基于口渴管理安全策略饮少量冰水对经口气管插管患者口渴影响的研究

Influence of Drinking Small Amount of Ice Water to Relieve Thirst in Patients with Oral Tracheal Intubation Based on Safety Protocol for Thirst Management

目的基于口渴管理安全策略,探讨饮少量冰水缓解经口气管插管患者口渴症状的安全性和有效性。方法采取随机对照试验,选取江西省某三级甲等综合医院ICU行经口气管插管患者76例,随机分为观察组和对照组,各38例。观察组在常规护理基础上从口腔给予少量冰水,对照组在常规护理的基础上给予棉签蘸水湿润口唇。收集并比较2组受试者口渴程度评分及呛咳误吸发生情况。结果干预前,观察组及对照组的基线资料及口渴程度比较无统计学意义(P>0.05)。干预后,观察组口渴评分为(3.30±0.88)分,低于对照组(6.50±1.25)分(P<0.01)。患者呛咳误吸发生情况,2组比较差异无统计学意义(P>0.05)。结论饮少量冰水可以有效缓解经口气管插管患者口渴症状,不增加呛咳及误吸的发生。

Objective To evaluate the safety and effectiveness of drinking a small amount of ice water to relieve thirst in patients with oral tracheal intubation based on the safety protocol for thirst management.Methods A total of 76 patients with oral tracheal intubation were recruited in this study and randomized into control group and observation group with 38 cases in each group.A small amount of ice water from the mouth was provided for patients in the observation group based on routine care but patients in the control group were moisturized lips with a cotton swab dipped in water based on routine care.The NRS and the rate of cough and aspiration of the two groups were compared.Results Before the intervention,there was no significant difference in baseline data and thirst degree between the observation group and the control group(P>0.05).After the intervention,NRS of observation group was 3.30±0.88,lower than that of control group 6.50±1.25(P<0.01).There was not statistical significance on the rate of cough and aspiration between two groups(P>0.05).Conclusion Drinking a small amount of ice water can safely and effectively relieve thirst in patients with oral tracheal intubation,which would not increase the incidence of cough and aspiration.