肺癌患者术前呼吸训练管理的最佳证据总结  

Evidence summary for preoperative breathing exercise management in lung cancer patients

作　　者：殷静静[1] 吕芳芳[2] 杨丽娟[3] Yin Jingjing;Lyu Fangfang;Yang Lijuan(Chest Surgery,Shandong Provincial Hospital,Affiliated to Shandong University,Jinan 250021,China;Cardiac Surgery Care Unit,Shandong Provincial Hospital,Affiliated to Shandong University,Jinan 250021,China;Nursing Department,Shandong Provincial Hospital,Affiliated to Shandong University,Jinan 250021,China)

机构地区：[1]山东大学附属省立医院胸外科,济南250021 [2]山东大学附属省立医院心外监护室,济南250021 [3]山东大学附属省立医院护理部,济南250021

出　　处：《中华现代护理杂志》2020年第9期1166-1170,共5页Chinese Journal of Modern Nursing

摘　　要：目的检索和分析肺癌患者术前呼吸训练的相关证据,并对最佳证据进行总结,为临床医护人员对肺癌患者术前呼吸训练的管理提供参考。方法计算机检索UpToDate、Cochrane Library、PubMed等数据库中关于肺癌患者术前呼吸训练的所有证据,包括指南、专家共识、证据总结、系统评价及与证据密切相关的原始研究。检索时间为建库至2019年2月1日。结果共纳入证据8篇,包括临床决策1篇,指南1篇,专家共识3篇,系统评价2篇,原始研究1篇。肺癌患者术前呼吸训练的证据主要为呼吸训练的方法、强度及频率等。结论所有纳入研究的证据均显示肺癌患者术前呼吸训练是有益的,医护人员应基于循证及临床情境制定合理的呼吸训练方案,以使肺癌患者术前的呼吸训练管理更科学、有效。Objective To retrieve and analyze the evidence of preoperative breathing exercise in lung cancer patients,and to summarize the best evidence so as to provide a reference for medical staff to manage preoperative breathing exercise of lung cancer patients.Methods Evidences on preoperative breathing exercise of lung cancer patients were retrieved in the UpToDate,Cochrane Library,PubMed from building database to 1st February 2019,such as guidelines,expert consensus,evidence summaries,systematic reviews,primary studies on evidence.Results A total of 8 evidences were included,one clinical decision,one guideline,three expert consensus,two systematic reviews and one primary study.Evidences of preoperative breathing exercise in lung cancer patients were mainly methods,intensity and frequency of breathing exercise.Conclusions The included evidences showed that it is benefit for lung cancer patients to do preoperative breathing exercise.Medical staff should formulate reasonable breathing exercise plan based on evidence and clinical situation to provide scientifically and effectively preoperative breathing exercise management for lung cancer patients.

关 键 词：呼吸训练 肺癌 术前 循证 

分 类 号：R473[医药卫生—护理学] R734[医药卫生—临床医学]