[1]肖海涛,黄宝霞,邓云霞.ICU患者口渴影响因素的Meta分析[J].医学信息,2024,37(10):34-39.[doi:10.3969/j.issn.1006-1959.2024.10.007]
　XIAO Hai-tao,HUANG Bao-xia,DENG Yun-xia.Meta-analysis of Influencing Factors of Thirst in ICU Patients[J].Journal of Medical Information,2024,37(10):34-39.[doi:10.3969/j.issn.1006-1959.2024.10.007]
点击复制

ICU患者口渴影响因素的Meta分析()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年10期
页码:
34-39
栏目:
医学数据科学
出版日期:
2024-05-15

文章信息/Info

Title:
Meta-analysis of Influencing Factors of Thirst in ICU Patients
文章编号:
1006-1959（2024）10-0034-06
作者:
肖海涛; 黄宝霞; 邓云霞
（常州市第二人民医院/南京医科大学附属医院急诊重症监护室，江苏 常州 213000）
Author(s):
XIAO Hai-tao; HUANG Bao-xia; DENG Yun-xia
(Department of EICU,the Second People’s Hospital of Changzhou/Affiliated Hospital of Nanjing Medical University,Changzhou 213000,Jiangsu,China)
关键词:
ICU; 口渴; 影响因素
Keywords:
ICU; Thirst; Risk factors
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.10.007
文献标志码:
A
摘要:
目的 总结ICU患者并发口渴的影响因素，为临床医护人员及早识别口渴风险人群，以便为进行及时干预提供循证医学的依据。方法 计算机检索美国国立医学图书馆PubMed数据库、Cochrane图书馆数据库、科学网（Web of Science）、荷兰医学文摘EMbase数据库、中国生物医学文献服务系统（SinoMed）、中国知网（CNKI）、维普中文科技期刊数据库（VIP）和万方数据库，收集自建库至2023年1月有关ICU患者并发口渴的研究，由2名研究员对文献进行资料提取和质量评价，使用RevMan5.3软件进行Meta分析。结果 共纳入8篇文献，涉及1561例ICU患者，提取33项危险因素。Meta分析结果显示，饮酒史[OR=3.31，95%CI（1.99，5.51），P＜0.000 01]、吸烟史[OR=2.79，95%CI（2.12，3.65），P＜0.0001]、利尿剂[OR=4.72，95%CI（2.16，10.34），P=0.0001]、呼吸频率[OR=3.59，95%CI（1.61，8.01），P=0.002]、是否首次使用机械通气[OR=1.12，95%CI（1.03，1.52），P=0.005]、面罩舒适度[OR=3.5，95%CI（1.58，7.74），P=0.002]是ICU患者并发口渴的危险因素。结论 ICU患者发生口渴与饮酒史、吸烟史、利尿剂、呼吸频率、是否首次使用机械通气、面罩舒适度多种因素相关，应尽早识别相关危险因素，采取预防措施降低口渴发生及其严重程度。
Abstract:
Objective To summarize the influencing factors of ICU patients complicated with thirst, so as to provide evidence-based medicine for clinical medical staff to identify the population at risk of thirst as early as possible, so as to provide evidence-based medicine for timely intervention.Methods PubMed database, Cochrane library database, Web of Science, EMbase database, SinoMed, CNKI, VIP and Wanfang database were searched by computer to collect the studies on ICU patients with thirst from the establishment of the database to January 2023.Two researchers extracted the data and evaluated the quality of the literature. Meta-analysis was performed using RevMan5.3 software.Results A total of 8 articles were included, involving 1561 ICU patients, and 33 risk factors were extracted. Meta-analysis results showed that drinking history[OR=3.31,95%CI(1.99,5.51),P<0.000 01], smoking history[OR=2.79,95%CI(2.12,3.65),P<0.0001], diuretics[OR=4.72,95%CI(2.16,10.34),P=0.0001], respiratory rate [OR=3.59,95%CI(1.61,8.01),P=0.002], whether to use mechanical ventilation for the first time [OR=1.12,95%CI(1.03,1.52),P=0.005], mask comfort [OR=3.5,95%CI(1.58,7.74),P=0.002] were risk factors for ICU patients with thirst.Conclusion The occurrence of thirst in ICU patients is related to many factors, such as drinking history, smoking history, diuretics, respiratory rate, whether to use mechanical ventilation for the first time, and mask comfort. Relevant risk factors should be identified as soon as possible, and preventive measures should be taken to reduce the occurrence and severity of thirst.

