老年吞咽困难管理的最佳实践建议：5W 与 1H法
Best Practice Recommendations for Geriatric Dysphagia Management with 5 Ws and 1H.
作者信息
Umay Ebru, Eyigor Sibel, Bahat Gulistan, Halil Meltem, Giray Esra, Unsal Pelin, Unlu Zeliha, Tikiz Canan, Vural Meltem, Cincin Asli Tufan, Bengisu Serkan, Gurcay Eda, Keseroglu Kemal, Aydeniz Banu, Karaca Elif Celik, Karaca Burak, Yalcin Ahmet, Ozsurekci Cemile, Seyidoglu Dilek, Yilmaz Ozlem, Alicura Sibel, Tokgoz Serhat, Selcuk Barin, Sen Ekin Ilke, Karahan Ali Yavuz, Yaliman Ayse, Ozkok Serdar, Ilhan Birkan, Oytun Merve Guner, Ozturk Zeynel Abidin, Akin Sibel, Yavuz Betul, Akaltun Mazlum Serdar, Sari Aylin, Inanir Murat, Bilgilisoy Meral, Çaliskan Zuhal, Saylam Guleser, Ozer Tugce, Eren Yasemin, Bicakli Derya Hopanci, Keskin Dilek, Ulger Zekeriya, Demirhan Aylin, Calik Yalkin, Saka Bulent, Yigman Zeynep Aykin, Ozturk Erhan Arif
机构信息
Department of Physical Medicine and Rehabilitation, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences Turkey, Ankara, Turkey.
Department of Physical Medicine and Rehabilitation, Ege University, Izmir, Turkey.
出版信息
Ann Geriatr Med Res. 2022 Jun;26(2):94-124. doi: 10.4235/agmr.21.0145. Epub 2022 May 9.
BACKGROUND
Dysphagia is a geriatric syndrome. Changes in the whole body that occur with aging also affect swallowing functions and cause presbyphagia. This condition may progress to oropharyngeal and/or esophageal dysphagia in the presence of secondary causes that increase in incidence with aging. However, no study has been published that provides recommendations for use in clinical practice that addresses in detail all aspects of the management of dysphagia in geriatric individuals. This study aimed to answer almost all potential questions and problems in the management of geriatric dysphagia in clinical practice.
METHODS
A multidisciplinary team created this recommendation guide using the seven-step and three-round modified Delphi method via e-mail. The study included 39 experts from 29 centers in 14 cities.
RESULTS
Based on the 5W and 1H method, we developed 216 detailed recommendations for older adults from the perspective of different disciplines dealing with older people.
CONCLUSION
This consensus-based recommendation is a useful guide to address practical clinical questions in the diagnosis, rehabilitation, and follow-up for the management of geriatric dysphagia and also contains detailed commentary on these issues.
背景
吞咽困难是一种老年综合征。随着年龄增长而发生的全身变化也会影响吞咽功能并导致老年吞咽障碍。在存在随着年龄增长发病率增加的继发原因时，这种情况可能会发展为口咽和/或食管吞咽困难。然而，尚未发表过针对老年个体吞咽困难管理的所有方面进行详细阐述以供临床实践使用的建议的研究。本研究旨在回答临床实践中老年吞咽困难管理中几乎所有潜在的问题。
方法
一个多学科团队通过电子邮件使用七步三轮改良德尔菲法创建了本推荐指南。该研究纳入了来自14个城市29个中心的39名专家。
结果
基于5W和1H方法，我们从处理老年人问题的不同学科角度为老年人制定了216条详细建议。
结论
这一基于共识的推荐是解决老年吞咽困难管理中诊断、康复和随访方面实际临床问题的有用指南，并且还包含对这些问题的详细评论。
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