁举 , 李静 , 刘子薇 , 关宁笑 . 全麻术后患者口渴护理的最佳证据总结[J]. 中华护理教育, 2023 , 20(3) : 356 -361 . DOI: 10.3761/j.issn.1672-9234.2023.03.020
Objective To summarize the best evidence of thirst nursing management after general anesthesia. Methods We searched papers related to thirst after general anesthesia in National Guideline Clearinghouse，JBI，Scottish Intercollegiate Guidelines Network，National Institute for Health and Clinical Excellence，Registered Nurses’ Association of Ontario，VIP，Wanfang database，CNKI，UpToDate，PubMed，Web of Science，Embase，Cochrane Library. The quality of the literature was evaluated independently by 2 researchers，and the extracted evidence was graded. Results A total of 6 articles（3 guidelines，2 recommended practices，and 1 systematic review） were included. Twenty pieces of evidence were extracted including risk factors，thirst assessment，early prevention，symptom management，education and training. Conclusion The quality of the literature included in this study is generally relatively high. However，most of the evidence are foreign literatures. We suggest nursing staffs to translate the thirst nursing management scheme after general anesthesia into clinical practice according to the current situation of the department and the wishes of patients，so as to relieve the thirst sensation of patients.
Key words： Anesthesia; General; Evidence-Based Nursing; Nursing Care; Postoperative thirst
| [1] | 林榕, 李红. 危重症患者口渴的研究进展[J]. 中华护理杂志, 2016, 51(11):1348-1351. |
| [1] | Lin R, Li H. Research progress of thirst in critical patients[J]. Chin J Nurs, 2016, 51(11):1348-1351. |
| [2] | Lee CW, Liu ST, Cheng YJ, et al. Prevalence,risk factors,and optimized management of moderate-to-severe thirst in the post-anesthesia care unit[J]. Sci Rep, 2020, 10(1):16183. |
| [3] | 陈凛, 陈亚进, 董海龙, 等. 加速康复外科中国专家共识及路径管理指南(2018版)[J]. 中国实用外科杂志, 2018, 38(1):1-20. |
| [3] | Chen L, Chen YJ, Dong HL, et al. Chinese consensus and clinical guidelines for Enhanced Recovery After Surgery(2018 editon)[J]. Chin J Pract Surg, 2018, 38(1):1-20. |
| [4] | Walker EMK, Bell M, Cook TM, et al. Patient reported outcome of adult perioperative anaesthesia in the United Kingdom:a cross-sectional observational study[J]. Br J Anaesth, 2016, 117(6):758-766. |
| [5] | Nascimento LAD, Garcia AKA, Conchon MF, et al. Advances in the management of perioperative patients’ thirst[J]. AORN J, 2020, 111(2):165-179. |
| [6] | Leemhuis A, Shichishima Y, Puntillo K. Palliation of thirst in intensive care unit patients:translating research into practice[J]. Crit Care Nurse, 2019, 39(5):21-28. |
| [7] | 朱政, 胡雁, 周英凤, 等. 推动证据向临床转化(三)研究的选题和问题构建[J]. 护士进修杂志, 2020, 35(9):796-799. |
| [7] | Zhu Z, Hu Y, Zhou YF, et al. Promoting the transformation of evidence to clinical practice:research topic selection and problem construction[J]. J Nurses Train, 2020, 35(9):796-799. |
| [8] | Dicenso A, Bayley L, Haynes RB. Accessing pre-appraised evi-dence:fine-tuning the 5S model into a 6S model[J]. Evid Based Nurs, 2009, 12(4):99-101. |
| [9] | Brouwers MC, Kho ME, Browman GP, et al. AGREE Ⅱ:advan-cing guideline development,reporting and evaluation in health care[J]. J De L’association Med Can, 2010, 182(18):E839-E842. |
| [10] | The Joanna Briggs Institute. The Joanna Briggs Institute Re-views’ Manual:2016 edition[EB/OL].[2021-11-01]. https://www.joannabriggs.org. |
| [11] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
| [11] | Wang CQ, Hu Y. JBI evidence pre-classification and evidence rank system(2014 Edition)[J]. J Nurses Train, 2015, 30(11):964-967. |
| [12] | 曹晖, 陈亚进, 顾小萍, 等. 中国加速康复外科临床实践指南(2021版)[J]. 中国实用外科杂志, 2021, 41(9):961-992. |
| [12] | Cao H, Chen YJ, Gu XP, et al. Clinical practice guidelines for enhanced recovery after surgery in China(2021 edition)[J]. Chin J Pract Surg, 2021, 41(9):961-992. |
| [13] | Christopher SM, Stanley R. Preoperative fasting in adults[EB/OL].(2021-09-27)[2021-12-29]. http://www-uptodate-com-443.bjmu.ilibs.cn/contents/zh-Hans/preoperative-fasting-in-adults?sear-ch=Preoperative%20fasting%20in%20adults&source=search_result&selectedTitle=1-150&usage_type=default&display_rank=1. |
