肺癌患者术前运动预康复的范围综述  

Exercise-based pre-rehabilitation before surgery for patients with lung cancer:a scoping review

作　　者：郑馨怡 罗先武[1] 卓兰芳 李雨薇 梁莹 Zheng Xinyi;Luo Xianwu;Zuo Lanfang;Li Yuwei;Liang Ying(School of Nursing,Wuhan University,Wuhan 430000,Hubei Province,China;Department of Anaesthesiology,Renmin Hospital,Wuhan University,Wuhan 430060,Hubei Province,China.)

机构地区：[1]武汉大学护理学院,湖北武汉430000 [2]武汉大学人民医院麻醉科,湖北武汉430060

出　　处：《现代临床护理》2025年第3期69-75,共7页Modern Clinical Nursing

摘　　要：目的 对肺癌患者运动预康复的相关研究进行范围综述,为制定肺癌患者标准化运动预康复方案提供参考。方法以澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心范围综述指南为方法学框架,采用计算机检索CNKI,万方,SinoMed,CINAHL,PubMed,Embase,Web of Science中有关肺癌手术患者运动预康复的文献,检索时限为建库至2024年2月29日。对检索出的文献进行筛选和信息提取。结果 共纳入20篇文献。肺癌患者运动预康复主要分为单模式的运动预康复和结合运动、营养、心理干预和健康行为干预等的多模式预康复;运动预康复干预时间多为术前2~3w,频率为3~5次/周,结局评价指标主要包括呼吸功能、活动能力、生活质量、心理状态、术后并发症等。结论 运动预康复在肺癌手术患者中的应用是可行的、有效的,且有助于改善患者的身体功能。未来研究应注重构建以患者为中心的标准化运动预康复方案。Objective To review literature on exercise-based pre-rehabilitation before surgery in patients with lung cancer,hence to provide a guidance for development of standardised programs for pre-rehabilitative exercise.Methods Following the Australian JBI Evidence-based Health Care Centre Scope Review guidelines,a comprehensive search was conducted across the databases of PubMed,Embase,Web of Science,CINAHL,CNKI,WanFang Data and SinoMed.The search covered the inception of databases to 29th February,2024.The retrieved literature was then screened and relevant information was extracted.Results A total of 20 articles were included in this review.Exercise-based pre-rehabilitation for lung cancer patients was mainly divided into single-modality prerehabilitation and multimodal pre-rehabilitation(exercise combined with interventions in nutrition,psychology and health behaviour).The period of intervention for exercise-based pre-rehabilitation was typically 2-3 weeks before surgery,with 3-5 sessions per week.The outcome indicators mainly included respiratory function,capacity of physical activity,quality of life,psychological status and postoperative complications.Conclusion The preoperative exercise-based pre-rehabilitation before surgery for the patients with lung cancer is feasible and effective in enhancing physical function of the patients.Further studies can focus on the development of patientcentred standardised exercise pre-rehabilitation programs.

关 键 词：肺癌 术前 运动预康复 范围综述 

分 类 号：R473.6[医药卫生—护理学]