eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2025 , Vol. 6 >Issue 1: 37 - 42

DOI: https://doi.org/10.3761/j.issn.2096-7446.2025.01.005

Special Planning——The Practice and Effectiveness of the Action Plan for Improving Nursing Services

Study on the effect of low-temperature traditional Chinese medicine oral spray on thirst symptoms after extubation in patients undergoing general anesthesia surgery

  • ZHENG Yi ,
  • XU Min ,
  • WANG Lanfang ,
  • WANG Yuanyuan ,
  • RUAN Longjuan ,
  • ZHENG Chunmei ,
  • HUANG Yeping
Expand
  • Intensive Care Unit，the First Affiliated Hospital of Zhejiang Traditional Chinese Medicine University（Zhejiang Provincial Hospital of Chinese Medicine），Hangzhou，310006，China

Received date: 2024-04-08

  Online published: 2025-01-14

Fold

Abstract

Objective To investigate the application effect of low-temperature traditional Chinese medicine oral spray in patients undergoing extubation after general anesthesia，and to provide a basis for developing effective strategies for managing thirst. Methods A total of 126 patients undergoing general anesthesia surgery at a Grade A Class III traditional Chinese medicine hospital in Zhejiang Province from January 2023 to August 2023 were selected and divided into three groups using the excel random number method，with 42 cases in each group. Group A received low-temperature Chinese medicine oral spray（2-8 ℃） after extubation，while group B received normal temperature Chinese medicine oral spray（20-24 ℃） after extubation. Group C was treated with low temperature sterilized water for injection oral spray（2-8 ℃） after extubation. Thirst-related indexes of the three groups were observed at 5 minutes before extubation（T0），30 minutes after extubation（T1），60 minutes after extubation（T2），and 180 minutes after extubation（T3）. Results There were no significant differences in thirst scores，lip and tongue oral mucosal moistness score，and unstimulated whole saliva among the three groups at T0 （all P>0.05）. The main effects among groups and time were statistically significant（both P<0.001），with an interaction effect between groups and time also being observed（P<0.001）. There was no significant difference in thirst score or lip and tongue oral mucosal moistness score between group A and group C at T1，T2，T3 or before/after intervention changes（P>0.05），but there was a significant difference between A/B and B/C groups（P<0.05）. The differences in unstimulated whole saliva at T1，T2，and T3 as well as before/after intervention among the three groups were statistically significant（all P<0.05）. Conclusion Low temperature traditional Chinese medicine oral spray can increase unstimulated whole saliva compared to normal temperature traditional Chinese medicine oral spray or low temperature sterilized water for injection oral spray. It is suggested that clinical nursing staff should advance the intervention time on the premise of ensuring safety so as to relieve patients’ thirst and other discomfort experience as soon as possible.

Key words： General Anesthesia; Thirst; Oral Spray; Low-Temperature Traditional Chinese Medicine; Intensive Care Unit; Traditional Chinese Medicine Nursing

Cite this article

ZHENG Yi , XU Min , WANG Lanfang , WANG Yuanyuan , RUAN Longjuan , ZHENG Chunmei , HUANG Yeping . Study on the effect of low-temperature traditional Chinese medicine oral spray on thirst symptoms after extubation in patients undergoing general anesthesia surgery[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(1) : 37 -42 . DOI: 10.3761/j.issn.2096-7446.2025.01.005

