老年人口腔衰弱管理的证据总结^*

Evidence summary for the management of oral frailty in the elderly

摘要

目的 检索、评价和整合老年人口腔衰弱管理的证据, 为口腔衰弱的科学管理提供依据。方法 系统检索 BMJ Best Practice、Up To Date、英国国家卫生与临床优化研究所网站、苏格兰校际指南网、世界牙科联盟网站、Web of Science、PubMed、Cochrane Library、中国知网、万方数据库和其他专业相关网站。纳入老年人口腔衰弱相关指南、专家共识、证据总结、系统综述和随机对照试验。检索时限为建库至 2024 年 1 月 24 日。由 2 ~ 3 名研究者独立评价文献质量, 提取和整合相关证据。结果 共纳入 10 篇文献, 指南 2 篇, 专家共识 2 篇, 系统评价 1 篇, 随机对照试验 5 篇。从口腔衰弱评估、口腔衰弱预防和口腔衰弱干预 3 个方面汇总 13 条最佳证据。结论 该研究总结的老年人口腔衰弱管理的证据具有科学性和实用性, 医院、社区、养老机构等相关人员可以通过应用证据对老年人进行口腔衰弱的评估、预防及针对性的干预措施。

Abstract

Objective To retrieve, evaluate, and integrate the evidence for the management of oral frailty in the elderly, and to provide the evidence for scientific management. Methods BMJ Best Practice, Up To Date, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Fédération Dentaire Internationale, Web of Science, PubMed, Cochrane Library, CNKI, Wan Fang database and other professional related websites were systematically searched. Guidelines, expert consensuses, evidence summaries, systematic reviews and randomized clinical trials related to oral frailty in the elderly were included, with the search period from the establishment of the database to January 24, 2024. 2~3 researchers independently evaluate the quality of the literature, extract and integrate relevant evidence. Results A total of 10 articles were included, consisting of 2 guidelines, 2 expert consensuses, 1 systematic review, and 5 randomized clinical trials. 13 pieces of best evidence from three aspects were summarized in the assessment, prevention, and intervention of oral frailty. Conclusion The evidence for the management of oral frailty in the elderly summarized in this study is scientific and practical. Relevant personnel in the hospitals, communities, and nursing homes can use the evidence to evaluate, prevent, and implement targeted interventions for oral frailty in the elderly.

关键词

口腔衰弱 / 口腔功能 / 证据总结 / 循证护理

Key words

Oral frailty / Oral function / Evidence summary / Evidence-based nursing

参考文献

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基金资助

^*吉林省教育厅科学研究项目(JJKH20250219KJ)

吉林大学第一医院 2024 年循证护理专项课题项目(JDYY-XZHL202403)