首页|期刊导航|护理学报|后颅窝肿瘤吞咽障碍患者摄食康复训练的最佳证据总结

后颅窝肿瘤吞咽障碍患者摄食康复训练的最佳证据总结OA

Best evidence summary for feeding rehabilitation training in patients with posterior cranial fossa tumors and dysphagia

中文摘要英文摘要

目的 汇总后颅窝肿瘤吞咽障碍患者摄食康复训练的最佳证据,为临床护理提供参考.方法 依据"5S"模型,计算机检索中英文数据库PubMed、中国知网、万方、SinoMed、维普、Embase、Web of Science及相关指南网站中与神经外科吞咽障碍患者摄食训练管理相关的文献,检索时间为数据库建库至2025年7月,依据纳入和排除标准开展文献筛选、质量评价、证据提取及汇总.结果 最终纳入12篇文献,涵盖3篇指南、5篇证据总结、2篇专家共识、2篇系统评价,形成了27条最佳证据,主要内容包括餐前准备、口腔护理、食物性状、摄食训练、康复训练、健康教育.结论 本研究为临床医护人员进行后颅窝肿瘤吞咽障碍患者摄食康复训练提供了循证依据.建议临床医护人员依据患者吞咽功能等级、病情特点及康复阶段选择性应用证据,以改善患者的吞咽功能与摄食安全性,提高生活质量.

Objective Summarizing the best evidence on swallowing rehabilitation training for patients with posterior fossa tumors,to provide reference for clinical nursing care.Methods Based on the"5S"model,computer searches were conducted in Chinese and English databases including PubMed,CNKI,Wanfang,SinoMed,VIP,Embase,Web of Science,and relevant guideline websites for lit-erature related to feeding training management in neurosurgical patients with dysphagia,with the search period from the establishment of the database to July 2025.Based on clear inclusion and exclusion criteria,literature screening,quality assessment,evidence extrac-tion,and final summary were carried out.Results Ultimately,a total of 12 articles were adopted,including 3 guidelines,5 evidence summaries,2 expert consensuses,and 2 systematic reviews,Twenty-seven best pieces of evidence were formed,mainly covering meal preparation before meals,oral care,food texture,eating training,rehabilitation training and health education.Conclusion This study provides an evidence-based basis for clinical medical staff to conduct feeding rehabilitation training for patients with swallowing disor-ders caused by posterior cranial fossa tumors.It is recommended that clinical medical staff selectively apply the evidence based on the patient's swallowing function level,disease characteristics,and rehabilitation stage,in order to improve the patient's swallowing func-tion and feeding safety,and enhance their quality of life.

徐玲;谢文芳;王佩;万雅莉;邓甜;邹洪亮;詹昱新

华中科技大学同济医学院附属协和医院 神经外科,湖北 武汉 430000华中科技大学同济医学院附属协和医院 神经外科,湖北 武汉 430000华中科技大学同济医学院附属协和医院 神经外科,湖北 武汉 430000华中科技大学同济医学院附属协和医院 神经外科,湖北 武汉 430000华中科技大学同济医学院附属协和医院 神经外科,湖北 武汉 430000华中科技大学同济医学院附属协和医院 神经外科,湖北 武汉 430000华中科技大学同济医学院附属协和医院 神经外科,湖北 武汉 430000

医药卫生

吞咽障碍摄食训练证据总结循证护理学

dysphagiafeeding trainingevidence summaryEvidence-based Nursing

《护理学报》 2026 (12)

28-33,6

湖北省自然科学基金面上项目(2022CFB261)华中科技大学同济医学院护理学院2024年度自主创新基金(ZZCX2024X003)

10.16460/j.issn2097-6569.2026.12.028

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