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

Authors

DOI:

https://doi.org/10.15584/ejcem.2023.3.3

Keywords:

intensive care patient, nurse, thirst, nursing practices

Abstract

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.

Downloads

Download data is not yet available.

References

Clark J, Archer SK. Thirst Interventions in Adult Acute Care—What Are the Recommended Management Options and How Effective Are They? A Systematic Review. Dimens Crit Care Nurs. 2022;41(2):91-102. doi. 10.1097/DCC.0000000000000511

Gültekin Y, Özçelik Z, Akinci SB, Yorganci HK. Evaluation of stressors in intensive care units. Turk J Surg. 2018;34(1):5-8. doi: 10.5152/turkjsurg.2017.3736

Zengin N, Ören B, Üstündag H. The relationship between stressors and intensive care unit experiences. Nurs Crit Care. 2020;25(2):109-116. doi: 10.1111/nicc.12465.

Lin R, Li H, Chen L, He J. Prevalence of and risk factors for thirst in the intensive care unit: An observational study. J Clin Nurs. 2022;23. doi: 10.1111/jocn.16257

Negro A, Villa G, Greco M, et al. Thirst in patients admitted to intensive care units: an observational study. Ir J Med Sci. 2022;191(5):2283-2289. doi: 10.1007/s11845-021-02817-7

Sharma K, Kumar A. Effectiveness of thirst bundle on thirst and dry mouth among patients admitted in intensive care units. Int J Nurs Care. 2020;8(1):33-39. doi: 10.37506/ijonc.v8i1.8606

Zhang W, Gu Q, Gu Y, Zhao Y, Zhu L. Symptom management to alleviate thirst and dry mouth in critically ill patients: A randomised controlled trial. Aust Crit Care. 2022;35(2):123-129. doi: 10.1016/j.aucc.2021.04.002

Baumstarck K, Boucekine M, Estagnasie P, et al. Assessment of patients' self-perceived intensive care unit discomforts: Validation of the 18-item version of the IPREA. Health Qual Life Outcomes. 2019;7:17(29):1-9. doi: 10.1186/s12955-019-1101-5

Sato K, Okajima M, Taniguchi T. Association of persistent intense thirst with delirium among critically ill patients: a cross-sectional study. J Pain Symptom Manage. 2019;57(6):1114-1120. doi: 10.1016/j.jpainsymman.2019.02.022

Goodman SPJ, Marino FE. Thirst perception exacerbates objective mental fatigue. Neuropsychologia. 2021;150:107686. doi: 10.1016/j.neuropsychologia.2020.107686

Kjeldsen CL, Hansen MS, Jensen K, Holm A, Haahr A, Dreyer P. Patients' experience of thirst while being conscious and mechanically ventilated in the intensive care unit. Nurs Crit Care. 2018;23(2):75-81. doi: 10.1111/nicc.12277

VonStein M, Buchko BL, Millen C, Lampo D, Bell T, Woods AB. Effect of a scheduled nurse intervention on thirst and dry mouth in intensive care patients. Am J Crit Care. 2019;28(1):41-46. doi: 10.4037/ajcc2019400

Adams JD, Myatich AI, McCullough AS. Thirst as an ingestive behavior: A brief review on physiology and assessment. Nutr Health. 2020;26(3):271-274. doi: 10.1177/0260106020916972

Hughes F, Mythen M, Montgomery H. The sensitivity of the human thirst response to changes in plasma osmolality: a systematic review. Perioper Med. 2018;17(1):1-11. doi: 10.1186/s13741-017-0081-4

Li S, Mi J, Tang Y. A qualitative study of nurses' perception on patients' thirst in intensive care units. Intensive Crit Care Nurs. 2022;69:103184. doi: 10.1016/j.iccn.2021.103184

Doi S, Nakanishi N, Kawahara Y, Nakayama S. Impact of oral care on thirst perception and dry mouth assessments in intensive care patients: An observational study. Intensive Crit Care Nurs. 2021;66:103073. doi: 10.1016/j.iccn.2021.103073

Leemhuis A, Shichishima Y, Puntillo K. Palliation of thirst in intensive care unit patients: translating research into practice. Crit Care Nurse. 2019;39(5):21-28. doi: 10.4037/ccn2019544

Serato VM, Fonseca LF, Birolim MM, Rossetto EG, Mai LD, Garcia AKA. Package of menthol measures for thirst relief: a randomized clinical study. Rev Bras Enferm. 2019;72(3):600-608. doi: 10.1590/0034-7167-2018-0057

Eren E. The effect of oral water and ice application in the management of early postoperative thirst. Istanbul University Institute of Health Sciences, Surgical Diseases Nursing Program. Ph.D. Thesis. 2018. Istanbul.

Arai SR, Butzlaff A, Stotts NA, Puntillo KA. Quench the thirst: lessons from clinical thirst trials. Biol Res Nurs. 2014;16(4):456-66. doi: 10.1177/1099800413505900

Oh KE, Song AR, Sok SR. Effects of aroma gargling, cold water gargling, and wet gauze application on thirst, halitosis, and sore throat of patients after spine surgery. Holist Nurs Pract. 2017;31(4):253-259. doi: 10.1097/HNP.0000000000000219

Gulia S, Kumari V, Khatri N. Effectiveness of an intervention bundle on thirst intensity and dry mouth among patients admitted in ICU. Int J Health Sci Res. 2019;9(5):397-408.

Flim M, Hofhuis J, Spronk P, Jaarsma T. Measuring thirst distress of patients in the intensive care unit. Nurs Crit Care. 2022;27(4):576-582. doi: 10.1111/nicc.12719

Bernal A, Zafra MA, Si-mon MJ, Mahía, J. Sodium homeo-stasis, a balance necessary for life. Nutrients. 2023;15(2):395. doi: 10.3390/nu15020395

Arora SK. Hypernatremic disorders in the intensive care unit. J Intensive Care Med. 2013;28(1):37-45. doi: 10.1177/0885066611403994

Shikha G, Vinay K, Neetu K. Effectiveness of an intervention bundle on thirst intensity and dry mouth among patients admitted in intensive care units. Indian J Public Health Res Dev. 2020;11(4):101-107.

Downloads

Published

2023-09-30

How to Cite

Çelik, S., Şengül, M., & Karahan, E. (2023). Evaluation of nonpharmacological nursing practices related to thirst and the thirst of patients in the intensive care unit. European Journal of Clinical and Experimental Medicine, 21(3), 458–464. https://doi.org/10.15584/ejcem.2023.3.3

Issue

Section

ORIGINAL PAPERS