中华护理杂志 ›› 2022, Vol. 57 ›› Issue (17): 2095-2101.DOI: 10.3761/j.issn.0254-1769.2022.17.008
收稿日期:
2022-01-24
出版日期:
2022-09-10
发布日期:
2022-09-07
通讯作者:
刘晓芯,E-mail: lxx1018@hotmail.com作者简介:
杨洁:女,本科(硕士在读),E-mail: 3224781268@qq.com
基金资助:
YANG Jie(), LIU Xiaoxin(), JU Xinxing, CHENG Yuna, GU Yan
Received:
2022-01-24
Online:
2022-09-10
Published:
2022-09-07
摘要:
目的 通过Meta分析评价早期活动对肺癌患者术后康复及生活质量的影响。 方法 系统检索PubMed、Embase、Cochrane Library、CINAHL、Web of Science、中国期刊全文数据库、万方数据库、维普数据库、中国生物医学文献数据库中关于肺癌患者术后早期活动的随机对照试验和类实验研究,检索时限为建库至2021年12月,采用Revman 5.2软件进行Meta分析。 结果 共纳入13篇文献,包括1 786例患者。Meta分析结果显示,早期活动可缩短胸腔引流管留置时间[MD=-1.13,95%CI(-1.27,-0.99),P<0.001]、降低肺癌患者术后并发症发生率[RR=0.66,95%CI(0.53,0.83),P<0.001]及减少住院时间[MD=-1.21,95%CI(-1.95,-0.46),P=0.002];当早期活动结合家庭运动干预时,可进一步改善肺癌患者的肺功能[SMD=0.57,95%CI(0.29,0.86),P<0.001]、延长6 min步行距离[MD=125.36,95%CI(41.46, 209.26),P=0.003],但在改善肺癌患者生活质量方面,差异无统计学意义[SMD=0.11,95%CI(-0.14,0.36),P=0.400]。 结论 术后早期活动可改善肺癌患者多项康复指标,当在术后早期活动基础上额外增加家庭运动干预后,可改善肺癌患者肺功能、延长6 min步行距离,但在改善肺癌患者健康相关生活质量方面效果不显著。
杨洁, 刘晓芯, 居馨星, 成钰娜, 谷艳. 早期活动对肺癌患者术后康复及生活质量影响的Meta分析[J]. 中华护理杂志, 2022, 57(17): 2095-2101.
YANG Jie, LIU Xiaoxin, JU Xinxing, CHENG Yuna, GU Yan. Effect of early mobilization on postoperative rehabilitation and quality of life of lung cancer patients:a meta analysis[J]. Chinese Journal of Nursing, 2022, 57(17): 2095-2101.
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