中华护理杂志 ›› 2024, Vol. 59 ›› Issue (1): 42-49.DOI: 10.3761/j.issn.0254-1769.2024.01.006
韩娜菲(), 冯华丽, 贺红, 李茜, 徐剑锋, 金尧娟, 沈孟雅, 孙佳烨, 黄天海
收稿日期:
2023-07-07
出版日期:
2024-01-10
发布日期:
2024-01-03
作者简介:
韩娜菲:女,本科,副主任护师,E-mail:2505117@zju.edu.cn
基金资助:
HAN Nafei(), FENG Huali, HE Hong, LI Qian, XU Jianfeng, JIN Yaojuan, SHEN Mengya, SUN Jiaye, HUANG Tianhai
Received:
2023-07-07
Online:
2024-01-10
Published:
2024-01-03
摘要:
目的 检索、提取、评价和整合肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的相关证据,为提高肺癌合并慢性阻塞性肺疾病术后肺康复质量提供循证依据。方法 计算机检索临床决策网站、指南网站、专业协会网站及综合数据库中关于肺癌合并慢性阻塞性肺疾病患者术后肺康复的相关文献,文献类型包括临床决策、指南、专家共识、证据总结、系统评价、Meta分析、随机对照研究,检索时限为建库至2023年9月。结果 共纳入19篇文献,其中临床决策4篇、指南3篇、专家共识6篇、证据总结1篇、系统评价3篇、随机对照研究2篇,通过阅读、提取、归类最终形成最佳证据23条,包括多学科合作、评估、肺康复策略、健康教育4个主题。结论 该研究总结了肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的最佳证据,临床医护人员可根据实际情境实施术后肺康复的证据,推动循证知识向实践转化。
韩娜菲, 冯华丽, 贺红, 李茜, 徐剑锋, 金尧娟, 沈孟雅, 孙佳烨, 黄天海. 肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的证据总结[J]. 中华护理杂志, 2024, 59(1): 42-49.
HAN Nafei, FENG Huali, HE Hong, LI Qian, XU Jianfeng, JIN Yaojuan, SHEN Mengya, SUN Jiaye, HUANG Tianhai. Best evidence summary of postoperative pulmonary rehabilitation management in patients with lung cancer complicated with chronic obstructive pulmonary disease[J]. Chinese Journal of Nursing, 2024, 59(1): 42-49.
![]() |
表3 肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的最佳证据总结
Table 3 Best evidence summary of postoperative pulmonary rehabilitation management in patients with lung cancer complicated with chronic obstructive pulmonary disease
![]() |
[1] | WHO. Cancer[EB/OL]. (2022-02-03)[2023-10-04]. https://www.who.int/news-room/fact-sheets/detail/cancer. |
[2] | Global initiative for chronic obstructive lung disease[EB/OL]. (2022-11-14)[2023-05-30]. www.goldcopd.org. |
[3] |
Mouronte-Roibás C, Leiro-Fernández V, Fernández-Villar A, et al. COPD,emphysema and the onset of lung cancer. A systematic review[J]. Cancer Lett, 2016, 382(2):240-244.
DOI PMID |
[4] |
Wang W, Dou S, Dong WY, et al. Impact of COPD on prognosis of lung cancer:from a perspective on disease heterogeneity[J]. Int J Chron Obstruct Pulmon Dis, 2018, 13:3767-3776.
DOI URL |
[5] | Wang L, Yu MW, Ma YF, et al. Effect of pulmonary rehabilitation on postoperative clinical status in patients with lung cancer and chronic obstructive pulmonary disease:a systematic review and meta-analysis[J]. Evid Based Complement Alternat Med, 2022, 2022:4133237. |
[6] | Spruit MA, Singh SJ, Garvey C, et al. An official American Tho-racic Society/European Respiratory Society statement:key concepts and advances in pulmonary rehabilitation[J]. Am J Res-pir Crit Care Med, 2013, 188(8):e13-e64. |
[7] | McCormack MC. Dynamic hyperinflation in patients with COPD[EB/OL]. (2023-06-13)[2023-10-04]. https://www.uptodate.cn/contents/dynamic-hyperinflation-in-patients-with-copd?search=%E6%85%A2%E6%80%A7%E9%98%BB%E5%A1%9E%E6%80%A7%E8%82%BA%E7%96%BE%E7%97%85%E6%82%A3%E8%80%85%E7%9A%84%E5%8A%A8%E6%80%81%E8%82%BA%E8%BF%87%E5%BA%A6%E5%85%85%E6%B0%94&source=Out%20of%20date%20-%20zh-Hans&selectedTitle=1-150. |
[8] |
Hoffmann-Eβer W, Siering U, Neugebauer EAM, et al. Guideline appraisal with AGREE Ⅱ:online survey of the potential influence of AGREE Ⅱ items on overall assessment of guideline quality and recommendation for use[J]. BMC Health Serv Res, 2018, 18(1):143.
