家庭步行锻炼对下肢动脉硬化闭塞症患者步行能力和生活质量影响的Meta分析  

Meta-analysis of the effects of home-based walking exercise on walking ability and quality of life in arteriosclerosis obliterans patients

作　　者：权小艳 宋攀 王丹 熊华容 张明凤 石镁虹 QUAN Xiaoyan;SONG Pan;WANG Dan;XIONG Huarong;ZHANG Mingfeng;SHI Meihong(School of Nursing,Southwest Medical University,Luzhou 646699,China;Department of Hepatobiliary Diseases,Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University,Luzhou 646099,China;West China College of Nursing,Sichuan University,Chengdu 610044,China)

机构地区：[1]西南医科大学护理学院,四川泸州646699 [2]西南医科大学附属中医医院肝胆病科,四川泸州646099 [3]四川大学华西护理学院,四川成都610044

出　　处：《老年医学研究》2023年第5期14-23,共10页Geriatrics Research

基　　金：西南医科大学校级科研项目(2021ZKMS003,下肢动脉硬化闭塞症介入术后患者自我管理评估与干预研究)。

摘　　要：目的系统评价家庭步行锻炼(HB-WE)对下肢动脉硬化闭塞症(ASO)患者步行能力和生活质量的影响。方法在中国知网、万方、维普、CBM、PubMed、Embase、Web of Science、the Cochrane Library数据库中检索、筛选自建库至2023年1月31日为止的HB-WE对ASO患者影响的随机对照试验文献,并提取所需数据。用Cochrane协作网风险偏倚评价工具进行质量评价、RevMan5.4软件进行Meta分析。结果在475篇文献中,最终纳入11项研究。Meta分析结果显示,与常规护理相比,HB-WE可提高ASO患者的步行能力[6 min步行距离(MD=22.03,95%CI:3.56~40.49,P=0.02),步行障碍问卷—距离(MD=9.49,95%CI:2.89~16.08,P=0.005),步行障碍问卷—速度(MD=6.63,95%CI:0.65~12.60,P=0.03),步行障碍问卷—爬楼梯(MD=7.72,95%CI:0.65~14.79,P=0.03)],但两者生活质量量表身体功能评分差异无统计学意义(MD=1.26,95%CI:-4.33~6.84,P=0.66)。结论HB-WE可提高ASO患者步行能力,但在提高生活质量方面尚无明显优势,还需更多的研究来论证。Objective To systematically evaluate the effect of home-based walking exercise(HB-WE)on walking ability and quality of life in patients with arteriosclerosis obliterans(ASO).Methods The randomized controlled trials on the impact of HB-WE on ASO patients in CNKI,WanFang,VIP,CBM,PubMed,Embase,Web of Science and the Cochrane Library databases were searched and the required data were extracted.The search time limit was the self-built da⁃tabase until January 31,2023.Quality evaluation was performed with the Cochrane collaboration net risk bias evaluation tool and meta-analysis was performed with RevMan5.4 software.Results Out of 475 articles,11 studies were finally in⁃cluded.Meta-analysis showed that compared to routine and nursing,HB-WE improved the walking ability of ASO patients with six-minute walk distance(MD=22.03,95%CI:3.56-40.49,P=0.02),Walking Impairment Questionnairewiq(WIQ)distance score(MD=9.49,95%CI:2.89-16.08,P=0.005),WIQ speed score(MD=6.63,95%CI:0.65-12.60,P=0.03),WIQ stair climbing score(MD=7.72,95%CI:0.65-14.79,P=0.03).However,there was no signifi⁃cant difference between the two groups in Short Form-36 physical functioning score(MD=1.26,95%CI:-4.33-6.84,P=0.66).Conclusion HB-WE can improve the walking ability of ASO patients,but there is no obvious advantage in im⁃proving the quality of life,which more studies should be demonstrated.

关 键 词：家庭步行锻炼 下肢动脉硬化闭塞症 步行能力 6 min步行距离 步行障碍 身体功能 生活质量 

分 类 号：R654.4[医药卫生—外科学]