基于COSMIN指南对老年人口腔衰弱评估工具的系统评价  

Assessment Tools for Oral Frailty in Elderly Adults Based on the COSMIN Guideline:A Systematic Review

作　　者：赵慧敏 周子月 李鸿雁 聂优爱 孔令磷[3] 费杨 田紫薇 梁丽霞 ZHAO Huimin;ZHOU Ziyue;LI Hongyan;NIE Youai;KONG Linglin;FEI Yang;TIAN Ziwei;LIANG Lixia(School of Nursing,Shanxi University of Traditional Chinese Medicine,Jinzhong 030619,Shanxi Province,China;School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,Henan Province,China;School of Public Hygiene and Health,Hubei University of Science and Technology,Xianning 437000,Hubei Province,China;School of Nursing,Department of Medicine,Yangtze University,Jingzhou 434023,Hubei Province,China;Department of Gastrointestinal Surgery,The Fifth Affiliated Hospital of Wenzhou Medical University,Lishui 323000,Zhejiang Province,China)

机构地区：[1]山西中医药大学护理学院,山西晋中030619 [2]郑州大学护理与健康学院,河南郑州450001 [3]湖北科技学院公共卫生与健康学院,湖北咸宁437000 [4]长江大学医学部护理系,湖北荆州434023 [5]温州医科大学附属第五医院胃肠外科,浙江丽水323000

出　　处：《军事护理》2025年第4期18-21,共4页MILITARY NURSING

基　　金：山西中医药大学博士科研启动基金项目(2023BK28);山西中医药大学优秀博士毕业生来晋工作奖励经费科研启动基金项目(2023BKS28)。

摘　　要：目的系统评价老年人口腔衰弱(oral frailty,OF)评估工具,为选择合适的OF评估工具提供参考。方法检索PubMed、Web of Science、CINAHL、Cochrane Library、中国知网、万方数据知识服务平台、中国生物医学文献数据库、维普中文科技期刊全文数据库,采用基于共识驱动的健康测量工具选择标准(consensus-based standards for the selection of health measurement instrument,COSMIN)指南对纳入研究进行评价。结果本文共纳入9项研究,包括7个英文测评工具及2个中文版工具。1个工具内容效度和内部一致性均为充分,为A类推荐;6个工具均没有“任何等级证据证明内容效度充分,且内部一致性充分(至少为低质量证据)”,为B类推荐;2个工具由于有高质量的证据证明其内部一致性的不充分,为C类推荐。结论未来研究者应遵循COSMIN指南,规范开发流程,完善测量属性报告,开发并验证适合我国老年人OF的本土化评估工具,为OF的识别与管理提供科学可靠的工具。Objective To select high-quality assessment tools for oral frailty(OF)in elderly adults,so as to provide reference for subsequent research in the field.Methods PubMed,Web of Science,CINAHL,Cochrane Library,CNKI,Wanfang,CBMdisc and VIP were retrieved and studies evaluated based on the COSMIN guideline.Results A total of 9 studies were included,containing 7 English evaluation tools and 2 Chinese ones.1 scale was adequate both in content validity and internal consistency and fell into an A-level recommendation.6 scales did not have any grade evidence of sufficient content validity or internal consistency and fell into a B-level recommendation.2 scales were recommended for a C-level because of high-quality evidence proving the insufficiency of its internal consistency.Conclusions Future researchers should not only follow the COSMIN guideline,standardize the development process of assessment tools,but also improve the report of measurement attributes of such tools,develop and verify high-quality localized oral frailty assessment tools that conform to the condition in China,in order to provide scientific and reliable tools for the identification and intervention management of OF in elderly adults.

关 键 词：口腔衰弱 工具 量表 系统评价 老年人 测量学属性 COSMIN指南 

分 类 号：R473.59[医药卫生—护理学]