[关键词]
[摘要]
目的 总结成人稳定期肺动脉高压患者运动康复的最佳证据,为医护人员开展有针对性的运动康复提供科学依据。 方法 2022年6月,按照“6S”证据模型检索JBI循证卫生保健中心数据库、BMJ Best Practice等网站中与成人稳定期肺动脉高压相关的临床决策、推荐实践、指南、证据总结、系统评价等,检索时限为建库至2022年6月30日,对文献进行质量评价,提取证据并进行证据分级。 结果 共纳入14篇文献,汇总了运动评估、运动形式、运动频率与时间、运动强度、运动风险防范、效果评价6个方面的21条证据。 结论 总结的最佳证据对开展成人稳定期肺动脉高压患者的运动康复有指导意义。在应用时,应基于具体临床情景,制订个体化运动康复方案,以促进证据的落实。
[Key word]
[Abstract]
Objective To summarize the best evidence of exercise rehabilitation for adults with stable pulmonary hypertension(PH),and to provide a scientific basis for medical staff to carry out targeted exercise rehabilitation. Methods In June 2022,according to the “6S” evidence model,clinical decisions,recommended practices,guidelines,evidence summaries,and systematic reviews related to adult PH in the JBI Evidence-Based Health Care Center database and BMJ Best Practice websites were searched.The search time was from the inceptions to June 30,2022.The quality of the literature was evaluated,and the evidence was extracted and graded. Results A total of 14 pieces of literature were included,and 21 pieces of evidence from 6 aspects including exercise evaluation,exercise form,exercise frequency and time,exercise intensity,exercise risk prevention and effect evaluation were collected. Conclusions The best evidence summarized is of guiding significance for exercise rehabilitation in adult patients with stable PH. In practice,the rehabilitation program should be tailored individually based on the clinical scenario to ensure the implementation of evidence.
[中图分类号]
R473.56;R47-05
[基金项目]
中华医学会杂志社护理学科研究课题重点项目(CMAPH-NRP2021008)