发音障碍患者嗓音康复的最佳证据总结  

Summary of best evidence on voice rehabilitation for dysphonia patients

作　　者：张卓雅 王淼 官春燕 蔡花[1] 范国润 米元元 耿力 王双 黄海燕[3] Zhang Zhuoya;Wang Miao;Guan Chunyan;Cai Hua;Fan Guorun;Mi Yuanyuan;Geng Li;Wang Shuang;Huang Haiyan(Department of Otolaryngology Head and Neck Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉头颈外科 [2]华中科技大学同济医学院护理学院 [3]华中科技大学同济医学院附属协和医院重症医学科,湖北武汉430022 [4]华中科技大学同济医学院附属协和医院护理部,湖北武汉430022 [5]华中科技大学同济医学院附属协和医院康复科,湖北武汉430022

出　　处：《护理学杂志》2024年第2期105-109,115,共6页Journal of Nursing Science

基　　金：华中科技大学同济医学院护理学院本科生教学研究项目(HL202303)。

摘　　要：目的检索、评价并总结发音障碍患者嗓音康复的最佳证据,为临床开展嗓音康复护理提供循证依据。方法按照“6S”证据金字塔模型检索临床决策支持系统、各大指南网、数据库及专业协会网站中关于发音障碍患者嗓音康复的相关证据,检索时间为2013年1月1日至2023年5月16日,涵盖临床决策、指南、专家共识、证据总结、系统评价等文献类型,对纳入文献进行方法学质量评价、证据提取整合、等级评价和推荐级别确定。结果共纳入15篇文献,包括临床决策2篇、指南3篇、专家共识2篇、系统评价7篇和1篇证据总结,整合为发音障碍患者嗓音康复的多学科协作、嗓音评估、干预措施、随访4大方面,共17条证据。结论总结的发音障碍患者嗓音康复的最佳证据可指导临床医护人员对患者实施嗓音康复训练,促进发音障碍患者的嗓音功能康复。Objective To retrieve,evaluate,and summarize the best evidence on voice rehabilitation for patients with dysphonia,so as to provide evidence for conducting voice rehabilitation training in clinic.Methods According to the 6S model of the evidence pyramid,we searched the clinical decision support system,guideline networks,databases,and websites of professional associations for evidence on voice rehabilitation in patients with dysphonia from January 1st,2013,to May 16th,2023,consisting of clinical decision making,guideline,expert consensus,evidence summary,systematic review,etc.Then the methodological qualities of the included studies were evaluated,the related evidence was extracted and integrated,its grade was evaluated,and its recommendation level was determined.Results A total of 15 studies were included,consisting of 2 clinical decisions,3 guidelines,2 expert consensus,7 systematic reviews and 1 evidence summary,which were integrated into 4 major aspects of multidisciplinary collaboration,voice assessment,intervention measures,and follow-up on voice rehabilitation in dysphonia patients,concluding 17 pieces of evidence.Conclusion The summarized best evidence on voice rehabilitation for patients with dysphonia can guide clinical medical staff conducting voice rehabilitation training for patients,and promote their voice recovery.

关 键 词：发音障碍 声音嘶哑 嗓音康复 语音康复 嗓音训练 循证护理 证据总结 

分 类 号：R473.76[医药卫生—护理学] R493[医药卫生—临床医学]