关键词: 下肢静脉溃疡, 体力活动, 证据总结, 循证护理学

Abstract:

Objective To retrieve，evaluate and summarize the best evidence of physical activity in patients with venous leg ulcer（VLU），and to provide the evidence for clinical practice of physical activity intervention for patients with VLU. Methods We systematically searched all relevant literature on the physical activity of patients with VLU，including clinical practice guidelines，clinical decision-making，systematic reviews，evidence summaries，expert consensuses，and original studies，from the guideline websites，databases，and professional association websites，with the search period from the database establishment to May 19，2023. 2 researchers independently evaluated the quality of the literature，and included and extracted and integrated evidence based on the judgment of professionals. Results A total of 18 articles were included，consisting of 6 guidelines，2 clinical decisions，6 systematic reviews，3 expert consensuses and 1 original study. Finally，26 pieces of best evidence were summarized，categorizing into 8 aspects which include timing of physical activity，patient assessment before physical activity，mode of physical activity，time and frequency of physical activity，intensity of physical activity，effect evaluation of physical activity，quality control and tips. Conclusion This study summarizes the best evidence of physical activity in patients with VLU. It is recommended that health care professionals should formulate individualized physical activity programs based on the practical conditions and clinical situation，and fully consider the evaluation results of patients.

Key words: Venous Leg Ulcers, Physical Activity, Evidence Summary, Evidence-Based Nursing