Summary of best evidence for thirst management in ICU adult patients receiving mechanical ventilation
Objective To summarize the evidence related to thirst management in ICU adult patients with mechanical ventilation,and to identify the best evidence.Methods A systematic search was conducted on domestic and foreign databases for relevant literatures on thirst management in ICU adult patients with mechanical ventilation,including guidelines,clinical decisions,systematic reviews,evidence summaries,original studies,recommended practices,and best clinical practice information books.The search period was from the establishment of the databases to June 30,2023.Two researchers were responsible for evaluating the quality of the included medical literature databases,PubMed,International Guide Library,China Guide Network,and the British National Institute for Health and Care Excellence(NICE)clinical research literatures,and were responsible for extracting evidence consistent with quality standards.Results Finally,10 pieces of evidences were included,including 4 systematic reviews,3 randomized controlled trials(RCTs),1 expert consensus,and 2 evidence summaries.A total of 16 best evidences were formed from six aspects:influencing factors,evaluation content,evaluation tools,intervention measures,effect evaluation,and personnel management of thirst in ICU adult patients with mechanical ventilation.Conclusions In terms of clinical application evidences,it is necessary to evaluate the clinical conditions/environment of the hospitals,the positive and negative factors of doctors and nurses in applying evidences,and patients'preferences to carry out targeted evidence selection.In addition,as the best evidence continues to be updated over time,users should also continuously update the evidences and effectively respond to the thirst management issues of adult critically ill patients through scientific nursing methods,thereby promoting the improvement of nursing quality.
Intensive care unitMechanical ventilationThirstManagementEvidence-based nursingEvidence summary
万方数据
维普
