目的 系统评价慢性阻塞性肺疾病（chronic obstructive pulmonary disease,COPD）患者远程康复（telerehabilitation,TR）体验，为应用和改善TR技术提供参考。方法 检索中国知网、万方、中国生物医学文献数据库、维普、PubMed、Web of Science、ProQuest、Embase、The Cochrane Library、CINAHL等数据库有关COPD患者参与TR的质性研究，检索时限从建库至2024年3月，采用JBI质性研究质量评价标准对纳入文献进行评价，应用汇集性整合方法对结果进行整合。结果 共纳入15篇文献，提炼出61个的研究结果，综合成4个整合结果：患者参与TR的促进因素；患者参加TR的障碍因素；TR对患者积极的影响；患者对TR的认可与建议。结论 TR为需要进行康复训练的COPD患者提供了新的选择与体验，专业人员应充分考虑患者对TR的建议，给予患者更多支持，提高TR服务的适用性、技术性、普及性，改善患者治疗结局。

Objective To systematically evaluate chronic obstructive pulmonary disease (COPD) patients’ telerehabilitation (TR) experience and give a reference for the application and improvement of TR technology.Methods CNKI,Wanfang data,CBM,VIP,PubMed,Web of Science,ProQuest,Embase,The Cochrane Library,and CINAHL were searched for qualitative research on COPD patients’ TR participation from inception to March, 2024.Literature were evaluated with JBI Critical Appraisal Tools and data integrated with aggregative integration method.Results A total of 15 papers were included,and 61 clear findings were extracted and synthesized into 4 integrative findings:facilitators of patient participation in TR;barriers to patient participation in TR;positive effects of TR on patients;patients’ recognition and recommendations for TR.Conclusions TR offers COPD patients in need of rehabilitation training new options and experiences,and professionals should consider patients’ recommendations to support them and increase the applicability,technology,popularity and therapy effectiveness of TR.

R473.56

湖南省自然科学基金（2019JJ40469）