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新冠疫情背景下的嗓音治疗:临床实践指南。

Terapia Vocal No Contexto Da Pandemia Do Covid-19; Orientações Para A Prática Clínica.

机构信息

Department of Communicative Sciences and Disorders, Michigan State University, East Lansing, Michigan.

Speech-Language Pathology and Audiology Department, Universidad de Valparaíso, San Felipe, Chile.

出版信息

J Voice. 2021 Sep;35(5):808.e13-808.e24. doi: 10.1016/j.jvoice.2020.08.019. Epub 2020 Aug 20.

Abstract

INTRODUCTION

Since the beginning of the new pandemic, Corona Virus Disease 2019 (COVID-19) health services have had to face a new scenario. Voice therapy faces a double challenge, interventions using telepractice, and delivering rehabilitation services to a growing population of patients at risk of functional impairment related to the COVID-19 disease. Moreover, as COVID-19 is transmitted through droplets, it is critical to understand how to mitigate these risks during assessment and treatment.

OBJECTIVE

To promote safety, and effective clinical practice to voice assessment and rehabilitation in the pandemic COVID-19 context for speech-language pathologists.

METHODS

A group of 11 experts in voice and swallowing disorders from five different countries conducted a consensus recommendation following the American Academy of Otolaryngology-Head and Neck Surgery rules building a clinical guide for speech-language pathologists during this pandemic context.

RESULT

The clinical guide provides 79 recommendations for clinicians in the management of voice disorders during the pandemic and includes advice from assessment, direct treatment, telepractice, and teamwork. The consensus was reached 95% for all topics.

CONCLUSION

This guideline should be taken only as recommendation; each clinician must attempt to mitigate the risk of infection and achieve the best therapeutic results taking into account the patient's particular reality.

摘要

简介

自新的大流行开始以来,COVID-19 疾病的卫生服务必须面对新的情况。语音治疗面临着双重挑战,即使用远程实践进行干预,以及为数以百万计的有因 COVID-19 疾病而面临功能障碍风险的患者提供康复服务。此外,由于 COVID-19 通过飞沫传播,因此了解如何在评估和治疗期间减轻这些风险至关重要。

目的

为语音评估和康复在 COVID-19 大流行期间为言语病理学家提供安全、有效的临床实践。

方法

来自五个不同国家的 11 名语音和吞咽障碍专家组成的小组根据美国耳鼻喉科学-头颈外科学会的规则进行了共识推荐,为言语病理学家在这一大流行背景下制定了临床指南。

结果

该临床指南为大流行期间语音障碍的管理提供了 79 条临床建议,包括评估、直接治疗、远程实践和团队合作方面的建议。所有主题的共识达成率为 95%。

结论

本指南仅供参考;每位临床医生必须尝试减轻感染风险,并在考虑患者特定实际情况的情况下取得最佳治疗效果。

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