妇科癌症幸存者体力活动干预研究的范围综述  

Physical activity intervention studies in gynecological neoplasms survivors:a scoping review

作　　者：王婷[1] 冯宪凌[1] 白杨 崔婷[1] 杨鑫[2] WANG Ting;FENG Xianling;BAI yang;CUI Ting;YANG Xin(Henan Provincial People′s Hospital,Henan 450000 China)

机构地区：[1]河南省人民医院妇科,450000 [2]河南中医药大学第一附属医院,450000

出　　处：《全科护理》2024年第20期3768-3772,共5页Chinese General Practice Nursing

基　　金：2020年度河南省医学科技攻关计划项目,编号:LHGJ20200035。

摘　　要：目的:对妇科癌症幸存者体力活动的相关干预研究进行范围综述,为妇科癌症幸存者体力活动干预方案的构建提供参考。方法:以澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute, JBI)发布的证据整合手册为方法学指导框架,检索PubMed、Embase、CINAHL、Web of Science、中国生物医学文献数据库(SinoMed)、中国知网、万方及维普等中英文数据库,检索时限为从建库至2023年2月,对纳入文献进行汇总分析。结果:共纳入26篇文献,妇科癌症幸存者体力活动的干预形式以家庭个性化、标准化运动干预结合远程运动指导为主。干预时长多为10~12周或6个月。干预内容以有氧运动、抗阻运动为主。干预结局指标包括病人对干预措施的依从性、病人肌肉力量或体质指数的变化、病人癌因性疲乏程度、病人步行距离以及健康相关生活质量。结论:以家庭为基础的运动干预结合远程辅导,可消除地域限制,提供个性化指导,改善病人预后。未来制订运动方案时需延长干预后随访时间、评估干预效果是否持续以及病人对干预方案的依从性;同时注重增强病人自我效能,提高病人体力活动积极性。Objective:To summarize the research on physical activity intervention in survivors of gynecologic cancer,and so as to provide reference for the construction of physical activity intervention program for survivors of gynecologic cancer.Methods:The Evidence Integration Manual published by Joanna Briggs Institute(JBI)in Australia was used as the methodological guidance framework.Chinese and English databases such as PubMed,Embase,CINAHL,Web of science,SinoMed,CNKI,Wanfang and VIP were searched from the establishment of the database to February 2023,and the included literature were summarized and analyzed.Results:A total of 26 papers were included.The main form of physical activity intervention for gynecological cancer survivors was individualized and standardized exercise intervention at home combined with remote exercise guidance.The duration of intervention was usually 10 to 12 weeks or 6 months.The intervention contents were mainly aerobic exercise and resistance exercise.Intervention outcome indexes included patients′compliance with the intervention,changes in the patient′s muscle strength or body mass index,the patient′s degree of cancer-related fatigue,the patient′s walking distance,and health-related quality of life.Conclusions:Home-based exercise interventions combined with remote counseling can eliminate geographical constraints,provide personalized guidance,and improve patient outcomes.In the future,the follow-up time after intervention should be extended to evaluate whether the intervention effect is sustained and the patient′s compliance with the intervention program.At the same time,attention should be paid to enhancing patients′self-efficacy and improving their enthusiasm for physical activity.

关 键 词：妇科癌症 幸存者 运动 范围综述 护理 

分 类 号：R473.73[医药卫生—护理学]