参考文献/References:

[1]Flim M,Rust?覬en T,Blackwood B,et al.Thirst in adult patients in the intensive care unit:protocol for a scoping review[J].BMJ Open,2022,12(11):e063006.[2]Claire G,Charles WB.The neural basis of homeostatic and anticipatory thirst[J].Nat Rev Nephrol,2018,14(1):11-25.[3]Alessandra N,Giulia V,Massimiliano G,et al.Thirst in patients admitted to intensive care units: an observational study[J].Ir J Med Sci,2022,191(5):2283-2289.[4]高扬,吴娟,许惠芬,等.ICU清醒住院患者口干真实体验的质性研究[J].齐齐哈尔医学院学报,2020,41(21):2745-2749.[5]刁齐翔,陈玉红,李纯,等.体外循环心脏术后患者口渴的发生现状及相关因素分析[J].中华现代护理杂志,2019,25(8):996-1000.[6]李世杰,米洁.ICU护士对危重症患者口渴护理困境的质性研究[J].中国护理管理,2022,22(9):1397-1400.[7]Munn Z,Moola S,Lisy K,et al.Methodological guidance for systematic reviews of observational epidcmiological studies reporting prevalence and incidence data[J].Int J Evid Based Healthc,2015,13:147-153.[8]周英凤,顾莺,胡雁,等.JBI循证卫生保健中心对关于不同类型研究的质量评价工具——患病率及分析性横断面研究的质量评价[J].护士进修杂志,2018,33(3):219-221.[9]The Joanna Briggs Institute.Joanna Briggs Institute Reviewers’ manual[M].Australia:The Joanna Briggs Institute,2016.[10]Lin R,Li H,Chen L,et al.Prevalence of and risk factors for thirst in the intensive care unit: An observational study[J].J Clin Nurs,2023,32(3-4):465-476.[11]方玲艳.重症监护病房患者口渴感及其相关因素调查[J].中国医院统计,2018,25(3):179-182.[12]吕鑫,关晶,全红佳.ICU危重患者发生口渴的影响因素分析[J].中国实用护理杂志,2018,34(9):680-684.[13]庄耀宁,谢颖彬,黄美春,等.ICU无创机械通气患者口渴感水平及影响因素分析[J].护理学杂志,2019,34(7):19-21.[14]蒋玲洁.ICU机械通气患者口渴的影响因素研究[D].兰州:兰州大学,2020.[15]苏小妹,贺珊,吴志红,等.ICU机械通气病人口渴影响因素分析[J].全科护理,2020,18(20):2610-2612.[16]吴春兰,罗倩,付豹,等.重症医学科经口气管插管辅助通气患者口渴感的现状调查及影响因素分析[J].中国呼吸与危重监护杂志,2022,21(5):316-321.[17]Nana W,Martje HLW,Robert GH,et al.Thirst trajectory and factors associated with persistent thirst in patients with heart failure[J].J Card Fail,2014,20(9):689-695.[18]彭丽芳,易锋.电子烟对青年口腔健康的影响[J].湖南师范大学学报(医学版),2021,18(6):168-170.[19]Kiyotoshi I,Kentaro O,Suzuro H,et al.Thirst sensation and oral dryness following alcohol intake[J].Jpn Dent Sci Rev,2017,53(3):78-85.[20]Halm MA.Managing Thirst in the Critically Ill[J].Am J Crit Care,2022,31(2):161-165.[21]Stotts NA,Arai SR,Cooper BA,et al.Predictors of thirst in intensive care unit patients[J].J Pain Symptom Manag,2015,49(3):530-538.[22]Zhang W,Gu Q,Gu Y,et al.Symptom management to alleviate thirst and dry mouth in critically ill patients: A randomised controlled trial[J].Aust Crit Care,2022,35(2):123-129.[23]Koji S,Masaki O,Takumi T,et al.Association of Persistent Intense Thirst With Delirium Among Critically Ill Patients: A Cross-sectional Study[J].J Pain Symptom Manage,2019,57(6):1114-1120.[24]Pierre K,Marine A,Mohamed B,et al.Tailored multicomponent program for discomfort reduction in critically ill patients may decrease post-traumatic stress disorder in general ICU survivors at 1 year[J].Intensive Care Med,2019,45(2):223-235.

