Abstract:

Objective To search,evaluate and summarize the best evidence of exercise intervention in the elderly with sarcopenia,and to provide bases for guiding exercise in the elderly. Methods We searched the UpToDate,JBI,Cochrane Library,DynaMed,NGC,RNAO,SIGN,NICE,GIN,CPG,Yimaitong,PubMed,Web of Science,CNKI and CBM,including guidelines,expert consensuses,clinical decision-making,evidence summaries and systematic reviews. The retrieval time is from the establishment of the databases to February 20,2021. Results 16 articles were included,including 1 guideline,3 expert consensuses,3 clinical decision-making and 9 systematic reviews. 29 pieces of evidence were summarized in 8 areas,namely exercise evaluation,exercise style,exercise intensity,exercise time,exercise plan formulation principles,management mode,precautions,and health education. Conclusion The process of evidence production is scientific,rigorous,comprehensive and of high quality. Exercise intervention can effectively improve the sarcopenia. In the process of evidence transformation,medical staff should choose the best evidence according to the specific situation and individual factors of patients,and guide the elderly to exercise safely and effectively and improve the quality of life.

Key words: Aged, Sarcopenia, Exercise Intervention, Evidence-Based Nursing

摘要：

目的 评价并总结老年肌少症患者运动干预相关证据,为指导老年肌少症患者运动提供循证依据。 方法 计算机检索UpToDate、乔安娜布里格斯研究所（Joanna Briggs Institute,JBI）图书馆、Cochrane Library、DynaMed、美国指南网、加拿大安大略注册护士协会指南网、苏格兰院间指南网、英国国家卫生与临床优化研究所指南网、国际指南网、加拿大医学会临床实践指南信息库、医脉通、PubMed、Web of Science、中国知网、中国生物医学文献数据库中关于老年肌少症患者运动干预措施的所有证据,包括指南、专家共识、临床决策、证据总结及系统评价,检索时间为建库至2021年2月20日。结果 共纳入16篇文献,包括1篇指南、3篇专家共识、3篇临床决策、9篇系统评价。总结了包含运动评估、运动方式、运动强度、运动时间、运动方案制订原则、管理模式、注意事项、健康教育8个类别的29条证据。结论 运动干预可以有效改善肌少症,该研究证据总结过程科学、严谨,内容较全面,医护人员在证据转化过程中应根据具体情境和患者个体因素选择最佳证据,指导老年肌少症患者安全有效地运动,提高生活质量。

关键词: 老年人, 肌少症, 运动干预, 循证护理学