喉腔切除术后的临床吞检查:国际e-Delphi共识进程
Sarah E Wilson1,2, Bena Brown3,4, Clare L Burns5,6
1Speech Pathology & Audiology Department, Royal Brisbane & Women's' Hospital, Level 2, Dr James Mayne Building, Butterfield Street, Herston, Brisbane, QLD, Australia. sarahe.wilson@health.qld.gov.au.
Dysphagia
|January 21, 2025
概括
在喉切除术患者的临床吞检查 (CSE) 中,共识了34个基本项目的共识. 这一框架指导了对喉切除术后的个体进行喉乱的评估和管理.
科学领域:
- 语音语言病理学 语言病理学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学研究 医学研究
背景情况:
- 临床吞检查 (CSE) 对于喉切除术后的消化不良评估至关重要.
- 对于喉切除患者群体中特定的CSE组件,没有确定的指导方针.
- 这项研究解决了对这一患者群体的基于证据的评估项目的需求.
研究的目的:
- 确定在喉切除术后的患者中对CSE的基本任务,措施和观察.
- 开发一个基于共识的喉切除术CSE框架.
- 为了指导临床实践和未来的研究在这个专业领域.
主要方法:
- 采用了4轮在线调查的e-Delphi方法.
- 34名具有喉腔切除经验的语音语言病理学家参与了这项研究.
- 项目生成使用了喉腔切除术后吞结果 (SOAL) 问题作为刺激.
主要成果:
- 在CSE喉切除术的34个关键项目上达成共识 (≥75%的同意).
- 23项专注于患者病史和面试问题 (医疗,吞和面试问题).
- 11项与吞下任务,观察和进一步转介有关的项目.
结论:
- 已经制定了一个关于喉切除术CSE的34个共识项目的框架草案.
- 这一框架可以为此种人群的失调症评估提供信息和标准化临床实践.
- 进一步的研究可以完善和验证这一框架,以便更广泛地应用.
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