相似文献/References:

[1]程康耀,吕伟波.ICU长期卧床患者下肢深静脉血栓的预防护理研究进展[J].医学信息,2018,31(03):64.[doi:10.3969/j.issn.1006-1959.2018.03.020]
　CHENG Kang-yao,LV Wei-bo.Research Progress of Prevention and Nursing of Deep Venous Thrombosis in Lower Extremities of Patients with Long-term Bedbed in ICU[J].Journal of Medical Information,2018,31(10):64.[doi:10.3969/j.issn.1006-1959.2018.03.020]
[2]郭剑波.限制热卡营养早期应用于ICU内科重症成年患者的效果研究[J].医学信息,2018,31(03):112.[doi:10.3969/j.issn.1006-1959.2018.03.037]
　GUO Jian-bo.Effect of Early Application of Restricted Calorie Nutrition on Severe Adult Patients in ICU Department of Internal Medicine[J].Journal of Medical Information,2018,31(10):112.[doi:10.3969/j.issn.1006-1959.2018.03.037]
[3]郭剑波.酒石酸布托啡诺、氟比洛芬酯、芬太尼联合异丙酚镇痛镇静对ICU内机械通气患者的疗效比较[J].医学信息,2018,31(04):130.[doi:10.3969/j.issn.1006-1959.2018.04.046]
　GUO Jian-Bo.Comparison of Analgesic Effects of Butorphanol Tartrate Flurbiprofen and Fentanyl Combined with Propofol in Patients undergoing Mechanical Ventilation in ICU[J].Journal of Medical Information,2018,31(10):130.[doi:10.3969/j.issn.1006-1959.2018.04.046]
[4]周会兰,刘桃梅.四川省三级医院ICU医护人员早期活动知识学习及 ICU早期活动开展影响因素研究[J].医学信息,2018,31(18):61.[doi:10.3969/j.issn.1006-1959.2018.18.019]
　ZHOU Hui-lan,LIU Tao-mei.Study on Influencing Factors of Early Mobilization Knowledge Learning and ICU Early Mobilization in ICU Medical Staff in Sichuan Tertiary Hospital[J].Journal of Medical Information,2018,31(10):61.[doi:10.3969/j.issn.1006-1959.2018.18.019]
[5]田爱庆.早期连续性血液净化治疗ICU乳酸酸中毒的研究进展[J].医学信息,2019,32(07):49.[doi:10.3969/j.issn.1006-1959.2019.07.016]
　TIAN Ai-qing.Advances in Early Continuous Blood Purification for Treatment of Lactic Acidosis in ICU[J].Journal of Medical Information,2019,32(10):49.[doi:10.3969/j.issn.1006-1959.2019.07.016]
[6]国欣涛,魏荣伟,王 斌.冠状动脉搭桥术后谵妄的研究现状[J].医学信息,2019,32(10):53.[doi:10.3969/j.issn.1006-1959.2019.10.019]
　GUO Xin-tao,WEI Rong-wei,WANG Bin.Current Status of Research on Postoperative Delirium Coronary Artery Bypass Grafting[J].Journal of Medical Information,2019,32(10):53.[doi:10.3969/j.issn.1006-1959.2019.10.019]
[7]陈韵芳.ICU护理工作量测量方法研究进展[J].医学信息,2019,32(14):57.[doi:10.3969/j.issn.1006-1959.2019.14.019]
　CHEN Yun-fang.Research Progress on Measurement Methods of ICU Nursing Workload[J].Journal of Medical Information,2019,32(10):57.[doi:10.3969/j.issn.1006-1959.2019.14.019]
[8]胡玉兰.实时质控加图片质控在ICU轮转护士护理质控中的效果[J].医学信息,2019,32(16):184.[doi:10.3969/j.issn.1006-1959.2019.16.063]
　HU Yu-lan.Effect of Real-time Quality Control Plus Picture Quality Control in ICU Rotation Nurse Nursing Quality Control[J].Journal of Medical Information,2019,32(10):184.[doi:10.3969/j.issn.1006-1959.2019.16.063]
[9]杜 青.ICU患者应用动态人文关怀护理效果[J].医学信息,2020,33(13):180.[doi:10.3969/j.issn.1006-1959.2020.13.058]
　DU Qing.The Effect of Application of Dynamic Humanistic Care in ICU Patients[J].Journal of Medical Information,2020,33(10):180.[doi:10.3969/j.issn.1006-1959.2020.13.058]
[10]油文静,朱 锋,汪 漩,等.不同机械通气模式对呼吸机相关性膈肌功能障碍的影响[J].医学信息,2020,33(16):110.[doi:10.3969/j.issn.1006-1959.2020.16.033]
　YOU Wen-jing,ZHU Feng,WANG Xuan,et al.Effects of Different Mechanical Ventilation Modes on Ventilator-related Diaphragmatic Muscle Dysfunction[J].Journal of Medical Information,2020,33(10):110.[doi:10.3969/j.issn.1006-1959.2020.16.033]

更新日期/Last Update: 1900-01-01