Abstract:

Objective To evaluate and summarize the relevant evidence of exercise intervention in peritoneal dialysis patients,so as to provide evidence-based bases for making the exercise guidance flow chart of peritoneal dialysis patients. According to the best evidence,the exercise guidance flow chart of peritoneal dialysis patients is made to facilitate clinical nurses to guide the exercise of peritoneal dialysis patients. Methods The computer search includes the World Health Organization,BMJ（best practice）,the website of the National Institute for health and clinical optimization,the international guidelines collaboration network,the Scottish inter school guidelines website,the Joanna Briggs Institute（JBI）,the U.S. national guidelines library,up to date,Embase,PubMed,Web of Science,Cochrane Library. Relevant literature on exercise of peritoneal dialysis patients in China biomedical literature database,Yimaitong,China knowledge network,Wanfang database and VIP database. The retrieval time is from the establishment of the database to November 1,2021. The quality of literature was evaluated and the evidence was extracted. The expert group meeting method was conducted to integrate the evidence and the flow chart of sports guidance was made. Results Finally,5 pieces of the literature were included,among which 4 were systematic reviews and 1 was expert consensus. The summary includes 8 aspects of exercise type,time,intensity,frequency,evaluation time,evaluation content,evaluation tools and precautions,22 pieces of best evidence,and the exercise guidance flow chart of peritoneal dialysis patients is made. Conclusion This study summarizes the best evidence related to exercise in peritoneal dialysis patients,and makes the exercise guidance process according to the best evidence,so as to provide references for clinical medical staff to guide exercise in peritoneal dialysis patients.

Key words: Peritoneal Dialysis, Renal Insufficiency, Exercise, The Flow Chart, Evidence-Based Nursing

摘要：

目的 评价并总结腹膜透析患者运动干预相关证据,根据最佳证据制作腹膜透析患者运动指导流程图,为临床护士指导腹膜透析患者运动锻炼提供依据。 方法 计算机检索WHO网站、BMJ（Best Practice）、英国国家卫生与临床优化研究所网站、国际指南协作网、苏格兰校际指南网站、澳大利亚乔安娜布里格斯研究所循证卫生保健中心数据库、美国国立指南库、UpToDate、Embase、PubMed、Web of Science、Cochrane Library、中国生物医学文献数据库、医脉通、中国知网、万方数据库、维普数据库中关于腹膜透析患者运动锻炼的相关文献。检索时间为建库至2021年11月1日。对文献质量进行评价,提取整合、评审证据;采用专家小组会议法制作运动指导流程图。 结果 最终纳入5篇文献,4篇为系统评价及Meta分析,1篇为专家共识。总结包括评估时间、评估内容、评估工具、运动类型、运动强度、运动频率、运动时间、注意事项8个方面的内容,22条最佳证据,并制作了腹膜透析患者运动指导流程图。 结论 该研究总结了腹膜透析患者运动相关的最佳证据,并根据最佳证据制作运动指导流程图,可为临床医护人员指导腹膜透析患者运动锻炼提供参考。

关键词: 腹膜透析, 肾功能不全, 运动, 流程图, 循证护理学