摘要
目的调查重症医学科(intensivecareunit,ICU)经口气管插管辅助通气患者口渴现状,并探究相关影响因素。方法采用口渴数字评分量表对2020年6月至2021年9月ICU住院的172例经口气管插管辅助通气患者的口渴感进行调查。根据调查结果将患者分成口渴组与非口渴组,统计并分析患者出现口渴感的现状及影响因素。结果ICU经口气管插管辅助通气患者的口渴发生率为88.4%,口渴组患者的口渴评分为(7.70±1.17)分。单因素分析结果显示两组患者在性别、医疗支付、吸烟、饮酒、机械通气时数、湿化效果、痰液黏稠度、胃肠减压、禁食、连续性肾脏替代治疗、利尿剂、24小时尿量、液体平衡、心功能分级、镇静药、烦躁、冒汗、急性生理学和慢性健康状况评价Ⅱ、气管插管深度、体重指数、二氧化碳分压、氧分压、碳酸氢根、潮气量、钠离子等变量间比较,差异均有统计学意义(均P<0.05)。Logistic回归分析显示利尿剂、痰液黏稠度、钠离子、饮酒、吸烟、气管插管深度、心功能分级是ICU气管插管呼吸机辅助通气患者口渴发生的独立影响因素(均P<0.01)。结论ICU经口气管插管辅助通气患者口渴感的发生率较高。利尿剂、痰液黏稠度、钠离子、饮酒、吸烟、气管插管深度、心功能分级是ICU气管插管呼吸机辅助通气患者口渴发生的独立影响因素,需针对性实施干预措施,预防和减轻患者的口渴感,降低相关并发症的发生,提高患者舒适度。
Objective To investigate the thirst status of patients in intensive care unit(ICU)who underwent oral tracheal intubation and ventilator assisted ventilation,and explore its influence factors.MethodsA total of 172 patients with oral tracheal intubation admitted in ICU from June 2020 to September 2021 were investigated,and a numerical rating scale was employed for rating their thirst feelings.The patients were divided into a thirst group and a non-thirst group based on thirst status.The thirst status and influence factors of thirst distress were analyzed.Results The incidence of thirst in the ICU patients with oral tracheal intubation and ventilator assisted ventilation was 88.4%,and the thirst score in the thirst group was 7.70±1.17.Single factor analysis showed statistically significant difference between the two groups in sex,medical payment,smoking,drinking,duration of mechanical ventilation,humidification effect,sputum viscosity,gastrointestinal decompression,fasting,continuous renal replacement therapy,diuretics,24-hour urine volume and liquid balance,heart function grading,sedatives,agitation,sweating,acute physiology and chronic health evaluation Ⅱ,endotracheal intubation depth,body mass index,PCO_(2),PO_(2),HCO_(3)^(-),tidal volume,and sodium ion(all P<0.05).Multivariable regression analysis demonstrated that diuretics,sputum viscosity,sodium ion,alcohol consumption,smoking,intubation depth,and cardiac function were independent influence factors for the occurrence of thirst in the ICU patients who received tracheal intubation(P<0.01).Conclusions The incidence of thirst was high in ICU patients with airway intubation and ventilator assisted ventilation.Diuretics,sputum viscosity,sodium ion,alcohol consumption,smoking,24-hour urine volume,and cardiac function grading were independent influence factors for the occurrence of thirst in ICU patients with tracheal intubation.It is necessary to implement targeted intervention to prevent and alleviate the thirst degree of patients,reduce the occurrence of related complications,and improve patient comfort.
作者
吴春兰
罗倩
付豹
张霞
傅小云
陈芳
WU Chunlan;LUO Qian;FU Bao;ZHANG Xia;FU Xiaoyun;CHEN Fang(Intensive Care Unit,Affiliated Hospital of Zunyi Medical University,Zunyi,Guizhou 563000,P.R.China)
出处
《中国呼吸与危重监护杂志》
CAS
CSCD
北大核心
2022年第5期316-321,共6页
Chinese Journal of Respiratory and Critical Care Medicine
基金
国家自然科学基金(82160362)
遵义市科技计划项目(遵市科合HZ字(2021)143号)。
关键词
经口气管插管
口渴
机械通气
影响因素
Oral tracheal intubation
thirst
mechanical ventilation
influence factors
