全麻术后患者口渴护理的最佳证据总结

A summary of best evidence on nursing management of thirst after general anesthesia

目的总结全麻术后患者口渴护理管理的最佳证据。方法计算机检索美国国家指南库、JBI循证卫生保健中心数据库、英格兰校际指南网站、英国国家卫生与临床优化研究所、加拿大安大略护理学会指南网、维普、万方、中国知网、UpToDate、PubMed、Web of Science、Embase、Cochrane Library等数据库中关于全麻术后口渴相关的文献,由2名研究人员独立完成质量评价,并进行证据提取及汇总。结果共纳入6篇文献,包括3篇指南、2篇最佳实践、1篇系统评价。汇总了风险因素、口渴评估、早期预防、症状管理、教育培训5个方面共20条证据。结论本研究纳入的文献总体质量较高,但纳入文献大部分来源于国外,护理人员应结合科室现状及患者意愿将全麻术后口渴护理管理方案转化为临床实践,以减轻患者口渴感。

Objective To summarize the best evidence of thirst nursing management after general anesthesia.Methods We searched papers related to thirst after general anesthesia in National Guideline Clearinghouse,JBI,Scottish Intercollegiate Guidelines Network,National Institute for Health and Clinical Excellence,Registered Nurses'Association of Ontario,VIP,Wanfang database,CNKI,UpToDate,PubMed,Web of Science,Embase,Cochrane Library.The quality of the literature was evaluated independently by 2 researchers,and the extracted evidence was graded.Results A total of 6 articles(3 guidelines,2 recommended practices,and 1 systematic review)were included.Twenty pieces of evidence were extracted including risk factors,thirst assessment,early prevention,symptom management,education and training.Conclusion The quality of the literature included in this study is generally relatively high.However,most of the evidence are foreign literatures.We suggest nursing staffs to translate the thirst nursing management scheme after general anesthesia into clinical practice according to the current situation of the department and the wishes of patients,so as to relieve the thirst sensation of patients.