以质量求发展，以服务铸品牌

护理学报 ›› 2020, Vol. 27 ›› Issue (8): 47-50.doi: 10.16460/j.issn1008-9969.2020.08.047

• 临床护理 • 上一篇    下一篇

基于口渴管理安全策略饮少量冰水对经口气管插管患者口渴影响的研究

张小雪1a, 何朝珠2, 吴洁华1a, 何亮1a, 刘海佳1b   

  1. 1.南昌大学第二附属医院 a.急诊ICU; b.胃肠外科,江西 南昌330006;
    2.南昌大学护理学院,江西 南昌 330006
  • 收稿日期:2019-09-27 出版日期:2020-04-25 发布日期:2020-07-14
  • 通讯作者: 何朝珠（1966-）,女,江西南昌人,博士,教授,博士研究生导师。E-mail:1250896898@qq.com
  • 作者简介:张小雪（1985-）,女,山东寿光人,本科学历,硕士研究生在读。

Influence of Drinking Small Amount of Ice Water to Relieve Thirst in Patients with Oral Tracheal Intubation Based on Safety Protocol for Thirst Management

ZHANG Xiao-xue1a, HE Chao-zhu2, WU Jie-hua1a, HE Liang1a, LIU Hai-jia1b   

  1. 1a. Emergency ICU; 1b. Dept. of Gastrointestinal Surgery, the Second Affiliated Hospital of Nanchang University, Nanchang 330006,China;
    2. School of Nursing, Nanchang University, Nanchang 330006, China
  • Received:2019-09-27 Online:2020-04-25 Published:2020-07-14

PDF (PC)

702

赞

摘要： 目的 基于口渴管理安全策略,探讨饮少量冰水缓解经口气管插管患者口渴症状的安全性和有效性。方法 采取随机对照试验,选取江西省某三级甲等综合医院ICU行经口气管插管患者76例,随机分为观察组和对照组,各38例。观察组在常规护理基础上从口腔给予少量冰水,对照组在常规护理的基础上给予棉签蘸水湿润口唇。收集并比较2组受试者口渴程度评分及呛咳误吸发生情况。结果 干预前,观察组及对照组的基线资料及口渴程度比较无统计学意义（P>0.05）。干预后,观察组口渴评分为（3.30±0.88）分,低于对照组（6.50±1.25）分（P<0.01）。患者呛咳误吸发生情况,2组比较差异无统计学意义（P>0.05）。结论 饮少量冰水可以有效缓解经口气管插管患者口渴症状,不增加呛咳及误吸的发生。

关键词: 口渴管理安全策略, 冰水, 经口气管插管, 口渴, 误吸

Abstract: Objective To evaluate the safety and effectiveness of drinking a small amount of ice water to relieve thirst in patients with oral tracheal intubation based on the safety protocol for thirst management. Methods A total of 76 patients with oral tracheal intubation were recruited in this study and randomized into control group and observation group with 38 cases in each group. A small amount of ice water from the mouth was provided for patients in the observation group based on routine care but patients in the control group were moisturized lips with a cotton swab dipped in water based on routine care. The NRS and the rate of cough and aspiration of the two groups were compared. Results Before the intervention, there was no significant difference in baseline data and thirst degree between the observation group and the control group（P>0.05）.After the intervention, NRS of observation group was 3.30±0.88, lower than that of control group 6.50±1.25（P<0.01）. There was not statistical significance on the rate of cough and aspiration between two groups（P>0.05）. Conclusion Drinking a small amount of ice water can safely and effectively relieve thirst in patients with oral tracheal intubation, which would not increase the incidence of cough and aspiration.

Key words: safety protocol for thirst management, ice water, oral tracheal intubation, thirst, aspiration

中图分类号: 

