慢性阻塞性肺疾病患者肺康复疗效的影响因素:基于新版CFIR框架的系统评价
Factors influencing pulmonary rehabilitation outcomes in patients with COPD:a systematic review based on the new CFIR framework
魏嘉辛 1厚双龙 1黑鹏 1王刚2
作者信息
- 1. 西安体育学院研究生部(陕西西安 710068)
- 2. 西安体育学院运动与健康科学学院(陕西西安 710068)
- 折叠
摘要
目的 系统评价慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD,简称慢阻肺)患者肺康复疗效的影响因素,为实施针对性肺康复提供理论依据.方法 系统检索PubMed、Web of Science、Medline、ProQuest、Embase、CNKI、万方数据库中有关慢阻肺患者肺康复疗效的影响因素的文献,检索时间为建库至2023年8月30日.根据文献的纳入与排除标准进行文献筛选,以新版实施性研究综合框架的5个维度为基础,分析慢阻肺患者肺康复疗效的影响因素.结果 本研究共纳入18篇文献共2620例慢阻肺患者.以新版CFIR框架为基础提取11项肺康复疗效的促进因素,10项阻碍因素,并编码为创新领域、外部因素领域、内部因素领域、个体特征领域和实施过程领域5个领域.结论 通过应用新版实施性研究综合框架对影响慢阻肺患者肺康复疗效的因素进行评估,为慢阻肺患者制定康复策略提供重要的参考.建议采用跨学科、宽领域、多团队的全面康复策略,以促进慢阻肺患者肺康复过程中个体与社会医疗体系的双重最佳获益.
Abstract
Objective To systematically evaluate the factors affecting the curative effect of pulmonary rehabilitation in COPD patients,and to provide theoretical basis for the implementation of rehabilitation.Methods Litera-ture on the influencing factors of pulmonary rehabilitation efficacy in COPD patients was systematically searched in PubMed,Web of Science,Medline,ProQuest,Embase,CNKI and Wanfang databases from August 30,2023.According to the inclusion and exclusion criteria of the literature,the factors influencing the pulmonary rehabilitation effect of COPD patients were analyzed based on the 5 dimensions of the new implementation comprehensive framework.Results A total of 2620 COPD patients with 18 literatures were included in this study.Based on the new CFIR framework,l1 promoting factors and 10 hindering factors of pulmonary rehabilitation efficacy were extracted and coded into 5 fields:innovation field,external factor field,internal factor field,individual characteristics field and implementation process field.Conclusion By applying the new implementation comprehensive framework to evaluate the factors affecting the pulmonary rehabilitation effect of COPD patients,it provides an important reference for the development of rehabilitation strategies for COPD patients.It is suggested to adopt the comprehensive rehabilitation strategy of interdisciplinary,wide field and multi-team in order to promote the best benefit of both individual and social medical system in the pulmonary rehabilitation process of COPD patients.
关键词
慢性阻塞性肺疾病/运动康复/肺康复/促进因素/阻碍因素Key words
Chronic obstructive pulmonary disease/Sports rehabilitation/Pulmonary rehabilitation/Promoting factors/hindrance引用本文复制引用
出版年
2024
NETL
NSTL
万方数据