中华护理杂志 ›› 2023, Vol. 58 ›› Issue (20): 2464-2471.DOI: 10.3761/j.issn.0254-1769.2023.20.005

• 消化系统疾病护理专题 • 上一篇    下一篇

非酒精性脂肪肝患者运动管理的最佳证据总结

张雪玲(), 郑奇容, 王巧松, 方艳, 肖烨, 林燕, 王碧芬, 林蓉金()   

  1. 350005 福州市 福建医科大学附属第一医院妇产科(张雪玲),护理部(方艳,肖烨,林蓉金),肝病中心肝内科(林燕,王碧芬);福建医科大学护理学院(郑奇容,王巧松)
  • 收稿日期:2023-01-13 出版日期:2023-10-20 发布日期:2023-10-19
  • 通讯作者: 林蓉金,E-mail:mailto:nplrj@126.com
  • 作者简介:张雪玲:女,硕士,护师,E-mail:zxl6120@163.com
  • 基金资助:
    福建省卫生健康创新课题(2021CXB007);福建医科大学附属第一医院院级课题(2022FY-HZ-20)

The best evidence summary of exercise management of patients with nonalcoholic fatty liver disease

ZHANG Xueling(), ZHENG Qirong, WANG Qiaosong, FANG Yan, XIAO Ye, LIN Yan, WANG Bifen, LIN Rongjin()   

  • Received:2023-01-13 Online:2023-10-20 Published:2023-10-19

摘要:

目的 检索并汇总非酒精性脂肪肝患者运动管理的相关证据,为临床提供参考。方法 系统检索UpToDate、BMJ Best Practice、国际指南协作网、苏格兰学院指南网、英国国家卫生与临床优化研究所网站、Cochrane Library、美国医疗保健研究与质量局网站、加拿大安大略注册护士协会网站、美国肝病研究学会网站、PubMed、Web of Science、CINAHL、DynaMed、Embase、中国医脉通指南网、中国知网、中华医学期刊全文数据库、万方数据知识服务平台、中国生物医学文献数据库中关于非酒精性脂肪肝患者运动管理的所有证据,包括指南、证据总结、专家共识、最佳临床实践、临床决策、推荐实践、系统评价,检索时限为建库至2022年11月。由2名研究者独立对文献进行质量评价。结果 共纳入系统评价、专家共识、指南18篇文献,从运动原则、运动监督、运动类型、运动选择、运动时间与频率、运动强度等6个方面汇总24条最佳证据。结论 该研究汇总的非酒精性脂肪肝患者运动管理的最佳证据具有全面性和科学性,医护人员可以通过应用最佳证据指导非酒精性脂肪肝患者合理运动,提高干预科学性。

关键词: 非酒精性脂肪肝, 运动, 循证护理学, 证据总结

Abstract:

Objective To search and obtain relevant evidence of exercise management in patients with nonalcoholic fatty liver disease(NAFLD) and to provide a reference for clinical practice. Methods UpToDate,BMJ Best Practice,International Guidelines Collaboration(GIN),Scottish College Guidelines Network(SIGN),National Institute for Healthcare Excellence(NICE) website,Cochrane Library,U.S. Agency for Healthcare Research and Quality(AHRQ) website,Canadian Association of Registered Nurses of Ontario(RNAO) website,American Association for the Study of Liver Diseases(AASLD) website,PubMed,Web of Science,CINAHL,DynaMed,Embase,CNKI,Chinese Medical journal full-text database,Wanfang Data Knowledge Service Platform,Sinomed and other databases were systematically searched for all evidence on exercise management of the NAFLD. It includes guidelines,evidence summaries,expert consensuses,best practice information booklets,clinical decisions,recommended practice,and systematic reviews. The retrieval period is from the database inception to November 2022. The quality of the literature was evaluated independently by 2 researchers. Results A total of 18 pieces of literature,including systematic evaluations,expert consensuses,and clinical practice guidelines,were included. 24 pieces of best evidence were collected from 6 aspects,including exercise principle,exercise supervision,exercise type,exercise selection,exercise time and frequency,and exercise intensity. Conclusion This study summarized the best evidence for exercise management of patients with NAFLD,which is comprehensive and scientific. Medical staff can use the best evidence to guide patients with NAFLD to exercise reasonably and improve the scientific nature of the intervention.

Key words: Nonalcoholic Fatty Liver, Exercise, Evidence-Based Nursing, Summary of Evidence