非药物干预改善ICU病人口渴效果的网状Meta分析  

Non-drug intervention improves thirst effect in ICU patients:a network Meta-analysis

作　　者：赵鹏[1,2] 项丽君 廖琳 颜明玉 赖琳艳 朱志慧[1] 程雷 张晓梅 ZHAO Peng;XIANG Lijun;LIAO Lin;YAN Mingyu;LAI Linyan;ZHU Zhihui;CHENG Lei;ZHANG Xiaomei(Nanfang Hospital,Southern Medical University,Guangdong 510515 China;School of Nursing,Southern Medical University)

机构地区：[1]南方医科大学南方医院,广东510515 [2]南方医科大学护理学院

出　　处：《循证护理》2025年第6期1015-1024,共10页Chinese Evidence-Based Nursing

基　　金：2023年度南方医科大学南方医院院长基金项目,编号:2023H019;2024年度南方医科大学南方医院护理创优-循证护理项目,编号:2024EBNb005。

摘　　要：目的:评价不同非药物干预对缓解重症监护室(ICU)病人口渴的效果,为医护人员选择口渴干预方式提供依据。方法:计算机检索PubMed、the Cochrane Library、EMbase、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库中关于研究ICU病人口渴感的随机对照试验;检索时限为建库至2024年10月。由2名研究者独立进行文献检索、筛选、质量评价和数据提取;采用RevMan 5.4和Stata 16.0进行相关的统计学分析。结果:最终纳入21篇文献。网状Meta分析结果显示,芦荟薄荷保湿凝胶涂抹口唇、缩短禁水时间和0.45%氯化钠溶液氧驱动雾化缓解ICU病人口渴的效果在非药物干预措施中排名居前3名;冰水擦拭联合冰水喷雾在联合干预措施中排名居第1位。结论:多种非药物干预措施均能缓解ICU病人的口渴感,尤其以芦荟薄荷保湿凝胶涂抹口唇的效果最为明显;临床可根据病人病情特点及实际需求选择合适的口渴干预方式。Objective:To evaluate the effects of different non-drug interventions on relieving thirst of patients in intensive care unit(ICU),and to provide evidence for medical staff to choose thirst intervention methods.Methods:Randomized controlled trials on thirst in ICU patients were retrieved from PubMed,the Cochrane Library,EMbase,CINAHL,CNKI,WanFang Database,VIP,and CBM.The retrieval time limit was from database establishment to October 2024.Two researchers independently conducted literature search,screening,quality evaluation,and data extraction.RevMan 5.4 and Stata 16.0 were used for relevant statistical analysis.Results:A total of 21 articles were included.The results of network Meta-analysis showed that the effects of aloe mint moisturizing gel applied on lips,shortening water ban time and 0.45%sodium chloride solution oxygen driven atomization on alleviating thirst in ICU patients ranked top 3 among non-drug interventions,and the combined ice water wiping with ice water spray ranked first among the combined interventions.Conclusion:A variety of non-drug interventions can alleviate thirst in ICU patients,especially aloe and peppermint moisturizing gel on the lips was the most effective.The appropriate thirst intervention method can be selected according to the clinical characteristics and actual needs of patients.

关 键 词：非药物干预 口渴 重症监护室 网状Meta分析 循证护理 

分 类 号：R47[医药卫生—护理学]