围手术期肺癌患者呼吸功能锻炼的最佳证据总结  

Summary of the best evidence for respiratory exercise in patients with perioperative lung cancer

作　　者：徐梅 林雯雯 刘海婷 叶林斌 宁丽[2] 王莉[2] 陈雨静 汤阿毛[4] 夏云 XU Mei;LIN Wenwen;LIU Haiting;YE Linbin;NING Li;WANG Li;CHEN Yujing;TANG Amao;XIA Yun(School of Nursing,Zhejiang Chinese Medical University,Hangzhou 310053,China;Nursing Department,Hangzhou First People's Hospital,Hangzhou 310006,China;Department of Hepatobiliary and Pancreatic Surgery,Hangzhou First People's Hos-pital,Hangzhou 310006,China;Department of Gastroenterology,Hangzhou First People's Hospital,Hangzhou 310006,China;Nursing Department,Hangzhou Tumor Hospital,Hangzhou 310002,China)

机构地区：[1]浙江中医药大学护理学院,杭州市310053 [2]杭州市第一人民医院护理部,310006 [3]杭州市第一人民医院肝胆胰外科,310006 [4]杭州市第一人民医院消化内科,310006 [5]杭州市肿瘤医院护理部,310002

出　　处：《护理管理杂志》2024年第5期430-436,共7页Journal of Nursing Administration

基　　金：浙江省基础公益研究计划项目(LGF22H160079);浙江省医药卫生科技计划项目(2021KY233)。

摘　　要：目的运用循证方法整合围手术期肺癌患者呼吸功能锻炼的最佳证据。方法系统检索中英文数据库和指南网站中有关围手术期肺癌患者呼吸功能锻炼的相关证据,检索时限为建库至2023年11月8日。由两名研究者对符合标准的文献进行质量评价,独立逐篇阅读,逐条提取证据内容,并根据主题共同整理与归纳证据。结果共纳入21篇文献,包括指南2篇、专家共识3篇、系统评价11篇、临床决策1篇、证据总结4篇。最终从评估、多学科协作团队、锻炼原则、锻炼方式、呼吸锻炼方案、监督管理、效果监测、注意事项8个方面共总结出25条最佳证据。结论研究归纳整合的国内外围手术期肺癌患者呼吸功能锻炼最佳证据有益于临床护理实践,可推广应用。Objective To use evidence-based methods to integrate the best evidence of respiratory exercise in patients with periopera⁃tive lung cancer.Methods The relevant evidence of respiratory exercise in patients with perioperative lung cancer was systematically searched from both Chinese and English databases and guideline websites from the establishment of the database to November 8,2023.Two re⁃searchers evaluated the quality of the literatures that met the criteria,read them independently,extracted the evidence one by one,and sorted and summarized the evidence together according to the theme.Results A total of 21 articles were included,including 2 guidelines,3 expert consensus,11 systematic reviews,1 clinical decision,and 4 evidence summaries.Finally,25 best evidences were obtained from 8 aspects:eval⁃uation,multidisciplinary team,exercise principles,exercise methods,breathing exercise program,supervision and management,effect monito⁃ring,and precautions.Conclusion The study summarizes and integrates the best evidence of respiratory function exercise in patients with pe⁃ripheral lung cancer at home and abroad,which is beneficial to clinical nursing practice and can be popularized.

关 键 词：肺癌 呼吸功能锻炼 围手术期 最佳证据 循证护理 

分 类 号：R473.73[医药卫生—护理学] R734.2[医药卫生—临床医学]