摘要
目的系统检索、评价及汇总青少年2型糖尿病患者运动管理的最佳证据, 为医护人员指导患者及其家属开展运动锻炼提供参考。方法计算机检索BMJ Best Practice、UpToDate、加拿大安大略注册护士协会网站、美国国立指南网、英国国家卫生与临床优化研究所网站、苏格兰校际指南网、国际儿童青少年糖尿病协会网站、医脉通、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、Cochrane Library、PubMed、Web of Science、Embase、中国知网、万方数据库、中国生物医学文献数据库、维普网等数据库中关于青少年2型糖尿病患者运动管理相关的临床决策、推荐实践、证据总结、指南、专家共识、系统评价等, 文献检索时限为建库至2023年3月, 由2名研究者独立进行文献筛选和质量评价后, 根据主题进行证据提取、汇总及分级。结果最终纳入10篇文献, 包括指南3篇、系统评价3篇、专家共识3篇、证据总结1篇。最终从运动禁忌证、运动形式、运动强度、运动频率、注意事项、减重目标、家庭参与7个方面总结出22条青少年2型糖尿病患者运动管理最佳证据。结论本研究汇总了青少年2型糖尿病患者运动管理的最佳证据, 建议临床医护人员应结合患者与家庭意愿及偏好、实际临床情境、运动资源支持等条件开展适合患者的个体化运动管理。
Objective To systematically retrieve,evaluate and summarize the best evidence of exercise management for adolescents with type 2 diabetes mellitus(T2DM),so as provide reference for medical and nursing staff to guide patients and their families to exercise.Methods Clinical decisions,recommended practices,evidence summaries,guidelines,expert consensuses,and systematic reviews on exercise management of adolescents with T2DM were electronically searched on BMJ Best Practice,UpToDate,Registered Nurses'Association of Ontario,National Guideline Clearinghouse,National Institute for Health and Clinical Excellence,Scottish Intercollegiate Guidelines Network,International Society for Pediatric and Adolescent Diabetes,Medlive,Joanna Briggs Institute Evidence-Based Health Care Center Database,Cochrane Library,PubMed,Web of Science,Embase,China National Knowledge Infrastructure,WanFang Data,Chinese Biology Medicine Disc,VIP and other databases.The search period was from database establishment to March 2023.After independent literature screening and quality evaluation by two researchers,evidence was extracted,summarized,and graded based on the theme.Results A total of 10 articles were selected,including three guidelines,three systematic reviews,three expert consensuses,and one evidence summary.Finally,22 pieces of best evidence of exercise management for adolescents with T2DM were summarized from seven aspects,including contraindications to exercise,exercise form,exercise intensity,exercise frequency,precautions,weight loss goals,family participation.Conclusions This study summarizes the best evidence for exercise management in adolescents with T2DM.It is recommended that clinical medical and nursing staff should carry out personalized exercise management suitable for patients based on the wishes and preferences of patients and families,actual clinical situations,and support for exercise resources.
作者
苗丰
谢安慰
赵璇
张一铭
严萌玮
郭宏卿
顾洁
姚文英
Miao Feng;Xie Anwei;Zhao Xuan;Zhang Yiming;Yan Mengwei;Guo Hongqing;Gu Jie;Yao Wenying(Department of Endocrinology,Children's Hospital of Soochow University,Suzhou 215003,China;Department of Infectious diseases,Children's Hospital of Soochow University,Suzhou 215003,China;School of Nursing,Soochow University,Suzhou 215006,China;Department of Neonatology,Children's Hospital of Soochow University,Suzhou 215003,China;Department of Gastroenterology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Nursing Department,Children's Hospital of Soochow University,Suzhou 215003,China)
出处
《中华现代护理杂志》
2024年第9期1143-1150,共8页
Chinese Journal of Modern Nursing
关键词
糖尿病
2型
青少年
运动管理
循证护理
Diabetes mellitus,type 2
Adolescent
Exercise management
Evidence-based nursing
