温开水喷雾在ICU重症禁水或限水合并口渴患者中的应用效果  

Application Value of Warm Water Spray in ICU Patients with Severe Water Restriction or Water Restriction Combined with Thirst

作　　者：王岩 王胜南 Wang Yan;Wang Shengnan(Department of Intensive Care Medicine,Zhoukou Hospital of Traditional Chinese Medicine,Zhoukou,Henan,466000,China)

机构地区：[1]周口市中医院重症医学科,河南周口466000

出　　处：《中国初级卫生保健》2024年第5期100-103,共4页Chinese Primary Health Care

基　　金：2019年河南省医学科技攻关计划联合共建项目(LHGJ20190234)。

摘　　要：目的:探究温开水喷雾在重症监护室(Intensive Care Unit,ICU)重症禁水或限水合并口渴患者中的应用价值。方法:选取2020年5月—2022年7月周口市中医院收治的113例ICU重症禁水或限水合并口渴患者,依据干预方式的不同将其分为常规组(n=56)和喷雾组(n=57)。常规组:对患者采用棉签蘸水湿润口唇方式进行干预,喷雾组:对患者采用温开水喷雾方式进行干预。两组每天均干预7次。对比两组患者口渴程度、口腔黏膜滋润度、口腔舒适度及不良反应发生情况。结果:干预后,两组患者口渴痛苦量表(TDS)评分、视觉模拟量表(VAS)评分均较干预前降低,且喷雾组评分均低于常规组,差异均有统计学意义(t值分别为19.545、15.227,P值均<0.05)。干预后,两组患者口腔黏膜滋润度评分均较干预前降低,且喷雾组评分低于常规组;唾液分泌量水平较干预前均升高,且喷雾组高于常规组,差异均有统计学意义(t值分别为7.854、3.832,P值均<0.05)。干预后,两组患者数字评分量表(NRS)评分、咽喉舒适度评分均较干预前降低,且喷雾组低于常规组,差异均有统计学意义(t值分别为12.090、14.048,P值均<0.05)。经Fisher确切概率法检验,喷雾组不良反应发生率为3.51%(2/57),常规组为7.14%(4/56),两组患者不良反应发生情况比较,差异无统计学意义(P>0.05)。结论:温开水喷雾可调节ICU重症禁水或限水合并口渴患者口腔黏膜湿润度,改善患者口渴程度,调控患者口腔舒适度,有较高的安全性。OBJECTIVE To explore the effects of warm water spray on the degree of thirst,mucosal moisture and oral comfort in ICU patients with severe water restriction or water restriction combined with thirst.METHODS A total of 113 ICU patients with severe water restriction or water restriction combined with thirst from May 2020 to July 2022 in our hospital were selected as the study objects,and were divided into conventional group and spray group according to different intervention methods.56 patients in the conventional group were given cotton swabs to moisten their lips with water,and 57 patients in the spray group were given warm water spray.The degree of thirst,oral mucosa moisture,oral comfort,and the occurrence of adverse reactions were compared between the two groups.RESULTS The scores of thirst pain scale(TDS)and visual analogue Scale(VAS)in both groups after intervention were lower than before intervention,and the spray group was lower than the conventional group,the difference was statistically significant(t=19.545,15.227,P<0.05).After intervention,the oral mucosa moisture score of both groups was lower than before intervention,and the spray group was lower than the conventional group.The level of salivary secretion in spray group was higher than that in conventional group,the difference was statistically significant(t=7.854,3.832,P<0.05).After intervention,the digital score scale(NRS)and throat comfort score of both groups were lower than before intervention,and the spray group was lower than the conventional group.The level of extra intervention times of thirst in spray group was lower than that in conventional group,and the difference was statistically significant(t=12.090,14.048,P<0.05).According to Fisher’s exact probability test,there was no significant difference in the incidence of adverse reactions between the spray group and the conventional group[3.51%(2/57),7.14%(4/56)](P>0.05).CONCLUSION Warm water spray can adjust the oral mucosal moisture of ICU patients with severe water restriction or water re

关 键 词：温开水喷雾 重症禁水或限水合并口渴 黏膜滋润度 重症监护室 

分 类 号：R472[医药卫生—护理学]