Development of a Thirst Relief Bundle for Patients Undergoing Abdominal Surgery

Main Article Content

Kawida Pimta
Wiphawadee Potisopha


Propose: To develop a clinical nursing practice guideline, the Thirst Relief Bundle, to reduce thirst and dry mouth for patients undergoing abdominal surgery in the surgical intensive care unit.

Design: A clinical nursing practice guideline development.

Methods: The model of the Center for Advanced Nursing Practice (Soukup) was used as a conceptual framework to develop the Thirst Relief Bundle. There were 4 phases, including 1) evidence triggered, 2) evidence supported, 3) evidence observed, and 4) evidence-based phases. This study was focused on Phases 1 through 3. Based on a literature review using the PICO framework and the evaluation of evidence quality using the Joanna Briggs Institute Levels of Evidence; 10 studies were included. The AGREE II assessment and the content validity evaluation of this guideline were verified by five experts. Then, the guideline was implemented for a trial with two patients in a surgical intensive care unit.

Main findings: The findings of the analyses and syntheses of all the literature were divided into three main elements: 1) risk factors related to thirst and dry mouth; 2) thirst and dry mouth assessment; and 3) nursing management for reducing thirst and dry mouth. The overall quality evaluation of the Thirst Relief Bundle was 90%, and the content validity index was .96. Afterward, the adjustment was conducted. The results of the trial showed that the guideline was able to reduce thirst in post-abdominal surgery patients. However, there was no difference in dry mouth symptoms before and after nursing management.

Conclusion and recommendations: The Thirst Relief Bundle developed from evidence-based support can be applied in practice to reduce thirst in post-abdominal surgery patients. However, nurses should be trained to enhance their knowledge and skills for implementing this guideline in their clinical contexts following the Soukup conceptual framework.

Article Details

How to Cite
Pimta, K., & Potisopha, W. (2024). Development of a Thirst Relief Bundle for Patients Undergoing Abdominal Surgery. Nursing Science Journal of Thailand, 42(1), 1–12. Retrieved from
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