運用實證方案降低心臟衰竭病患口渴困擾之成效

Effect of Applying Evidence-Based Protocol to Reduce Thirst Distress in Heart Failure Patients

陳淑雅(Shu-Ya Chen) ； 王妍惠(Yen-Hui Wang) ； 林玟欣(Wen-Hsin Lin) ； 鄒理芳(Li-Fang Tsou) ； 陳淑惠(Sue-Hui Chen) ； 林淑媛(Shu-Yuan Lin)

《高雄護理雜誌》 34卷1期 (2017/04) Pp. 1-11

https://doi.org/10.6692/KJN-2017-34-1-1

摘要

口渴是限水心臟衰竭病患常見的症狀困擾，且常被護理人員忽視，本單位調查2014年11月間170人次的心臟衰竭病患，發現51%有中度以上之口渴感受。經由搜尋實證資料庫，共搜尋128篇，刪除不相關及不適當的文章後，共納入5篇文獻作為實證方案設計的參考，改善措施依照文獻建議及同仁腦力激盪，提供入院後之評估、視覺刺激唾液分泌、檸檬冰塊、穴位按摩等緩解口渴措施。統計2015年3月20日至4月30日間，心臟衰竭病患有中度以上之口渴感受從51.0%降至29.5%，顯示此實證方案可作為緩解心臟衰竭病患口渴的應用參考。

關鍵字

心臟衰竭 ； 口渴 ； 限水

並列摘要

Thirst is a common symptom distress in patients with congestive heart failure, but it is often ignored by nurses. During the month of November 2014, we surveyed 170 patients with congestive heart failure. We found 51% of patients had perceived moderate and severe degree of thirst. Based on results of evidence-based databases searching and deleting irrele-vant and unmet-criteria articles, five evidence-based references were identified for designing protocol. Strategies of protocol were based on evidence references and brainstorming of team members. They were patients' assessment after their admissions, visual stimulus to increase saliva secretion, the use of lemonade ice cube and the application of massage over acupuncture point. During March 20 to April 30 in 2015, the percentage of moderate to severe degree of thirst perceived by patients with congestive heart failure had decreased to 29.5%. It shows this evidence-based protocol could apply as a relief of thirst strategy to patients with congestive heart failure.

並列關鍵字

Heart Failure ； Thirsty ； Fluid Restriction