以质量求发展，以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (22): 35-40.doi: 10.16460/j.issn1008-9969.2024.22.035

Previous Articles     Next Articles

Development of review indicators for perioperative voice rehabilitation in patients with organic vocal fold dysphonia and its obstacle factors

ZHANG Zhuo-ya1a,2, GAO Wen-yuan1a, LI jing1a, GUAN Chun-yan1a, WANG Miao1a, MI Yuan-yuan1b, HUANG Hai-yan1b   

  1. 1a. Dept. of Otolaryngology Head and Neck Surgery; 1b. Dept. of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    2. School of Nursing, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430022, China
  • Received:2024-04-23 Online:2024-11-25 Published:2024-12-04

PDF (PC)

19

Like

Abstract: Objective To develop review indicators for perioperative voice rehabilitation in patients with vocal cord organic dysphonia, to analyze the obstacle factors, and to provide reference for the transformation of clinical evidence. Methods Guided by the knowledge to action framework (KTA) model, according to steps of knowledge application including identifying problems, establishing evidence-based groups and expert teams and introducing knowledge into clinical situation, review indicators and review methods were identified and formulated through consultation and discussion. According to the results of the baseline review, based on the OMRU model, the barriers to introducing evidence into clinical practice were analyzed by brainstorming method. Results A total of 15 pieces of best evidence were included, and 13 review indicators and review methods were identified and formulated. A total of 8 barriers including 2 in evidence reform, 3 in potential adopter and 3 in practice environment were summarized. Conclusion The development of review indicators in this study is scientific and feasible, and the assessment of obstacles was scientific and novel. The research may provide reference for evidence transformation.

Key words: vocal cord organic dysphonia, perioperative period, voice rehabilitation, review indicator, barrier factor, evidence-based nursing

CLC Number: 