References

[1] 高梦徽, 宁宁, 陈佳丽, 等. 外科围术期病人口渴不适的研究进展[J]. 护理研究, 2024, 38(3):439-443.
  Gao MH, Ning N, Chen JL, et al. Research progress of thirst discomfort in perioperative patients[J]. Chin Nurs Res, 2024, 38(3):439-443.
[2] Belete KG, Ashagrie HE, Workie MM, et al. Prevalence and factors associated with thirst among postsurgical patients at University of Gondar comprehensive specialized hospital. Institution-based cross-sectional study[J]. J Patient Rep Outcomes, 2022, 6(1):69.
[3] 张瑞华, 姜虹, 张锦锦, 等. 围术期口渴不适量表的汉化及信效度检验[J]. 护理研究, 2022, 36(19):3439-3444.
  Zhang RH, Jiang H, Zhang JJ, et al. Chinese version and reliability and validity test of the Perioperative Thirst Discomfort Scale[J]. Chin Nurs Res, 2022, 36(19):3439-3444.
[4] Lee CW, Liu ST, Cheng YJ, et al. Prevalence,risk factors,and optimized management of moderate-to-severe thirst in the post-anesthesia care unit[J]. Sci Rep, 2020, 10(1):16183.
[5] Schittek GA, Simonis H, Bornemann-Cimenti H. Pain,nausea,vomiting,thirst,cold,… the challenge of well-being in post-operative patients[J]. Intensive Crit Care Nurs, 2021,66:103090.
[6] Sato K, Okajima M, Taniguchi T. Association of persistent intense thirst with delirium among critically ill patients:a cross-sectional study[J]. J Pain Symptom Manage, 2019, 57(6):1114-1120.
[7] 中华医学会外科学分会, 中华医学会麻醉学分会. 中国加速康复外科临床实践指南(2021版)[J]. 中国实用外科杂志, 2021, 41(9):961-992.
  Surgery Branch of Chinese Medical Association,Anesthesiology Branch of Chinese Medical Association. Clinical practice guidelines for enhanced recovery after surgery in China(2021 edition)[J]. Chin J Pract Surg, 2021, 41(9):961-992.
[8] 唐雯桢, 王继龙, 邱洁净, 等. 症状管理在肝癌患者全身麻醉术后口渴中的应用[J]. 中国实用护理杂志, 2022, 38(6):407-413.
  Tang WZ, Wang JL, Qiu JJ, et al. Clinical study of symptom management in thirst of patients with liver cancer after general anesthesia[J]. Chin J Pract Nurs, 2022, 38(6):407-413.
[9] 魏小龙, 朱文敏. 全身麻醉术后患者早期饮水管理策略的最佳证据总结[J]. 中华急危重症护理杂志, 2021, 2(6):535-542.
  Wei XL, Zhu WM. Best evidence summary of early drinking management strategy after surgery with general anesthesia in adults[J]. Chin J Emerg Crit Care Nurs, 2021, 2(6):535-542.
[10] 李青, 蒋玉兰, 王红红, 等. ICU机械通气患者重症监护体验定量分析及定性研究[J]. 护理学杂志, 2015, 30(13):38-40.
  Li Q, Jiang YL, Wang HH, et al. Quantitative and qualitative analysis of mechanical ventilation patients’experience in ICU[J]. J Nurs Sci, 2015, 30(13):38-40.
[11] González-Mu?iz R, Bonache MA, Martín-Escura C, et al. Recent progress in TRPM8 modulation:an update[J]. Int J Mol Sci, 2019, 20(11):2618.
[12] 袁文君. 载脂蛋白E基因多态性与老年骨质疏松的相关研究[D]. 乌鲁木齐: 新疆医科大学, 2023.
  Yuan WJ. Association of apolipoprotein E gene polymorphism with elderly osteoporosis[D]. Urumqi: Xinjiang Medical University, 2023.
[13] 胡海殷, 王虎城, 王辉, 等. 火热炽盛证(实热火毒)评价标准及其解读[J]. 中华中医药杂志, 2022, 37(6):2998-3002.
  Hu HY, Wang HC, Wang H, et al. Interpretation of evaluation criteria for syndrome of intense fire and heat(Shi Re Huo Du)[J]. China J Tradit Chin Med Pharm, 2022, 37(6):2998-3002.
[14] Nascimento LAD, Garcia AKA, Conchon MF, et al. Advances in the management of perioperative patients’ thirst[J]. AORN J, 2020, 111(2):165-179.
[15] 黄晨杉, 林榕, 陈丽丽, 等. 围手术期患者口渴不适量表的汉化及信效度检验[J]. 中华护理杂志, 2022, 57(7):892-896.
  Huang CS, Lin R, Chen LL, et al. The reliability and validity test of the Chinese version of Perioperative Thirst Discomfort Scale[J]. Chin J Nurs, 2022, 57(7):892-896.
[16] 包丽研. 冰盐水喷洒口腔黏膜缓解吞咽功能障碍患者口渴的作用研究[D]. 呼和浩特: 内蒙古医科大学, 2022.
  Bao LY. Effects of ice saline spraying on oral mucosa to relieve thirst patients with dysphagia[D]. Hohhot: Inner Mongolia Medical University, 2022.
[17] 张小雪, 何朝珠, 涂惠, 等. 冰水喷雾对经口气管插管病人口渴程度的影响[J]. 护理研究, 2021, 35(2):325-328.
  Zhang XX, He CZ, Tu H, et al. Effect of ice water spray on thirst of patients with oral tracheal intubation[J]. Chin Nurs Res, 2021, 35(2):325-328.
[18] 朱秀丽, 丁娟, 陈杨, 等. 危重患者口渴症状管理的研究进展[J]. 中华急危重症护理杂志, 2023, 4(2):179-183.
  Zhu XL, Ding J, Chen Y, et al. Research progress of thirst symptom management in critically ill patients[J]. Chin J Emerg Crit Care Nurs, 2023, 4(2):179-183.
[19] 徐沛金. 早期饮水应用于气管插管全身麻醉术后患者的效果分析[J]. 首都食品与医药, 2021, 28(2):118-119.
  Xu PJ. Effect analysis of early drinking water on patients after general anesthesia with tracheal intubation[J]. Cap Food Med, 2021, 28(2):118-119.
[20] 陆晨, 郑叶平. 术后患者口渴管理策略的研究现况[J]. 护士进修杂志, 2023, 38(3):216-219.
  Lu C, Zheng YP. Research progress of management strategy in patients with postoperative thirst[J]. J Nurses Train, 2023, 38(3):216-219.
[21] Ma FY, He HT, Xu BH, et al. Effect of sterile ice water versus menthol spray on thirst symptoms of fasted children in the intensive care unit:a prospective cohort study[J]. Medicine, 2023, 102(12):e33315.
[22] Al-Omiri MK, Sghaireen MG, Al-Qudah AA, et al. Relationship between impacts of removable prosthodontic rehabilitation on daily living,satisfaction and personality profiles[J]. J Dent, 2014, 42(3):366-372.
Options
Outlines

/

〈 〉