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经口内镜吞咽功能评估的功能性参数分析培训:范围综述。

Training to Analyze Functional Parameters with Fiberoptic Endoscopic Evaluation of Swallowing: A Scoping Review.

机构信息

Graduate Program in Decision and Health Models (PPGMDS/UFPB), Universidade Federal da Paraíba (UFPB), Campus I s/n, Conj. Pres. Castelo Branco III, João Pessoa, PB, 58050-585, Brazil.

Technological Innovation in Health Laboratory (LAIS/UFRN), Universidade Federal do Rio Grande do Norte (UFRN), Av. Nilo Peçanha, 650, Petrópolis, Natal, RN, 59012-300, Brazil.

出版信息

Dysphagia. 2024 Apr;39(2):198-207. doi: 10.1007/s00455-023-10614-w. Epub 2023 Aug 17.

Abstract

Analyzing fiberoptic endoscopic evaluation of swallowing (FEES) is challenging and requires training to ensure the proficiency of health professionals and improve reliability. This scoping review aims to identify and map the available evidence on training health professionals to analyze FEES functional parameters. The method proposed by the Joanna Briggs Institute and the PRISMA-ScR guidelines were followed. The search was performed in MEDLINE, Cochrane Library, Embase, Web of Science, Scopus, CINAHL databases, and in the gray literature. Two blinded independent reviewers screened articles by title and abstract. Then, they read the full text of the included reports, considering the eligibility criteria. Data were extracted using a standardized form. Six studies met the established eligibility criteria, published between 2009 and 2022, with few participants. All these studies addressed training as part of the process to validate a rating scale. No standardized criteria were observed regarding the selection of experts and participants, training structure, and outcome measures to assess participants' competence. The reviewed literature indicates that training must be developed to equip students and health professionals who treat dysphagia, enabling them to analyze the functional parameters of the FEES, considering variables that may influence the participants' performance.

摘要

分析纤维内镜吞咽功能检查(FEES)具有一定挑战性,需要进行培训,以确保卫生专业人员具备足够的专业水平,提高检查结果的可靠性。本范围综述旨在确定和绘制现有的关于培训卫生专业人员分析 FEES 功能参数的证据。研究方法遵循了 Joanna Briggs 研究所和 PRISMA-ScR 指南。在 MEDLINE、Cochrane 图书馆、Embase、Web of Science、Scopus、CINAHL 数据库和灰色文献中进行了检索。两名经过盲法训练的独立审查员根据标题和摘要筛选文章。然后,他们阅读了所有纳入报告的全文,考虑了纳入标准。使用标准化表格提取数据。共有 6 项研究符合既定的纳入标准,发表时间在 2009 年至 2022 年之间,参与者较少。所有这些研究都将培训作为验证评分量表过程的一部分。在专家和参与者的选择、培训结构以及评估参与者能力的结果测量方面,没有观察到标准化的标准。综述文献表明,必须制定培训计划,以帮助治疗吞咽困难的学生和卫生专业人员,使他们能够分析 FEES 的功能参数,同时考虑可能影响参与者表现的变量。

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