外科术后患者口渴管理的最佳证据总结  

Summary of Best Evidence for Thirst Management in Postoperative Patients

作　　者：朱颖[1] 王欣琦 吕剑虹[3] 蔡梦怡 张伟英[3] ZHU Ying;WANG Xinqi;LYU Jianhong;CAI Mengyi;ZHANG Weiying(School of Nursing,Soochow University,Suzhou,Jiangsu 215006;Tongji University School of Medicine,Shanghai 200092;Shanghai East Hospital Affiliated to Tongji University,Shanghai 200120)

机构地区：[1]苏州大学护理学院,江苏苏州215006 [2]同济大学医学院,上海200092 [3]同济大学附属东方医院,上海200120

出　　处：《上海护理》2024年第1期53-58,共6页Shanghai Nursing

基　　金：上海市浦东新区卫生系统重要薄弱学科建设项目(PWZbr2022-04);上海市浦东新区卫生系统领先人才培养计划(PWRl2020-10);上海市东方医院人才计划(DFRC2017017)。

摘　　要：目的总结外科术后患者口渴管理的相关证据,为临床护理人员处理口渴症状提供参考依据。方法以“6S”证据资源金字塔模型为基础,以“口渴/口干/口腔干燥/干渴”“术后/围术期/围手术期”“thirst/drymouth/xerostomia/thirsty/polydipsia/mouthdryness/hyposalivation/asialia”“perioperativeperiod/perioperative/postoperative/after operation/post operation”为中英文检索词,检索与外科术后口渴相关的实践指南、专家共识、证据总结、临床决策、推荐实践和系统评价,检索时限为建库至2022年12月31日,由2名研究人员独立开展文献筛选、质量评价和证据综合。结果共纳入11篇文献,包括1篇实践指南、3篇证据总结、4篇系统评价和3篇专家共识,分别从口渴评估、干预策略、效果评价、教育培训4个方面归纳出13条证据,其中证据等级1级7个、5级6个。结论临床护理人员应重视外科术后患者的口渴管理,及时准确评估患者的口渴症状、制订个性化干预策略以缓解其口渴,最大程度提升患者舒适度。Objective To summarize the evidence for thirst management in postoperative patients,aiming to provide a reference for clinical nurses to deal with thirst symptoms.Methods Based on the"6S"evidence pyramid,the articles(practice guideline,expert consensus,evidence summary,clinical decision,recommended practice,systematic review,etc.)related to postoperative thirst were retrieved in databases from their establishment to December 31,2022,using Chinese terms"口渴/口干/口腔干燥/干渴"and"术后/围术期/围手术期"as well as English terms"thirst/dry mouth/xerostomia/thirsty/polydipsia/mouth dryness/hyposalivation/asialia"and"perioperative period/perioperative/postoperative/after operation/post operation".Subsequently,the retrieved articles were screened,evaluated for quality and summarized for evidence by two independent researchers.Results A total of 11 articles were included,including 1 practical guideline,3 evidence summaries,4 systematic reviews and 3 expert consensuses.A total of 13 pieces of evidence were summarized from 4 aspects,including thirst assessment,intervention strategies,effect evaluation and educational training,with 7 pieces of evidence at level 1 and 6 at level 5.Conclusion Clinical nurses should pay attention to the thirst management of postoperative patients,timely and accurately evaluate their thirst symptoms,and develop tailored intervention strategies to relieve thirst and maximize their comfort level.

关 键 词：术后 口渴 管理 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]