对中风患者的失调管理的最佳实践建议:来自葡萄牙专家小组的共识
Isabel de Jesus Oliveira1,2, Germano Rodrigues Couto3,4, Rosa Vilares Santos4,5
1Portuguese Red Cross Northern Health School, Oliveira de Azeméis, Portugal.
Portuguese journal of public health
|October 29, 2024
概括
这项研究提供了21个基于证据的建议,用于管理中风后的吞障碍 (吞困难). 这些指导方针旨在通过标准化脑卒中幸存者吞障碍的评估和治疗来改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床实践指南 临床实践指南
背景情况:
- 缺水症是中风后的常见并发症,显著增加呼吸道感染,脱水和营养不良的风险.
- 对于中风失足症管理的现有临床指南是分散的,需要采取综合的方法.
- 有效管理中风后的消化障碍对于改善患者的预后和减少医疗负担至关重要.
研究的目的:
- 制定全面的,以证据为基础的最佳实践建议,用于评估和管理中风患者的功能障碍.
- 将当前的证据和专家的共识综合成可行的临床指南.
- 为医疗保健专业人员提供统一的资源,帮助他们处理与中风相关的吞困难.
主要方法:
- 使用PICO策略进行了系统的文献审查,以收集最新的证据.
- 一个多学科专家小组 (营养学家,医生,语音语言病理学家,康复护士) 评估了建议草案.
- 为了达到专家的共识,使用了三轮的德尔菲方法,达成80%的协议门.
主要成果:
- 总共制定了21项临床建议,用于评估和管理中风患者的功能障碍.
- 这些建议结合了最新的科学证据和专家的共识.
- 最终完成的指导方针以临床相关的陈述为实际应用而呈现.
结论:
- 开发的建议提供了一个综合的,基于证据的框架,用于管理中风后的食障碍.
- 实施要求医疗保健专业人员识别当地促进者和基于证据的实践的障碍.
- 初始和持续培训对于有效地采用和将这些建议纳入临床环境至关重要.
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