Application effect of ice water spray based on symptom management theory in thirsty patients undergoing thoracoscopic lobectomy

MA Xiao-lan; XU Wei-fang

doi:10.16460/j.issn1008-9969.2025.04.070

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Journal of Nursing ›› 2025, Vol. 32 ›› Issue (4) : 70-73. DOI: 10.16460/j.issn1008-9969.2025.04.070

Application effect of ice water spray based on symptom management theory in thirsty patients undergoing thoracoscopic lobectomy

MA Xiao-lan¹, XU Wei-fang^2,3

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Abstract

Objective To explore the application effect of ice water spray based on symptom management theory (SMT) in thirsty patients undergoing thoracoscopic lobectomy. Methods Convenience sampling was used to select patients who underwent thoracoscopic lobectomy from November 2023 to April 2024 as research subjects. According to the operation time, the patients were divided into observation group and control group, with 42 cases in each. The control group was given routine nursing, and the observation group was given SMT-based ice water spray intervention on the basis of routine nursing. The degree of thirst, oral mucosal moisture, resting salivary flow rate, perioperative thirst discomfort score, reflux, aspiration, vomiting and cough were recorded and compared between the two groups. Results After intervention, the degree of thirst in the observation group was notably alleviated (P<0.001). Perioperative thirst discomfort score in the observation group was markedly lower than that in the control group (P<0.001). Resting salivary flow rate in the observation group was greatly higher than that in the control group (P<0.001). Oral mucosal wettability in the observation group was notably higher than that in the control group (P<0.001). There was no significant difference in reflux, aspiration, cough and vomiting between the two groups (P>0.05). Conclusion Ice water spray based on SMT can alleviate the degree of thirst in patients undergoing thoracoscopic lobectomy and improve patient comfort and it is safe and feasible.

Key words

symptom management theory / ice water spray / perioperative thirst / lobectomy

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MA Xiao-lan, XU Wei-fang. Application effect of ice water spray based on symptom management theory in thirsty patients undergoing thoracoscopic lobectomy[J]. Journal of Nursing. 2025, 32(4): 70-73 https://doi.org/10.16460/j.issn1008-9969.2025.04.070

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