Fitzgerald E, Perry A
Department of Clinical Therapies,University of Limerick,Ireland.
Faculty of Education and Health Sciences,University of Limerick,Ireland.
J Laryngol Otol. 2016 Jan;130(1):15-20. doi: 10.1017/S0022215115002984. Epub 2015 Nov 16.
This study aimed to undertake a systematic review of the literature about pre-operative counselling for laryngectomy patients, identify its practice and patient and (where possible) carer perceptions.
A search strategy was formulated using a concept map and a Population, Intervention, Comparative Interaction and Outcomes ('PICO') schema. All publications from 1975 to 2015 reporting pre-operative counselling of laryngectomy patients were included. Papers were retrieved and critiqued, and those included were assigned a level of evidence (according to the Joanna Briggs Institute schema).
Of the 56 papers retrieved, 21 were included in the review. The literature is limited: studies demonstrate bias and are of poor methodological quality. There are clear, persistent reports by patients and carers of shortfalls in clinical practice.
Studies on pre-operative counselling for laryngectomees are flawed in design and represent weak levels of evidence. Pre-operative counselling has not been operationalised, resulting in differing paradigms being examined. Aggregation of data and/or results is not possible and the veracity of many studies is questioned.
本研究旨在对有关喉切除术患者术前咨询的文献进行系统综述，确定其实践情况以及患者和（如有可能）护理人员的看法。
使用概念图和人群、干预措施、对照、相互作用和结果（“PICO”）模式制定检索策略。纳入1975年至2015年期间所有报道喉切除术患者术前咨询的出版物。检索并批判性评价论文，纳入的论文被赋予证据水平（根据乔安娜·布里格斯研究所模式）。
检索到的56篇论文中，21篇纳入综述。文献有限：研究存在偏倚且方法学质量较差。患者和护理人员明确且持续报告临床实践存在不足。
关于喉切除术患者术前咨询的研究设计存在缺陷，证据水平较低。术前咨询尚未实施，导致所研究的范式各异。无法汇总数据和/或结果，许多研究的真实性受到质疑。
