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主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (4): 512-517.doi: 10.3969/j.issn.1672-1756.2025.04.006

• 论著 • 上一篇    下一篇

慢性心力衰竭患者口渴症状管理方案的构建与应用

曹秋月 谢幸尔 储红梅 邵春燕 张敏 陈建静   

  1. 南通大学护理与康复学院，226006 江苏省南通市（曹秋月）；海安市人民医院心内科（曹秋月，张敏，陈建静）；护理部（储红梅，邵春燕）；南通市第三人民医院护理部（谢幸尔）
  • 出版日期:2025-04-15 发布日期:2025-04-15
  • 通讯作者: 谢幸尔，本科，主任护师，原护理部主任，E-mail:541329557@qq.com
  • 作者简介:曹秋月，硕士在读，主管护师
  • 基金资助:
    南通市社会民生科技计划项目（MSZ2022089）

Construction and application of a management program for thirst symptoms in patients with Chronic Heart Failure

CAO Qiuyue, XIE Xinger, CHU Hongmei, SHAO Chunyan, ZHANG Min, CHEN Jianjing   

  1. College of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu province, 226006, China
  • Online:2025-04-15 Published:2025-04-15
  • Contact: E-mail:541329557@qq.com

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摘要： 目的：构建慢性心力衰竭患者口渴症状管理方案并评价其临床应用效果，以期为临床慢性心力衰竭患者口渴护理提供借鉴。方法：基于症状管理理论，通过文献回顾和专家函询，构建适用于慢性心力衰竭患者的口渴症状管理方案。便利选取2023年11月至2024年2月南通市某三级医院心内科和冠心病监护病房患者作为研究对象，采用随机数字表法分为两组，各43例。对照组实施心内科常规治疗护理，干预组在对照组基础上，实施为期1周的口渴症状管理方案。比较两组患者口渴强度、口渴困扰程度、口渴时间、唇舌口腔黏膜滋润程度及28天再入院率、心源性死亡率。结果：形成的方案包括口渴体验、口渴管理策略、管理效果3个部分、10项内容和37项具体内容。最终两组各39例患者完成研究。干预第7天和第28天，干预组口渴强度分别为（2.69±1.52）分和（1.85±0.99）分，口渴困扰程度分别为（15.87±4.99）分和（14.87±5.12）分，口渴时间分别为（3.49±1.32）分和（2.72±1.12）分，均低于对照组相关得分，干预组唇舌口腔黏膜滋润程度优于对照组，差异均具有统计学意义（P<0.05）；两组患者出院28天均未出现心源性死亡，干预组出院28天再入院率低于对照组，但差异无统计学意义（P>0.05）。结论：本研究构建的方案科学、可靠、全面、可操作性强，并在临床应用中证实能有效改善慢性心力衰竭患者的口渴症状。

关键词: 慢性心力衰竭；症状管理理论；口渴；德尔菲法

Abstract: Objective: To construct and assess the effectiveness of a thirst symptom management program for patients with Chronic Heart Failure, offering a potential reference for clinical thirst care. Methods: Based on symptom management theory, we built a protocol for managing thirst based on a comprehensive review of existing literature and expert consultation. Patients from cardiology and CCU wards of a tertiary hospital in Nantong city from November 2023 to February 2024 were selected by convenience sampling method as research subjects, and randomly divided into either control group or intervention group using the random number table method, with 43 patients in each group. While the control group received routine treatment and care, the intervention group participated a one-week intensive thirst management program in addition to the standard care. Results: The newly developed thirsty management program comprised three components: thirst experience, thirst management strategy, management effect and 10 contents, 37 specific contents. A total of 39 patients in each group completed this study. On the 7th day and 28th day of the intervention, the intervention group experienced significantly lower levels of thirst intensity (2.69±1.52 and 1.85±0.99), distress (15.87±4.99 and 14.87±5.12), and duration (3.49±1.32 and 2.72±1.12) compared to the control group. Improvement in moistness of oral mucosal in the lips and tongue were also more pronounced in intervention group, with statistically significant (P<0.05). None of the two groups occurred cardiac death within 28 days after discharge. The readmission rate within 28 days after discharge in the intervention group was lower than that of the control group, but the difference was not statistically significant (P>0.05). Conclusion: The thirst symptom management program for patients with Chronic Heart Failure is a scientific, reliable, comprehensive, and actionable, and is effective in improving thirst symptoms in clinical applications.

Key words: Chronic Heart Failure; symptom management theory; thirst; Delphi method

中图分类号:  R47；R197
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