摘要
目的评价并总结肩袖损伤患者术后运动干预相关证据,为指导肩袖损伤患者术后运动提供循证依据。方法计算机检索澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心数据库、BMJ最佳临床实践、UpToData临床顾问、中国生物医学文献数据库、万方知识服务平台、中国知网等中英文数据库中关于肩袖损伤患者术后运动干预的证据,包括指南、证据总结、系统评价、最佳实践信息册、临床决策、推荐实践和专家共识。检索时限为建库至2022年6月4日。结果共纳入30篇文献,包括1篇指南、1篇证据总结、1篇临床决策、2篇专家共识、25篇系统评价。总结了包括适用人群、运动获益、运动风险、运动评估、运动方案、运动方式、运动时间、运动强度、运动监测、制订原则、管理模式、健康教育12个类别的22条证据。结论本研究证据总结过程科学、严谨,总结的内容较全面。医护人员在证据转化过程中应根据具体临床情境和患者个体因素选择最佳证据,指导肩袖损伤患者术后安全有效地运动,改善临床结局。
ObjectiveTo evaluate and summarize the evidence on postoperative exercise in patients with rotator cuff injury,so as to provide a basis for guiding the postoperative exercise in patients with rotator cuff injury.MethodsWe searched the Joanna Briggs Institute(JBI)Evidence-Based Health Care Center Database,British Medical Journal(BMJ)Best Practice,UpToData,China Biomedical Literature Database,WanFang Data,China National Knowledge Infrastructure,and other databases on postoperative exercise in patients with rotator cuff injury,including guidelines,evidence summaries,systematic reviews,best practice information books,clinical decision-making,recommended practices,and expert consensus.The retrieval period was from the establishment of the database to June 4,2022.ResultsA total of 30 articles were included,including one guideline,one evidence summary,one clinical decision-making,two expert consensuses,and 25 systematic reviews.22 pieces of evidence from 12 aspects were summarized,including applicable population,exercise benefit,exercise risk,exercise assessment,exercise program,exercise method,exercise time,exercise intensity,exercise monitoring,formulation principles,management mode,and health education were summarized.ConclusionsThe evidence summary process is scientific,rigorous,and comprehensive in content.In the process of evidence transformation,medical and nursing staff should select the best evidence according to specific situations and individual patient factors,so as to guide patients with rotator cuff injury to exercise safely and effectively after surgery to improve clinical outcomes.
作者
何巧
钭晓帆
于红英
宋学良
方倩云
张银
He Qiao;Dou Xiaofan;Yu Hongying;Song Xueliang;Fang Qianyun;Zhang Yin(Rehabilitation Medicine Center,Department of Orthopedics,Zhejiang Provincial People's Hospital&Affiliated People's Hospital,Hangzhou Medical College,Hangzhou 310014,China)
出处
《中华现代护理杂志》
2023年第27期3716-3723,共8页
Chinese Journal of Modern Nursing
基金
2021年浙江省卫生健康科技计划(2021KY496)。
关键词
康复护理
肩袖损伤
术后
康复
运动
循证护理
Rehabilitation nursing
Rotator cuff injury
Postoperative period
Rehabilitation
Exercise
Evidence-based nursing
