老年人口腔管理的最佳证据总结

Summary of best evidence on oral management for the elderly

目的对老年人口腔管理最佳证据进行评价及总结,为构建我国本土化老年人口腔管理方案提供依据。方法系统检索指南相关网站及电子数据库,检索时限为建库至2020年6月1日。由2名研究员对指南质量进行独立评价,结合专业人士的判断,对符合纳入、排除标准的指南/专家共识进行资料提取。结果共纳入8篇指南/专家共识(中文1篇,英文7篇)。最佳证据包括口腔护理评估、实施、评价、义齿的护理、特殊口腔问题的护理,口腔护理教育、口腔护理管理7个方面,共27条证据。结论临床护理人员应依据最佳证据,为老年人提供科学有效的口腔管理措施,提升口腔管理质量,促进老年人口腔健康及整体健康。

Objective To evaluate and summarize best evidence on oral management for the elderly,and to provide references for establishment of oral management scheme for the elderly in China.Methods We Searched systematically in guideline websites and electronic databases for guidelines and expert consensus reports regarding oral management in the elderly from inception until May 1 st,2020.Two researchers independently evaluated the quality of the literature,and took the judgment of medical professionals into consideration.Data extraction was carried out for literature meeting the inclusion and exclusion standards.Results A total of 8 guidelines/expert consensus reports(one in Chinese,and 7 in English)were included.The best evidence extracted from the guidelines/expert consensus reports crystalized into 7 aspects of oral care assessments,oral care implementation,oral care evaluation,denture care,special oral care,oral care education,oral care management,totaling 27 pieces of evidence.Conclusion Clinical nur-sing staff should provide scientific and effective oral management measures for the elderly in accordance with the best evidence,in an effort to improve the quality of oral management,promote oral health and overall health in the elderly.