喉部分切除病人早期吞咽康復管理的最佳證據(jù)總結

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Evidence summary of early swallowing rehabilitation management in patients after partial laryngectomy

CHANG Zhaojie， DING Yongxia， LI Yuling， ZHU Ruifang， HAN Shifan

Nursing College， Shanxi Medical University， Shanxi 030001 China

Corresponding Author  HAN Shifan， E?mail： shifan.han@sxmu.edu.cn

Abstract  Objective：To summary the relevant evidence of early swallowing rehabilitation training in patients after partial laryngectomy.Methods：The evidence?based questions were established.According to the "6S" evidence model，the evidence of swallowing rehabilitation management in partial laryngectomy was searched from BMJ Best Clinical Practice，Up to Date，International Guidelines Collaboration network and other domestic and foreign databases.The retrieval time was from the database establishment to April 1，2021.The quality of the literature was evaluated independently by two researchers，and the evidence of the final included literature was integrated.Results：A total of 18 studies were included，where were 3 guidelines，5 expert consensus，6 systematic reviews，and 4 randomized controlled trials.It summarized 24 evidence，involving 8 aspects of preventive rehabilitation exercise，evaluation and screening，nutrition management，swallowing function exercise，compensatory strategies，oral nursing，respiratory training，and multidisciplinary management.Conclusion：The process of summarized best evidence for early swallowing rehabilitation management of patients with partial laryngectomy is rigorous，scientific and has certain clinical practicability.It is helpful for clinical nurses to formulate standardized and systematic early swallowing rehabilitation management strategies according to the clinical reality of patients with partial laryngeal resection.

Keywords  laryngeal carcinoma； partial layngectomy； swallow rehabilitation； evidence?based nursing； evidence summary

摘要  目的：總結喉部分切除病人早期吞咽康復管理的最佳證據(jù)。（剩余16163字）