2型糖尿病患者运动方案的最佳证据总结

doi:10.3761/j.issn.0254-1769.2019.12.024

摘要/Abstract

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

朱苗苗, 潘红英, 李思嘉, 袁红娣, 徐玉斓. 2型糖尿病患者运动方案的最佳证据总结[J]. 中华护理杂志, 2019, 54(12): 1887-1892.

ZHU Miaomiao, PAN Hongying, LI Sijia, YUAN hongdi, XU Yulan. Evidence summary for exercise therapy programs in patients with type 2 diabetes mellitus[J]. Chinese Journal of Nursing, 2019, 54(12): 1887-1892.

图/表 4

参考文献 31

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