Article record

澳大利亚言语语言病理学家对使用颈部听诊检测婴幼儿及儿童误吸的看法

Australian Speech-Language Pathologists' perspectives on using cervical auscultation in the detection of aspiration in infants and children.

临床研究咽喉科IF 2.1Q2

文献信息

PMID	42958730
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Seiji Humphries 查看其他 5 位作者 Steven James；Julia Affleck；Michael David；Sarah Day；Thuy T Frakking
作者单位	Research Development Unit, Caboolture Hospital, Metro North Hospital & Health Service, Caboolture, Australia. 查看其他 10 条单位信息 School of Health, University of the Sunshine Coast, Petrie, Australia.；School of Medicine, The University of Melbourne, Parkville, Australia.；School of Medicine, The University of Western Sydney, Campbelltown, Australia.；The Daffodil Centre, The University of Sydney and Cancer Council NSW, Sydney, Australia.；School of Medicine and Dentistry, Griffith University, Australia.；Speech Pathology Department, Caboolture Hospital, Metro North Hospital & Health Service, Caboolture, Australia.；School of Health Sciences, The University of Newcastle, Callaghan, Australia.；Child Health Research Centre, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Australia.；Speech Pathology Department, Gold Coast University Hospital, Gold Coast Hospital & Health Service, Southport, Australia.；School of Health Sciences & Social Work, Griffith University, Gold Coast Queensland, Australia.
期刊	International journal of speech-language pathology
SCI 分区	Q2
IF	2.1
研究类型	临床研究 · 临床
所属专科	咽喉科

中文摘要

目的： 颈部听诊（CA）是一种基于聆听吞咽音和呼吸音的技术，在检测儿童误吸风险方面具有较高的诊断准确性。尽管如此，大多数澳大利亚言语语言病理学家（SLP）并未在临床实践中常规使用CA。本研究旨在从澳大利亚儿科SLP的角度识别CA使用的障碍与促进因素。
方法： 采用基于电子邮件的目的性抽样招募参与者，进行个体半结构化访谈并完成一份包含63个条目的在线调查。该调查通过评定40次吞咽来评估其检测误吸的准确性，并使用内在动机量表回答18个关于感知任务胜任力、压力和有用性的多项选择题。访谈采用Gibb框架进行主题编码、归类及关系分析，并通过距离相关系数探讨准确性、感知胜任力、压力和价值之间的关系。
结果： 总体而言，13名SLP表明，其使用CA的频率和信心在不同实践环境、所接受的培训及可获得的同伴支持之间存在很大差异。检测误吸的准确性较高（80-97%），感知胜任力（dCor = 0.74，95%CI 0.50-0.94，p < 0.01）与准确性呈正相关。
结论： 通过优化培训可及性、同伴督导/支持和实践机会来增强SLP对其技能的信心，可促进CA在澳大利亚临床实践中的转化。

英文摘要

PURPOSE: Cervical auscultation (CA), a technique based on listening to swallow and breath sounds, has high diagnostic accuracy in detecting aspiration risk in children. Despite this, most Australian Speech-Language Pathologists (SLPs) do not routinely use CA in clinical practice. This study aimed to identify barriers and enablers of CA use from the perspectives of Australian paediatric SLPs.
METHOD: Participants were recruited using email-based purposive sampling for individual semi-structured interviews and completion of an online 63-item survey. The survey assessed their accuracy in detecting aspiration by rating 40 swallows, and answering 18 multiple-choice questions on perceived task competence, pressure and usefulness using the Intrinsic Motivation Inventory. Interviews were analysed using Gibb's framework for thematic coding and categorisation and relationships between accuracy, perceived competence, pressure and value were explored with distance correlation coefficients.
RESULT: Overall, 13 SLPs demonstrated that their frequency and confidence in using CA varied widely across practice settings, training attended and available peer support. Accuracy in detecting aspiration was high (80-97%), with perceived competence (dCor = 0.74, 95%CI 0.50-0.94, p < 0.01) positively correlated with accuracy.
CONCLUSION: Translation of CA into Australian clinical practice could be facilitated by supporting SLPs confidence in their skills through optimal training availability, peer supervision/support and practice opportunities.