DOI PMID |
[9] |
单雪琪, 余姜璇, 王俊杰, 等. 膝骨关节炎患者自我管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(6):735-743.
DOI URL |
Shan XQ, Yu JX, Wang JJ, et al. Evidence summary of self-management for patients with knee osteoarthritis[J]. Chin J Nurs, 2023, 58(6):735-743.
DOI URL |
|
[10] | 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018. |
Hu Y, Hao YF. Evidence-based nursing[M]. 2nd ed. Beijing: People’s Medical Publishing House, 2018. | |
[11] |
中国康复医学会循证康复医学工作委员会, 中国康复研究中心/中国康复科学所康复信息研究所, 兰州大学循证医学中心, 等. 慢性阻塞性肺疾病临床康复循证实践指南[J]. 中国康复理论与实践, 2021, 27(1):15-26.
DOI |
Evidence-based Rehabilitation Medicine Working Committee of China Rehabilitation Medical Association,China Rehabilitation Research Center/Rehabilitation Information Research Institute of China Rehabilitation Science Institute, Evidence-based Medicine Center of Lanzhou University, et al. Evidence-based practice guidelines for clinical rehabilitation of chronic obstructive pulmonary disease[J]. Chin J Rehabil Theory Pract, 2021, 27(1):15-26 | |
[12] | Celli BR. Pulmonary rehabilitation[EB/OL]. (2023-04-03)[2023-04-30]. https://www.uptodate.cn/contents/pulmonary-rehabilitation?search=Pulmonary%20rehabilitation&source=search_result&selectedTitle=1-94&usage_type=default&display_rank=1. |
[13] |
Holland AE, Cox NS, Houchen-Wolloff L, et al. Defining modern pulmonary rehabilitation. An official American Thoracic Society workshop report[J]. Ann Am Thorac Soc, 2021, 18(5):e12-e29.
DOI PMID |
[14] | Cavalheri V, Burtin C, Formico VR, et al. Exercise training undertaken by people within 12 months of lung resection for non-small cell lung cancer review[J]. Cochrane Database of Syst Rev, 2019, 6(6):CD009955. |
[15] | 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. |
Wang CQ, Hu Y. JBI evidence pre-classification and evidence recommendation level system(2014 edition)[J]. J Nurses Train, 2015, 30(11):964-967. | |
[16] | Celli BR. Respiratory muscle training and resting in COPD[EB/OL]. (2023-06-15)[2023-09-15]. https://www.uptodate.cn/contents/respiratory-muscle-training-and-resting-in-copd?search=Pulmonary%20rehabilitation&source=search_result&selectedTitle=7-94&usage_type=default&display_rank=7. |
[17] | Carter R, Nwasuruba C. Long-term supplemental oxygen therapy[EB/OL]. (2023-07-10)[2023-10-04]. http://www-uptodate-com-s.cams2.ilibs.cn/contents/long-term-supplemental-oxygen-therapy?search=%E9%95%BF%E6%9C%9F%E8%BE%85%E5%8A%A9%E6%B0%A7%E7%96%97&source=Out%20of%20date%20-%20zh-Hans&selectedTitle=1-150. |
[18] |
Alison JA, McKeough ZJ, Johnston K, et al. Australian and New Zealand pulmonary rehabilitation guidelines[J]. Respirology, 2017, 22(4):800-819.
DOI PMID |
[19] | 支修益, 刘伦旭. 中国胸外科围手术期气道管理指南(2020版)[J]. 中国胸心血管外科临床杂志, 2021, 28(3):251-262. |
Zhi XY, Liu LX. Chinese guideline for perioperative airway management in thoracic surgery(2020 edition)[J]. Chin J Clin Thorac Cardiovasc Surg, 2021, 28(3):251-262. | |
[20] |
中华医学会临床药学分会. 雾化吸入疗法合理用药专家共识( 2019版)[J]. 医药导报, 2019, 38(2):135-146.
DOI |
Clinical Pharmacy Branch of Chinese Medical Association. Expert consensus on rational drug use in aerosol inhalation therapy(2019 edition)[J]. Herald Med, 2019, 38(2):135-146. | |
[21] | 胸外科围手术期肺保护中国专家共识(版)专家组, 中国医学基金会胸外科专业委员会. 胸外科围手术期肺保护中国专家共识(2019版)[J]. 中国胸心血管外科临床杂志, 2019, 26(9):835-842. |
Chinese Expert Consensus on Perioperative Lung Protection in Thoracic Surgery(Version) Expert Group,Thoracic Surgery Professional Committee of the China Medical Foundation. Chinese expert consensus on perioperative lung protection in thoracic surgery(2019 edition)[J]. Chin J Clin Thorac Cardiovasc Surg, 2019, 26(9):835-842. | |
[22] |
Blackstock FC, Lareau SC, Nici LD, et al. Chronic obstructive pulmonary disease education in pulmonary rehabilitation. an official American thoracic society/thoracic society of Australia and New Zealand/Canadian thoracic society/British thoracic society workshop report[J]. Ann Am Thorac Soc, 2018, 15(7):769-784.
