肺癌患者围手术期肺康复的最佳证据总结  

Summary of the best evidence of pulmonary rehabilitation for lung cancer patients in the perioperative period

作　　者：杨卓婧 李银鲜[2] 王菊子[1] 王李莉 YANG Zhuojing;LI Yinxian;WANG Juzi;WANG Lili(Department of Nursing,Shanxi Provincial People's Hospital,Taiyuan 030012,Shanxi,China)

机构地区：[1]山西省人民医院护理部,山西太原030012 [2]山西省人民医院风湿免疫科,山西太原030012

出　　处：《护士进修杂志》2025年第3期327-333,共7页Journal of Nurses Training

摘　　要：目的检索、评价和总结肺癌患者围手术期肺康复(pulmonary rehabilitation,PR)的最佳证据。方法采用PIPOST模式确定循证问题,根据循证“6S”金字塔模型从上到下逐层系统检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、中国指南网、医脉通指南网、BMJ Best Practice、Up To Date、国际指南协作网、国际胸外科学会等国内外循证资源和数据库中关于肺癌患者围手术期PR的证据,并由2名接受过循证护理培训的研究者对纳入文献独立进行质量评价、证据提取与汇总。检索时限为建库至2023年8月1日。结果共纳入14篇文献,包括1篇临床决策、3篇指南、5篇专家共识、1篇证据总结、4篇系统评价。总结出PR目的、康复时机、治疗团队、动态评估、术前康复训练、术后康复训练、全程综合性康复训练7个维度共20条证据。结论本研究总结了肺癌患者围手术期PR的最佳证据,具有一定的科学性和全面性,可为围手术期的肺癌患者提供全面的PR措施提供循证依据和参考。但建议医务人员在应用和转化证据时,充分考虑患者实际情况选择证据,并及时更新相关证据。Objective To retrieve,appraise,and summarize the best evidence regarding pulmonary rehabilitation(PR)for lung cancer patients in the perioperative period.Methods Taking the PIPOST model to identify evidence-based questions,the evidence on PR in lung cancer patients during the perioperative period across various domestic and international evidence-based resources and databases,including CNKI,Wanfang Data,VIP,China Biology Medicine Literature Database,China Guidelines,Medlive Guidelines,BMJ Best Practice,Up To Date,International Guideline Collaboration Network,and International Association for Thoracic Surgery were systematically searched according to the evidence-based"6S"pyramid model starting from the top layer and moving downwards,and 2 researchers trained in evidence-based nursing independently conducted quality assessments,evidence extraction,and summarization of included literatures.The search period extended from the inception of the databases to August 1,2023.Results A total of 14 articles were included,comprising 1 clinical decision,3 guidelines,5 expert consensuses,1 evidence summary,and 4 systematic reviews.Twenty pieces of evidence across 7 dimensions were extracted:PR objectives,timing of rehabilitation,treatment team,dynamic assessment,preoperative rehabilitation interventions,postoperative rehabilitation interventions,and comprehensive rehabilitation interventions throughout the entire process.Conclusion This study has summarized the best evidence for PR in lung cancer patients during the perioperative period,which is certainly scientific and comprehensive,providing evidence-based support and references for comprehensive PR measures in perioperative lung cancer patients.However,it is recommended that healthcare professionals consider the actual conditions of patients when applying and translating evidence,and update relevant evidence in a timely manner.

关 键 词：肺癌 肺康复 围手术期 证据总结 循证护理 

分 类 号：R473.56[医药卫生—护理学] R473.73[医药卫生—临床医学]