在重症监护室 (ICU) 治疗缺食症的最佳实践建议:来自土耳其多学科专家的德尔菲研究
Ebru Umay1, Sibel Eyigor2, Kubilay Demirag3
1Ankara Etlik City Physical Medicine and Rehabilitation Hospital, University of Health Sciences Turkey, Halil Sezai Erkut Street, No. 5, 06170, Yenimahalle, Ankara, Turkey. ebruumay@gmail.com.
Dysphagia
|August 5, 2023
概括
这项研究提供了全面的,多学科的建议,用于诊断和管理ICU患者的口腔消化管 (OPE) 功能障碍,涵盖从初步评估到长期随访的所有方面.
科学领域:
- 临界护理医学 临界护理医学
- 吞障碍 吞障碍 吞障碍
- 临床实践指南 临床实践指南
背景情况:
- 耳鼻食管 (OPE) 功能障碍缺乏全面的,多学科的指导方针.
- 现有的文献并不涵盖从诊断到OPE消化障碍的随访的全部范围.
- 需要基于证据的建议来管理在重症监护病房 (ICU) 的OPE缺食症.
研究的目的:
- 制定详细的,多学科的建议,用于临床管理OPE失足症在ICU患者.
- 通过涵盖OPE失足症的所有方面来弥补当前文献中的差距.
- 为医疗保健专业人员提供一个实用指南,为管理OPE失调患者提供指南.
主要方法:
- 一个多学科的专家团队使用了七步过程和三个修改后的Delphi轮.
- 最初的开放式问题为制定详细建议提供了信息.
- 通过投票系统 (强,弱或不推) 实现了专家共识.
主要成果:
- 该研究在三轮Delphi会议后产生了133条最终建议.
- 建议涵盖了OPE失足症的一般原则,管理,诊断,康复和后续行动.
- 对于最终的建议,专家们达成了高度的共识.
结论:
- 这项研究提出了第一个全面的,多学科的建议,对OPE在ICU的功能障碍.
- 这些指导方针提供了从诊断到随访的广泛视角.
- 这些建议旨在改善OPE失足症的临床实践和患者结果.
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