摘要
目的调查术后危重症监护(intensive care unit,ICU)患者的口渴程度(thirst intensity,TI)及口渴痛苦程度(thirst distress,TD)的现况及其影响因素,为改善ICU患者口渴感受的有效干预方式提供支持。方法对180例术后ICU患者采用一般资料调查表、口渴程度量表和口渴痛苦程度量表进行调查。结果术后ICU患者口渴程度和口渴痛苦程度偏高,其中口渴强度男性患者高于女性,文化程度高患者口渴痛苦程度较高,手术时间较长的患者口渴痛苦程度高,术前禁水时间是外科术后ICU患者口渴程度和口渴痛苦程度的独立危险因素(均P<0.05)。结论术后ICU患者口渴程度和口渴痛苦程度偏高,需着重关注男性及文化水平较高患者、术前禁水时间和手术时间较长的患者的口渴感受,加强术前宣教,准确指导术前禁水时间,加强对患者手术情况的了解,对手术时间较长的术后患者需及早进行干预,缓解其口渴症状。
Objective To investigate the current status and influencing factors of postoperative thirst intensity(TI)and thirst distress(TD)of critically ill patients in ICU.Methods A total of 180 postoperative ICU patients were involved in the investigation by using the general data questionnaire,thirst degree scale and thirst pain scale.Results The IT and TD of the postoperative ICU patients were both at a higher level.The male patients had a higher level of TI than the female.The patients with higher education had a higher level of TD and so did those undergoing long time of surgical operation.The water-free time before surgery was an independent risk factor for TI and TD(all P<0.05).Conclusion The postoperative ICU patients have a higher level of TI and TD.We should attach importance to the conditions of TI and TD among those male,or those with higher level of education,and those who had water-free time before surgery and suffered from long time of surgical operation.We should enhance preoperative education,instruct them with education of proper water-free time.Meanwhile,we should strengthen the understandings of surgical operations and perform early intervention for those to undergo long time of operation so as to relieve their TI and TD.
作者
尤文璇
张琦
You Wenxuan;Zhang Qi(Zhongshan Hospital,Shanghai,200032,China)
出处
《现代临床护理》
2020年第4期14-20,共7页
Modern Clinical Nursing
基金
上海市护理学会2019年优秀青年人才育苗计划基金项目
2019年上海市“医苑新星”青年医学人才培养资助计划。
关键词
术后
危重症
口渴程度
口渴痛苦
影响因素
after operation
critical illness
thirst intensity
thirst distress
influencing factors
