口渴
口干
观察研究
医学
唾液
舌头
牙科
内科学
病理
作者
Satoshi Doi,Nobuto Nakanishi,Yoshimi Kawahara,Shizu Nakayama
标识
DOI:10.1016/j.iccn.2021.103073
摘要
To investigate the impact of oral care on thirst perception and dry mouth assessments. Single-centre observational study. Intensive care unit in a university hospital. We assessed thirst perception and dry mouth in adult patients before and after oral care. Thirst perception was assessed using a numerical rating scale and dry mouth was assessed using an oral moisture checking device and the modified Revised Oral Assessment Guide including tongue, mucous membranes and saliva. Eighty-six patients were included. After oral care, thirst scores decreased by 1 (0 to 3, p < 0.01) and remained low only for one hour. Oral moisture was maintained at a normal level ≥ 27.0%, and mROAG was at a low level ≤ 4 before and after the oral care. The numerical rating score did not correlate with oral moisture (ρ = −0.01, p = 0.96) or the modified revised oral assessment guide (ρ = 0.09, p = 0.42). Among patients with thirst, 60 (70%) patients complained of thirst at the assessment timepoints, but only 17 (20%) patients complained independently. Thirst perception was dissociated from dry mouth before and after oral care. Thirst must be frequently assessed and treated.
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