学龄期恶性肿瘤患儿运动康复的最佳证据总结

doi:10.3761/j.issn.0254-1769.2023.04.014

摘要/Abstract

摘要：

目的检索、评价及总结学龄期恶性肿瘤患儿运动康复的相关证据，为医护人员指导患儿及其家庭开展运动康复提供参考。方法计算机系统检索国内外数据库、相关指南网站及专业学会网站中关于学龄期恶性肿瘤患儿运动康复的临床决策、推荐实践、指南、证据总结、专家共识及系统评价。检索时限为2017年2月—2022年2月。由2名研究者独立进行文献质量评价、证据提取及整合。结果最终纳入13篇文献，其中指南3篇、证据总结3篇、推荐实践1篇、专家共识1篇、系统评价5篇。从运动目的、运动对象、运动评估、运动方案和运动管理5个方面共总结21条最佳证据。结论该研究总结了学龄期恶性肿瘤患儿运动康复的最佳证据，建议医护人员应用证据时充分考虑临床情境，结合患儿及其家庭的需求和偏好，制订更为详细的个性化运动康复方案。

关键词: 肿瘤, 儿童, 学龄期, 运动疗法, 循证护理学

Abstract:

Objective To retrieve，evaluate and summarize the current evidence related to exercise rehabilitation in school-age children with malignant tumors，and provide references for clinical healthcare workers to guide children and their families to practice the plan for exercise rehabilitation. Methods The researchers conducted a systematical search in national and international databases，relevant guideline websites and professional society websites for related clinical decisions，recommended practices，guidelines，evidence summaries，expert consensuses，and systematic reviews for exercise rehabilitation in school-age children with malignancies since February 2017 to February 2022. The quality evaluation，extraction，and integration for evidence were conducted independently by 2 researchers，respectively. Results A total of 13 studies，including 3 guidelines，3 JBI evidence summaries，1 recommended practice，1 expert consensus and 5 systematic reviews，were included. There were 21 pieces of best evidence with 5 dimensions，including the purposes，participants，assessment，detailed programs，and management for exercise rehabilitation being summarized. Conclusion The study summarizes the best evidence of exercise rehabilitation in school-age children with malignant tumors. It is recommended for health professionals to fully consider the clinical situations to develop more detailed personalized exercise rehabilitation program based on the needs and preferences of school-age children with malignant tumors and their families.

Key words: Neoplasm, Children, School-Age, Exercise Therapy, Evidence-Based Nursing

徐欣怡, 唐莉, 余雅婷, 陈晓容, 毛孝容, 闵丽华. 学龄期恶性肿瘤患儿运动康复的最佳证据总结[J]. 中华护理杂志, 2023, 58(4): 477-484.

XU Xinyi, TANG Li, YU Yating, CHEN Xiaorong, MAO Xiaorong, MIN Lihua. The best evidence summary for exercise rehabilitation in school-age children with malignant tumors[J]. Chinese Journal of Nursing, 2023, 58(4): 477-484.

图/表 5

表1 PubMed检索策略

Table 1 Search strategy in PubMed

图1 文献筛选流程图

Figure 1 Flow chart of literature screening

表2 纳入文献的一般特征（n=13）

Table 2 Characteristics of included studies（n=13）

表3 纳入指南的质量评价结果（n=3）

Table 3 Quality evaluation of guidelines（n=3）

表4 学龄期恶性肿瘤患儿运动康复的最佳证据总结

Table 4 Summary of the best evidence for exercise rehabilitation in school-age children with malignant tumors

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