Koç University, School of Nursing, Istanbul, Turkey.
Istanbul Galata University, Vocational School, Anesthesia Program, Istanbul, Turkey.
J Perianesth Nurs. 2024 Oct;39(5):907-914. doi: 10.1016/j.jopan.2023.11.014. Epub 2024 Mar 29.
Thirst is one of the most bothersome symptoms experienced by surgical patients. Effective thirst intervention and management in the Post Anesthesia Care Unit (PACU) and hospital wards is critical because patients are less sedated and more aware than in the past. There is a need to review the literature on the identification and management of thirst in the inpatient and PACU settings. The aim of this systematic review was to examine the available evidence on the effectiveness of oral cold applications on thirst in postoperative patients.
This was a systematic review study. Articles in PUBMED, Web of Science, ScienceDirect, TÜBİTAK-ULAKBİM, and TRDizin databases between January 2008 and January 2023 that included oral cold applications to relieve the thirst of patients in the postoperative period were included.
The PICOT-SD (Patients Interventions Comparison Outcome Time-Study Design) method was used as an eligibility criterion for inclusion in the study. The eligibility criteria included that the articles were written in English-Turkish and within the target dates, the studies included nursing interventions, the primary outcome of the studies was thirst, and the study sample included postoperative patients. The risk of bias was assessed using the RoB2 tool developed by Cochrane.
A total of 254 articles were retrieved from the databases using the specified keywords. 244 articles did not meet the study criteria: 30 were excluded because they were not interventional studies, 61 were not conducted in a postoperative population, 56 were duplicates, and 79 were not on a related topic. A total of 10 studies consisting of randomized controlled trials and quasi-experimental articles met the criteria for our review. Oral cold applications effectively reduced the thirst rate of postoperative patients and improved their health-related quality of life. The intervention has also been shown to reduce other anesthesia-related complications.
This systematic review concluded that cold oral applications have promising effects on thirst, dry mouth, and health-related quality of life. Cold oral applications are cost-effective and suitable for large-scale health care applications.
口渴是手术患者最困扰的症状之一。在麻醉后恢复室（PACU）和医院病房中，有效干预和管理口渴至关重要，因为患者比过去镇静程度更低，意识更清醒。因此，有必要回顾关于住院和 PACU 环境中口渴识别和管理的文献。本系统评价的目的是检查有关术后患者口服冷应用缓解口渴的有效性的现有证据。
这是一项系统评价研究。检索了 2008 年 1 月至 2023 年 1 月期间 PUBMED、Web of Science、ScienceDirect、TÜBİTAK-ULAKBİM 和 TRDizin 数据库中的文章，这些文章包括在术后期间使用口服冷应用来缓解患者口渴的研究。
使用 PICOT-SD（患者干预比较结果时间-研究设计）方法作为纳入研究的资格标准。纳入标准包括：文章用英土语撰写，且在目标日期内；研究包括护理干预；研究的主要结果是口渴；研究样本包括术后患者。使用 Cochrane 开发的 RoB2 工具评估偏倚风险。
使用指定的关键词从数据库中检索到 254 篇文章。244 篇文章不符合研究标准：30 篇文章被排除在外，因为它们不是干预性研究；61 篇文章不是在术后人群中进行的；56 篇文章是重复的；79 篇文章与主题无关。共有 10 项研究符合我们的综述标准，包括随机对照试验和准实验文章。口服冷应用可有效降低术后患者的口渴率，并改善其健康相关生活质量。该干预措施还显示可减少其他与麻醉相关的并发症。
本系统评价得出结论，口服冷应用对口渴、口干和健康相关生活质量有积极影响。口服冷应用具有成本效益，适合大规模的医疗保健应用。
