OBJECTIVE: To systematically search and integrate the best evidence for early rehabilitation of ICU-acquired swallowing dysfunction (ICU-ASD) using evidence-based medicine methods, providing high-quality evidence-based support for intensive care unit (ICU) healthcare professionals in implementing early rehabilitation assessment and intervention strategies for ICU-ASD. METHODS: The systematic search was conducted according to the "6S" pyramid evidence model. Multiple authoritative databases and resources were comprehensively searched, including: National Guideline Clearinghouse (NGC), National Institute for Health and Care Excellence (NICE), Canadian Medical Association Clinical Practice Guidelines Library (CMACPGL), New Zealand Guidelines Group (NZGG), Guidelines International Network (GIN), Registered Nurses' Association of Ontario (RNAO), Scottish Intercollegiate Guidelines Network (SIGN), PubMed/Medline, Cochrane Library, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, JBI Evidence-Based Health Care Database, Physiotherapy Evidence Database (PEDro), Chinese Medical Pulse Guidelines Website, SinoMed, CNKI, Wanfang Data, UpToDate, BMJ Best Practice, and professional association websites. The search encompassed guidelines, expert consensus statements, original studies [including cohort studies, quasi-experimental studies, and randomized controlled trials (RCT)], systematic reviews, and evidence summaries related to the prevention and management of ICU-ASD. The search period was limited from the inception of each database to November 30, 2024. The best evidence for early rehabilitation of ICU-ASD was summarized. The quality assessment of the literature and the extraction and synthesis of evidence were independently performed by two researchers with expertise in evidence-based medicine methodology. RESULTS: A total of 16 articles were included, consisting of 1 clinical decision-making study, 1 cohort study, 2 guidelines, 2 RCTs, 6 systematic reviews, 1 evidence summary, 2 expert consensuses, and 1 expert opinion. Following quality assessment, all 16 articles were incorporated into the analysis. For the early rehabilitation of ICU-ASD, five major themes were ultimately identified and 25 best evidence items were summarized, focusing on: multidisciplinary collaboration, swallowing screening and assessment, rehabilitation interventions, dietary and nutritional management, and oral hygiene. CONCLUSIONS The evidence summary provides individualized rehabilitation strategies for ICU-ASD patients, but their implementation still needs to be adapted to China's clinical practice context and patient preferences.
Humans ; Deglutition Disorders/etiology* ; Intensive Care Units ; Evidence-Based Medicine

Objective To explore the impact of psychological alignment and coping style on nurse′s job satisfaction. Methods A total of 389 clinical nurses were investigated by the Sense of Coherence Scale, the simplified Coping Style Questionnaire and Minnesota Satisfaction Scale. Results The scores of job satisfaction, psychological alignment, positive coping and pessimistic coping of clinical nurses was (72.91 ± 11.10), (56.97 ± 10.29), (23.16 ± 5.40) and (9.80 ± 4.03) points respectively. The predictors of job satisfaction were sense of control, sense of meaning and positive coping style. Conclusions It is suggested that nursing managers should pay close attention to nurses′psychological alignment and guide clinical nurses adopt positive coping style, and thereby to improve nurses′job satisfaction.

Objective To explore the effect of comprehensive nursing intervention on the negative emotion and pain of patients with gastrointestinal tumors and undergoing peripherally in-serted central catheter (PICC).Methods Thirty-five PICC patients with gastrointestinal tumors were as observation group from January 2012 to January 2014,and the same type of 30 patients as control group from January 2010 to January 2011.Both groups were given routine nursing,and the observation group was added comprehensive nursing intervention,including healthy education,envi-ronmental and psychological nursing as well as relaxation training.Results The total incidences of complications were 14.29% (5 /35)in observation group and 16.67% (5 /30)in control group (P>0.05).Compared with 1 d before intubation,both self-rating anxiety scale (SAS)and self-rating depression scale (SDS)scores decreased in two groups 7 d after intubation.Visual analogue scale (VAS)scores also went down compared with immediately after intubation,and that in observation group was lower than in control group,with statistical significance (P <0.01).Conclusion Com-prehensive nursing intervention can effectively improve the negative emotion of PICC patients with gastrointestinal tumors and relieve the pain so as to ameliorate the quality of life and promote recov-ery.

Objective To explore the effect of comprehensive nursing intervention on the negative emotion and pain of patients with gastrointestinal tumors and undergoing peripherally in-serted central catheter (PICC).Methods Thirty-five PICC patients with gastrointestinal tumors were as observation group from January 2012 to January 2014,and the same type of 30 patients as control group from January 2010 to January 2011.Both groups were given routine nursing,and the observation group was added comprehensive nursing intervention,including healthy education,envi-ronmental and psychological nursing as well as relaxation training.Results The total incidences of complications were 14.29% (5 /35)in observation group and 16.67% (5 /30)in control group (P>0.05).Compared with 1 d before intubation,both self-rating anxiety scale (SAS)and self-rating depression scale (SDS)scores decreased in two groups 7 d after intubation.Visual analogue scale (VAS)scores also went down compared with immediately after intubation,and that in observation group was lower than in control group,with statistical significance (P <0.01).Conclusion Com-prehensive nursing intervention can effectively improve the negative emotion of PICC patients with gastrointestinal tumors and relieve the pain so as to ameliorate the quality of life and promote recov-ery.