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护理学报 ›› 2025, Vol. 32 ›› Issue (5): 53-58.doi: 10.16460/j.issn1008-9969.2025.05.053

• 循证护理 • 上一篇    下一篇

肺移植患者住院期间体力活动的最佳证据总结

陈瑞云1a, 李晓瑾2, 魏立1a, 杨慧1b, 刘赛赛1a, 陈静儒1a   

  1. 1.河南省人民医院 a.胸外科;b.护理部,河南 郑州 450003;
    2.南方医科大学南方医院 心血管内科,广东 广州 510515
  • 收稿日期:2024-06-02 出版日期:2025-03-10 发布日期:2025-04-10
  • 通讯作者: 杨慧（1984-）,女,河南南阳人,博士,硕士研究生导师,副主任护师,护理部副主任。E-mail：274069626@qq.com
  • 作者简介:陈瑞云（1990-）,女,河南确山人,硕士,主管护师。
  • 基金资助:
    中原科技创新领军人才项目（224200510023）; 河南省医学科技攻关省部共建青年项目（SBGJ202103026）

Best evidence summary for physical activity of hospitalized patients with lung transplant

CHEN Ruiyun1a, LI Xiaojin2, WEI Li1a, YANG Hui1b, LIU Saisai1a, CHEN Jingru1a   

  1. 1a. Dept. of Thoracic Surgery; 1b. Dept. of Nursing Administration, Henan Provincial People’s Hospital, Zhengzhou 450003, China;
    2. Dept. of Cardiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
  • Received:2024-06-02 Online:2025-03-10 Published:2025-04-10

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摘要： 目的 检索、提取、评价和整合肺移植患者住院期间体力活动的相关证据,为制定科学的肺移植患者住院期间体力活动方案提供依据。方法 计算机检索国内外数据库中关于肺移植患者体力活动的相关文献,文献类型包括临床决策、推荐实践、指南、证据总结、专家共识、系统评价,检索时限为建库至2023年12月。结果 共纳入14篇文献,其中2篇临床决策,1篇推荐实践,4篇指南,1篇证据总结,2篇专家共识,4篇系统评价,汇总形成26条最佳证据,包括体力活动的益处、活动前评估、活动原则、活动时机、活动类型、活动强度/时间/频率、活动的安全性及质量控制8个方面。结论 临床医护人员可参考现有证据并结合患者需求、锻炼目标和临床实践情景制定适宜、安全、有效的体力活动方案,以期改善患者康复结局,形成肺移植患者体力活动实践的推广思路。

关键词: 肺移植, 体力活动, 运动, 循证护理

Abstract: Objective To retrieve, extract, evaluate and integrate the evidence of physical activity of patients with lung transplant during hospitalization, and to provide basis for formulating a scientific physical activity plan for this population. Methods Literature including clinical decision-making, recommended practice, guidelines, evidence summary, expert consensus and systematic evaluation on physical activity of patients with lung transplant were retrieved by computer from databases home and abroad. The retrieval time spanned from the inception of the database to December 2023. Results A total of 14 articles were collected, including 2 clinical decisions, 1 recommended practice, 4 guidelines, 1 evidence summary, 2 expert consensus and 4 systematic reviews. Twenty-six pieces of best evidence were finally formed, including the benefits of physical activity, pre-activity evaluation, activity principles, activity opportunity, activity type, activity intensity/time/frequency, activity safety and quality control. Conclusion An appropriate, safe and effective physical activity plan should be formulated with reference to the existing evidence, combined with patients’ needs, exercise goals and clinical scenarios, thus to improve the rehabilitation outcome of patients and promote physical activity for patients with lung transplant.

Key words: lung transplant, physical activity, exercise, evidence-based nursing

中图分类号: 

  • R473.56
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