ICU获得性口腔衰弱概念分析研究的范围综述

doi:10.3761/j.issn.2096-7446.2025.10.021

摘要/Abstract

摘要：

目的对ICU获得性口腔衰弱的相关研究进行范围综述，总结ICU获得性口腔衰弱的概念性定义及相关要素。方法以澳大利亚乔安娜布里格斯研究所（Joanna Briggs Institute，JBI）循证卫生保健中心范围综述报告规范清单（PRISMA extension for scoping reviews，PRISMA-ScR）为方法学框架。计算机检索PubMed、Em-base、CINAHL、Web of Science、Scopus、中国知网、万方数据库及中国生物医学文献数据库，检索时限为建库至2024年11月12日。筛选ICU获得性衰弱与口腔衰弱交叉的文献，对文献进行信息提取，运用概念性评估工具分析评估并整合要素。结果共纳入14篇文献，提取14个相关概念，94个相关要素。在提取出的相关概念中，没有一项符合“良好”概念性定义要求。归纳出3个要素分类，14个要素主题。结论基于范围综述的概念分析研究证实ICU患者因侵入性操作等特殊医疗环境易发口腔衰弱，但其定义尚未统一；现有评估工具缺乏针对ICU患者特殊需求的系统性标准；有待进一步完善和优化ICU获得性口腔衰弱相关理念，以提高ICU护理质量，提高患者后续生活质量。

关键词: 重症监护病房, ICU获得性衰弱, 口腔, 范围综述

Abstract:

Objective To conduct a scoping review about relevant research on ICU-acquired oral frailty，summarize the conceptual definitions and related elements of ICU-acquired oral frailty. Methods The methodology framework was guided by the Joanna Briggs Institute（JBI） Evidence-Based Healthcare Center’s PRISMA-ScR guidelines for scoping reviews. A comprehensive search was conducted in databases including PubMed，Embase，CINAHL，Web of Science，Scopus，China National Knowledge Infrastructure（CNKI），Wanfang Data，and the Chinese Biomedical Literature Database，covering literature from the inception of these databases to November 12，2024. Literature intersecting ICU acquired weakness and oral frailty was screened，and information was extracted. A conceptual assessment tool was employed to analyze，evaluate，and integrate the identified elements. Results A total of 14 articles were included，from which 14 relevant concepts and 94 related elements were extracted. Among the extracted concepts，none met the criteria for a “good” conceptual definition. Three categories of elements and 14 thematic elements were identified. Conclusion Conceptual research based on a scoping review confirms that ICU patients are prone to oral frailty due to special medical environments such as invasive procedures，but its definition has not yet been standardized. Existing assessment tools lack systematic standards addressing the specific needs of ICU patients. There is a need to further improve and optimize the concepts related to ICU-acquired oral frailty to enhance the quality of ICU care and improve patients’ subsequent quality of life.

Key words: Intensive Care Unit, ICU-Acquired Weakness, Oral, Scoping Review

张慧超, 张颖, 张雅倩, 徐亚红, 郑以山. ICU获得性口腔衰弱概念分析研究的范围综述[J]. 中华急危重症护理杂志, 2025, 6(10): 1269-1275.

ZHANG Huichao, ZHANG Ying, ZHANG Yaqian, XU Yahong, ZHENG Yishan. ICU-acquired oral frailty conceptualization：a scoping review[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(10): 1269-1275.

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