Evaluation Of The Application Of Ice Water Spray In Patients With Thirst Undergoing Oral Tracheal Intubation

Objective: Thirst is a common complication in patients with tracheal intubation,which affects patient comfort.However,there is still no effective treatment for thirst in patients with tracheal intubation.In this study,patients with oral tracheal intubation were used as the research object to explore ice water spray the effectiveness and safety of relieving thirst in patients with oral tracheal intubation,providing evidence for the clinical application of ice water spray.Methods: This study included 62 patients with oral tracheal intubation who met the inclusion exclusion criteria in the emergency ICU at a tertiary hospital in Jiangxi Province from July 2019 to February 2020,and were randomly divided into observation group and control group,with 31 cases in each group.A cotton swab was dipped in room temperature water to wet the patient's lips and oral cavity.The observation group used ice water spray to intervene.The intervention period in this study was 2 days,with 7 interventions per day,with an interval of 1 hour each.The Numeric rating scales(NRS)was evaluated 30 minutes after each intervention,and the score of oral and tongue mucous membrane was evaluated daily.The clinical effect of ice water spray on thirst in patients with oral tracheal intubation was analyzed and evaluated.Results:1.A total of 62 patients were included in this study and randomly divided into a control group and an observation group,each with 31 cases.During the course of the study,one patient in the control group was removed due to a sudden change of condition,and the family member of the one patient in the observation group was automatically discharged from the hospital.Finally,60 patients were included,30 in the control group,and 30 in the observation group.There was no statistically significant difference in demographic data such as gender,age,APACHE?,intubation time,and education level in the two groups(P>0.05).There were no statistically significant differences in clinical indicators such as blood sodium level,blood glucose level,urea nitrogen,diuretics,opioids,continuous renal replacement therapy(CRRT),and balance of intake and output(P>0.05).2.Comparison of thirst levels between the two groups of patients before and after the first day of intervention: Before the first day of intervention,the NRS of observation group was(8.23±1.74)points,and the control group was(8.63±1.61)points.Thirst,there was no significant difference in NRS score between the two groups of subjects before intervention(P>0.05).After 7 interventions,the NRS score in the observation group was(2.27±0.94)points.The control group's NRS score is(5.00±1.08)points.The differences in the NRS between the two groups of subjects are statistically significant(P<0.01).The difference in thirst between the two groups of subjects before and after the intervention was statistically significant(P<0.01).The statistical analysis results at 7 time points show that the difference in thirst level between the two groups of study subjects at each time point is statistically significant(P<0.01).3.Comparison of thirst levels between the 2nd day and 1st day of the two groups of patients: The NRS of the observation group before the intervention on the first day was(8.23±1.74)points,and the NRS before the intervention on the second day was(8.10±1.54),but the difference was not statistically significant(P>0.05).The NRS of the observation group on the first day after the intervention was(2.27±0.94)points,on the 2nd day the NRS was(2.17±0.79),and the difference was not statistically significant(P>0.05).The difference in thirst between the two groups in the observation group was not statistically significant(P>0.05).The NRS in the control group was(8.63±1.61)points,and the NRS before the intervention on the second day was(8.73±1.41)points,but the difference was not statistically significant(P>0.05).The NRS was(5.00±1.08)points,and the NRS after the intervention on the 2nd day was(4.93 ± 1.05)points,the difference was not statistically significant(P>0.05).The difference in thirst degree was not statistically significant(P>0.05).4.Comparison of the score of oral and tongue mucous membrane between the two groups of patients: The difference between the two groups of patients' score of oral and tongue mucous membrane after intervention was statistically significant(P<0.05).Compared with the first day and the second day of the observation group,the score of oral and tongue mucous membrane was observed in the observation group.After the first day of intervention,the score of oral and tonguemucous membrane of the second day was better than the first day,and the difference was statistically significant(P<0.05).After 7 interventions per day,there was no significant difference in the score of oral and tongue mucous membrane on the two days(P>0.05).The 30 patients in the control group were compared with the score of oral and tongue mucous membrane on the 1st and 2nd day before the intervention.The score of oral and tongue mucous membrane on the 2nd day before the intervention was better than that on the 1st day.After 7 interventions,the score of oral and tongue mucous membrane was not statistically significant for two days(P>0.05).Conclusion:Under the guidance of relevant basic theories,this study used ice water spray to apply to oral tracheal intubation for thirsty patients.Compared with conventional cotton swabs dipped in water to moisten lips,it significantly relieved the patient's thirst and improved the moisturization of patients' lips and oral mucosa.It provides a basis for clinical application.Ice water spray is safe and effective,simple to use,and has few restrictions,which is suitable for clinical promotion.