言语治疗师在头颈癌多学科团队中整合的范围综述

宋玉; 李雅洁; 李慧; 刘家宁; 丁永霞

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言语治疗师在头颈癌多学科团队中整合的范围综述

综述 | 更新时间：2026-07-12

- 言语治疗师在头颈癌多学科团队中整合的范围综述
- Integration of Speech Therapists in Multidisciplinary Teams for Head and Neck Cancer: A Scoping Review
- 中国听力语言康复科学杂志 2026年24卷页码：1-6
- 作者机构：
  
  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
- 作者简介：
  
  宋玉硕士在读；研究方向：头颈部肿瘤
  丁永霞，E-mail：yongxiadingding@sxmu.edu.cn
- 基金信息：
  
  山西省科技战略项目“基于患者旅程地图的喉癌患者医院-社区-家庭协同照护机制与策略研究”(202404030401177)
- DOI：
  中图分类号： R767.92
- 收稿：2025-11-01，
  
  网络首发：2026-05-26，
  
  纸质出版：2026-07-15
- 稿件说明：
移动端阅览
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.

摘要

目的

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

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

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

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。

Abstract

Objective

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

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

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

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.

关键词

Keywords

references

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