摘要： 目的 总结颈椎前路术后患者吞咽困难管理的相关证据,以促进颈椎前路术后患者吞咽困难的规范化管理。方法 按照“6S”证据模型,系统检索BMJ Best Practice、UpToDate、Cochrane library、JBI、美国指南网、英国国家临床医学研究所指南网、苏格兰院际间指南网、国际网络指南网、加拿大安大略省注册护士协会网站、中国医脉通指南网、PubMed、Web of Science、EMbase、EBSCO、中国生物医学文献数据库、中国知网、万方数据库中关于颈椎前路术后患者吞咽困难管理的相关证据。结果 共纳入文献19篇,包括临床决策1篇,证据总结3篇,指南4篇,专家共识5篇,系统评价3篇,随机对照研究1篇,队列研究2篇,最终汇总形成了6个维度29条最佳证据。结论 颈椎前路术后患者吞咽困难管理的证据总结可为临床应用提供循证依据,在证据转化过程中应结合临床实际制定标准规范医护人员的吞咽困难管理行为,降低颈椎前路术后患者吞咽困难,提高护理质量。
中图分类号:
- R681.5
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