  • R473.76
[1] 张欣,张罗. 耳鼻咽喉头颈外科学[M]. 北京: 人民卫生出版社, 2024.
[2] Payten CL, Chiapello G, Weir KA.Terminology and frameworks used for the classification of voice disorders: a scoping review protocol[J]. JBI Evid Synth, 2021,2(19):454-462.DOI: 10.11124/JBIES-20-00066.
[3] Stachler RJ, Francis DO, Schwartz SR, et al.Clinical practice guideline: hoarseness (dysphonia) (update)[J]. Otolaryngol Head Neck Surg, 2018,158(1_suppl):S1-S42.DOI: 10.1177/0194599817751030.
[4] 陈梦婷, 李丽, 赵彩琼, 等. 声带息肉病人术后嗓音康复的护理进展[J]. 全科护理, 2021,19(25):3489-3494.DOI:10.12104/j.issn.1674-4748.2021.25.008.
[5] Karlsson T, Tuomi L, Finizia C.Effect of voice rehabilitation following radiotherapy for laryngeal cancer - a 3-year follow-up of a randomised controlled trial[J].Acta Oncol, 2022,61(3):349-356.DOI: 10.1080/0284186X.2021.1995891.
[6] 徐萌, 金晓彤, 孙毓晗, 等. 早期声门型喉癌低温等离子射频消融术后联合嗓音训练的嗓音学分析[J]. 中国耳鼻咽喉颅底外科杂志,2022,28(2):95-98.DOI:10.11798/j.issn.1007-1520.202221147.
[7] Ouyoung LM, Swanson MS, Villegas BC, et al.ABCLOVE: voice therapy outcomes for patients with head and neck cancer[J]. Head Neck, 2016, 38(Suppl 1):E1810-E1813.DOI: 10.1002/hed.24322.
[8] 周英凤, 朱政, 胡雁, 等. 推动证据向临床转化(二)如何选择知识转化理论模式[J]. 护士进修杂志, 2020,35(8):707-712. DOI:10.16821/j.cnki.hsjx.2020.08.008.
[9] 张卓雅, 王淼, 官春燕, 等. 发音障碍患者嗓音康复的最佳证据总结[J]. 护理学杂志, 2024,39(2):105-109.DOI:10.3870/j.issn.1001-4152.2024.02.105.
[10] Diamond IR, Grant RC, Feldman BM, et al.Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies[J]. J Clin Epidemiol, 2014,67(4):401-409.DOI: 10.1016/j.jclinepi.2013.12.002.
[11] 胡雁, 周英凤. 循证护理:证据临床转化理论与实践[M]. 上海: 复旦大学出版社, 2021.
[12] 高绫, 王睿卿, 黄煦格, 等. 术前嗓音训练在声带息肉显微手术患者嗓音恢复中的效果观察[J]. 临床耳鼻咽喉头颈外科杂志,2018,32(6):408-411.DOI:10.13201/j.issn.1001-1781.2018.06.003.
[13] Kaneko M, Shiromoto O, Fujiu-Kurachi M, et al.Optimal duration for voice rest after vocal fold surgery: randomized controlled clinical study[J]. J Voice, 2017,31(1):97-103. DOI: 10.1016/j.jvoice.2016.02.009.
[14] 周英凤, 朱政, 胡雁, 等. 推动证据向临床转化(八)审查指标的构建[J]. 护士进修杂志, 2020,35(14):1281-1284.DOI:10.16821/j.cnki.hsjx.2020.14.007.
[15] 钟婕,周英凤.知识转化模式在护理实践中的应用进展[J]. 中华护理杂志,2017,52(11):1366-1370.DOI:10.3761/j.issn.0254-1769.2017.11.018.
[16] 梁昌昊, 夏如玉, 黄子玮, 等. 共识法在中医临床实践指南及专家共识中的应用及方法学报告特征分析[J]. 中医杂志, 2022,63(1):26-34.DOI:10.13288/j.11-2166/r.2022.01.007.
[17] Greason M.Connecting findings to meaningful change: the benefits of using qualitative delphi in empirical ethics and policy research in long-term care[J]. Int J Qual Methods, 2018,17(1).DOI:10.1177/1609406918803271.
[18] 张晓菊, 胡雁, 周英凤, 等. 推动证据向临床转化(九)证据临床转化过程中的障碍因素分析[J].护士进修杂志, 2020,35(15):1382-1386. DOI:10.16821/j.cnki.hsjx.2020.15.008.
[19] 李亚楠, 侯永超, 吴春梅, 等. 全膝髋关节置换术患者围手术期静脉血栓机械预防审查指标构建及障碍因素分析[J]. 中国实用护理杂志, 2022,38(12):881-887.DOI:10.3760/cma.j.cn211501-20201010-04115.
[20] 李君, 韩柳, 王红岩, 等. 胰岛素注射部位选择及轮换循证实践方案临床应用的障碍因素分析[J].中国护理管理, 2021, 21(8):1125-1130.DOI:10.3969/j.issn.1672-1756.2021.08.002.
[21] 王爱卿, 刘瑞云, 陶左荷. 头脑风暴法在护理质量控制活动中的应用[J]. 护理研究, 2014,28(15):1898-1899.DOI:10.3969/j.issn.10096493.2014.15.059.
[22] Lai J, Brettle A, Zhang Y, et al.Barriers to implementing evidence-based nursing practice from the hospitals' point of view in China: a regional cross-sectional study[J]. Nurse Educ Today, 2022(116):105436.DOI: 10.1016/j.nedt.2022.105436.
[23] Fu Y, Wang C, Hu Y, et al.The barriers to evidence-based nursing implementation in mainland China: a qualitative content analysis[J]. Nurs Health Sci, 2020, 22(4):1038-1046.DOI: 10.1111/nhs.12763.
[24] 韩德民, Sataloff Robert T, 徐文. 嗓音医学[M]. 北京: 人民卫生出版社, 2017.
[25] 袁艳玲. 我国护理经济效益存在问题的分析与对策[J]. 解放军护理杂志, 2008,25(8):66-68. DOI:10.3969/j.issn.1008-9993.2008.08.033.
[26] 王亚亚, 郑晓燕, 董旭, 等. 变革型领导风格、结构授权对医护合作影响的结构方程模型研究[J]. 护理管理杂志, 2022, 22(2):77-82.DOI:10.3969/j.issn.1671-315x.2022.02.001.
[27] 杨靖宇, 唐起岚, 程仪. 短视频辅助健康教育在临床护理应用进展[J]. 护理学报, 2023,30(15):43-47. DOI:10.16460/j.issn1008-9969.2023.15.043.
