维持性血液透析患者口渴管理的最佳证据总结

Summary of best evidence for thirst management in maintenance hemodialysis patients

目的总结维持性血液透析患者口渴管理的最佳证据。方法系统检索UpToDate、BMJ最佳临床实践、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、美国指南网、医脉通、PubMed、中国知网、万方数据库等数据库或网站中有关维持性血液透析患者口渴管理的文献,包括临床决策、最佳实践、证据总结、指南、专家共识、系统评价、随机对照试验,检索时限为建库至2023年7月1日。由2名研究人员独立对文献进行质量评价及证据提取、汇总。结果共纳入18篇文献,包括临床决策6篇、指南3篇、证据总结1篇、系统评价1篇、随机对照试验7篇。从口渴评估、引发口渴危险因素、预防及缓解口渴策略、教育管理4个方面总结了38条最佳证据。结论本研究总结了维持性血液透析患者口渴管理的最佳证据,建议医护人员结合临床情境及患者意愿应用证据。

Objective To summarize the best evidence for thirst care management in maintenance hemodialysis patients.Methods Literature on thirst management in maintenance hemodialysis patients was systematically searched in UpToDate,BMJ Best Practice,Australian Joanna Briggs Institute Evidence-Based Health Care Center database,National Guideline Clearinghouse,Medlive,PubMed,China National Knowledge Infrastructure,Wanfang data,and other databases or websites,including clinical decisions,best practice,evidence summaries,guidelines,expert consensus,systematic reviews,and randomized controlled trials.The search period was from the establishment of the databases to July 1,2023.Two researchers independently evaluated the quality of the literature and extracted and summarized the evidence.Results A total of 18 articles were included,including six clinical decisions,three guidelines,one evidence summary,one systematic review,and seven randomized controlled trials.Thirty-eight of the best pieces of evidence were summarized from four aspects,including thirst assessment,risk factors for thirst,prevention and mitigation strategies,and educational management.Conclusions This study summarizes the best evidence for thirst management in maintenance hemodialysis patients and recommends that healthcare professionals apply evidence based on clinical context and patient willingness.