Chinese Journal of Nursing ›› 2023, Vol. 58 ›› Issue (1): 91-97.DOI: 10.3761/j.issn.0254-1769.2023.01.013

• Evidence Synthesis Research • Previous Articles     Next Articles

Evidence summary of yoga management for patients with cancer-related fatigue

YUAN Shuqi(), WANG Yuanyuan, JIA Lingying, HU Yan()   

  • Received:2022-01-19 Online:2023-01-10 Published:2022-12-30
  • Contact: HU Yan

癌因性疲乏患者瑜伽运动管理的最佳证据总结

袁书琪(), 王园园, 贾凌莹, 胡雁()   

  1. 200032 上海市 复旦大学护理学院
  • 通讯作者: 胡雁
  • 作者简介:袁书琪:女,本科(硕士在读),E-mail:21211170007@m.fudan.edu.cn
  • 基金资助:
    2021年度复旦大学-复星护理科研基金项目(FNF202103)

Abstract:

Objective To provide solid evidence for clinical development and implementation of yoga exercise for patients with cancer-related fatigue,we systematically retrieve,extract,summarize and analyze both the latest and the best evidence of yoga exercise for patients with cancer-related fatigue. Methods We searched BMJ Best Practice,UpToDate,NICE,RNAO,SIGN,NCCN,GIN,Yimaitong Guideline,JBI Library,Cochrane Library,PubMed,Web of Science,CINAHL,Wanfang Database,CNKI,CBM,AACR and ONS website to collect all relevant evidence,including guidelines,evidence summaries,best practice,expert consensuses,systematic reviews and et al. published from establishment of the database to December,2021. There were 2 researchers who independently screened articles and evaluated methodological quality. Evidence was extracted and summarized according to the theme. Results A total of 7 articles were finally included,containing 1 guideline and 6 systematic reviews. 22 pieces of evidence related to yoga exercise for patients with cancer-related fatigue were extracted and summarized into 9 themes,including exercise cognition,effects,yoga type,assessment,guidance and supervision,target population,principles formulation,exercise parameters and measurements. Conclusion Health care providers should carry out the best evidence practice of personalized yoga exercise prescription for cancer patients according to the characteristics of different cancer population,in order to reduce their fatigue and improve their quality of life.

Key words: Neoplasms, Fatigue, Yoga, Evidence Summary, Evidence-Based Nursing

摘要:

目的 系统检索、提取、汇总和分析癌因性疲乏患者瑜伽运动管理的最佳证据,为临床制订基于证据的癌因性疲乏患者瑜伽运动决策和干预提供循证依据。 方法 计算机检索BMJ最佳临床实践、UpToDate、英国国家卫生与临床优化研究所指南网、加拿大安大略注册护士协会指南网、苏格兰学院间指南网、美国国家综合癌症网络、指南国际网络、医脉通、澳大利亚乔安娜布里格斯研究所循证卫生保健中心图书馆、Cochrane图书馆、PubMed、Web of Science、CINAHL、万方数据库、中国知网、中国生物医学文献数据库、美国癌症研究学会网站和美国肿瘤护理学会网站中关于癌因性疲乏患者瑜伽运动的所有证据,包括临床实践指南、证据总结、临床决策、专家共识、系统评价等,检索时间为建库至2021年12月。由2名研究人员独立进行文献筛选和质量评价,根据主题进行证据提取、归纳和汇总。 结果 最终共纳入7篇文献,包括1篇指南和6篇系统评价。通过2名研究人员共同讨论,提取归纳癌因性疲乏患者瑜伽运动管理相关证据共22条,汇总9个主题,分别为运动认知、运动效果、瑜伽类型、运动评估、运动指导与监督、运动对象、制订原则、运动参数、评价工具。 结论 医疗保健人员应结合国内临床情境,根据不同癌症人群特点,开展癌症患者个性化瑜伽运动处方的最佳证据实践,以减轻癌症患者疲乏,改善生存质量。

关键词: 肿瘤, 疲乏, 瑜伽, 证据总结, 循证护理学