[28] 秦玲, 王志霞. 基于线上到线下模式的健康管理在变应性鼻炎患者皮下免疫治疗中的应用效果观察[J]. 护士进修杂志, 2023,38(15):1374-1378.DOI:10.16821/j.cnki.hsjx.2023.15.007.
[29] 胡雁, 周英凤, 邢唯杰, 等. 推动证据向临床转化(十一)以卓越领导力推动证据临床转化[J]. 护士进修杂志, 2020,35(17):1566-1570.DOI:10.16821/j.cnki.hsjx.2020.17.007.
[1] CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure [J]. Journal of Nursing, 2024, 31(9): 36-41.
[2] FU Lu-lu, XIE Yi-xuan, WANG Yue, WEI Wei, ZHANG Chuan-ying, ZHU Yu. Evidence summary for auditory stimulation intervention for procedural pain in neonates [J]. Journal of Nursing, 2024, 31(9): 42-47.
[3] JI Rui-ting, LIN Dan-na, LIU Xiao-cheng, LI Ting-ting, XIE Ying-mei, HU Bing, YING Wen-juan. Best evidence for colostrum as oral immune therapy in premature infants [J]. Journal of Nursing, 2024, 31(8): 37-42.
[4] ZHOU Yi-feng, YANG Ji-ping, HU Zheng-zhong, YUAN Hao. Evidence summary for target-oriented blood glucose monitoring in patients undergoing hepatocellular carcinoma resection [J]. Journal of Nursing, 2024, 31(7): 46-50.
[5] YANG Jian-guo, HE Xi-fei, YAN Jian-jun, ZHANG Meng, YANG Chun-zi, XU Rong, WANG Yan-fang. Best evidence summary for application and management of regional citrate anticoagulation in continuous renal replacement therapy [J]. Journal of Nursing, 2024, 31(4): 48-53.
[6] QI Shui-lin, LIN Hua, DENG Rui-ying, LI Rong-jie, LI Ruo-yu, WANG Feng-ting. Best evidence summary for non-pharmacological treatment of pruritus in elderly patients [J]. Journal of Nursing, 2024, 31(3): 46-50.
[7] LI Jia-qi, YE Xiang-hong, ZUO Jun-tao, XU Yao, YAO Hong-lin. Qualitative research on nutritional support decision-making process for patients with end-stage disease: a Meta-synthesis [J]. Journal of Nursing, 2024, 31(2): 53-58.
[8] CAO Chun-ju, WANG Wen, HUANG Mei-ying, HAN Bing, ZENG Mei, LUO Wen-jie, ZHANG Xiao-qin, HUANG Wei-ling, LI Wen-ying, SU Yun-tao, TANG Su-juan. Best evidence summary for management of pruritus in patients with cholestasis [J]. Journal of Nursing, 2024, 31(18): 39-44.
[9] ZHANG Yu-jie, Li Xiaojin, Wu Jinyan, DENG Shi-si, GUO Zi-han, Wu Yanni. Evidence summary development process in Joanna Briggs Institute evidence-based healthcare centre: elaboration and explanation [J]. Journal of Nursing, 2024, 31(16): 39-43.
[10] DAI Mei-fen, LIANG Yu-zhen, YANG Jing, YOU Yan-yan, YANG Qing, CHANG Guang-ting, OU Xing-ying, HUANG Chuan-qiang, CHEN Zhi-xing, OU Jie-fen. Construction of nursing protocol for cancer-related fatigue in breast cancer patients undergoing chemotherapy based on evidence-based practice and theory of chinese medicine [J]. Journal of Nursing, 2024, 31(15): 34-38.
[11] MENG Yan-ting, GU Hui-feng, JIN Xin, NIE Min. The best evidence summary for bereavement management in families with pregnancy loss [J]. Journal of Nursing, 2024, 31(13): 50-55.
[12] LIU Xuan, WANG Xiao-hui, ZHANG Ling, YANG Nan, WEI Ting, JIAO Hao-ran, HUANG Feng, LAN Yu-qing. Best evidence summary for environmental management for fall prevention in hospitalized elderly patients [J]. Journal of Nursing, 2024, 31(13): 56-61.
[13] LI Jing, HE Xin-yu, WANG Chun-xia, LI Dan-yang, ZHANG Mei-yun. Best evidence summary for exercise intervention in patients with multiple myeloma [J]. Journal of Nursing, 2024, 31(13): 62-66.
[14] LI Ying-xin, CHEN Qiong, FAN Ling, XU Hong-zhen, HU Xiao-jing, MENG Jing-wen, LIN Yan, PENG Wen-tao. Best evidence summary for developmental supportive care in premature infants in neonatal intensive care units [J]. Journal of Nursing, 2024, 31(11): 28-34.
[15] HAN Xiao-ling, HE Jin-ai, GENG Bing-bing, WANG Xue-mei, FENG Ying-pu, YE Qiao, FENG Jian-yu. Expert consensus on perioperative protective restraint in interventional therapy for severe stroke patients [J]. Journal of Nursing, 2024, 31(10): 37-42.
Viewed
Full text


