运动干预在老年冠心病患者康复中应用的范围综述  

Application of exercise intervention in the rehabilitation of elderly patients with coronary heart disease:a scoping review

作　　者：张锐 罗仕兰[1] 王灿 任颖 周世群[1] 娄兰兰 张程佳 杨丽娜 Zhang Rui;Luo Shilan;Wang Can;Ren Ying;Zhou Shiqun;Lou Lanlan;Zhang Chengjia;Yang Lina(Department of Geriatrics,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Scientific Research Management Office,Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第二医院老年医学科,重庆400010 [2]重庆医科大学科研处,重庆400016

出　　处：《保健医学研究与实践》2024年第11期144-150,共7页Health Medicine Research and Practice

基　　金：国家自然科学基金项目(82302219)。

摘　　要：目的对运动干预在老年冠心病患者康复中应用的研究进行范围综述,为医护人员今后开展相关干预提供参考。方法根据范围综述的研究方法,检索CINAHL、Web of Science、Embase、Pub Med,中国知网、万方数据库和维普数据库,检索建库至2024年6月的研究,对检索出的研究文献进行筛选、汇总和分析。结果共纳入26篇文献,包括随机对照试验16篇,类实验研究10篇。老年冠心病患者运动干预的内容包括运动干预前的准备,运动训练的类型,运动过程中的监测,运动时的频率、强度,运动干预的场所,运动干预相关结局指标等。结论运动干预对老年冠心病患者有积极作用,有助于促进老年冠心病患者康复进程,降低心脏不良事件发生率。老年冠心病患者运动干预内容尚存在差异性,未来研究需进一步优化运动干预内容,根据患者病情和身体状况,制定老年冠心病患者运动训练的最佳方案。Objective To conduct a scoping review of studies on the application of exercise intervention in the rehabilitation of elderly patients with coronary heart disease(CHD),providing a reference for healthcare professionals to implement related interventions in the future.Methods Following the methodology of scoping reviews,databases including CINAHL,Web of Science,Embase,PubMed,CNKI,Wanfang,and VIP were searched for research published from database inception to June 2024.The retrieved studies were screened,summarized,and analyzed.Results A total of 26 studies were included,comprising 16 randomized controlled trials and 10 quasi-experimental studies.The content of exercise interventions for elderly CHD patients included pre-intervention preparation,types of exercise training,monitoring during exercise,frequency and intensity of exercise,settings for exercise intervention,and related outcome measures.Conclusion Exercise intervention has a positive effect on elderly CHD patients,promoting their rehabilitation process and reducing the incidence of adverse cardiac events.However,there is variability in the content of exercise interventions for elderly CHD patients.Future research should further optimize exercise intervention protocols and develop the best exercise training plans tailored to patients'conditions and physical status.

关 键 词：冠心病 老年人 运动干预 康复护理 范围综述 

分 类 号：R473.5[医药卫生—护理学]