中华护理杂志 ›› 2023, Vol. 58 ›› Issue (17): 2149-2157.DOI: 10.3761/j.issn.0254-1769.2023.17.014
收稿日期:
2023-03-27
出版日期:
2023-09-10
发布日期:
2023-09-08
通讯作者:
陈贵华,E-mail:300278@hospital.cqmu.edu.cn作者简介:
唐欢:女,本科(硕士在读),护士,E-mail:1554753579@qq.com
基金资助:
TANG Huan(), CHEN Guihua(), LI Qin, ZHOU Xixin, LIU Xiaoshuang
Received:
2023-03-27
Online:
2023-09-10
Published:
2023-09-08
摘要:
目的 系统评价网络远程运动康复在COPD患者中应用的有效性及安全性。方法 计算机检索Cochrane Library、PubMed、Web of Science、EBSCO等12个中英文数据库和临床试验注册平台并辅以手工检索,检索建库至2022年12月发表的相关文献。由2名研究者独立进行文献筛选、提取资料及文献质量评价后,采用RevMan 5.3软件进行Meta分析。结果 共纳入25篇文献,包括2 359例患者。Meta分析结果显示,与传统运动康复相比,网络远程运动康复有助于增加COPD患者6 min步行距离[MD=42.80,95%CI(29.53,56.07),P<0.001]、降低COPD评估测试评分[MD=-2.22,95%CI(-3.68,-0.76),P=0.003]。与无网络技术参与的远程康复相比,网络远程运动康复可增加患者6 min步行距离[MD=21.07,95%CI(13.29,28.84),P<0.001],但其长期效果尚不确定;提高患者运动行为水平,如每日行走步数[MD=805.83,95%CI(435.08,1 176.58),P<0.001]、日常运动时间[MD=5.61,95%CI(3.11,8.10),P<0.001]、中高强度运动时间[MD=2.32,95%CI(0.77,3.87),P=0.003];降低患者圣乔治呼吸问卷评分[MD=-3.12,95%CI(-5.87,-0.36),P=0.030]、提高慢性呼吸系统疾病问卷评分[MD=9.18,95%CI(0.97,17.40),P=0.030]。在安全性方面,网络远程运动康复未增加COPD急性加重率,但具有较高的不良事件发生率。结论 实施网络远程运动康复有助于改善COPD患者的运动功能、提高运动行为水平和生活质量,但结局评价指标的规范性有待改进,康复的长期效果及安全性仍需大量高质量研究验证。
唐欢, 陈贵华, 李琴, 周锡鑫, 刘晓双. 慢性阻塞性肺疾病患者网络远程运动康复有效性及安全性的系统评价[J]. 中华护理杂志, 2023, 58(17): 2149-2157.
TANG Huan, CHEN Guihua, LI Qin, ZHOU Xixin, LIU Xiaoshuang. The effectiveness and safety of internet-based tele-exercise rehabilitation in COPD patients:a systematic review[J]. Chinese Journal of Nursing, 2023, 58(17): 2149-2157.
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