肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的证据总结

doi:10.3761/j.issn.0254-1769.2024.01.006

摘要/Abstract

摘要：

目的检索、提取、评价和整合肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的相关证据，为提高肺癌合并慢性阻塞性肺疾病术后肺康复质量提供循证依据。方法计算机检索临床决策网站、指南网站、专业协会网站及综合数据库中关于肺癌合并慢性阻塞性肺疾病患者术后肺康复的相关文献，文献类型包括临床决策、指南、专家共识、证据总结、系统评价、Meta分析、随机对照研究，检索时限为建库至2023年9月。结果共纳入19篇文献，其中临床决策4篇、指南3篇、专家共识6篇、证据总结1篇、系统评价3篇、随机对照研究2篇，通过阅读、提取、归类最终形成最佳证据23条，包括多学科合作、评估、肺康复策略、健康教育4个主题。结论该研究总结了肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的最佳证据，临床医护人员可根据实际情境实施术后肺康复的证据，推动循证知识向实践转化。

关键词: 肺癌, 慢性阻塞性肺疾病, 术后, 肺康复, 循证护理学

Abstract:

Objective To retrieve，extract，evaluate，and integrate the relevant evidence of postoperative pulmonary rehabilitation management in patients with lung cancer complicated with chronic obstructive pulmonary disease，so as to provide an evidence-based basis for improving the quality of postoperative pulmonary rehabilitation. Methods Relevant literature on postoperative pulmonary rehabilitation of lung cancer complicated with chronic obstructive pulmonary disease were searched by computer from clinical decisions，guideline websites，professional association websites，and comprehensive databases. The types of the literature included clinical decisions，guidelines，expert consensuses，evidence summaries，systematic reviews，meta-analyses，and randomized controlled trials. The retrieval time limit was from the establishment of the database to September 2023. Results A total of 19 articles were included，including 4 clinical decisions，3 guidelines，6 expert consensuses，1 evidence summary，3 systematic reviews，and 2 randomized controlled trials. Through reading，extraction and classification，23 pieces of best evidence were finally formed，including multidisciplinary cooperation，evaluation，pulmonary rehabilitation strategies and health education. Conclusion This study summarizes the best evidence for postoperative lung rehabilitation management in patients with lung cancer and chronic obstructive pulmonary disease. Clinical medical staff can implement practical evidence for postoperative lung rehabilitation based on actual situations，and promote the transformation of evidence-based knowledge into practice.

Key words: Lung Cancer, Chronic Obstructive Pulmonary Disease, Postoperative, Pulmonary Rehabilitation, Evidence-Based Nursing

韩娜菲, 冯华丽, 贺红, 李茜, 徐剑锋, 金尧娟, 沈孟雅, 孙佳烨, 黄天海. 肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的证据总结[J]. 中华护理杂志, 2024, 59(1): 42-49.

HAN Nafei, FENG Huali, HE Hong, LI Qian, XU Jianfeng, JIN Yaojuan, SHEN Mengya, SUN Jiaye, HUANG Tianhai. Best evidence summary of postoperative pulmonary rehabilitation management in patients with lung cancer complicated with chronic obstructive pulmonary disease[J]. Chinese Journal of Nursing, 2024, 59(1): 42-49.

图/表 4

图1 文献筛选流程图

Figure 1 Flow chart of literature screening

表1 纳入文献的一般特征(n=19)

Table 1 Characteristics of included literature(n=19)

表2 纳入指南的质量评价结果(n=3)

Table 2 The quality evaluation results of the included guidelines(n=3)

表3 肺癌合并慢性阻塞性肺疾病患者术后肺康复管理的最佳证据总结

Table 3 Best evidence summary of postoperative pulmonary rehabilitation management in patients with lung cancer complicated with chronic obstructive pulmonary disease

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