产后身体活动最佳证据研究  

Research on postpartum physical activities based on the best evidence

作　　者：耿小婷 李淑英[1] 张金燕[1] 郭艳巍[1] GENG Xiaoting;LI Shuying;ZHANG Jinyan;GUO Yanwei(The Affiliated Hospital of Chengde Medical College,Chengde,Hebei 067000,China)

机构地区：[1]承德医学院附属医院,河北承德市067000

出　　处：《中国康复理论与实践》2022年第7期809-815,共7页Chinese Journal of Rehabilitation Theory and Practice

基　　金：河北省卫健委2021年度医学科学研究指令性课题(No.20210245)。

摘　　要：目的总结并评价产后体育活动和锻炼方案的最佳证据。方法检索JBI、UpToDate、Cochrane Library、国际妇产科联盟、美国卫生保健政策研究所、英国皇家妇产科医师协会、美国妇产科医师协会、安大略注册护士协会、世界卫生组织、澳大利亚健身协会、英国国家卫生医疗质量标准署、Web of Science、PubMed、CINAHL、医脉通、中国知网、万方等与产后体育活动和锻炼方案相关的文献,检索时限至2021年10月。2名研究人员分别采用AGREEⅡ、AMSTAR、JBI循证卫生保健中心质量评价工具独立对文献进行质量评价。结果共纳入15篇文献,包括4项随机对照试验、4项系统评价、1项横断面研究、1项证据总结、4项指南、1项专家共识。汇总28条证据,包括产后体育活动和锻炼的意义、障碍因素、评估、锻炼方式、强度与时间、注意事项6个方面。结论产后获得正确的运动锻炼知识对于促进妇女的健康和生活质量非常重要。建议证据应用时结合具体情况进行筛选,制订个体化的体育活动和锻炼方案。Objective To summarize and evaluate the best evidence for postpartum physical activity and exercise regimens.Methods Literatures of postpartum sports and exercise programs were searched from JBI,UpToDate,Cochrane Library,International Federation of Gynecology and Obstetrics(FIGO),The Agency for Healthcare Research and Quality(AHRQ),Royal College of Obstetricians and Gynaecologists(RCOG),American Collage of Obstetricians and Gynecologists(ACOG),Registered Nurses’Association of Ontario(RNAO),World Health Organization(WHO),Fitness Australia(FA),National Institute for Health and Care Excellence(NICE),Web of Science,PubMed,CINAHL,Medlive,CNKI,and Wanfang Data,from database inception to October,2021.Two researchers independently evaluated the literature quality according to the tool of the Appraisal of Guidelines for Research&Evaluation Instrument(AGREEⅡ),A Measurement Tool to Assess Systematic Reviews(AMSTAR),and Joanna Briggs Institute Critical Appraisal Checklist.Results A total of 15 articles were selected,including four randomized controlled trials,four systematic reviews,one cross-sectional study,one evidence summary,four guidelines,and one expert consensus.A total of 28 pieces of evidence were summarized,including the significance of postpartum physical activity and exercise,obstacle factors,assessment,exercise style,intensity and timing,and precautions.Conclusion Knowledge of exercise after delivery is important to promote women’s health and quality of life.It is recommended that the evidence be screened on a case-by-case basis and that an individualized programme of physical activity and exercise be developed.

关 键 词：产妇 体育活动 锻炼 证据总结 

分 类 号：R714.6[医药卫生—妇产科学]