摘要
目的系统检索、提取、汇总和分析老年冠心病并存衰弱患者运动康复管理的最佳证据,为冠心病并存衰弱老年患者运动决策和干预提供参考。方法遵循“6S”证据金字塔模型,由上自下循序检索国内外相关重要数据库中关于老年冠心病并存衰弱患者运动干预的文献,包括指南、证据总结、临床决策、专家共识、系统评价。由2名研究者独立进行文献筛选和质量评价,根据主题提取和汇总相关证据。结果共纳入16篇文献,包括6篇指南、4篇专家共识、1篇证据总结、4篇系统评价、1篇临床决策。汇总形成8个主题(多学科团队、运动评估、运动流程、运动强度、运动方式、运动频率与时间、运动安全、随访)共29条最佳证据。结论医护人员应结合临床实际情况及具体需求,选择最佳证据用于老年冠心病并存衰弱患者运动康复的临床实践,以减缓或逆转衰弱,提升患者生存质量。
Objective To systematically retrieve,extract,summarize and analyze the best evidence for exercise rehabilitation management in elderly patients with coexisting coronary heart disease and frailty,thereby providing a reference for exercise decision-ma-king and intervention in this population.Methods Following the"6S"evidence pyramid model,all evidence on exercise interventions for older patients with coexisting coronary heart disease and frailty was searched from top to bottom in a sequential manner from relevant national and international databases,including clinical practice guidelines,evidence summaries,clinical decision-making,expert consensus,and systematic evaluations.Literature screening and quality evaluation were conducted independently by two researchers,and relevant evidence was extracted and summarized according to themes.Results A total of 16 publications were inclu-ded,comprising 6 guidelines,4 expert consensus,1 evidence summary,4 systematic reviews,and 1 clinical decision-making.29 pieces of best evidence were summarized into 8 themes,including multidisciplinary team,exercise assessment,exercise flow,exercise intensity,exercise mode,exercise frequency and duration,exercise safety,and follow-up.Conclusion Medical staff should consider the actual clinical situation and specific needs to select the best evidence for exercise rehabilitation in elderly patients with coexisting coronary heart disease and frailty,so as to slow down or reverse frailty and improve patients′quality of life.
作者
张娜娜
周彤
王茜
许栋
Zhang Nana;Zhou Tong;Wang Xi;Xu Dong(School of Nursing,Bengbu Medical College,Bengbu 233000,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第17期19-24,共6页
Journal of Nursing Science
基金
蚌埠医学院科技项目(人文社会科学类)(2020byzd226sk)
蚌埠医学院研究生科研创新项目(Byycxz22041)。
关键词
冠心病
衰弱
运动康复
运动评估
运动强度
运动方式
证据总结
coronary heart disease
frailty
exercise rehabilitation
exercise assessment
exercise intensity
exercise mode
evidence summary
作者简介
张娜娜:女,硕士在读,主管护师;通信作者:周彤,13955217648@163.com。
