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口腔癌术后患者吞咽障碍管理的证据总结

Evidence summary for the management of dysphagia in postoperative patients with oral cancer

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【作者】 许佳琪张静朱永康吴洪芸杨悦

【Author】 XU Jiaqi;ZHANG Jing;ZHU Yongkang;WU Hongyun;YANG Yue;Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology;

【通讯作者】 杨悦;

【机构】 北京大学口腔医学院·口腔医院口腔颌面外科北京大学医学部循证护理研究中心

【摘要】 目的:汇总口腔癌术后患者吞咽障碍管理相关证据,以期为临床实践提供依据。方法:系统检索指南、专业学会网站和期刊数据库中的指南、专家共识、系统评价及实验性研究,经文献质量评价后,对证据进行提取和整合,并通过专家论证确定适用于我国临床情境的证据内容。结果 :共纳入26篇文献,汇总并遴选得到19条证据,涉及管理团队、功能评估、吞咽康复训练和并发症预防4个方面。结论 :本研究总结的口腔癌术后患者吞咽障碍管理证据可为证据转化和临床应用提供循证依据,未来还需要结合临床实际情况和患者特点开展循证护理实践。

【Abstract】 Objective: To summarize the evidence for the management of dysphagia in postoperative patients with oral cancer, in order to provide reference for clinical practice. Methods: We searched and analyzed guidelines, expert consensus,systematic reviews and experimental studies from relevant guideline and professional association websites and databases.After literature quality evaluation, we extracted and integrated the evidence, and finally obtained the evidence applicable to the clinical situation in China after expert discussion. Results: A total of 26 articles were included, and 19 recommendations were determined in 4 aspects, including management team, dysphagia assessment, swallowing rehabilitation training and complication prevention. Conclusion: The evidence for the management of dysphagia in patients with oral cancer after surgery can provide a reference for evidence transformation and clinical application. The evidence-based nursing practice should be carried out considering clinical practice and patient characteristics in the future.

【基金】 北京大学循证护理专项研究基金(XZJJ-2022-07)
  • 【文献出处】 中国护理管理 ,Chinese Nursing Management , 编辑部邮箱 ,2023年12期
  • 【分类号】R473.73
  • 【下载频次】125
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