重症监护室获得性吞咽障碍识别及管理的最佳证据总结  

Summary of best evidence for identification and management of acquired dysphagia in critically ill patients

作　　者：薛秀娟[1] 乔建红[1] 秦光雅 马昕璐 夏晓妹 王业青 XUE Xiujuan;QIAO Jianhong;QIN Guangya;MA Xinlu;XIA Xiaomei;WANG Yeqing(The First Affiliated Hospital of Shandong First Medical University(Shandong Provincial Qianfoshan Hospital),Shandong 250014 China;School of Nursing,Shandong University of Traditional Chinese Medicine)

机构地区：[1]山东第一医科大学第一附属医院(山东省千佛山医院),山东250014 [2]山东中医药大学护理学院

出　　处：《护理研究》2025年第5期783-787,共5页Chinese Nursing Research

摘　　要：目的:总结重症监护室获得性吞咽障碍识别及管理的相关证据。方法:应用循证护理的方法,按照“6S”模型检索文献,采用澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心的文献评价标准和证据分级系统(2014版)进行文献质量评价及证据级别评定。结果:最终纳入16篇文献,汇总出21条证据,包括危险因素、筛查措施、评估工具、重新进食、管理及干预5个方面。结论:总结目前关于重症监护室病人获得性吞咽障碍识别及管理的最佳证据,可为规范护士实施获得性吞咽障碍识别及管理行为提供循证依据。Objective:To summarize the evidence related to the identification and management of acquired dysphagia in critically ill patients.Methods:Using evidence⁃based nursing methods,literature was searched based on the"6S"model.The literature quality evaluation and evidence grading were conducted using the literature evaluation criteria and evidence grading system(2014 version)of the Joanna Briggs Institute(JBI)of Australia.Results:A total of 16 articles were included,and 21 items of evidence were synthesized,covering six aspects including risk factors,screening measures,screening tools,implementing personnel,resumption of eating,and management and intervention.Conclusion:This summary of the best available evidence on the identification and management of acquired dysphagia in critically ill patients provides an evidence⁃based evidence for standardizing nurses′practices in identifying and managing acquired dysphagia.

关 键 词：危重病人 获得性吞咽障碍 危险因素 筛查 循证护理 证据总结 

分 类 号：R473[医药卫生—护理学]