烧伤肢体功能障碍患者康复运动方案的最佳证据总结  

Summary of the best evidence for rehabilitation exercise programs in patients with burn limb dysfunction

作　　者：张凤娃[1] 独焕 张红霞 王雪辰 ZHANG Fengwa;DU Huan;ZHANG Hongxia;WANG Xuechen(Second Ward of Burns Department&Department of Plastic and Reconstructive Surgery,Gansu Provincial People's Hospital,Lanzhou 730000,Gansu,China;College of Nursing,Gansu University of Chinese Medicine,Lanzhou 730000,Gansu,China;College of Nursing,Lanzhou University,Lanzhou 730000,Gansu,China)

机构地区：[1]甘肃省人民医院烧伤科二病区/整形外科,甘肃兰州730000 [2]甘肃中医药大学护理学院,甘肃兰州730000 [3]兰州大学护理学院,甘肃兰州730000

出　　处：《护士进修杂志》2024年第19期2091-2097,2102,共8页Journal of Nurses Training

基　　金：甘肃省人民医院院内科研基金项目(编号:23GSSYC-6)。

摘　　要：目的 总结烧伤肢体功能障碍患者康复运动方案的最佳证据。方法 按“6S”模型系统检索国内外数据库和专业网站中有关烧伤肢体功能康复的证据,包括指南、专家共识、证据总结、临床决策、推荐实践及系统评价。检索时限为建库至2023年6月15日。由2名研究者独立对纳入的文献进行质量评价,并对符合条件的文献进行证据提取。结果 共纳入17篇文献,包括13篇指南、1篇专家共识、1篇推荐实践、2篇系统评价,从运动的必要性、运动计划、早期活动与康复、运动评估、运动方式、运动处方实施、早期下床活动、特殊部位的护理、运动安全监测、注意事项、效果评价、随访12个方面汇总了41条证据。结论 本研究总结了烧伤肢体功能障碍患者康复运动方案的最佳证据,可用于临床烧伤肢体功能康复运动过程中,但建议医务工作者应用证据时需结合临床情景,充分考虑患者情况和意愿制定个体化的康复运动方案。Objective To summarize the best evidence on rehabilitation exercise programs for patients with burned limb dysfunction.Methods A systematic search of domestic and international databases and specialized websites for evidence on functional rehabilitation of burned limbs was performed according to the"6S"model,including guidelines,expert consensus,evidence summaries,clinical decision-making,recommended practices,and systematic evaluations.The search period was from the establishment of database to June 15,2023.The quality of the included literature independently evaluated by 2 researchers,and the evidence was extracted from the eligible literature.Results A total of 17 articles were included in the literature,including 13 guidelines,1 expert consensus,1 recommended practice,and 2 systematic evaluations,and 41 pieces of evidence were summarized in 12 areas,including the need for exercise,exercise programs,early activity and rehabilitation,exercise assessment,exercise modalities,exercise prescription implementation,early out-of-bed activities,care of special areas,exercise safety monitoring,precautions,evaluation of effectiveness,and follow-up.Conclusion The best evidence of rehabilitation exercise program for patients with burn limb dysfunction are summarized in this study,and can be used in the process of clinical burn limb function rehabilitation exercise,but it is recommended that medical practitioners need to combine the evidence with clinical scenarios when applying the evidence,and fully consider the patient's situation and willingness to formulate an individualized rehabilitation exercise program.

关 键 词：烧伤 肢体功能障碍 康复运动 运动方案 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]