幼年特发性关节炎患儿运动康复的证据总结

doi:10.3761/j.issn.1672-9234.2023.12.016

摘要/Abstract

摘要：

目的总结幼年特发性关节炎患儿运动康复的最佳证据，为指导患儿进行相应的运动干预提供参考。方法依照证据金字塔模型，检索国内外指南网站、相关协会网站及数据库，检索时限为建库至2022年10月。采用澳大利亚JBI循证中心对应的文献质量评价标准、证据分级和推荐级别系统进行文献质量评价和证据等级划分。结果共纳入10篇文献，包括指南2篇、专家共识2篇、系统评价6篇。提取了运动原则、运动前评估、运动方式、运动强度、运动时间及频率、运动安全、运动管理及健康教育8个方面共28条证据。结论本研究总结了有关幼年特发性关节炎患儿运动康复的最佳证据，医务人员可参考总结的证据并结合患儿自身的状况、患儿及家长的意愿进行证据选择，以制订个性化运动方案，改善患儿的运动能力，提高患儿的生活质量。

关键词: 关节炎, 幼年特发性, 运动疗法, 循证护理学, 证据总结

Abstract:

Objective To summarize the best evidence of exercise programs for children with juvenile idiopathic arthritis and to provide basis for clinical exercise plans. Methods According to the evidence pyramid model，relevant papers from the national and international databases and the relevant websites were searched from databases’ establishment to October 2022. The quality of the literature was evaluated and the extracted evidence was graded through the literature evaluation criteria and evidence classification system of JBI Evidence-based Health Care Center in Australia. Results A total of ten publications including two guidelines，two expert reports and six systematic reviews were included. A total of 28 pieces of evidence were identified and categorized into eight aspects：exercise principle，exercise assessment，exercise type，exercise intensity，exercise frequency and time，exercise safty，exercise managements and education. Conclusion This study summarized the best evidence on exercise programs for children with juvenile idiopathic arthritis. Health professionals can refer to the best evidence and combine it with the child’s own condition and the wishes of the child or parents in order to develop an individualized exercise programs to improve the child’s exercise capacity and quality of life.

Key words: Arthritis, Juvenile Idiopathic, Exercise Therapy, Evidence-Based Nursing, Evidence summary

夏璇, 龚相易, 连冬梅, 李杨. 幼年特发性关节炎患儿运动康复的证据总结[J]. 中华护理教育, 2023, 20(12): 1500-1506.

XIA Xuan, GONG Xiangyi, LIAN Dongmei, LI Yang. Evidence summary of exercise programs for children with juvenile idiopathic arthritis[J]. Chinese Journal of Nursing Education, 2023, 20(12): 1500-1506.

图/表 4

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