摘要
目的总结了腹膜透析患者运动管理方案的最佳证据,为腹膜透析患者运动管理临床实践提供参考。方法检索国内外中英文相关指南和专家共识库、循证资源数据库、原始研究数据库、护理学专业数据库中关于腹膜透析患者运动管理方案的文献,包括临床决策、临床实践指南、最佳临床实践、证据汇总、专家共识、系统评价以及随机对照试验。然后,基于文献质量评价系统和证据分级系统进行文献质量分析、证据汇总和制定推荐意见。结果最终共纳入20篇文献,包括1篇临床指南、1篇专家共识、6篇系统评价以及12篇随机对照试验,并从6个方面总结了11条最佳证据。结论医护人员应在安全性原则下根据腹膜透析患者的意愿、临床实践情况制定个体化运动处方,提高患者远期存活率。
Objective To summarize the best evidences of exercise management scheme for patients undergoing peritoneal dialysis(PD),so as to provide references for clinical practice.Methods The literatures on exercise management for PD patients were searched in related guidelines and expert consensus databases,evidence-based resource databases,original research databases and nursing professional databases,including clinical decision-making,clinical practice guidelines,best clinical practice and evidence summaries,expert consensus,systematic reviews and randomized controlled trials.Then,all the data were given quality analysis,summarized to make recommendations.Results Twenty articles were finally found,including one clinical guideline,one expert consensus,6 systematic reviews/Meta analysis and 12 randomized controlled trials.From them,11 best evidences in 6 aspects were obtained.Conclusion Medical staff should formulate safe and individualized exercise prescriptions according to the patient's physical condition and wishes,so as to improve the long-term survival rate of patients.
作者
夏丹
童辉
王李胜
XIA Dan;TONG Hui;WANG Lisheng(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中国临床护理》
2022年第11期700-706,共7页
Chinese Clinical Nursing
关键词
腹膜透析
运动管理方案
证据总结
循证护理
Peritoneal dialysis
Exercise management scheme
Evidence summaries
Evidence-based nursing
