School of Nursing, Chengdu Medical College, Chengdu, 610000, Sichuan, China.
Intensive Care Unit, Longquanyi District Hospital of Chengdu University of Traditional Chinese Medicine, 783, Xindu Dadao, Xindu District, Chengdu, 610000, Sichuan, China.
Eur Arch Otorhinolaryngol. 2024 Aug;281(8):3893-3901. doi: 10.1007/s00405-024-08530-2. Epub 2024 Mar 9.
To search for and summarize the best evidence for themanagement of elderly patients with dysphagia.
Clinical decisions, recommended practices, evidence summaries, clinical practice guidelines, expert consensus, and systematic reviews on the management of dysphagia among elderly patients were systematically reviewed from domestic and foreign guideline websites, association websites, and Chinese and English databases according to the 6S model of evidence-based resources. The search period was between January 1, 2010 and November 1, 2023. Two researchers evaluated the quality of the included literature respectively and extracted evidence.
A total of 14 literatures were identified, including 2 guidelines, 2 clinical decisions, 5 evidence summaries, 3 expert consensus statements, and 2 systematic reviews. Twenty-four pieces of evidence from 7 aspects were summarized, including assessment, treatment and rehabilitation, medication care, nutrition management, oral care, complication management, and psychological care.
The best evidence-based recommendations for the management of dysphagia in elderly patients is summarized, it is suggested that the best evidence should be selected according to the actual situation of patients, and a personalized management plan should be formulated to improve the quality of life of patients and achieve high-quality nursing.
寻找并总结老年吞咽困难患者管理的最佳证据。
根据循证资源 6S 模型，系统检索国内外指南网站、协会网站及中英文数据库中关于老年吞咽困难患者管理的临床决策、推荐实践、证据总结、临床实践指南、专家共识和系统评价，检索时间为 2010 年 1 月 1 日至 2023 年 11 月 1 日。两名研究人员分别评价纳入文献的质量并提取证据。
共纳入 14 篇文献，包括 2 篇指南、2 篇临床决策、5 篇证据总结、3 篇专家共识声明和 2 篇系统评价。总结了 7 个方面的 24 条证据，包括评估、治疗与康复、药物治疗、营养管理、口腔护理、并发症管理和心理护理。
总结了老年吞咽困难患者管理的最佳循证推荐建议，建议根据患者的实际情况选择最佳证据，制定个性化的管理方案，以提高患者的生活质量，实现高质量护理。
