肿瘤相关性肌少症患者运动管理的最佳证据总结  

Summary of the best evidence for exercise management in patients with tumor-associated sarcopenia

作　　者：杨丽红 郝素娟[1] 杨雪芳[2] 郝书婕 丁欢 谷斌 顾晓莲 Yang Lihong;Hao Sujuan;Yang Xuefang;Hao Shujie;Ding Huan;Gu Bin;Gu Xiaolian(Oncology Department,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215008,China;Nursing Department,the Affiliated Suzhou Hospital of Nanjing Medical University,Suzhou 215008,China;Traditional Chinese Medicine Nursing Teaching and Research Office,Anhui University of Chinese Medicine,Hefei 230011,China)

机构地区：[1]南京医科大学附属苏州医院肿瘤内科,苏州215008 [2]南京医科大学附属苏州医院护理部,苏州215008 [3]安徽中医药大学中医护理教研室,合肥230011

出　　处：《中华现代护理杂志》2024年第5期624-631,共8页Chinese Journal of Modern Nursing

基　　金：2023年度苏州市护理学会姑苏护理人才"青苗"计划(SHQM202307)。

摘　　要：目的总结肿瘤相关性肌少症运动管理的最佳证据,为医护人员制订个体化运动干预方案提供参考。方法计算机检索BMJ Best Practice、UpToDate、Cochrane Library、Embase、PubMed、CINAHL、中国生物医学文献数据库、中国知网、万方数据库、美国国立指南网、苏格兰校际指南网等数据库和网站中关于肿瘤相关性肌少症患者运动干预的文献,包括临床决策、指南、专家共识、证据总结及系统评价,检索时限为建库至2023年4月23日。由2名研究者独立进行文献质量评价、证据提取及整合。结果共纳入12篇文献,其中指南4篇、专家共识3篇、系统评价5篇。从运动评估、运动时机、运动方案、运动管理及评价指标5个方面总结了32条证据。结论本研究总结了肿瘤相关性肌少症患者运动干预的最佳证据,建议医护人员结合临床情境及患者意愿应用证据。Objective To summarize the best evidence of exercise management of tumor-associated sarcopenia and provide reference for medical personnel to formulate individualized exercise intervention plans.Methods BMJ Best Practice,UpToDate,Cochrane Library,Embase,PubMed,CINAHL,China Biology Medicine disc,China National Knowledge Infrastructure,Wanfang database,National Guideline Clearinghouse,Scottish Intercollegiate Guidelines Network,and other databases were searched by computer for literature on exercise intervention for patients with tumor-associated sarcopenia,including clinical decision making,guidelines,expert consensus,evidence summary and systematic reviews.The search period was from the establishment of the databases to April 23,2023.Two researchers independently conducted literature quality evaluation,evidence extraction,and integration.Results A total of 12 articles were included,including 4 guidelines,3 expert consensus papers,and 5 systematic reviews.A total of 32 pieces of evidence were summarized from five aspects,including exercise evaluation,exercise timing,exercise plan,exercise management,and evaluation indicators.Conclusions This study summarizes the best evidence for exercise intervention in patients with tumor-associated sarcopenia and suggestes that medical staff should apply the proof according to the clinical context and the patient's wishes.

关 键 词：肿瘤 肌少症 运动 证据总结 

分 类 号：R473.73[医药卫生—护理学]