目的 通过描述和评价慢性心力衰竭患者运动干预的相关研究,为今后开展运动干预研究提供指导.方法 计算机检索2015年1月至2024年8月中国知网、万方数据、维普、中国生物医学数据库、PubMed、Cochrane Library、Web of Science、EMBASE,获取慢性心力衰竭患者运功干预的随机对照试验和系统评价/Meta分析.采用RoB-2和AMSTAR-2对纳入的研究进行质量评价,基于《护理结局分类》对结局指标进行分类,利用Excel对纳入的研究进行数据提取与编码,采用气泡图综合呈现纳入的研究内容.结果 最终纳入358篇文献,包括205篇随机对照试验和153篇系统评价/Meta分析,包括185篇联合运动,118篇有氧运动,22篇抗阻运动及33篇呼吸肌训练,共涉及4种干预措施.结局指标主要包括生活质量326篇,心功能289篇及肺功能214篇.结局效果有益/可能有益为294篇.结论 运动干预对慢性心力衰竭患者是有效、易实施的,具有推广性;不同的干预类型和方法,干预效果不尽相同,且还要考虑不良反应等方面,未来仍需进一步研究.
Evidence mapping for exercise intervention in patients with chronic heart failure
Objective:This article is to systematically describe and evaluate exercise intervention in patients with chronic heart failure and to provide guidance for future exercise intervention research through evidence mapping method.Methods:Related studies on exercise intervention for patients with chronic heart failure are searched in CNKI,Wanfang Data,VIP,CBM,PubMed,Cochrane Library,Web of Science,and EMBASE from January 2015 to August 2024.The quality of the studies is assessed with the Risk of Bias-2(RoB-2)tool and A Measurement Tool to Assess Systematic Review-2(AMSTAR-2).Based on the Nursing Outcome Classification,the outcome indexes are classified.An evidence mapping framework is established with Microsoft Excel tools for data extraction and coding and bubble charts to comprehensively present the research content.Results:A total of 205 randomized controlled trials and 153 systematic reviews/Meta-analyses are included,which involve four intervention types,including 185 combined exercises,118 aerobic exercises,22 resistance exercises,and 33 respiratory muscle training.The main outcome indicators included 326 quality of life,289 cardiac function and 214 pulmonary function.294 of the research conclusions are classified as"beneficial"and"probably beneficial".Conclusion:Exercise intervention may be effective for patients with chronic heart failure.At the same time,it is easy to implement and promote.However,its effectiveness are different for different types,methods and approaches of interventions,and it is needed to consider aspects such as adverse reactions.Further exploration of high-quality research is also needed in the future.
万方数据
维普
