慢性非特异性腰背痛患者运动管理的最佳证据总结  

Exercise management in patients with chronic nonspecific low back pain:a summary of best evidence

作　　者：王立庆 马桂云[2] 商博坤 罗洁玲 Wang Liqing;Ma Guiyun;Shang Bokun;Luo Jieling(School of Nursing,Chengde Medical University,Chengde 067000,Hebei Province,China;Department of Minimally Invasive Spine Surgery,the Affiliated Hospital of Chengde Medical University,Chengde 067000,Hebei Province,China)

机构地区：[1]承德医学院护理学院,河北承德067000 [2]承德医学院附属医院微创脊柱外科,河北承德067000

出　　处：《现代临床护理》2025年第1期77-84,共8页Modern Clinical Nursing

基　　金：河北省医学科学研究课题计划项目,项目编号为0241869;河北省自然科学基金项目,H2022406038。

摘　　要：目的 检索、评价和总结慢性非特异性腰背痛患者运动管理的最佳证据,为医护人员临床实践提供循证依据。方法 按照“6S”证据金字塔模型,检索计算机决策系统,包括BMJ Best Practice,UpToDate,循证资源数据库包括乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心数据库,Cochrane Library;指南网包括世界卫生组织(World Health Organization,WHO),英国国家临床医学研究所(National Institute for Health and Care Excellence,NICE),加拿大安大略注册护士协会指南网(Registered Nurses’ Association of Ontario,RNAO),国际指南协作网(Guideline International Network,GIN),加拿大医学会临床实践指南信息库(Canadian Medical Association Clinical Practice Guidelines Infobase,CPG),苏格兰院际指南网(Scottish Intercollegiate Guidelines Network,SIGN),新西兰指南协作组(New Zealand Guidelines Group,NZGG),美国指南网(Agency for Healthcare Research and Quality,AHRQ),医脉通指南网;专业协会网站包括北美脊柱外科协会(the North American Spine Society,NASS),中国疼痛研究会(Chinese Association for the Study of Pain,CASP),美国疼痛与神经科学学会(American Society of Pain and Neuroscience,ASPN);综合数据库包括PubMed,CINAHL,Embase,Web of Science,CNKI,万方,维普,SinoMed。检索主题为慢性非特异性腰背痛患者运动管理的指南、专家共识、系统评价、临床决策、证据总结与临床试验研究。检索时限为建库至2024年2月29日。由2名经过系统循证方法学培训的研究者采用相应的文献质量评价工具进行评价,提取并汇总证据,并经循证研究小组讨论确认证据及其推荐级别。结果 共纳入15篇文献,其中指南5篇,专家共识3篇,系统评价1篇,临床决策2篇,证据总结4篇;总结出包括运动评估、运动类型、运动频率、运动强度、注意事项、健康教育6个方面31条证据。结论 汇总的慢性非特异性腰背痛患者运动管理的最佳Objective To retrieve,evaluate and summarise the best evidence for exercise management in patients with chronic non-specific low back pain,and to provide an evidence-based knowledges for healthcare professionals in clinical practice.Methods According to“6S”model systematic searches on BMJ Best Practice,UpToDate,Joanna Briggs Institute evidence-based Healthcare Centre Database,Cochrane library,World Health Organization,National Institute for Health and Care Excellence,Registered Nurses’Association of Ontario,Guideline International Network,Canadian Medical Association Clinical Practice Guidelines Infobase,Scottish Intercollegiate Guidelines Network,New Zealand Guidelines Group,Agency for Healthcare Research and Quality,Medlive,the North American Spine Society,Chinese Association for the Study of Pain,American Society of Pain and Neuroscience,PubMed,CINAHL,Embase,Web of Science,China National Knowledge Infrastructure,Wanfang Data,VIP,SinoMed in exercise management for patients with chronic nonspecific low back pain,expert consensus,systematic reviews,clinical decisions and evidence summaries were conducted,with a search timeframe of the inception of databases to 29 th February 2024.Two graduate nursing students trained in systematic evidence-based methodology independently conducted literature quality assessment,evidence review and extraction using literature quality assessment tools such as the JBI Centre for Evidence-Based Healthcare,and consolidated the evidence after discussion by the evidence-based research team.Results A total of 15 papers were included in the literature,including 5 guidelines,3 expert consensus,1 systematic review,4 evidence summaries and 2 clinical decisions,and 31 pieces of evidence were summarised,including 6 aspects of exercise assessment,the type,frequency and intensity of exercise,precautions and health awareness.Conclusion This study summarises the best evidence for exercise management in patients with chronic nonspecific low back pain,and provides an evidence-based knowledges f

关 键 词：慢性非特异性腰背痛 运动 管理 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]