Abstract:

Objective To summarize the best evidence on oral feeding management in tracheostomy patients and provide a reference for clinical practice. Methods Systematic searches were conducted in guideline databases，professional association websites，and domestic and international literature databases for evidence related to oral feeding management in tracheostomy patients，with a time frame from January 1，2015，to January 31，2025. Included evidence types comprised clinical decisions，guidelines，evidence summaries，best practices，recommendation，statement，expert consensuses，systematic reviews，and meta-analyses. Two researchers independently evaluated literature quality，extracted data，and synthesized evidence. Results A total of 13 articles were included，consisting of 2 guidelines，5 expert consensuses，1 recommendation ，2 evidence summaries，and 3 systematic reviews. A total of 22 pieces of evidence were synthesized across 7 dimensions：management organization，swallowing assessment，swallowing therapy and training，pre-feeding preparation，feeding guidance，post-feeding management，and complication prevention and management. Conclusion This study summarizes the best evidence for oral feeding management in tracheostomy patients，demonstrating scientific rigor and comprehensiveness. It provides a valuable reference for clinical practice.

Key words: Tracheostomy, Oral Feeding, Evidence Summary, Evidence-Based Nursing