Abstract:

Objective To retrieve，evaluate，and summarize the best evidence for swallowing rehabilitation training in ICU patients with post-extubation dysphagia，providing a reference for clinical application. Methods To address the issues related to swallowing rehabilitation training for ICU patients with post-extubation dysphagia，we systematically searched the clinical decision-making systems，guideline websites，professional association websites，and databases for clinical decisions，guidelines，best practice，expert consensus，evidence summaries，systematic reviews，and original studies. The search period was from database inception to September 9，2024. Four evidence-based trained researchers independently conducted quality assessment of the literature and evidence extraction. Results A total of 20 studies were included，and 22 pieces of evidence were summarized across six dimensions：multidisciplinary teams for swallowing rehabilitation，training assessment，training measures，outcome evaluation，health education，and precautions. Conclusion The best evidence summarized in this study for swallowing rehabilitation training in ICU patients with post-extubation dysphagia demonstrates scientific rigor and practicality. In clinical practice，evidence should be applied selectively based on specific circumstances to improve patient outcomes and enhance the quality of care.

Key words: Intensive Care Units, Tracheal Intubation, Post-Extubation Dysphagia, Rehabilitation, Evidence Summary, Evidence-Based Nursing