A qualitative study of nurses’ perception on patients’ thirst in intensive care units

Li, Shijie; Mi, Jie; Tang, Yongchuan

doi:10.1016/j.iccn.2021.103184

Cited by 10 publications

(6 citation statements)

References 32 publications

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“…As a result, they may fail to recognize thirst as a significant concern without patients explicitly expressing their discomfort. 15 We found that the most common practice among nurses to prevent thirst was to communicate with each patient. Since biochemistry control, ambient ventilation, and temperature regulation are already routine operations in clinics, communication is the most common practice after these.…”

Section: Discussionmentioning

confidence: 92%

“…In addition, nurses may prioritize vital signs over the recognition of thirst. 1,15 When thirst is identified, effective management strategies may be limited by factors such as fluid restriction, concerns about aspiration or vomiting, and the presence of endotracheal tubes. 1 Intensive care specialists strongly recommend the management of thirst as an important factor in patient prognosis.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of nonpharmacological nursing practices related to thirst and the thirst of patients in the intensive care unit

Çelik,

Şengül,

Karahan

2023

Eur J Clin Exp Med

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Introduction and aim. Thirst is a significant symptom and stressor among patients in the intensive care unit. The aim of this study is to assess the severity of thirst and associated symptoms experienced by patients in the intensive care unit, and to evaluate the nursing practices related to addressing thirst. Material and methods. This descriptive and correlational study involved a total of 66 patients in the intensive care unit. Severity of thirst experienced by these patients was assessed using a numeric rating scale. The nursing practices related to assessing thirst severity on admission to the unit, on the third day, and on the seventh day were also recorded. Results. Our findings showed a statistically significant increase in the levels of thirst, dry mouth, bad taste and odor in the mouth, as well as sensitivity and dryness in the throat among patients on the seventh day of hospitalization (p<0.05).Among nursing interventions, communication with the patient was the most frequently applied intervention during the seven-day period, with a range of 98.5% to 100%. biochemical control (100%), ventilation of the unit (100%), and temperature regulation (100%) were also frequently applied. Conclusion. The patients had all the symptoms of thirst.The frequency of nursing interventions increased in parallel with the severity of thirst.

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Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Evaluation of nonpharmacological nursing practices related to thirst and the thirst of patients in the intensive care unit

Çelik,

Şengül,

Karahan

2023

Eur J Clin Exp Med

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“…Finally, for elders who are hospitalized there are several specific environmental factors that may contribute to increased risk of dehydration while in hospital. These include observations that hydration status is poorly assessed in hospitalized older people [8], they may have frequent or repeated fasting for procedures, delirium and an inability to express needs or access fluids. Elders in hospital have been found to be less likely to complain and voice distress, including complaints about the impact of prolonged or frequent fasting.…”

Section: Causes Of Dehydrationmentioning

confidence: 99%

Dehydration in geriatrics: consequences and practical guidelines

Lambert

Carey

2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of reviewGeriatric dehydration is a widespread and under recognized problem. The purpose of this review was to examine the latest evidence regarding geriatric dehydration and provide practical guidance for health professionals. Recent findingsThis review covers evidence from the past 2 years and shows that geriatric dehydration is not benign and is associated with significant personal distress, as well as negative economic and health system consequences. New guidance on nutrition and hydration in the elderly recommend against the use of skin turgor, dry mouth, urine colour or specific gravity to determine hydration status in the elderly. Instead, serum osmolality is considered the gold standard. SummaryStrategies to prevent and manage geriatric dehydration should differ depending on aetiology (low intake, volume depletion or both). Widespread dissemination and implementation of innovative strategies that target improved access to fluids, and systems change to enable rapid and accurate identification and treatment are required.

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“…When a patient’s oral intake is limited, nurses frequently believe that there is nothing they can do to help them feel less thirsty or dry mouth, and they may not be aware of any techniques. Furthermore, in critical areas of the hospital, thirst is not monitored but neglected 8 – 10 . It is evident that no evaluation has been made technique routinely used in clinics to evaluate thirst and dry mouth 8 , 11 .…”

Section: Introductionmentioning

confidence: 99%

Effects of cold spray on thirst, frequency of oral care, and pain of general surgery intensive care unit patients

Gungor,

Tosun,

Candir

et al. 2024

Sci Rep

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This study aims to investigate the effects of intraoral cold water spray on thirst, frequency of oral care and postoperative period pain at surgical incision site in patients having abdominal surgery. The study was carried out as a randomized controlled trial, registered under Clinical Trial Number: NCT05940818. The study involved 110 participants, divided equally into two groups (n = 55): the experimental group and the control group. Data were collected using patient information form, NRS, Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS) and Visual Analog Scale (VAS). The severity of thirst at 1st, 8th, 16th h of post-operative period (p < 0.01) and the frequency of oral care application at 16th h were statistically significantly decreased in the experimental group when compared to the control group (p < 0.01).There wasn’t statistically significant difference between the patients in the experimental and control groups in terms of pain at surgical incision site (p > 0.05). The patient’s thirst and need for frequent oral care in the postoperative period were reduced by the application of a cold water spray. In patients undergoing abdominal surgery, the use of cold water spray application may be recommended to reduce thirst and the need for frequency of oral care application.

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A qualitative study of nurses’ perception on patients’ thirst in intensive care units

Cited by 10 publications

References 32 publications

Evaluation of nonpharmacological nursing practices related to thirst and the thirst of patients in the intensive care unit

Evaluation of nonpharmacological nursing practices related to thirst and the thirst of patients in the intensive care unit

Dehydration in geriatrics: consequences and practical guidelines

Effects of cold spray on thirst, frequency of oral care, and pain of general surgery intensive care unit patients

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