Best Evidence Summary for Thirst Management in Patients with Mechanical Ventilation in ICU
Objective To evaluate and integrate the evidence for thirst management in mechanically ventilated patients in ICU,aiming to provide a basis for clinical nurses to deal with thirst symptoms.Methods Based on the"6S"evidence pyramid,the articles(guideline,clinical decision,evidence summary,expert consensus,randomized controlled trial,etc.)related to thirst during mechanical ventilation were retrieved in databases from January 01,2010 to April 01,2023,using Chinese terms as well as English terms"mechanical ventilation/tracheal intubation/tracheotomy/transoral endotracheal intubation"and"thirst/thirst perception/thirst distress/thirst intensity/thirst brief/thirst sensation/dry mouth/water deprivation/xerostomias/hyposalivation/hyposalivations/thirst nursing".Two investigators independently evaluated the quality of the included articles and rated the level of extracted evidence.Results A total of 11 articles were included,including 1 guideline,1 clinical decision,5 evidence summaries,1 expert consensus and 3 randomized controlled trials.A total of 22 pieces of evidence were summarized from 5 aspects:thirst symptom evaluation in mechanically ventilated patients;safety evaluation of thirst intervention;thirst symptom management strategy;health education;efficacy evaluation of thirst care.Conclusion Clinical nurses should pay attention to the thirst management of mechanically ventilated patients in the ICU and timely and accurately evaluate their thirst symptoms to maximize their comfort level.
ICUMechanical ventilationThirstSummary of Evidence
国家科技期刊平台
NSTL
万方数据
