上海交通大学学报(医学版) ›› 2022, Vol. 42 ›› Issue (12): 1720-1728.doi: 10.3969/j.issn.1674-8115.2022.12.010

• 论著 · 循证医学 • 上一篇    

口腔癌术后言语功能的评估工具:一项范围综述

吴媚1(), 梁妍景1, 侯黎莉2()   

  1. 1.上海交通大学护理学院,上海 200025
    2.上海交通大学医学院附属第九人民医院护理部,上海 200011
  • 收稿日期:2022-05-20 接受日期:2022-11-28 出版日期:2022-12-28 发布日期:2022-12-28
  • 通讯作者: 侯黎莉 E-mail:583512378@qq.com;pisces_liz@163.com
  • 作者简介:吴 媚(1994—),女,硕士生;电子信箱:583512378@qq.com
  • 基金资助:
    上海高水平地方高校创新团队(SHSMU-ZDCX20212802)

Evaluation tools for speech function after oral cancer surgery: a scoping review

WU Mei1(), LIANG Yanjing1, HOU Lili2()   

  1. 1.Shanghai Jiao Tong University School of Nursing, Shanghai 200025, China
    2.Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Received:2022-05-20 Accepted:2022-11-28 Online:2022-12-28 Published:2022-12-28
  • Contact: HOU Lili E-mail:583512378@qq.com;pisces_liz@163.com
  • Supported by:
    Innovation Research Team of High-level Local Universities in Shanghai(SHSMU-ZDCX20212802)

摘要:

目的·对口腔癌术后言语功能的评估工具做范围审查,以获得现有研究中存在的口腔癌术后言语功能的评估工具,总结口腔癌术后言语功能评估工具的应用方法、应用场景及发展现况。方法·采用澳大利亚JBI(Joanna Briggs Institute)循证卫生保健中心范围综述的方法为方法学框架,检索库包括PubMed、Web of Science、Embase、CINAHL、CNKI、万方、维普,英文检索词为("oral cancer" or "oral cavity cancer" or "head and neck neoplasm*"[MeSH Terms])AND("speech" or "language"[MeSH Terms])AND("assess*" or "evaluat*"[MeSH Terms]),中文检索关键词为“言语”“言语障碍”“言语功能”,检索学科限定为“口腔医学”或“护理学”。检索时限为建库至2022年7月,对纳入文献进行汇总分析。结果·从文献库中初步检索后得到4 476篇文章,剔除重复文献、与研究目的及内容无关文献、综述类文献、非中文或非英文文献等,最终纳入9篇文献,包含7篇横断面研究和2篇队列研究,纳入文献的时间范围为1990—2022年,国家来源包含美国、日本、德国、印度等,共归纳出3种评估方式,分别为量表、自动化识别技术和物联设备等其他方式,其中量表评估为目前最主流的评估方式,言语障碍指数(speech handicap index,SHI)为应用最广泛的评估量表之一,在我国已得到文化调适及汉化,但本土原创的评估工具未检索到。结论·口腔癌术后言语评估工具中,量表为应用最广泛的方式,但同时兼顾主观和客观的言语评估工具较少,目前国内相关研究处于空缺。未来可结合这两方面开展相关研究,研发适用于本土语言的口腔癌术后言语功能评估工具。

关键词: 言语障碍, 口腔癌, 评估工具, 术后, 范围综述

Abstract:

Objective ·To obtain the evaluation tools of postoperative speech function of oral cancer in existing studies, and summarize the application methods, application scenarios and development status of the postoperative speech function assessment tools for oral cancer. Methods ·The methodological framework was based on the review method of the Joanna Briggs Institute evidence-based health care center in Australia. The databases included PubMed, Web of Science, Embase, CINAHL, CNKI, Wanfang and VIP. The English terms were ("oral cancer" or "oral cavity cancer" or "head and neck neoplasm*"[MeSH Terms]) AND ("speech" or" language" [MeSH Terms]) AND ("assess*" or "evaluat*"[MeSH Terms]), the Chinese terms were "speech", "speech disorders", "speech function", and the search discipline was limited to "stomatology" or "nursing".The retrieval time was from the establishment of the database to July 2022, and the included literature was summarized and analyzed. Results ·A preliminary search of 4 476 articles from the literature databases was obtained, excluding duplicate literature, literature that was not relevant to the purpose and content of the study, review literature, non-Chinese or non-English literature, etc. A total of 9 articles were included, including 7 cross-sectional studies and 2 cohort studies. The time range of the included literature was 1990?2022, and the national sources included the United States, Japan, Germany, India, etc. A total of three evaluation methods were summarized, namely scales, automatic identification technology and other methods such as internet of things (IoT) devices, in which scale evaluation is currently the most mainstream evaluation method, and speech handicap index (SHI) is one of the most widely used evaluation scales, which has been culturally adapted and localized in China, but the evaluation tools of local original research have not been retrieved. Conclusion ·Among the oral cancer postoperative speech assessment tools, the scale is the most widely used method, but there are few studies that can balance subjective speech assessment and objective speech assessment, and the domestic related research is vacant. In the future, relevant research can be carried out in combination with these two aspects, and a tool for assessing speech function after oral cancer surgery suitable for local languages can be developed.

Key words: speech function, oral cancer, evaluation tool, postoperation, scoping review

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