关键词: 维持性血液透析, 运动, 循证护理学, 证据总结

Abstract:

Objective To search，analyze and summarize the relevant evidence of exercise of maintenance hemodialysis（MHD） patients，aiming to provide evidence of exercise management of MHD patients for clinical staff. Methods Based on the pyramid model of evidence，the relevant literature including exercise of MHD patients was searched by computer，including UpToDate，BMJ Best Practice，guidelines collaboration network，Joanna Briggs Institute，Cochrane Library，well-known databases at home and abroad，and renal professional association websites. The search time was from January 1，2017 to January 31，2022. There were 2 trained researchers in systematic evidence-based knowledge who evaluated the quality of the literature，combined with clinical judgment，selected the literature that met the inclusion and exclusion criteria，and extracted the evidence. Results A total of 10 articles were included and summarized as the best evidence，including 3 guidelines，2 expert consensuses，1 JBI recommended practice，3 JBI evidence summaries，and 1 systematic review. 35 pieces of best evidence were integrated，covering 7 aspects of MHD exercise management，namely the benefits of exercise，organizational management，exercise qualification screening，exercise medical evaluation，exercise prescipition management，the safety monitoring of exercise and exercise support plan. Conclusion The evidence of exercise of MHD patients provides effective standards for clinical staff. It is suggested that targeted evidence should be selected in combination with clinical situations，promoting factors，hindering factors and patients’ wishes when the evidence is applied.

Key words: Maintenance Hemodialysis, Exercise, Evidence-Based Nursing, Evidence Summary