上腹部手术患者肺康复的最佳证据总结  

Summary of the best evidence for pulmonary rehabilitation in patients undergoing upper abdominal surgery

作　　者：谢远喜 莫新少[2] 袁丽秀[3] 唐雯桢 滕艳娟[2] Xie Yuanxi;Mo Xinshao;Yuan Lixiu;Tang Wenzhen;Teng Yanjuan(Emergency Department,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Hepatobiliary Surgery,the First Afiliated Hospital of Guangxi Medical University,Nanning 530021,China;Department of Rehabilitation Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,China;School of Health Sciences,Universiti Sains Malaysia,Kelantan,Malaysia)

机构地区：[1]广西医科大学第一附属医院急诊科,南宁530021 [2]广西医科大学第一附属医院肝胆外科,南宁530021 [3]广西医科大学第一附属医院康复医学科,南宁530021 [4]马来西亚理科大学健康科学学院,马来西亚吉兰丹

出　　处：《中国实用护理杂志》2023年第26期2060-2066,共7页Chinese Journal of Practical Nursing

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20220499)。

摘　　要：目的总结成年人上腹部手术患者肺康复的最佳证据,为临床干预提供循证依据。方法系统检索UpToDate、Cochrane Library、Web of Science、PubMed、Embase、CINAHL、英国国家卫生与临床优化研究所、苏格兰校际指南网、美国国家综合癌症网络、国际指南协作网、医脉通、英国胸科协会、欧洲呼吸学会、美国心血管和肺康复协会、加拿大胸科学会、美国胸科学会、万方、中国知网、维普和中国生物医学文献服务网中关于上腹部手术患者肺康复的临床决策、指南、专家共识、证据总结、系统评价和随机对照试验研究,检索时限为2012年3月11日至2022年3月11日,严格评价文献质量后提取、汇总并推荐证据。结果共纳入19篇文献,包含临床决策2篇、专家共识4篇、系统评价4篇和随机对照试验研究9篇。从肺康复团队、患者评估、运动训练、呼吸肌训练、药物康复、健康教育与质量控制7个方面总结出22条证据。结论上腹部手术患者肺康复的最佳证据总结可为临床干预提供循证指导,但医护人员在应用证据时,还应根据患者实际情况制订个性化的训练方案。Objective To summarize the best evidence of pulmonary rehabilitation in adult patients undergoing upper abdominal surgery and provide evidence-based basis for clinical intervention.Methods Systematically searched clinical decisions,guidelines,expert consensus,evidence summary,systematic review and randomized controlled trial studies on pulmonary rehabilitation for patients undergoing upper abdominal surgery in UpToDate,Cochrane Library,Web of Science,PubMed,Embase,CINAHL,National Institute for Health and Clinical Excellence,Scottish Intercollegiate Guidelines Network,National Comprehensive Cancer Network,Guidelines International Network,Medlive,British Thoracic Society,European Respiratory Society,American Association for Cardiovascular and Pulmonary Rehabilitation,Canadian Thoracic Society,American Thoracic Society,WanFang Database,China National Knowledge Infrastructure,VIP Database,and China Biology Medicine.The retrieval time limit was from March 11,2012 to March 11,2022.Evidence was extracted,summarized and recommended after strict evaluation of literature quality.Results A total of 19 pieces of literature were eligible for inclusion.They were 2 clinical decisions,4 expert consensuses,4 systematic evaluations,and 9 randomized controlled studies.The best evidence included 22 recommendations in 7 dimensions,namely pulmonary rehabilitation team,patient assessment,sports training,respiratory muscle training,drug rehabilitation,health education and quality control.Conclusions Summary of the best evidence of pulmonary rehabilitation in patients undergoing upper abdominal surgery can provide evidence-based guidance for clinical intervention,but medical staff should also develop personalized training programs according to the actual situation of patients when applying the evidence.

关 键 词：上腹部手术 肺康复 证据总结 循证护理 

分 类 号：R473.5[医药卫生—护理学]