Management of swallowing disorders in elderly patients with dementia:a summary of best evidence
10.3969/j.issn.1671-8283.2025.02.009
- VernacularTitle:痴呆患者吞咽障碍管理的最佳证据总结
- Author:
Yang LI
1
;
Jianli TIAN
;
Yanhong ZHANG
;
Qiyue JIA
Author Information
1. 承德医学院护理学院,河北 承德,067000
- Publication Type:Journal Article
- Keywords:
dementia;
swallowing disorder;
management program;
evidence summary;
evidence-based nursing
- From:
Modern Clinical Nursing
2025;24(2):68-74
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically search,evaluate and summarise the best evidence for the management of swallowing disorders in senile dementia,and provide evidence for clinical practice.Methods Systematic search of guidelines,expert consensus,evidence summaries,systematic reviews on the management of swallowing disorders in dementia patients on databases and clinical decision support systems including BMJ Best Clinical Practices,UpToDate,International Guidelines Collaboration Network(IGCN),National Institute for Health and Care Excellence(NICE),Scottish intercollegiate guidelines network(SIGN),national guideline clearinghouse(NGC),Registered Nurses Association of Ontario(RNAO),New Zealand Guidelines Group(NZGG),World Health Organization(WHO),Medlive,PubMed,Cochrane Library,Embase,Web of Science,Joanna Briggs Institute(JBI),CNKI,Wanfang,VIP,SinoMed,the website of the European Society for Swallowing Disorders(ESSD)and Japanese Society of Dysphagia Rehabilitation(JSDR).Clinical decisions,guidelines,expert consensus,evidence summaries,systematic reviews,and clinical trial studies on the management of swallowing disorders in dementia patients were searched.The search was from inception to 30th November,2023.Two researchers trained in evidence-based nursing systems conducted literature screening and data extraction,and determined appropriate evaluation tools to evaluate the quality of the included literature,extracted and graded the evidence,and finally summarised the best evidence suitable for the management of swallowing disorders in dementia patients.Results A total of 8 literature were included,covering 1 guideline,1 clinical decision,4 evidence summaries,and 2 systematic reviews.Finally,19 pieces of evidence were collected from 5 aspects,including screening and evaluation,feeding behaviour management,auxiliary training,education and training,and follow-up monitoring.Conclusion The best evidence summarised in this study provided evidence-based reference for the management of swallowing disorders in patients with dementia by healthcare workers.
