摘要
目的 总结肿瘤相关性肌少症运动管理的最佳证据,为医护人员制订个体化运动干预方案提供参考.方法 计算机检索BMJ Best Practice、UpToDate、Cochrane Library、Embase、PubMed、CINAHL、中国生物医学文献数据库、中国知网、万方数据库、美国国立指南网、苏格兰校际指南网等数据库和网站中关于肿瘤相关性肌少症患者运动干预的文献,包括临床决策、指南、专家共识、证据总结及系统评价,检索时限为建库至2023年4月23日.由2名研究者独立进行文献质量评价、证据提取及整合.结果 共纳入12篇文献,其中指南4篇、专家共识3篇、系统评价5篇.从运动评估、运动时机、运动方案、运动管理及评价指标5个方面总结了32条证据.结论 本研究总结了肿瘤相关性肌少症患者运动干预的最佳证据,建议医护人员结合临床情境及患者意愿应用证据.
Abstract
Objective To summarize the best evidence of exercise management of tumor-associated sarcopenia and provide reference for medical personnel to formulate individualized exercise intervention plans.Methods BMJ Best Practice,UpToDate,Cochrane Library,Embase,PubMed,CINAHL,China Biology Medicine disc,China National Knowledge Infrastructure,Wanfang database,National Guideline Clearinghouse,Scottish Intercollegiate Guidelines Network,and other databases were searched by computer for literature on exercise intervention for patients with tumor-associated sarcopenia,including clinical decision making,guidelines,expert consensus,evidence summary and systematic reviews.The search period was from the establishment of the databases to April 23,2023.Two researchers independently conducted literature quality evaluation,evidence extraction,and integration.Results A total of 12 articles were included,including 4 guidelines,3 expert consensus papers,and 5 systematic reviews.A total of 32 pieces of evidence were summarized from five aspects,including exercise evaluation,exercise timing,exercise plan,exercise management,and evaluation indicators.Conclusions This study summarizes the best evidence for exercise intervention in patients with tumor-associated sarcopenia and suggestes that medical staff should apply the proof according to the clinical context and the patient's wishes.
基金项目
2023年度苏州市护理学会姑苏护理人才"青苗"计划(SHQM202307)
维普
万方数据