肝癌手术患者术后居家运动康复方案的构建  

Construction of a postoperative home exercise rehabilitation program for patients undergoing liver cancersurgery

作　　者：余恺涛 王君俏[2] 殷保兵 贾杰 Yu Kaitao;Wang Junqiao;Yin Baobing;Jia Jie(Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China;School of Nursing,Fudan University,Shanghai 200032,China;Department of Hepatobiliary Surgery Center,Huashan Hospital,Fudan University,Shanghai 200040,China)

机构地区：[1]复旦大学附属华山医院康复医学科,上海200040 [2]复旦大学护理学院,上海200032 [3]复旦大学附属华山医院肝胆外科中心,上海200040

出　　处：《中国实用护理杂志》2025年第12期925-933,共9页Chinese Journal of Practical Nursing

基　　金：国家重点研发计划资助项目(2018YFC2002300、2018YFC2002301)。

摘　　要：目的构建肝癌手术患者术后居家运动康复方案,为提高肝癌患者术后居家运动能力提供指导。方法于2022年1一6月基于文献回顾总结肝癌患者术后居家运动康复方案的最佳证据,并经过研究小组讨论形成肝癌手术患者术后居家运动康复方案的初稿,通过专家论证会讨论,根据专家意见结合临床实践,对方案初稿进行修订完善。结果纳入文献14篇,其中4篇临床指南,3篇系统评价,2篇随机对照试验,3篇类实验研究和2篇专家共识。通过证据总结最终纳人22条证据,包括运动原则、运动监督、运动类型、运动时间与频率、运动强度5个方面。共有10名专家参与专家论证会,其中男6名,女4名,年龄为(53.31±10.23)岁,专家权威系数为0.944,最终形成涉及运动前评估、热身运动、拉伸运动、全身运动、整理运动、运动监测与随访6个环节的肝癌手术患者术后居家运动康复方案。结论肝癌手术患者术后居家运动康复方案具有科学性、实用性和可行性,是一种系统化、标准化、安全的运动管理模式,可用于肝癌患者术后运动康复的居家指导。Objective To construct a management program for postoperative home exercise rehabilitation in patients undergoing liver cancer surgery,and to provide guidance for improving home exercise capacity after liver cancer surgery.Methods A mixed study design was used to summarize the best evidence for a postoperative home exercise rehabilitation program for patients with liver cancer based on a literature review from January to June 2022,and the first draft of a postoperative home exercise rehabilitation program for liver cancer patients was formed after discussion in the research team,and discussed in an expert validation meeting,and the first draft of the program was revised and improved according to the expert's opinion in combination with clinical practice.Results This study included 14 articles,including 4 clinical guidelines,3 systematic evaluations,2 randomized controlled studies,3 class experimental research and 2 expert consensuses.And 22 pieces of evidence were included in the summary of evidence,including the principle of exercise,supervision of exercise,type of exercise,time and frequency of exercise,and intensity of exercise.A total of 10 experts participated in the expert validation meeting,with 6 males and 4 females,aged(53.31±10.23)years,with an expert authority coefficient of 0.944,and the final home exercise rehabilitation program for postoperative patients with liver cancer was formed to include six aspects,including pre-exercise assessment,warm-up exercise,whole-body exercise,stretching exercise,organizing exercise,and exercise detection and follow-up.Conclusions The home exercise rehabilitation program for postoperative liver cancer surgery patients is scientific,practical and feasible,and it is a systematic,standardized and safe exercise management model,which can be used for home guidance of postoperative exercise rehabilitation for liver cancer patients.

关 键 词：肝肿瘤 运动康复 居家 大方案构建 

分 类 号：R473.73[医药卫生—护理学]