目的 系统分析术前运动训练在老年髋部骨折患者预康复中应用的相关研究,识别运动干预的具体内容、结局指标和应用效果,以期为医护人员开展相关干预提供参考.方法 计算机检索中国知网、万方数据库、中国生物医学文献数据库、维普、Cochrane Library、PubMed、Embase,Web of Science数据库,检索时限为建库至2024年1月.采用范围综述的方法对纳入研究进行筛选、汇总和分析.结果 共纳入10篇研究.其中,随机对照试验3篇、类实验研究1篇、回顾性研究5篇、个案报道1篇.老年髋部骨折患者术前运动准备包括完善相关检查并充分镇痛,运动类型包含适应性训练、抗阻训练、有氧运动.在运动过程中,需全程监测患者症状、体征及不良反应的发生.结果 测量包括躯体活动及功能、疼痛、平均住院日、围手术期并发症等.结论 术前运动训练对老年髋部骨折患者有积极作用.老年髋部骨折患者术前运动应做好充分的运动前准备,以适应性训练为基础,抗阻运动为主,同时监测患者运动时体征及不良事件发生.
Preoperative exercise training in the pre-rehabilitation of elderly patients with hip fracture:a scoping review
Objective To systematically analyze the relevant research on the application of preoperative exercise training in the pre-rehabilitation of elderly hip fracture patients,identify the specific content,outcome indicators,and application effects of exercise intervention,in order to provide reference for medical staff to carry out relevant interventions.Methods Computer searches were conducted on domestic and foreign databases such as China National Knowledge Infrastructure,Wanfang Database,China Biomedical Literature Database,VIP,Cochrane Library,PubMed,Embase,Web of Science.The search period was from the establishment of the database to January 2024.The scoping review method was used to screen,summarize,and analyze the included studies.Results A total of 10 studies were included,including 3 randomized controlled trial,1 quasi experimental study,5 retrospective studies and 1 case report.Preoperative exercise preparation includes completing relevant examinations and providing sufficient pain relief.The types of exercise include adaptive training,resistance training,and aerobic exercise.Monitor the patient's symptoms,signs,and adverse reactions throughout the exercise process.Outcome measures include physical activity and function,pain,average length of hospital stay,and perioperative complications.Conclusions Preoperative exercise training has a positive effect on elderly patients with hip fracture.Elderly patients with hip fracture should be well prepared for preoperative exercise,based on adaptive training,with resistance exercise as the main focus,while monitoring the patient's physical signs and adverse events during exercise.
NETL
NSTL
万方数据