Abstract

Cited
  Shared   
[1] ZHANG Yu-jie, Li Xiaojin, Wu Jinyan, DENG Shi-si, GUO Zi-han, Wu Yanni. Evidence summary development process in Joanna Briggs Institute evidence-based healthcare centre: elaboration and explanation[J]. Journal of Nursing, 2024, 31(16): 39 -43 .
[2] YANG Zhong-shan, ZHANG Li-hua, XU Ni-na, ZHAN Yu-xin, OU Yang-yan, WANG Xian-ke, LIU Miao, LI Peng-fei. Quality evaluation and content analysis of nursing guidelines for neurogenic bowel dysfunction after spinal cord injury[J]. Journal of Nursing, 2024, 31(16): 44 -49 .
[3] . [J]. Journal of Nursing, 2024, 31(16): 50 -55 .
[4] ZHANG Huang-xia, LI Zhuang-miao, LUO Wen-nan, LI Xiu-xia, HUANG Hui-xiang, LIN Ying-xin. Effect of sizi powder jiaozhen yuan-primary points application on hemiplegic shoulder pain in post-stroke patients[J]. Journal of Nursing, 2024, 31(20): 1 -7 .
[5] . [J]. Journal of Nursing, 2024, 31(22): 1 -6 .
[6] . [J]. Journal of Nursing, 2024, 31(22): 7 -11 .
[7] YIN Xiao-meng, GUO Xiao-qing, CHENG Cong, LIU Hai-tao, SUN Xiu-jie. Construction of whole-process smart transfusion management model based on blood bank forward and its clinical practice[J]. Journal of Nursing, 2024, 31(22): 12 -16 .
[8] WANG Li, FU A-dan, YANG Meng-ying, XU Miao-miao, HUANG Pan-pan. Establishment and practice of nursing research outpatient clinic[J]. Journal of Nursing, 2024, 31(22): 17 -21 .
[9] . [J]. Journal of Nursing, 2024, 31(22): 22 -25 .
[10] . [J]. Journal of Nursing, 2024, 31(22): 26 -29 .