头颈癌患者围术期吞咽康复护理的最佳证据总结  

Perioperative Nursing of Swallowing Rehabilitation in Patients with Head and Neck Cancer:Best Evidence Summary

作　　者：韩旭亚 郭莹 曹家燕 陈昌连 王丽佳 徐荣 HAN Xuya;GUO Ying;CAO Jiayan;CHEN Changlian;WANG Lijia;XU Rong(Department of Maxillofacial&ENT Oncology,Tianjin Medical University Cancer Institute&Hospital/Key Laboratory of Basic and Translational Medicine on Head&Neck Cancer,Tianjin 300060,China)

机构地区：[1]天津医科大学肿瘤医院颌面耳鼻喉肿瘤科、天津市头颈肿瘤基础与转化医学重点实验室,天津300060

出　　处：《军事护理》2025年第4期109-112,共4页MILITARY NURSING

基　　金：天津市护理学会青年科研项目(tjhlky2024QN10);天津市医学重点学科(专科)建设项目(TJYXZDXK-011A);天津医科大学肿瘤医院护理专项基金项目(H2203)。

摘　　要：目的整合头颈癌患者围术期吞咽康复护理的最佳证据,为临床实践提供参考。方法系统检索国内外数据库和专业网站中关于头颈癌患者围术期吞咽康复护理的指南、专家共识、证据总结、临床决策、最佳实践、系统评价等,检索时限为建库至2023年12月31日。结果纳入24篇文献,总结9类23条证据,涵盖术前、术后及随访全流程。结论系统整合了头颈癌患者围术期吞咽康复护理的最佳证据,为医护人员开展院内—家庭延续性吞咽康复实践提供了科学依据。未来需推动标准化方案、技术创新以提升临床转化价值。Objective To integrate best evidence of perioperative nursing of swallowing rehabilitation in head and neck cancer patients,and to provide reference for clinical practice.Methods Domestic and international databases and professional websites were systematically searched from the inception to December 31,2023 for guidelines,expert consensuses,evidence summaries,clinical decision-making tools,best practice recommendations,and systematic reviews on the topic.Results A total of 24 articles were included,with 23 pieces of evidence in 9 categories summarized,covering the preoperative and postoperative periods,as well as home follow-up.Conclusions The evidence of nursing of such patients provides a scientific basis for clinical medical staff to carry out their practice of continuous swallowing rehabilitation in the hospital and after discharge.Future efforts should be exerted in the advancement of standardized protocols and technological innovations,and the enhancement of the value of clinical practice.

关 键 词：头颈癌 喉咽癌 口腔癌 围术期 吞咽障碍 

分 类 号：R47[医药卫生—护理学]