摘要
目的总结维持性血液透析患者透析中运动锻炼的最佳证据,为指导血液透析患者透析治疗中运动锻炼提供参考。方法按照证据金字塔模型,检索维持性血液透析患者透析中运动锻炼的相关文献,检索时限从建库至2021年7月31日。采用乔安娜布里格斯研究所循证卫生保健中心相对应的文献评价标准和证据分级系统进行文献质量评价与证据等级划分。结果共纳入文献11篇,包括指南1篇、专家共识1篇、系统评价9篇,汇总血液透析中运动必要性、运动禁忌证、运动安全性、运动益处、运动时间、运动频率、运动强度、运动程序方式、运动指导监督、注意事项10个方面共38条最佳证据。结论总结的维持性血液透析患者透析中运动证据全面、实用,血液透析护士可应用证据指导血液透析患者进行透析中运动锻炼。
Objective To summarize the relevant evidence of intradialytic exercise for maintenance hemodialysis(MHD)patients.Methods Following the evidence pyramid model,we electronically searched databases for literature relevant to intradialytic exercise from inception to 31 July,2021.Methodological quality of the literature,levels of evidence and grades of recommendation were made using the assessment tools of the Joanna Briggs Institute(JBI).Results One guideline,1 expert consensus report,and 9 systematic reviews were included.Thirty-eight pieces of evidence were identified and categorized into 10 aspects:the necessity of intradialytic exercise,contraindications,safety,benefits,duration,frequency,intensity,procedures,guidance/monitoring,and precautions.Conclusion The evidence of intradialytic exercise for MHD patients is comprehensive and practical,which can be used by hemodialysis nurses in nursing practice.
作者
孙佳佳
顾勤
薛冬群
沈星星
陈诗
虞晓漪
Sun Jiajia;Gu Qin;Xue Dongqun;Shen Xing-xing;Chen Shi;Yu Xiaoyi(Suzhou Vocational Health College,Suzhou 215009,China;不详)
出处
《护理学杂志》
CSCD
北大核心
2022年第13期9-12,共4页
Journal of Nursing Science
基金
江苏省大学生创新训练计划项目(202012688024Y)
苏州卫生职业技术学院院级课题领雁培育项目(szwzy202028)。
关键词
维持性血液透析
透析中运动
运动疗法
循证护理
最佳证据
maintenance hemodialysis
intradialytic exercise
exercise therapy
evidence-based nursing
best evidence
