外科围手术期患者口渴管理的最佳证据总结

Summary of the best evidence for thirst management in surgical perioperative patients

目的总结国内外围手术期患者口渴管理的最佳证据,为临床开展口渴管理提供理论依据。方法按照PIPOST模型提出研究问题,依据"6S"模型系统检索了建库至2022年1月30日国内外各类指南网站、循证数据库、原始研究数据库以及专业协会网站等发布的文献,由2名研究员对文献的质量进行独立评价,对符合质量标准的文献进行证据提取和整合,研究小组对证据进行分级和确定推荐级别。结果共筛选出15篇文献,其中2篇系统评价、3篇临床决策、10篇随机对照试验。整理出23条证据,包括影响口渴的药物因素、口渴评估工具、术前口渴干预策略、术后安全饮水评估、术后口渴干预策略、护理观察、健康教育、注意事项8个方面。结论在围手术期患者口渴管理未形成统一标准的情况下,本研究总结的证据可以为临床护理工作提供循证依据。

Objective To summarize the best evidence of thirst management in peripheral surgical patients in China,and to provide theoretical basis for clinical thirst management.Methods According to the PIPOST model,research questions were raised.According to the"6S"model,literature published by various guide websites,evidence-based databases,original research databases and professional association websites at home and abroad from database establishment to January 30,2022 were systematically retrieved.Two researchers independently evaluated the quality of the literature and extracted and integrated the evidence of the literature that met the quality standards.The research team graded the evidence and determined the recommendation level.Results A total of 15 literatures were selected,including 2 systematic reviews,3 clinical decisions and 10 randomized controlled trials(RCTS).A total of 23 evidences were sorted out,including 8 aspects such as drug factors affecting thirst,thirst assessment tools,preoperative thirst intervention strategy,postoperative safe drinking water assessment,postoperative thirst intervention strategy,nursing observation,health education and precautions.Conclusions In the absence of uniform standards for perioperative thirst management,the evidence summarized in this study can provide evidence-based evidence for clinical nursing work.