摘要
目的系统评价影响慢性肾脏病患者运动的促进与阻碍因素, 为其运动干预提供参考。方法计算机检索Cochrane Library、Web of Science、PubMed、Embase、知网、万方、维普、中国生物医学文献数据库中有关慢性肾脏病患者运动实施促进与阻碍因素的质性研究。检索年限为建库至2022年1月, 使用JBI循证卫生保健中心的质性研究真实性评价工具(2016版)对文献质量进行评价, 采用Meta整合方法对结果进行分析。结果共纳入10篇文献, 提炼出60个结果, 归纳为8个新类别, 综合成2个整合结果:促进因素包括个人运动动机、运动自我效能激发、感知身心获益及良好社会支持系统;阻碍因素包括疾病和治疗因素影响、运动自我效能低下、对运动风险恐惧及社会支持系统薄弱。结论慢性肾脏病患者运动受多种因素影响, 应深入了解患者的实际情况, 关注影响运动的核心要素, 改善患者的健康。
Objective To systematically evaluate the factors that promote and hinder exercise in patients with chronic kidney disease,and to provide reference for exercise intervention.Methods The Cochrane Library,Web of Science,PubMed,Embase,CNKI,Wanfang,VIP and China Biomedical Literature Database were searched for qualitative researches on the promoting and hindering factors of exercise in patients with chronic kidney disease.The retrieval period was from the establishment of the database to January 2022.Qualitative Research Authenticity Evaluation Tool(version 2016)from JBI Evidence-Based Health Care Center was used to evaluate the quality of the literatures,and Metaintegration was used to analyze the results.Results A total of 10 articles were included and 60 results were extracted,which were grouped into 8 new categories and integrated into 2 results:the promoting factors included personal exercise motivation,exercise self-efficacy stimulation,physical and psychological benefits and good social support;the hindering factors included disease and treatment factors,low exercise self-efficacyfear of exercise risk and weak social support.Conclusions Exercise of patients with chronic kidney disease is affected by many factors,so we should deeply understand the actual situation of patients,pay attention to the core factors affecting exercise,and improve the health of patients.
作者
田雪琦
李振香
孔颜
张琦
刘玉杰
李静
赵宝生
张静
Tian Xueqi;Li Zhenxiang;Kong Yan;Zhang Qi;Liu Yujie;Li Jing;Zhao Baosheng;Zhang Jing(Department of Breast and Thyoid Surgery,Shandong Provincial Hospital Afiliated to Shandong First Medical University,Jinan 250021,China;Out patient Department,Shandong Provincial Hospital Afiliated to Shandong First Medical University,Jinan 250021,China;School of Nursing,Shandong University of Traditional Chinese Medicine,Jinan 250000,China;Department of Vascular Surgery,Shandong Provincial Hospital Afiliated to Shandong First Medical University,Jinan 250021,China;Emergency Department,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China;Department of Nephrology,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250021,China)
出处
《中国实用护理杂志》
2023年第33期2627-2634,共8页
Chinese Journal of Practical Nursing
关键词
定性研究
慢性肾脏病
运动
促进与阻碍因素
Meta整合
Qualitative research
Chronic kidney disease
Exercise
Promoting and hindering factors
Meta-integration
