主管:国家卫生健康委员会
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 ›› 2023, Vol. 23 ›› Issue (12): 1854-1859.doi: 10.3969/j.issn.1672-1756.2023.12.017

• 肿瘤护理专题 • 上一篇    下一篇

口腔癌术后患者吞咽障碍管理的证据总结

许佳琪 张静 朱永康 吴洪芸 杨悦   

  1. 北京大学口腔医学院·口腔医院口腔颌面外科,100081 北京市(许佳琪,张静,朱永康,吴洪芸,杨悦);北京大学医学部循证护理研究中心(杨悦)
  • 出版日期:2023-12-15 发布日期:2023-12-15
  • 通讯作者: 杨悦,硕士,主任护师,副教授,E-mail:yueyangkq@163.com E-mail:E-mail:jiaqi724@163.com
  • 作者简介:许佳琪,硕士,E-mail:jiaqi724@163.com
  • 基金资助:
    北京大学循证护理专项研究基金(XZJJ-2022-07)

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

XU Jiaqi, ZHANG Jing, ZHU Yongkang, WU Hongyun, YANG Yue   

  1. Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, 100081, China
  • Online:2023-12-15 Published:2023-12-15
  • Contact: E-mail:yueyangkq@163.com E-mail:E-mail:jiaqi724@163.com

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。

关键词: 口腔癌;吞咽障碍;康复管理;证据总结

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.

Key words: oral cancer; dysphagia; rehabilitation nursing; evidence summary

中图分类号:  R47;R197