幼年特发性关节炎患儿身体活动的最佳证据总结  

Best evidence summary of physical activity among children with juvenile idiopathic arthritis

作　　者：张碧霞 金燕樑[1] 刘佐嘉 崔恒梅 陈昊洋 沈碧玉 Zhang Bixia;Jin Yanliang;Liu Zuojia;Cui Hengmei;Chen Haoyang;Shen Biyu(Department of Rheumatology and Immunology,Shanghai Children′s Medical Center,School of Medicine,Shanghai Jiao Tong University,Shanghai 200120,China)

机构地区：[1]上海交通大学医学院附属上海儿童医学中心风湿免疫科,上海200120

出　　处：《护理学杂志》2023年第19期40-43,70,共5页Journal of Nursing Science

基　　金：上海高水平地方高校创新团队项目(SHSMU-ZDCX20212800);2022年上海交通大学医学院护理学科人才队伍建设项目(沪交医护[2022]1号)。

摘　　要：目的总结幼年特发性关节炎患儿身体活动的相关证据,为临床医护人员提供参考。方法提出临床问题,根据6S证据金字塔模型对幼年特发性关节炎患儿身体活动的相关证据进行检索,对纳入的文献进行质量评价,对证据进行提取及汇总。结果共纳入13篇文献,其中包括1篇最佳实践报道、3篇指南以及9篇系统评价。汇总形成16条幼年特发性关节炎患儿身体活动的最佳证据,包括幼年特发性关节炎患儿物理治疗、身体活动时机、活动时间、活动强度、活动方式与类型、活动频率、活动场所、活动注意事项、依从性管理9个方面。结论汇总的幼年特发性关节炎患儿身体活动最佳证据,可为医护人员指导患儿进行适量的身体活动提供循证依据。Objective To summarize evidence regarding physical activity among childern with juvenile idiopathic arthritis(JIA),and to provide references for healthcare professionals.Methods The researchers asked a clinical question,searched for evidence related to physical activity in JIA children based on the 6S evidence pyramid,and then appraised the quality of the included literature,extracted and summarized the evidence.Results A total of 13 publications(1 best practice report,3 guidelines and 9 systematic reviews),were included.A total of 16 pieces of best evidence on physical activity in JIA children were synthesized,including physical therapy,the timing,duration,intensity,types,frequency,and sites of physical activity,precautions for physical activity,and adherence management.Conclusion The summarized best evidence for managing physical activity among childern with JIA provides an evidence-based basis for healthcare professionals to guide children to engage in an appropriate amount of physical activity.

关 键 词：儿童 幼年特发性关节炎 身体活动 物理治疗 有氧运动 抗阻运动 证据总结 

分 类 号：R473.72[医药卫生—护理学]