摘要
目的:检索、评价并汇总慢性阻塞性肺疾病患者远程肺康复方案的相关证据。方法:按照6S金字塔证据模型,系统检索国内外指南网、循证数据库、协会网站、原始数据库中有关慢性阻塞性肺疾病患者远程肺康复的相关文献,包括指南、专家共识、证据总结、临床决策、推荐实践、系统评价及随机对照试验,检索时限为建库至2023年7月31日。由2名研究者独立对文献进行质量评价和资料提取。结果:共纳入27篇文献,包括指南5篇、临床决策1篇、证据总结4篇、专家共识1篇、系统评价14篇、随机对照试验2篇。从场所、对象、干预前准备、通信方式、远程健肺康复方案、锻炼维持计划和远程健康监测7个方面汇总了27条证据。结论:慢性阻塞性肺疾病患者远程肺康复方案最佳证据的形成过程全面、科学。医护人员应结合实际情况和患者的意愿偏好,合理应用证据,制订个性化的远程肺康复方案。
ObjectiveTo retrieve,evaluate,and summarize relevant evidence on remote pulmonary rehabilitation programs for patients with Chronic Obstructive Pulmonary Disease(COPD).MethodsFollowing the 6S Pyramid Evidence Model,domestic and international guideline websites,evidence-based databases,association websites,and original databases were systematically searched for literature related to remote pulmonary rehabilitation for patients with COPD,including guidelines,expert consensus,evidence summaries,clinical decisions,practice recommendations,systematic reviews,and randomized controlled trials.The search was conducted from the databases'inception to July 31,2023.Quality assessment and data extraction were independently conducted by two researchers.ResultsA total of 27 articles were included,including five guidelines,one clinical decision,four evidence summaries,one expert consensus,14 systematic reviews,and two randomized controlled trials.A total of 27 best evidence recommendations were synthesized across seven aspects,including setting,target population,pre-intervention preparation,communication devices,remote pulmonary rehabilitation programs,maintenance exercise plans,and remote health monitoring.ConclusionsThe process of forming the best evidence for remote pulmonary rehabilitation programs for patients with COPD is comprehensive and scientific.Healthcare professionals should integrate evidence-based practice with patient preferences to develop personalized remote pulmonary rehabilitation programs according to individual circumstances.
作者
许暖
曹明鑫
高梅
张施施
杨濮瑞
Xu Nuan;Cao Mingxin;Gao Mei;Zhang Shishi;Yang Purui(School of Nursing,Lanzhou University,Lanzhou 730011,China)
出处
《中华现代护理杂志》
2024年第20期2685-2694,共10页
Chinese Journal of Modern Nursing
基金
兰州大学医学科研创新能力提升项目(lzuyxcx-2022-199)
兰州大学护理学院科研项目(LZUSON202011)。
