Mary Jose , Rahul Krishnamurthy , Lakshmi Venkatesh , Nutan Kamath , Kamalakshi G. Bhat , Radish Kumar Balasubramanium
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引用次数: 0
摘要
背景新生儿，尤其是新生儿重症监护室 (NICU) 中的新生儿，吞咽困难的评估和管理缺乏实证依据。了解现有的临床实践可能是达成共识的第一步。本研究旨在确定印度言语病理学家（SLPs）在促进新生儿喂养技能发展以及吞咽困难评估和管理方面的临床实践模式。方法 通过电子邮件向 35 名在 NICU 工作的言语病理学家发送电子调查问卷，问卷包括 46 个问题，分为两大部分（人口统计学和假设病例情景）。假设的临床案例包括对新生儿重症监护室中吞咽困难的评估和管理的考虑，参与者回答了有关临床决策的问题。我们对这些回答进行了描述性分析，以确定实践模式的主题和趋势。我们的结果表明，新生儿吞咽困难的临床吞咽评估和管理方法的实践模式各不相同。结论有必要就新生儿重症监护室中语言辅助人员对吞咽困难的评估和干预制定共识声明和标准指南。将当前的循证研究成果转化为临床实践对患者护理至关重要。
Assessment and management of dysphagia in the neonatal intensive care units in India: A survey report
Background
Evidence-based assessment and management of dysphagia in neonates, especially those in the neonatal intensive care unit (NICU), are limited. Understanding existing clinical practices may be the first step toward developing a consensus. The current study aimed to identify clinical practice patterns of speech-language pathologists (SLPs) in India towards facilitating the development of feeding skills and assessment and management of dysphagia among neonates.
Method
An electronic survey questionnaire comprising 46 questions categorized into two main sections (demographics and a hypothetical case scenario) was emailed to 35 SLPs practicing in the NICU. The hypothetical clinical case was created to include considerations of assessment and management of dysphagia in the NICU, and the participants answered questions about clinical decision-making.
Results
As many as 22 individuals completed the survey. The responses were analyzed descriptively to identify themes and trends in practice patterns. Our results revealed varied practice patterns in the clinical swallowing assessment and management approaches for neonatal dysphagia.
Conclusion
There is a need to develop a consensus statement and standard guidelines for the assessment and intervention for dysphagia by the SLP in the NICU. Translation of current evidence-based research into clinical practice is critical to patient care.
期刊介绍：
Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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