Enhanced recovery after surgery-based evidence-based care plus ice stimulation for thirst management in convalescent patients following digestive surgery under general anesthesia  

作　　者：Li Chen Bi-Xi Li Qiu-Zhi Gan Rui-Ge Guo Xing Chen Xi Shen Yan Chen 

机构地区：[1]Department of Anesthesiology,Hankou Medical District,Central War Zone General Hospital,Wuhan 430010,Hubei Province,China [2]Department of Anesthesiology,Central Theater General Hospital,Wuhan 430010,Hubei Province,China [3]Department of Anesthesiology,Central War Zone General Hospital,Wuhan 430010,Hubei Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2025年第3期198-205,共8页世界胃肠外科杂志(英文)

摘　　要：BACKGROUND Thirst management in convalescent patients recovering from a digestive surgery performed under general anesthesia requires attention.A simple,practical,and safe method can effectively relieve thirst symptoms in such patients.AIM To evaluate the enhanced recovery after surgery(ERAS)-based evidence-based care(EBC)plus ice stimulation therapy for thirst management of convalescent patients following digestive surgery performed under general anesthesia.METHODS A total of 191 patients convalescing after digestive surgery performed under general anesthesia between March 2020 and February 2023 and experiencing thirst were selected.In total,89 patients and 102 patients in the control and research groups received routine care and ERAS-based EBC plus ice stimulation therapy,respectively.The following data were comparatively analyzed:(1)Thirst degree(thirst intensity numerical rating scale)and thirst distress(TD)degree(TD scale);(2)Oral mucosal wetness;(3)Unstimulated whole salivary flow rate(UWSFR);(4)Adverse reactions(palpitation,fatigue,chapped lips,and nausea and vomiting);and(5)Nursing satisfaction.RESULTS After nursing,thirst degree and distress were statistically lower in the research group than in the control group.Additionally,compared with the control group,the research group exhibited a lower degree of oral mucosal wetness,higher UWSFR,fewer adverse reactions,and more total nursing satisfaction.CONCLUSION ERAS-based EBC plus ice stimulation therapy can effectively alleviate thirst in convalescent patients recovering from a digestive surgery performed under general anesthesia.It can alleviate xerostomia symptoms,reduce adverse reactions,and improve patient comfort.

关 键 词：Enhanced recovery after surgery Evidence-based care Ice stimulation therapy Convalescent patients Digestive surgery General anesthesia THIRST 

分 类 号：R614[医药卫生—麻醉学]