目的通过HSS(the Hospital for Special Surgery)评定膝关节功能、Fugl-Meyer量表评定平衡功能,判断系统康复治疗创伤后膝关节功能障碍(Post traumatic knee joint dysfunction,PKJD)患者后膝关节的临床效果。方法采用HSS与Fugl-Meyer...目的通过HSS(the Hospital for Special Surgery)评定膝关节功能、Fugl-Meyer量表评定平衡功能,判断系统康复治疗创伤后膝关节功能障碍(Post traumatic knee joint dysfunction,PKJD)患者后膝关节的临床效果。方法采用HSS与Fugl-Meyer量表评定36例PKJD患者系统康复治疗前、治疗10次后、治疗结束后膝关节功能、平衡功能及膝关节的临床效果。结果治疗结束后Fugl-Meyer评分与HSS评分较治疗前、治疗10次后明显下降(均P<0.01);治疗10次后两评分较治疗前亦明显下降(P<0.05、P<0.01);治疗前、治疗10次后及治疗结束后Fugl-Meyer评分与HSS评分之间呈正相关(r治疗前=0.8536,r治疗10次后=0.6897,r结束治疗后=0.8462),均P<0.01;治疗前、治疗10次后及治疗结束后膝关节的临床优良率差异有统计学意义(P<0.01)。结论系统康复治疗可改善PKJD患者膝关节功能及平衡功能,两功能间呈正相关,且治疗的次数越多,膝关节的临床效果越好。展开更多
目的探讨呼吸肌训练对肺癌患者术后康复的影响。方法检索PubMed、OVID、Cochrane Library、CINAHL、Web of science、中国知网(CNKI)、中国生物医学数据库(CBM),检索时间自建库至2020-05-15。使用软件RevMan5.3软件进行统计分析。结果...目的探讨呼吸肌训练对肺癌患者术后康复的影响。方法检索PubMed、OVID、Cochrane Library、CINAHL、Web of science、中国知网(CNKI)、中国生物医学数据库(CBM),检索时间自建库至2020-05-15。使用软件RevMan5.3软件进行统计分析。结果共纳入12篇文献,693例患者。Meta分析结果显示:呼吸肌训练能有效降低肺炎发生风险及减少住院时间,但对6 min步行试验(6MWT)、肺通气功能(FVC%、FEV1%)及机械通气时间延长无明显影响。而对肺不张、呼吸衰竭、等结局指标尚需更多大样本的随机对照试验方能得出更加准确的结论。结论呼吸肌训练能够减少肺癌患者术后肺炎发生率,缩短住院时间。在临床实践中,肺癌手术患者可考虑在术前1~3周定期进行呼吸肌训练,并以此作为一种呼吸康复方案。展开更多
目的对心脏康复依从性评估工具进行系统评价,以期为临床医护人员选择合适的评估工具提供依据。方法检索美国心肺康复协会网站、英国国家卫生与临床优化研究所网站、PubMed、CINAHL、PsycINFO、Embase、Web of Science、中国知网、万方...目的对心脏康复依从性评估工具进行系统评价,以期为临床医护人员选择合适的评估工具提供依据。方法检索美国心肺康复协会网站、英国国家卫生与临床优化研究所网站、PubMed、CINAHL、PsycINFO、Embase、Web of Science、中国知网、万方数据库、维普数据库及中国生物医学文献数据库公开发表的心血管疾病患者心脏康复依从性评估工具的研究,检索时限为建库至2022年12月3日。由2名研究人员独立筛选文献,提取数据,按照基于共识的健康测量工具遴选标准要求,对纳入研究进行方法学质量和测量学属性评价,依据改良版定量系统评价证据分级方法进行证据质量评级后形成推荐意见。结果共纳入12项研究,涉及7个心脏康复依从性评估工具,7个评估工具均未报告跨文化效度/测量不变性、测量误差及反应度;心脏康复依从性评估工具由于有高质量的证据证明其内部一致性的不充分,为C类,不推荐。其余6个评估工具因内容效度的不确定或内部一致性的不充分,证据质量为中、低等,均为B类,推荐。结论与其他6个评估工具相比,心脏康复障碍量表的测量学属性得到了较为全面的评价,具有较好的信效度,可暂时被推荐使用,但仍需更多高质量证据来进一步探究心血管疾病患者心脏康复依从性的评估工具。展开更多
AIM To identify the outcome measures that have been used in randomized controlled trials(RCTs) of exercise training in solid organ transplant(SOT) recipients and to link these outcomes to the International Classificat...AIM To identify the outcome measures that have been used in randomized controlled trials(RCTs) of exercise training in solid organ transplant(SOT) recipients and to link these outcomes to the International Classification of Functioning, Disability and Health(ICF) framework.METHODS Electronic literature searches of MEDLINE, EMBASE, CINAHL, Cochrane, Scopus, and Web of Science were performed. We sought RCTs that investigated the effect of exercise training in SOT recipients. Reference lists of all eligible publications were searched for other appropriate studies not identified by the electronic search. A complete list of outcome measures used in the RCTs was generated and each of these was linked to an ICF category.RESULTS Four hundred and thirteen articles were retrieved, of which 35 met our inclusion criteria. The studies included were designed to compare the effects of exercise training programs to usual care or to another exercise training program and reported on recipients of heart(n = 21), kidney(n = 9), lung(n = 3) or liver(n = 2) transplant. Of the 126 outcome measures identified, 62 were used as primary outcome measures. The most commonly occurring primary outcomes were aerobic capacity using the peak VO2(n = 13), quality of life using the shortform-36(n = 8), and muscle strength(n = 7). Theseoutcome measures were linked to 113 ICF categories and the majority of outcomes fall into the body function domain(n = 93). CONCLUSION There is little standardization in outcome measures used in RCTs of exercise interventions in SOT recipients. The ICF framework can be used to select a core set of outcomes that cross all domains of ICF and that would be appropriate to all SOT recipients.展开更多
