关键词: meta-analysis postoperative period prevalence risk factors thirst

来  源:   DOI:10.1016/j.jopan.2024.01.026

Abstract:
OBJECTIVE: Thirst is a symptom of dehydration and one of the main complications affecting postoperative outcomes and comfort. Persistent water scarcity can have a detrimental effect on the cognitive function and psychology of patients. However, the current evidence about the prevalence and risk factors for postoperative thirst is not fully understood. Therefore, this study aims to investigate the prevalence and risk factors of postoperative thirst and provide guidance for clinical practice.
METHODS: Systematic review and meta-analysis.
METHODS: We searched PubMed, Cochrane Library, Web of Science, Embase, Clinicaltrials.gov, China National Knowledge Infrastructure, and Wanfang Database. Eligible studies were evaluated using the Agency for Healthcare Research and Quality. The collected data were pooled and analyzed using Stata15.0.
RESULTS: A total of 11 cross-sectional studies were included involving 20,612 patients. Eight studies reported prevalence and the pooled prevalence of postoperative thirst was 76.8% (95% confidence interval [CI]: 0.664 to 0.858). Five studies contributed to meta-syntheses of risk factors for postoperative thirst. The results indicated that sex (odds ratio [OR] = 1.44, 95% CI = 1.13 to 1.84, I2 = 80.2%, P = .006), anesthesia drug (OR = 1.48, 95% CI = 1.06 to 2.06, I2 = 94.8%, P < .001), surgical type (OR = 0.66, 95% CI = 0.49 to 0.9, I2 = 77.9%, P = .004) were statistically associated with postoperative thirst.
CONCLUSIONS: Our study shows a high prevalence of postoperative thirst. Sex, anesthesia drug, and surgical type are risk factors that influence postoperative thirst. Nurses and other health care professionals should routinely assess the postoperative thirst of patients and perform targeted interventions to alleviate their distressing symptoms and improve the quality of care.
摘要:
目的:口渴是脱水的症状,是影响术后预后和舒适度的主要并发症之一。持续缺水会对患者的认知功能和心理产生不利影响。然而,目前关于术后口渴的患病率和危险因素的证据尚不完全清楚.因此,本研究旨在探讨术后口渴的患病率和危险因素,为临床提供指导。
方法:系统评价和荟萃分析。
方法:我们搜索了PubMed,科克伦图书馆,WebofScience,Embase,Clinicaltrials.gov,中国国家知识基础设施,和万方数据库。使用医疗保健研究和质量机构评估合格的研究。收集的数据进行汇总并使用Stata15.0进行分析。
结果:共纳入11项横断面研究,涉及20,612例患者。8项研究报告了患病率,术后口渴的合并患病率为76.8%(95%置信区间[CI]:0.664至0.858)。五项研究为术后口渴危险因素的荟萃综合做出了贡献。结果表明,性别(优势比[OR]=1.44,95%CI=1.13~1.84,I2=80.2%,P=.006),麻醉药物(OR=1.48,95%CI=1.06至2.06,I2=94.8%,P<.001),手术类型(OR=0.66,95%CI=0.49至0.9,I2=77.9%,P=.004)与术后口渴有统计学关联。
结论:我们的研究显示术后口渴的患病率很高。性,麻醉药物,和手术类型是影响术后口渴的危险因素。护士和其他卫生保健专业人员应常规评估患者的术后口渴,并进行有针对性的干预措施,以减轻其痛苦症状并提高护理质量。
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