全髋关节置换术患者运动方案的构建  

Development of exercise programs for patients with total hip replacement at different stages

作　　者：陈晓玲[1] 刘巧梨[1] 肖万莲 桂自珍[1] 黄天雯[2] Chen Xiaoling;Liu Qiaoli;Xiao Wanlian;Gui Zizhen;Huang Tianwen(Department of Joint Surgery,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China;Department of Bone microsurgery,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,Guangdong Province,China)

机构地区：[1]中山大学附属第一医院关节外科,广东广州510080 [2]中山大学附属第一医院骨显微医学部,广东广州510080

出　　处：《现代临床护理》2024年第9期37-44,共8页Modern Clinical Nursing

基　　金：中山大学附属第一医院柯麟“导航”护理人才培育计划项目,项目编号为KLHL2023CB03。

摘　　要：目的制定全髋关节置换术患者运动锻炼方案,以促进患者术后康复和功能恢复。方法根据“6S”证据金字塔模型,采用计算机自上而下系统检索BMJ Best Practice、UpToDate、乔安娜布里格斯研究所循证卫生保健中心数据库(Joanna Briggs institute evidence-based practice database,JBI),英国国家卫生与临床优化研究所(national institute for health and care excellence,NICE)网站,国际指南协作网(guidelines international network,GIN),美国国立指南库(national guideline clearinghouse,NGC)和苏格兰院际间指南网(Scottish intercollegiate guidelines network,SIGN),医脉通,Cochrane Library,Embase,PubMed,CINAHL,Web of Science,中国知网,中国生物医学文献服务系统,万方数据知识服务平台和维普数据库,筛选出全髋关节置换术患者运动相关文献。由3名研究者独立评估文献并提取证据,初步形成运动方案。采用德尔菲法进行2轮函询,构成运动方案。结果构建了全髋关节置换术患者术前、术后第1阶段(术后1w内)、术后第2阶段(术后第2~6w)、术后第3阶段(术后第7~12w)的具体运动锻炼方案,共41个条目。结论本研究构建的全髋关节置换术患者运动锻炼方案具有科学性和合理性,可为相关领域的医护人员和患者提供参考。Objective To develop exercise programs for patients with total hip replacement at different stages in order to promote postoperative rehabilitation and functional recovery.Methods According to the“6S”evidence pyramid model,using computer,a systematic search was conducted using computer-based top-down methods across BMJ Best Practice,Up To Date,the Joanna Briggs Institute evidence-based practice database(JBI),the Centre for Evidence-Based Healthcare,the National Institute for Health and Care Excellence(NICE)website,the Guidelines International Network(GIN),the National Guideline Clearinghouse(NGC),the Scottish Intercollegiate Guidelines Network(SIGN),Medlive,Cochrane Library,Embase,PubMed,CINAHL,Web of Science,China National Knowledge Infrastructure(CNKI),China Biomedical Literature Service System,Wanfang Data Knowledge Service Platform,and VIP Database,to select literature related to exercise for patients undergoing total hip replacement.Three researchers independently assessed these documents and extracted evidence to preliminarily form exercise programs.The Delphi method was used to further validate the scientific and practical aspects of the exercise programs by two rounds of consultation.Results Specific exercise programs for patients undergoing total hip replacement were developed for the preoperative stage,postoperative 1(within 1 week after operation),postoperative stage 2(2-6 weeks after operation),and postoperative stage 3(7-12 weeks after operation),with toatal 41 items.Conclusion The exercise programs developed in this study are scientifically sound and reasonable.They can provide reference for medical staff and patients in related fields.

关 键 词：全髋关节置换术 运动 康复 运动方案 

分 类 号：R473.6[医药卫生—护理学]