目的 综合分析国内外口腔衰弱评估工具,为评估国内老年人口腔衰弱程度提供参考依据。方法 检索中国知网、维普数据库、中国生物医学数据库、万方数据库、中华医学期刊全文数据库、PubMed、CINAHL、Web of Science、DOSS、Embase中从建库至2023年6月5日有关口腔衰弱评估工具的研究。由2名研究者对文献进行独立筛选,并进行数据的提取,然后采用COSMIN指南中的偏倚风险评价清单对纳入文献进行评价。结果 共纳入14篇文献,包含8种口腔衰弱评估工具;评估工具中出现频率最高的条目是咀嚼困难、吞咽困难。结论 口腔衰弱评估工具主要来自国外,国内相关研究匮乏,大多数工具存在偏倚风险。医护人员在临床应用中需适当借鉴并结合实际引入或研制评估工具,以早期准确识别老年人口腔衰弱。
Abstract
Objective To analyze oral frailty assessment tools both internationally and domestically, and to provide reference for the screening of oral frailty in the elderly in China. Methods We searched CNKI, VIP, CBM databases, Wanfang, Chinese Medical Journal Full-text Database, PubMed, CINAHL, Web of Science, DOSS and Embaseto identify relevant studies, and the retrieval period spanned from the inception to June 5, 2023. Two researchers worked independently to extract the information and evaluated the literature by using COSMIN checklist. Results Totally 14 articles were included, including 8 oral frailty assessment tools. The most frequent items in the evaluation tools are chewing difficulty and swallowing difficulty. Conclusion The assessment tools for oral frailty predominantly originate from international sources, and there is a limited amount of relevant research conducted in China. Many of these tools lack proper testing for reliability and validity. Therefore, there is a need to introduce or develop assessment tools specifically for clinical applications in order to accurately identify oral frailty in the elderly at an early stage.
关键词
口腔衰弱 /
评估工具 /
范围综述
Key words
oral frailty /
assessment tool /
scoping review
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基金
贵州省基础研究计划项目（黔科合基础-ZK[2023]一般127）; 贵州省护理学会科研课题（GZHLKY202101）
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