卒中后吞咽困难识别与管理循证指引的系统评价-中国护理管理.PDFVIP

论 著 Research Paper 卒中后吞咽困难识别与管理循证指南的 系统评价 高尚谦 王芳 姜雨婷 韩柳 王晋芳 赵俊强 刘欣娟 郝玉芳 [ 摘 要] 目的：评价卒中后吞咽困难识别与管理相关指南，比较各指南内容的异同，为临床循证决策及指南 制定提供参考。方法：采用临床研究与评估工具（AGREEⅡ）对网站检索及数据库检索获取的相关循证指南进 行质量评价，并分析各指南推荐内容的异同。结果：共纳入 5 个循证指南，均来自国外；5 个指南在 6 个领域的 AGREEⅡ评价平均得分分别为范围和目的 90.00%，参与人员77.77%，严谨性 77.08%，清晰性 85.93%，应用 性 52.78% 和独立性 84.72%。指南总体质量评价为 2个A 级，3 个 B 级。指南各推荐内容基本一致。结论：纳 入的卒中后吞咽困难识别与管理循证指南总体质量较高，得分最低的指南“应用性”领域仍需要加强。我国按照 国外AGREEⅡ标准制定循证指南尚有一定困难，但可以借鉴国外高质量的指南，在我国进行指南的本土化实践， 以提高临床医护服务质量。 [ 关键词 ] 卒中；吞咽困难；吞咽障碍；循证指南；系统评价；临床研究与评估工具 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.05.007 Evidence-based guidelines on identification and management of stroke dysphagia: a systematic review / GAO Shangqian, WANG Fang, JIANG Yuting, HAN Liu, WANG Jinfang, ZHAO Junqiang, LIU Xinjuan, HAO Yufang // School of Nursing, Beijing University of Chinese Medicine, Beijing, 100101 China /// Chinese Nursing Management-2016,16(5): 596-601 [Abstract] Objectives: To systematically review the methodological quality of evidence-based guidelines on identification and management of stroke dysphagia, then to compare the differences and similarities of the contents of the included guidelines, and to provide references for evidence-based decision-making and the development of evidence- based guidelines. Methods: The methodological quality of included guidelines searched from websites and databases was evaluated according to the AGREE II instrument, and the differences and similarities between recommendations of included guidelines were compared. Results: A total of 5 evidence-based guidelines on identification and management of stroke dysphagia were included and they are all from abroad. To the overall quality, 2 of them were grade A and 3 of them were grade B. The average scores of guidel