| [14] | Weimann A, Braga M, Carli F, et al. ESPEN practical guide-line:clinical nutrition in surgery[J]. Clin Nutr, 2021, 40(7):4745-4761. |
| [15] | Puntillo K, Nelson JE, Weissman D, et al. Palliative care in the ICU:relief of pain,dyspnea,and thirst:a report from the IPAL-ICU Advisory Board[J]. Intensive Care Med, 2014, 40(2):235-248. |
| [16] | Hughes F, Mythen M, Montgomery H. The sensitivity of the human thirst response to changes in plasma osmolality:a systematic review[J]. Perioper Med (Lond), 2018, 7:1. |
| [17] | Kim JW, Kim WS, Cheong JH, et al. Safety and efficacy of fast-track surgery in laparoscopic distal gastrectomy for gas-tric cancer:a randomized clinical trial[J]. World J Surg, 2012, 36(12):2879-2887. |
| [18] | Obika LF, Okpere SO, Ozoene JO, et al. The role of oropharny-geal receptors in thirst perception after dehydration and rehydration[J]. Niger J Physiol Sci, 2014, 29(1):37-42. |
| [19] | 刁齐翔, 陈玉红. 手术后患者口渴的护理研究进展[J]. 护理学杂志, 2017, 32(22):106-110. |
| [19] | Diao QX, Chen YH. A literature review of interventions for postoperative thirst[J]. J Nurs Sci, 2017, 32(22):106-110. |
| [20] | 陈茹. 需求前移系统化干预对急性A型主动脉夹层患者术后气管插管期间口渴的影响[J]. 国际医药卫生导报, 2021(7):1082-1086. |
| [20] | Chen R. Influence of systematic intervention of forward demand on thirsty in patients with Stanford A acute aortic dis-section during trachea cannula after operation[J]. Int Med Health Guid News, 2021(7):1082-1086. |
| [21] | Hjermstad MJ, Fayers PM, Haugen DF, et al. Studies comparing Numerical Rating Scales,Verbal Rating Scales,and Visual Analogue Scales for assessment of pain intensity in adults:a systematic literature review[J]. J Pain Symptom Manage, 2011, 41(6):1073-1093. |
| [22] | Shimazaki Y, Fu BH, Yonemoto K, et al. Stimulated salivary flow rate and oral health status[J]. J Oral Sci, 2017, 59(1):55-62. |
| [23] | 赵子煜, 高志娟, 陈佩仪. 乌梅和柠檬喷雾剂对糖尿病口干症病人唾液分泌及口干程度影响的对比研究[J]. 护理研究, 2019, 33(14):2400-2403. |
| [23] | Zhao ZY, Gao ZJ, Chen PY. Comparative study on the effects of dark plum and lemon spray on salivation and drymouth degree of xerostomia in patients with diabetes[J]. Chin Nurs Res, 2019, 33(14):2400-2403. |
| [24] | 龚静欢, 胡三莲, 朱凌燕. 心力衰竭患者口渴感的评估和干预进展[J]. 中华护理杂志, 2020, 55(4):549-553. |
| [24] | Gong JH, Hu SL, Zhu LY. Evaluation and intervention of thirst in patients with heart failure[J]. Chin J Nurs, 2020, 55(4):549-553. |
| [25] | Cheng PL, Loh EW, Chen JT, et al. Effects of preoperative oral carbohydrate on postoperative discomfort in patients undergoing elective surgery:a meta-analysis of randomized controlled trials[J]. Langenbecks Arch Surg, 2021, 406(4):993-1005. |
| [26] | Conchon MF, Fonseca LF. Efficacy of an ice popsicle on thirst management in the immediate postoperative period:a randomized clinical trial[J]. J Perianesthesia Nurs, 2018, 33(2):153-161. |
| [27] | Allida SM, Inglis SC, Davidson PM, et al. Measurement of thirst in chronic heart failure - A review[J]. Contemp Nurse, 2014, 48(1):2-9. |
| [28] | Nascimento LA, Fonseca LF, Rosseto EG, et al. Development of a safety protocol for management thirst in the immediate postoperative period[J]. Rev Esc Enferm USP, 2014, 48(5):834-843. |
| [29] | 孙淑凤, 朱永健, 郑慧, 等. 基于行动研究法的胃肠肿瘤患者术后口渴护理干预[J]. 护理学杂志, 2020, 35(18):65-67. |
| [29] | Sun SF, Zhu YJ, Zheng H, et al. Postoperative thirst nursing intervention based on action research in patients with gastrointestinal tumors[J]. J Nurs Sci, 2020, 35(18):65-67. |
| [30] | 韦春琳, 张发恩, 姜红卫, 等. 基于快速康复理念的IKAP健康教育模式在脊柱关节外科患者术前禁饮食中的应用[J]. 齐鲁护理杂志, 2021, 27(8):138-140. |
| [30] | Wei CL, Zhang FE, Jiang HW, et al. Application of IKAP health education model based on the concept of rapid rehabilitation in preoperative diet prohibition for patients undergoing spinal joint surgery[J]. J Qilu Nurs, 2021, 27(8):138-140. |
| [31] | 孟典, 付诗奕. 麻醉复苏室护士对全麻术后患者口干症的认知与干预意向调查[J]. 当代护士(上旬刊), 2021, 28(1):27-29. |
| [31] | Meng D, Fu SY. Investigation on nurses’ cognition and intervention intention of resuscitation room on xerostomia after general anesthesia[J]. Today Nurse, 2021, 28(1):27-29. |
/
| 〈 |
|
〉 |