中华护理杂志 ›› 2019, Vol. 54 ›› Issue (12): 1887-1892.DOI: 10.3761/j.issn.0254-1769.2019.12.024

• 证据综合研究 • 上一篇    下一篇

2型糖尿病患者运动方案的最佳证据总结

朱苗苗,潘红英(),李思嘉,袁红娣,徐玉斓   

  1. 310016 杭州市浙江大学医学院附属邵逸夫医院内分泌科(朱苗苗,李思嘉,,红娣,徐玉斓),护理部(潘红英)
  • 收稿日期:2019-04-16 出版日期:2019-12-15 发布日期:2019-12-15
  • 通讯作者:
  • 作者简介:朱苗苗:女,本科(硕士在读),主管护师,E-mail:zmmklff@163.com
  • 基金资助:
    浙江省医药卫生科技计划项目(2018KY471)

Evidence summary for exercise therapy programs in patients with type 2 diabetes mellitus

ZHU Miaomiao,PAN Hongying(),LI Sijia,YUAN hongdi,XU Yulan   

  • Received:2019-04-16 Online:2019-12-15 Published:2019-12-15

摘要:

目的 检索、评价和整合2型糖尿病患者运动方案的最佳证据,为临床制订2型糖尿病患者运动方案提供循证依据。 方法 应用循证护理方法,针对2型糖尿病患者运动治疗的问题,计算机检索相关文献,采用澳大利亚JBI循证卫生保健中心的文献评价标准和证据分级系统,对各类研究进行质量评价及证据级别评定。结果 共纳入10篇文献,包括指南4篇、系统评价2篇,推荐实践1篇、专家共识1篇和随机对照试验2篇。从运动的评估、运动方式、运动强度、运动时间和运动安全5个方面共总结了17条最佳证据。 结论 总结了有关2型糖尿病患者运动方案的最佳证据,形成了具体的推荐建议,可为护士及护理管理者制订相关护理方案提供循证依据,对科学管理2型糖尿病患者运动具有指导意义。

关键词: 糖尿病, 2型, 运动治疗, 生活方式, 循证护理学

Abstract:

Objective To retrieve,appraise and integrate available evidence on exercise therapy programs in patients with type 2 diabetes mellitus so as to provide evidence for clinical development of exercise therapy programs for patients with type 2 diabetes. Methods Using the method of evidence-based nursing,questions about exercise therapy programs for patients with type 2 diabetes were raised,relevant literatures were searched. JBI evidence appraisal and recommendation system were used to evaluate quality of studies and level of evidence. Results A total of 10 articles were included,including 4 guidelines,2 systematic reviews,1 recommended practice,1 consensus and 2 randomized controlled trials. A total of 17 best evidences were summarized from 5 items of exercise evaluation,exercise mode,exercise intensity,exercise time,and exercise safety. Conclusion This study summarized best evidence on exercise therapy programs in patients with type 2 diabetes mellitus,and formed recommendations,which can provide evidence for nurses and nursing managers to establish relevant nursing schemes,and have significance in guiding exercise therapy.

Key words: Diabetes Mellitus, Type 2, Exercise Therapy, Life Style, Evidence-Based Nursing