脑卒中患者吞咽障碍相关临床实践指南内容分析  

Content analysis of clinical practice guidelines related to dysphagia with stroke

作　　者：况莉 许燕玲[2] 章惠英[1] 曹燕[3] 陈勤勤[3] Kuang Li;Xu Yanling;Zhang Huiying;Cao Yan;Chen Qinqin(School of Nursing,Shanghai Jiaotong University,Shanghai 200025,China;Department of Nursing, Shanghai Jiaotong University Affiliated Sixth People's Hospital,Shanghai 200233,China;Department of Neurology,Shanghai Jiaotong University Affiliated Sixth People's Hospital,Shanghai 200233,China)

机构地区：[1]上海交通大学护理学院,200025 [2]上海交通大学附属第六人民医院护理部,200233 [3]上海交通大学附属第六人民医院神经内科,200233

出　　处：《中国实用护理杂志》2019年第6期469-474,共6页Chinese Journal of Practical Nursing

摘　　要：目的对国内外的脑卒中临床实践指南中吞咽障碍相关内容进行文献内容分析,为构建我国本土的脑卒中患者吞咽障碍临床实践指南提供参考。方法采用内容分析法,对通过网络获得的国内外脑卒中临床实践指南中吞咽障碍相关内容进行分析。结果共纳入10份临床实践指南,包含2份中文指南、8份英文指南。纳入的主要是涉及吞咽障碍的脑卒中综合指南,有2份指南是吞咽障碍专门指南,其中1份明确指出适用于脑卒中患者吞咽障碍。除1份指南发布后从未进行更新,其余指南皆进行过更新。共析出20项吞咽障碍的相关内容。结论现有的脑卒中临床实践指南可以用于指导临床实践,但部分推荐意见不明确,没能及时更新,不能为吞咽障碍提供详细的参考依据。应结合现有最佳证据和我国实际情况,构建适合本土的脑卒中患者吞咽障碍相关临床实践指南。Objective To analyze the content of clinical practice guidelines and provide references for developing Chinese clinical practice guideline of dysphagia with stroke. Methods Content analysis was used to analyze the contents of clinical practice guideline related to dysphagia with stroke which were searched from Internet. Results Ten guidelines were included which were consisted of 2 Chinese guidelines and 8 English guidelines. These guidelines′ themes were stroke involving dysphagia, and only two of them were targeted on dysphagia. And one of them was targeted on dyshagia with stroke. Only one guideline hadn′t been revised yet, and the rest had been updated. Twenty items were identified from 10 guidelines as been concerning to dysphagia with stroke. Conclusions Current clinical practice guideline about dysphagia with stroke can be used to guide clinical practice. However, some recommendations of guidelines are not clear and not updated in time which can′t provide specific references for dysphagia. A clinical practice guideline which is suitable for dysphagia with stroke in China should be developed based on best evidece and Chinese actual conditions.

关 键 词：卒中 吞咽障碍 临床实践指南 内容分析法 

分 类 号：R473.74[医药卫生—护理学]