  • R473
[1] Wang Y, Li H, Zou H, et al.Analysis of Complaints from Patients During Mechanical Ventilation after Cardiac Surgery: A Retrospective Study[J]. J Cardiothorac Vasc Anesth,2015,29(4):990-994.DOI:10.1053/j.jvca.2015.01.036.
[2] 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.DOI:10.1007/s00134-013-3153-z.
[3] 蒋婷,赵婉莉.50例心脏术后气管插管患者清醒期需求分析及护理对策[J].护理学报,2012, 19(24):44-47.DOI:10.16460/j.issn1008-9969.2012.24.012.
[4] 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.DOI:10.3870/j.jssn.1001-4152.2017.22.106.
[5] Sato K, Okajima M, Taniguchi T.Association of Persistent Intense Thirst with Delirium Among Critically Ill Patients: A Cross-sectional Study[J].J Pain and Symptom Manage, 2019,57(6):1114-1120.DOI:10.1016/j.jpainsymman.2019.02.022.
[6] Arai S, Stotts N, Puntillo K.Thirst in Critically Ill Patients: from Physiology to Sensation[J]. Am J Crit Care,2013,22(4):328-35.DOI:10.4037/ajcc2013533.
[7] 周萌,梁涛.ICU获得性吞咽障碍的研究现状[J].护理研究,2017,31(3):268-271.DOI:10.3969/j.issn.1009-6493.2017.03.005.
[8] do Nascimento LA, Fonseca LF, Dos Santos CB. Inter-rater Reliability Testing of the Safety Protocol for Thirst Management[J]. J Perianesth Nurs,2018, 33(4):527-536.DOI:10.1016/j.jopan.2016.07.008.
[9] Sessler CN,Gosenell MS,Grap MJ,et al.The Richmond Agitation-Sedation Scale:Validity and Reliability in adult Intensive Care Unit Patients[J].Am J Respir Crit Care Med,2002 Nov 15,166(10):1338-44.DOI:10.1164/rccm.2107138.
[10] Puntillo K, Arai SR, Cooper BA, et al.A Randomized Clinical Trial of an Intervention to Relieve Thirst and Dry Mouth in Intensive Care Unit Patients[J]. Intensive Care Med,2014,40(9):1295-1302.DOI:10.1007/s00134-014-3339-z.
[11] 方积乾. 卫生统计学[M].7版.北京:人民卫生出版社,2013:482-483.
[12] 张丹羽,王卫华,谢丽.亚甲蓝在机械通气患者胃反流误吸监测中的应用[J].护理学杂志,2015,30(4):14-16.DOI:10.3870/hlxzz.2015.04.014.
[13] 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.DOI:10.4037/ccn2019544.
[14] Stotts NA, Arai SR, Cooper BA, et al.Predictors of Thirst in Intensive Care Unit Patients[J].J Pain Symptom Manage,2015, 49(3):530-538. DOI:10.1016/j.jpainsymman.2014.07.001.
[15] Conchon MF, Fonseca LF.Efficacy of an Ice Popsicle on Thirst Management in the Immediate Postoperative Period: A Randomized Clinical Trial[J].J Perianesth Nurs, 2018,33(2):153-161.DOI:10.1016/j.jopan.2016.03.009.
[1] 马小兰, 徐维昉. 基于症状管理理论的冰水喷雾对胸腔镜下肺叶切除术口渴患者的应用效果[J]. 护理学报, 2025, 32(4): 70-73.
[2] 方雅婷, 王岩, 王哲芸, 余云, 徐婷婷. 经口气管插管患者口腔功能减退的研究进展[J]. 护理学报, 2024, 31(9): 28-31.
[3] 侯亚甜, 陈思诺, 刘孟慧, 张博文, 安祥, 刘允, 徐文琪, 章明阳. 机械通气患者隐性误吸识别与预防的最佳证据总结[J]. 护理学报, 2023, 30(18): 36-41.
[4] 黄赣英, 张晓庆, 朱丹玲, 顾银萍, 钟利君, 姚欢, 吴金艳. 机械通气患者误吸预防管理的证据总结[J]. 护理学报, 2022, 29(13): 46-51.
[5] 阮景, 张颖, 林慧佳. E型固定法在新生儿经口气管插管中的应用[J]. 护理学报, 2019, 26(20): 67-68.
[6] 周瑜,米元元. ICU患者误吸研究进展[J]. 护理学报, 2018, 25(9): 39-43.
[7] 吴巧媚,张利娟,郑静霞. 基于Delphi法ICU患者误吸风险评估体系的构建[J]. 护理学报, 2018, 25(2): 1-6.
[8] 王晓倩,胡成文,杨孝苹,陈轩轩. 消化道肿瘤患者口渴干预效果观察[J]. 护理学报, 2018, 25(16): 44-46.
[9] 叶景云,张洁婷,陈佩仪. 基于酸甘化阴理论乌梅喷雾剂改善血液透析患者口渴症的效果观察[J]. 护理学报, 2017, 24(20): 4-7.
[10] 宋玛丽,郑则广,岑慧红,刘妮,王欣妮,何微. 2例鼻咽癌患者放疗后误吸致吸入性肺炎护理体会[J]. 护理学报, 2016, 23(3): 53-54.
[11] 刘华龙,张培璐,葛学娣. 住院高龄患者主要照顾者对误吸预防的知信行调查分析[J]. 护理学报, 2016, 23(21): 14-18.
[12] 杨祖莲,刘春霞,陈智芳,杨富英,欧阳樱君. 凝固粉在吞咽障碍患者中应用效果的系统评价与Meta分析[J]. 护理学报, 2016, 23(13): 54-58.
[13] 杨华,张洪宇,高茹,钟志明,曾芳芳. 23例喉癌患者环状软骨上喉部分切除术后吞咽功能评估与康复训练[J]. 护理学报, 2016, 23(11): 58-60.
[14] 钟慈芳,刘志琴,区燕云,林海妮,张宇凌. 广东省6家医院呼吸科护士误吸知识水平现状的调查[J]. 护理学报, 2015, (13): 32-34.
[15] 程佳,王希臻,马慧欣,张娟. 优力舒弹力绷带应用于经口气管插管固定的效果观察[J]. 护理学报, 2015, (10): 42-44.
Viewed
Full text


Abstract

Cited
  Shared   
No Suggested Reading articles found!