摘要
目的:系统评价非药物干预措施对危重病人口渴的干预效果。方法:通过中国生物医学文献数据库、中国知网、万方数据库、维普数据库、PubMed、the Cochrane Library、Web of Science及EMbase检索关于非药物干预措施对危重病人口渴效果的随机对照试验。检索时限为建库以来至2022年8月31日,采用RevMan 5.4和Stata 17.0软件进行数据分析。结果:共纳入17项随机对照试验,共计14种非药物干预措施,试验组934例,对照组912例,合计1 846例。研究结果表明,14项干预措施均有统计学意义。对于减轻重症病人口渴效果,累积排序概率图下面积排序由高到低依次为口渴管理安全策略、人文关怀、冰刺激疗法、冰水喷雾、温水喷雾、6W2H口渴管理策略、集束化护理1、自制保湿凝胶、综合护理、间歇氧驱动湿化a、间歇氧驱动湿化b、非计划集束护理、常规护理、集束化护理2、生理盐水喷雾。结论:根据网状Meta分析结果,口渴管理安全策略可能是减轻危重病人口渴最佳的干预措施,未来还需要高质量、多中心、大样本的随机对照研究来进一步验证,以期为临床提供更加科学的口渴干预策略。
Objective:Evaluate the intervention effect of non-pharmacological intervention measures on thirst in critically ill patients.Methods:A randomized controlled trial was conducted to search for the effects of non-pharmacological intervention measures on thirst in critically ill patients through the CBM,CNKI,WanFang Database,VIP,PubMed,the Cochrane Library,Web of Science,and EMbase.The retrieval time was from the inception to August 31,2022,and the data was analyzed using RevMan 5.4 and Stata 17.0 software.Results:A total of 17 randomized controlled trials were included,with a total of 14 non-pharmacological intervention measures.There were 934 cases in the experimental group and 912 cases in the control group,with total of 1846 cases.The research results indicated that all 14 intervention measures had statistical significance.For the effect of reducing severe patients′thirst,the area ranking under the cumulative ranking probability map from high to low is thirst management safety strategy,humanistic care,ice stimulation therapy,ice water spray,warm water spray,6W2H thirst management strategy,cluster nursing 1,self-made moisturizing gel,comprehensive nursing,intermittent oxygen driven humidification a,intermittent oxygen driven humidification b,unplanned cluster nursing,routine nursing,cluster nursing 2,physiological saline spray.Conclusion:According to the results of the network Meta-analysis,the safety strategy for thirst management may be the best intervention measure to alleviate thirst in critically ill patients.In the future,high-quality,multicenter,and large sample randomized controlled studies are needed to further validate.To provide more scientific intervention strategies for thirst in clinical practice.
作者
赖琪
何聪聪
张聪慧
聂乐洪
王菲菲
屠恩远
LAI Qi;HE Congcong;ZHANG Conghui;NIE Lehong;WANG Feifei;TU Enyuan(Gannan Medical University,Jiangxi 341000 China)
出处
《循证护理》
2023年第20期3627-3636,共10页
Chinese Evidence-Based Nursing
基金
江西省2022年度研究生创新专项资金项目,编号:YC2022-s960。
关键词
非药物干预
口渴
重症监护室
网状Meta分析
循证护理
non-pharmacological intervention
thirst
intensive care unit
network Meta-analysis
evidence-based nursing
