乳腺癌术后患者淋巴水肿防治的居家运动专家共识  

Expert consensus on home exercise for prevention and rehabilitation of breast cancer related lymphedema/Cancer Rehabilitation Integrated Nursing Committee of Chinese Anti-Cancer Association

作　　者：中国抗癌协会肿瘤康复整合护理专业委员会 王影新[2] 刘飞 武佩佩 张丽娟[5] 杨福娜 叶丽 WANG Yingxin;LIU Fei;WU Peipei;ZHANG Lijuan;YANG Funa;YE Li

机构地区：[1]不详 [2]北京大学第一医院护理部,北京市100034 [3]北京大学第一医院甲状腺乳腺外科,北京市100034 [4]天津医科大学肿瘤医院乳腺康复诊区 [5]中山大学肿瘤防治中心乳腺科 [6]郑州大学附属肿瘤医院/河南省肿瘤医院护理部 [7]四川省肿瘤医院放疗科

出　　处：《中华护理杂志》2025年第5期558-560,共3页Chinese Journal of Nursing

摘　　要：目的制订乳腺癌术后患者淋巴水肿防治的居家运动专家共识(以下简称“共识”),为规范乳腺癌术后患者淋巴水肿防治提供借鉴。方法基于循证方法,系统检索国内外指南网、数据库中关于乳腺癌相关淋巴水肿居家运动管理的证据,检索时限为建库至2023年10月。通过文献筛选、质量评价、证据提取和证据综合对证据内容进行汇总,形成“共识”初稿。通过专家论证会、2轮专家函询对“共识”初稿内容进行修改、完善,形成“共识”终稿。结果“共识”包括居家运动评估、居家运动管理、居家运动原则、居家运动方式、居家运动意义5个维度,共22个条目。结论该“共识”的构建过程科学、方法严谨,可为促进乳腺癌患者开展淋巴水肿居家运动管理提供指导依据,确保居家运动康复的安全、有效实施。Objective To establish an expert consensus on home exercise for prevention and rehabilitation of breast cancer related lymphedema.Methods Evidence-based nursing method was used to systematically retrieve and evaluate relevant studies in databases and guideline networks,with a search period from the establishment of the databases to October 2023.Evidence was synthesized to form the expert consensus draft after literature screening,quality evaluation,evidence extraction and evidence integration.Then the final draft was formed through expert discussion meeting and 2 rounds of expert letter consultation.Results The consensus includes 5 dimensions with a total of 22 items,involving evaluation of home exercise,management of home exercise,principles of home exercise,program of home exercise and significance of home exercise.Conclusion This“consensus”was constructed in a scientific and rigorous way,and can provide guidance for promoting the home exercise for prevention and rehabilitation of breast cancer related lymphedema,and ensure the safe and effective implementation of home exercise rehabilitation.

关 键 词：乳腺癌相关淋巴水肿 运动 康复 居家护理 专家共识 

分 类 号：R73[医药卫生—肿瘤]