DOI PMID |
[23] | 中国老年保健协会肺癌专业委员会, 天津市医疗健康学会加速外科康复专业委员会. 老年肺癌护理中国专家共识(2022版)[J]. 中国肺癌杂志, 2023, 26(3):177-192. |
Lung Cancer Specialty Committee of Chinese Elderly Health Care Association,Enhanced Recovery after Surgery Specialty Committee of Tianjin Medical and Health Association. Consensus of Chinese experts on nursing of lung cancer in the elderly(2022 edition)[J]. Chin J Lung Cancer, 2023, 26(3):177-192. | |
[24] |
郑江, 汉瑞娟, 王岩, 等. 慢性呼吸道疾病患者非药物气道廓清技术的最佳证据总结[J]. 中华护理杂志, 2023, 58(10):1253-1260.
DOI URL |
Zheng J, Han RJ, Wang Y, et al. Summary of the best evidence for non-pharmacological airway clearance techniques in patients with chronic respiratory diseases[J]. Chin J Nurs, 2023, 58(10):1253-1260.
DOI URL |
|
[25] | 高华, 赵晔, 冯海明, 等. 非小细胞肺癌合并慢性阻塞性肺疾病患者围手术期综合管理有效性和安全性的系统评价及Meta分析[J]. 中国胸心血管外科临床杂志, 2019, 26(4):306-315. |
Gao H, Zhao Y, Feng HM, et al. Systematic review and meta-analysis of the effectiveness and safety of comprehensive management in perioperative period for patients with non-small cell lung cancer complicated with chronic obstructive pulmonary disease[J]. Chin J Clin Thorac Cardiovasc Surg, 2019, 26(4):306-315. | |
[26] | 王慧敏, 王静, 吴红霞. 多学科肺康复干预在肺癌合并中重度慢性阻塞性肺疾病患者围手术期中的应用[J]. 临床与病理杂志, 2018, 38(4):798-804. |
Wang HM, Wang J, Wu HX. Application of multidisciplinary pulmonary rehabilitation intervention to lung cancer patients with moderate and severe chronic obstructive pulmonary disease[J]. J Clin Pathol Res, 2018, 38(4):798-804. | |
[27] | 余中华, 谢国省, 秦昌龙, 等. 肺癌合并慢阻肺患者术后运动康复获益探究[J]. 中国肺癌杂志, 2022, 25(1):14-20. |
Yu ZH, Xie GS, Qin CL, et al. Study on the benefit of postoperative exercise rehabilitation in patients with lung cancer complicated with chronic obstructive pulmonary disease[J]. Chin J Lung Cancer, 2022, 25(1):14-20. | |
[28] | Poot CC, Meijer E, Kruis AL, et al. Integrated disease management interventions for patients with chronic obstructive pulmonary disease[J]. Cochrane Database Syst Rev, 2021, 9(9):CD009437. |
[29] | 彭显亮. 协同护理模式在肺癌患者术后肺康复中的应用研究[D]. 荆州: 长江大学, 2021. |
Peng XL. Study on the application of collaborative nursing mode in postoperative lung rehabilitation of lung cancer patients[D]. Jingzhou: Yangtze University, 2021. | |
[30] |
Popat S, Navani N, Kerr KM, et al. Navigating diagnostic and treatment decisions in non-small cell lung cancer:expert commentary on the multidisciplinary team approach[J]. Oncologist, 2021, 26(2):e306-e315.
DOI URL |
[31] |
Fahim C, Acai A, McConnell MM, et al. Use of the theoretical domains framework and behaviour change wheel to develop a novel intervention to improve the quality of multidisciplinary cancer conference decision-making[J]. BMC Health Serv Res, 2020, 20(1):578.
DOI PMID |
[32] | Ammous O, Feki W, Lotfi T, et al. Inspiratory muscle training,with or without concomitant pulmonary rehabilitation,for chronic obstructive pulmonary disease(COPD)[J]. Cochrane Database Syst Rev, 2023, 1(1):CD013778. |
[33] |
Beaumont M, Forget P, Couturaud F, et al. Effects of inspira-tory muscle training in COPD patients:a systematic review and meta-analysis[J]. Clin Respir J, 2018, 12(7):2178-2188.
