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围手术期患者口渴管理的进展

Advances in the Management of Perioperative Patients' Thirst.

作者信息

Nascimento Leonel Alves do, Garcia Aline Korki Arrabal, Conchon Marilia Ferrari, Aroni Patrícia, Pierotti Isadora, Martins Pamela Rafaela, Nakaya Thammy Gonçalves, Fonseca Lígia Fahl

出版信息

AORN J. 2020 Feb;111(2):165-179. doi: 10.1002/aorn.12931.

DOI:10.1002/aorn.12931
PMID:31997333
Abstract

In response to an increase in osmolarity or a decrease in plasma volume, surgical patients often experience thirst during the perioperative period. Thirst causes intense discomfort for patients, but perioperative nurses and health care providers have received minimal direction on how to address this concern. This article presents evidence related to the advances in the management of patients' thirst and discusses clinical strategies that perioperative personnel can safely implement for their patients during the preoperative and postoperative periods. The Thirst Study and Research Group at Londrina State University, Brazil, developed the Thirst Management Model to provide a standardized method for perioperative personnel. Four pillars comprise this model: identification of thirst, measurement of thirst, safety assessment for the management of thirst, and application of relief strategies. This evidence-based model should assist perioperative nurses with translating knowledge and scientific evidence into clinical practice to provide safe patient care.

摘要

为应对渗透压升高或血容量减少,手术患者在围手术期常感到口渴。口渴给患者带来极大不适,但围手术期护士和医护人员在如何解决这一问题方面得到的指导极少。本文介绍了与患者口渴管理进展相关的证据,并讨论了围手术期工作人员在术前和术后阶段可为患者安全实施的临床策略。巴西隆德里纳州立大学的口渴研究与研究小组开发了口渴管理模型,为围手术期工作人员提供标准化方法。该模型由四个支柱组成:口渴识别、口渴测量、口渴管理的安全评估以及缓解策略的应用。这个基于证据的模型应有助于围手术期护士将知识和科学证据转化为临床实践,以提供安全的患者护理。

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