Scholarlink

Aim <p>This study systematically compared the efficacy of non-pharmacological interventions that may improve thirst in intensive care unit (ICU) patients.</p> Background <p>Thirst is among the most intense and distressing symptoms experienced by ICU patients. Recently, various non-pharmacological interventions have been applied to alleviate thirst symptoms and have shown positive effects. However, there is no consensus on which non-pharmacological intervention is the most effective, making it difficult to choose interventions to alleviate thirst in ICU patients.</p> Design <p>Systematic review and network meta-analysis based on PRISMA.</p> Methods <p>Computer searches were conducted in eight Chinese and English databases to identify randomized controlled trials published before October 12, 2024, on non-pharmacological interventions to improve thirst symptoms in ICU patients. Two researchers performed literature screening and data extraction, and RevMan 5.3 and Stata 15.0 software were used for literature quality assessment and data analysis.</p> Results <p>24 articles involving 2480 ICU patients and 14 types of non-drug interventions were included. The network meta-analysis results revealed that compared with those in routine care, the degree of thirst in ICU patients was significantly different significant for menthol lozenges, ice water injection, menthol water spray, ice saline water spray, ice menthol water spray, and ice water spray (all <i>P</i> &lt; 0.05). According to the ranking results of the cumulative ranking probability curve area (SUCRA), ice menthol water spray is the optimal solution for improving the degree of thirst in ICU patients.</p> Conclusion <p>Ice menthol water spray is the best non-pharmacological intervention for reducing thirst in ICU patients. When patients experience thirst, such as in the ICU ward, medical staff can use ice peppermint water spray to relieve the patient’s thirst symptoms. Future research should focus on directly comparing the effects of different non-pharmacological interventions and evaluating their cost-effectiveness.</p> PROSPERO (International Prospective Register of Systematic Reviews)registration number <p>CRD42024614636.</p> Relevance to clinical practice <p>The results of this study can provide a basis for medical staff to alleviate the thirst of ICU patients, with the results particularly supporting the use of ice mint water spray to reduce the level of thirst in ICU patients.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Effectiveness of non-pharmacological interventions for thirst in ICU patients: a systematic review and network meta-analysis

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年3月31日

查看全文
  • Meng Xiao,
  • Fangfang Zhu,
  • Yanting Zhang,
  • Jing Ma,
  • Anlong Zheng,
  • Lan Deng,
  • Shiwen Wei,
  • Pu Zhang,
  • Xinbo Ding

摘要

Aim

This study systematically compared the efficacy of non-pharmacological interventions that may improve thirst in intensive care unit (ICU) patients.

Background

Thirst is among the most intense and distressing symptoms experienced by ICU patients. Recently, various non-pharmacological interventions have been applied to alleviate thirst symptoms and have shown positive effects. However, there is no consensus on which non-pharmacological intervention is the most effective, making it difficult to choose interventions to alleviate thirst in ICU patients.

Design

Systematic review and network meta-analysis based on PRISMA.

Methods

Computer searches were conducted in eight Chinese and English databases to identify randomized controlled trials published before October 12, 2024, on non-pharmacological interventions to improve thirst symptoms in ICU patients. Two researchers performed literature screening and data extraction, and RevMan 5.3 and Stata 15.0 software were used for literature quality assessment and data analysis.

Results

24 articles involving 2480 ICU patients and 14 types of non-drug interventions were included. The network meta-analysis results revealed that compared with those in routine care, the degree of thirst in ICU patients was significantly different significant for menthol lozenges, ice water injection, menthol water spray, ice saline water spray, ice menthol water spray, and ice water spray (all P < 0.05). According to the ranking results of the cumulative ranking probability curve area (SUCRA), ice menthol water spray is the optimal solution for improving the degree of thirst in ICU patients.

Conclusion

Ice menthol water spray is the best non-pharmacological intervention for reducing thirst in ICU patients. When patients experience thirst, such as in the ICU ward, medical staff can use ice peppermint water spray to relieve the patient’s thirst symptoms. Future research should focus on directly comparing the effects of different non-pharmacological interventions and evaluating their cost-effectiveness.

PROSPERO (International Prospective Register of Systematic Reviews)registration number

CRD42024614636.

Relevance to clinical practice

The results of this study can provide a basis for medical staff to alleviate the thirst of ICU patients, with the results particularly supporting the use of ice mint water spray to reduce the level of thirst in ICU patients.