DOI PMID |
[34] |
de Lima FF, Cavalheri V, Silva BSA, et al. Elastic resistance training produces benefits similar to conventional resistance training in people with chronic obstructive pulmonary disease:systematic review and meta-analysis[J]. Phys Ther, 2020, 100(11):1891-1905.
DOI URL |
[35] | 李艳娇, 史铁英. 慢性阻塞性肺疾病患者上肢康复锻炼的研究现状[J]. 中华护理杂志, 2015, 50(7):873-877. |
Li YJ, Shi TY. Research progress of upper extremity rehabilitation training in patients with COPD[J]. Chin J Nurs, 2015, 50(7):873-877. | |
[36] |
Polverino E, Goeminne PC, McDonnell MJ, et al. European Respiratory Society guidelines for the management of adult bronchiectasis[J]. Eur Respir J, 2017, 50(3):1700629.
DOI URL |
[37] |
夏艳玲, 潘文彦, 赵洋洋, 等. 虚拟现实技术在ICU患者早期活动中的应用研究[J]. 中华护理杂志, 2023, 58(9):1050-1055.
DOI URL |
Xia YL, Pan WY, Zhao YY, et al. Application of virtual reality technology in early activities of ICU patients[J]. Chin J Nurs, 2023, 58(9):1050-1055.
DOI URL |
[1] | 浙江省护理学会呼吸护理专业委员会(执笔:曾妃, 兰美娟, 梁江淑渊, 顾培培, 蔡凌云, 郭璐瑶). 肺移植患者术后肺康复护理专家共识[J]. 中华护理杂志, 2024, 59(1): 10-14. |
[2] | 朱虹宣, 庞建美, 孙盛楠, 李燕. 老年肺癌患者术后过渡期肺康复行为影响因素的质性研究[J]. 中华护理杂志, 2024, 59(1): 15-21. |
[3] | 林琦, 刘玉荣, 杨慧, 杨凤娟, 王丹, 陈瑞云. 肺癌患者运动训练行为感知量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(1): 22-28. |
[4] | 尹佳宁, 管晓敏, 贾登帅, 徐玲, 陈兰. ICU机械通气患者撤机后呼吸肌训练的最佳证据总结[J]. 中华护理杂志, 2024, 59(1): 33-41. |
[5] | 许志玮, 王娴, 穆文方, 王燕, 王安子. 下肢静脉溃疡患者体力活动的最佳证据总结[J]. 中华护理杂志, 2024, 59(1): 100-107. |
[6] | 常可意, 吴杨峰, 单锶楷, 韩舒羽, 全晓丽, 韩佳凝, 吴冬霞, 张莉莉. HIV感染者/AIDS患者参与同伴支持体验质性研究的Meta整合[J]. 中华护理杂志, 2024, 59(1): 108-116. |
[7] | 雒晓燕, 崔仁善, 许秀梅, 崔苗苗, 郭玲茹, 周丹. 基于“互联网+”的护理干预对癌症患者疼痛影响的Meta分析[J]. 中华护理杂志, 2023, 58(9): 1056-1062. |
[8] | 张琦, 陈丽艳, 李媛媛, 张爱华, 杨丽娟. 非创伤性下肢截肢患者生活体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1112-1119. |
[9] | 王利秀, 李建芳, 程红霞, 罗彦, 杨冰香, 刘茜. 造血干细胞移植并发移植物抗宿主病患者皮肤护理的最佳证据总结[J]. 中华护理杂志, 2023, 58(9): 1120-1126. |
[10] | 张若林, 楼妍, 吴婉英, 王春兰, 傅丽英, 周瑶, 洪美容, 徐毓露, 冯欣悦. 癌症患者照顾者角色过渡体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(9): 1127-1134. |
[11] | 董永泽, 许秀君, 沈华娟, 周美玲, 贾艳清. 维持性血液透析患者动静脉血管通路穿刺管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(9): 1135-1141. |
[12] | 梁江淑渊, 曾妃, 顾培培, 郭璐瑶. 肺移植术后患者匹配式运动训练方案的构建及应用[J]. 中华护理杂志, 2023, 58(8): 901-906. |
[13] | 赵宝生, 李振香, 马超群, 王艳艳, 范桂敏, 李涵, 郑晓丽. 青少年自杀未遂患者心理体验质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(8): 979-985. |
[14] | 孙建华, 罗红波, 李尊柱, 李奇, 李欣, 赵明曦, 马鸿鸣, 井杰, 刘金榜, 崔文博, 张青, 马玉芬, 王小亭. 成人重症患者床旁超声引导鼻肠管置入的证据总结[J]. 中华护理杂志, 2023, 58(8): 986-992. |
[15] | 黄楚贤, 施忠英, 罗晨, 李红艳. 神经性厌食患者饮食行为管理的最佳证据总结[J]. 中华护理杂志, 2023, 58(8): 993-1000. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||