老年早期肺癌患者术前预康复的最佳证据总结  

Summary of the best evidence for preoperative prerehabilitation in elderly patients with early lung cancer

作　　者：张蕊 吴美 夏露[1] 程云[1] 沈晓咏[1] ZHANG Rui;WU Mei;XIA Lu;CHENG Yun;SHEN Xiaoyong(Huadong Hospital Affiliated to Fudan University,Shanghai 200032,China;School of Nursing,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属华东医院,上海200032 [2]复旦大学护理学院,上海200032

出　　处：《护士进修杂志》2024年第7期697-703,共7页Journal of Nurses Training

基　　金：上海市科学技术委员会临床医学研究项目(编号:21MC1930200);上海市科学技术委员会立项课题(编号:16411951200);上海申康医院发展中心临床科技创新项目(编号:SHDC22021218)。

摘　　要：目的 系统检索、提取、评价老年早期肺癌手术患者术前预康复的相关证据。方法 检索建库至2023年4月30日国内外各数据库和指南网中关于老年早期肺癌患者术前预康复的相关文献,文献类型包括指南、专家共识、证据总结、系统评价。对纳入文献的质量进行评价,并通过整合证据形成最佳证据总结。结果 依据纳入和排除标准对系统检索出的文献进行筛选后,最终纳入16篇相关文献,其中6篇指南、5篇专家共识、2篇证据总结,3篇系统评价,从预康复信息咨询、预康复前评估、运动预康复、营养预康复、心理预康复、预康复监督与评价6个方面总结出33条证据。结论 本研究提供的证据科学、全面且具有较好的临床适用性,可为医护人员开展老年早期肺癌患者术前预康复提供循证依据。Objective To systemiatically retrieve,extract,and evaluate the relevant evidence of preoperative prerehabilitation in the elderly patients with early lung cancer surgery.Methods The relevant literature on preoperative prehabilitation of elderly patients with early lung cancer in various databases and guideline networks at home and abroad was systematically searched from the establishment of the database to April 30,2023.The literature types included guidelines,expert consensuses,evidence summaries,and systematic reviews.The quality of included literatures was evaluated,and the best evidence summary was formed by integrating the evidenced.Results After screening the systematically retrieved literature according to the inclusion and exclusion criteria,16 relevant literatures were finally included,including 6 guidelines,5 expert consensuses,2 evidence summaries,and 3 systematic reviews.A total of 33 items of evidence were summarized from 6 various parts of prehabilitation information consultation,sports prehabilitation,nutrition prehabilitation,psychological prehabilitation,and prehabilitation supervision and evaluation.Conclusion The evidence provided by this research is scientific,comprehensive,and clinically applicable,which can give an evidence-based basis for medical personnel to perform preoperative prehabilitation of older patients with early lung cancer.

关 键 词：老年人 早期肺癌 预康复 循证护理学 

分 类 号：R473.73[医药卫生—护理学]