重症患者口渴非药物干预的最佳证据总结

Best evidence summary of non-pharmaceutical interventions for thirst in critically ill patients

目的总结重症患者口渴非药物干预的最佳证据,为护理人员采取干预性措施减轻患者口渴提供参考。方法按照“6S”证据金字塔模型,系统检索国内外循证数据库、指南网、协会网站、相关原始数据库中有关重症患者口渴非药物干预的文献,检索时限自2011年8月至2022年8月。完成质量评价后结合专业知识逐条提取相关证据。结果最终纳入文献13篇,包括3篇专家共识、3篇系统评价、1篇证据总结、6篇随机对照试验,从6个方面共总结21条证据。结论总结的重症患者口渴非药物干预的最佳证据可为临床护理人员提供参考。需要重视重症患者口渴的需求,结合患者的实际需求选择合适的证据。

Objective To summarize the best evidence of non-pharmaceutical intervention on thirst in critically ill patients,providing reference for nursing staff to take intervention measures to alleviate patient′s thirst.Methods According to the"6S"evidence pyramid model,literature related to non-pharmaceutical interventions for thirst in critically ill patients were systematically searched in both domestic and foreign evidence-based databases,guideline websites,association websites,and related original databases from August 2011 to August 2022.After completing the quality evaluation,relevant evidence was extracted one by one according to the professional knowledge.Results A total of 13 articles were finally included,including three expert consensus reports,three systematic reviews,one evidence summary and six randomized controlled trials,summarizing 21 pieces of evidence from six aspects.Conclusion The summarized best evidence of non-pharmaceutical interventions for thirst in critically ill patients can provide guidance for clinical nursing staff.It is necessary to pay attention to the needs of critically ill patients for thirst and choose appropriate evidence based on the actual needs of patients.