文摘目的通过HSS(the Hospital for Special Surgery)评定膝关节功能、Fugl-Meyer量表评定平衡功能,判断系统康复治疗创伤后膝关节功能障碍(Post traumatic knee joint dysfunction,PKJD)患者后膝关节的临床效果。方法采用HSS与Fugl-Meyer量表评定36例PKJD患者系统康复治疗前、治疗10次后、治疗结束后膝关节功能、平衡功能及膝关节的临床效果。结果治疗结束后Fugl-Meyer评分与HSS评分较治疗前、治疗10次后明显下降(均P<0.01);治疗10次后两评分较治疗前亦明显下降(P<0.05、P<0.01);治疗前、治疗10次后及治疗结束后Fugl-Meyer评分与HSS评分之间呈正相关(r治疗前=0.8536,r治疗10次后=0.6897,r结束治疗后=0.8462),均P<0.01;治疗前、治疗10次后及治疗结束后膝关节的临床优良率差异有统计学意义(P<0.01)。结论系统康复治疗可改善PKJD患者膝关节功能及平衡功能,两功能间呈正相关,且治疗的次数越多,膝关节的临床效果越好。
文摘目的探讨呼吸肌训练对肺癌患者术后康复的影响。方法检索PubMed、OVID、Cochrane Library、CINAHL、Web of science、中国知网(CNKI)、中国生物医学数据库(CBM),检索时间自建库至2020-05-15。使用软件RevMan5.3软件进行统计分析。结果共纳入12篇文献,693例患者。Meta分析结果显示:呼吸肌训练能有效降低肺炎发生风险及减少住院时间,但对6 min步行试验(6MWT)、肺通气功能(FVC%、FEV1%)及机械通气时间延长无明显影响。而对肺不张、呼吸衰竭、等结局指标尚需更多大样本的随机对照试验方能得出更加准确的结论。结论呼吸肌训练能够减少肺癌患者术后肺炎发生率,缩短住院时间。在临床实践中,肺癌手术患者可考虑在术前1~3周定期进行呼吸肌训练,并以此作为一种呼吸康复方案。
文摘目的对心脏康复依从性评估工具进行系统评价,以期为临床医护人员选择合适的评估工具提供依据。方法检索美国心肺康复协会网站、英国国家卫生与临床优化研究所网站、PubMed、CINAHL、PsycINFO、Embase、Web of Science、中国知网、万方数据库、维普数据库及中国生物医学文献数据库公开发表的心血管疾病患者心脏康复依从性评估工具的研究,检索时限为建库至2022年12月3日。由2名研究人员独立筛选文献,提取数据,按照基于共识的健康测量工具遴选标准要求,对纳入研究进行方法学质量和测量学属性评价,依据改良版定量系统评价证据分级方法进行证据质量评级后形成推荐意见。结果共纳入12项研究,涉及7个心脏康复依从性评估工具,7个评估工具均未报告跨文化效度/测量不变性、测量误差及反应度;心脏康复依从性评估工具由于有高质量的证据证明其内部一致性的不充分,为C类,不推荐。其余6个评估工具因内容效度的不确定或内部一致性的不充分,证据质量为中、低等,均为B类,推荐。结论与其他6个评估工具相比,心脏康复障碍量表的测量学属性得到了较为全面的评价,具有较好的信效度,可暂时被推荐使用,但仍需更多高质量证据来进一步探究心血管疾病患者心脏康复依从性的评估工具。
文摘AIM To identify the outcome measures that have been used in randomized controlled trials(RCTs) of exercise training in solid organ transplant(SOT) recipients and to link these outcomes to the International Classification of Functioning, Disability and Health(ICF) framework.METHODS Electronic literature searches of MEDLINE, EMBASE, CINAHL, Cochrane, Scopus, and Web of Science were performed. We sought RCTs that investigated the effect of exercise training in SOT recipients. Reference lists of all eligible publications were searched for other appropriate studies not identified by the electronic search. A complete list of outcome measures used in the RCTs was generated and each of these was linked to an ICF category.RESULTS Four hundred and thirteen articles were retrieved, of which 35 met our inclusion criteria. The studies included were designed to compare the effects of exercise training programs to usual care or to another exercise training program and reported on recipients of heart(n = 21), kidney(n = 9), lung(n = 3) or liver(n = 2) transplant. Of the 126 outcome measures identified, 62 were used as primary outcome measures. The most commonly occurring primary outcomes were aerobic capacity using the peak VO2(n = 13), quality of life using the shortform-36(n = 8), and muscle strength(n = 7). Theseoutcome measures were linked to 113 ICF categories and the majority of outcomes fall into the body function domain(n = 93). CONCLUSION There is little standardization in outcome measures used in RCTs of exercise interventions in SOT recipients. The ICF framework can be used to select a core set of outcomes that cross all domains of ICF and that would be appropriate to all SOT recipients.
