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1.山西医科大学护理学院 太原 030001
2.山西医科大学循证护理研究中心 太原 030001
Received:01 November 2025,
Online First:26 May 2026,
Published:15 July 2026
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宋玉,李雅洁,李慧等.言语治疗师在头颈癌多学科团队中整合的范围综述[J].中国听力语言康复科学杂志,
SONG Yu,LI Ya-jie,LI Hui,et al.Integration of Speech Therapists in Multidisciplinary Teams for Head and Neck Cancer: A Scoping Review[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,
宋玉,李雅洁,李慧等.言语治疗师在头颈癌多学科团队中整合的范围综述[J].中国听力语言康复科学杂志, DOI:10.3969/j.issn.1672-4933.2026.04.001.
SONG Yu,LI Ya-jie,LI Hui,et al.Integration of Speech Therapists in Multidisciplinary Teams for Head and Neck Cancer: A Scoping Review[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation, DOI:10.3969/j.issn.1672-4933.2026.04.001.
目的
2
对言语治疗师在头颈癌多学科团队中的核心职责、协作方式、影响因素及整合效果进行范围审查,为临床实践提供依据。
方法
2
采用JBI范围综述方法,系统检索中国知网、万方、维普、中国生物医学文献数据库、Pubmed、Web of science、Cochrane Library、Embase、CINAHL(cumulative index to nursing and allied health literature),检索时间为建库至2025年9月20日。
结果
2
最终纳入17篇文献。言语治疗师在头颈癌多学科团队中承担评估、个性化治疗、随访与健康教育等职责,通过多学科会议、远程医疗、标准化工作流程等方式与团队成员协同工作。影响言语治疗师在多学科团队中整合的障碍因素包括资源限制、人员不足、专业能力欠缺、团队认知不足、干预时机及患者依从性低等,促进因素包括远程医疗、嵌入式服务、明确角色分工与系统培训等。
结论
2
言语治疗师在头颈癌多学科团队中承担重要职责,能显著帮助患者改善功能结局。未来应加强对言语治疗师队伍的建设,优化协作方式,提高团队成员及患者对言语治疗师的认知。
Objective
2
To conduct a scoping review of speech therapists' core responsibilities
collaborative approaches
influencing factors
and integration outcomes within multidisciplinary teams for head and neck cancer
providing evidence for clinical practice.
Method
2
Using the JBI scope review methodology
a systematic search was conducted across CNKI
Wan-fang
VIP
SinoMed
PubMed
Web of Science
Cochrane Library
Embase
and CINAHL
covering the period from the database's inception to September 20
2025.
Results
2
17 studies were ultimately included. Speech therapist assume responsibilities including assessment
personalized treatment
follow-up
and health education. They collaborate with team members through multidisciplinary meetings
telemedicine
and standardized workflows. Barriers to speech therapist engagement in multidisciplinary teams include resource constraints
staffing shortages
inadequate professional capacity
insufficient team awareness
timing of interventions
and low patient compliance. Facilitating factors include telemedicine
embedded services
clear role delineation
and systematic training.
Conclusion
2
Speech therapist plays a major role in multidisciplinary teams
significantly improving patients' functional outcomes. Future efforts should focus on strengthening the speech therapist teams
optimizing collaboration methods
and raising awareness of speech therapists among team members and patients.
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