肺癌患者术前预康复管理的最佳证据总结

doi:10.3761/j.issn.1672-9234.2024.07.018

摘要/Abstract

摘要：

目的系统检索、评价、提取和整合肺癌患者术前预康复管理的相关证据。方法计算机检索国内外数据库和相关专业网站中肺癌患者术前预康复管理的临床实践指南、临床决策、专家共识和系统评价，文献检索时限为2018年1月—2022年12月。由2名研究人员独立进行文献筛选和质量评价，根据主题进行证据提取和汇总。结果最终共纳入14篇文献，包括4篇指南、1篇临床决策、2篇专家共识和7篇系统评价。通过证据提取和归类，从运动训练、营养支持、戒烟指导、心理支持和口腔卫生5个方面总结出26条证据。结论临床人员应结合具体的临床情况和患者的意愿，开展肺癌患者个体化预康复方案的最佳证据实践，以改善患者术前心肺功能储备，使患者术后更好、更快地恢复。

关键词: 肺癌, 术前, 预康复, 证据总结, 循证护理学

Abstract:

Objective To systematically retrieve，evaluate，extract and summarize evidence related to the management of preoperative rehabilitation for patients with lung cancer. Methods Clinical practice guidelines，clinical decisions，expert consensuses and systematic reviews on the management of preoperative rehabilitation of patient with lung cancer in domestic and foreign databases and related professional websites were searched. Two researchers screened articles and evaluated the quality of included articles independently，then evidence was extracted and summarized. Results A total of 14 articles were included finally，containing four clinical practice guidelines，one clinical decision，two expert consensuses and seven systematic reviews. Twenty-six pieces of evidence related to the management of preoperative prehabilitation among lung cancer patients were extracted and summarized into five themes，including exercise training，nutritional support，smoking cessation guidance，psychological support，and oral hygiene. Conclusion Clinical professionals should carry out the best evidence practice and provide personalized preoperative rehabilitation to lung cancer patients in combination with clinical situations and patients’ wishes，in order to improve patients’ cardiopulmonary function before surgery，so that they can recover better and faster after surgery.

Key words: Lung Cancer, Preoperative, Rehabilitation, Evidence summary, Evidence-based nursing

张方圆, 焦杰, 刘丽峰. 肺癌患者术前预康复管理的最佳证据总结[J]. 中华护理教育, 2024, 21(7): 881-886.

ZHANG Fangyuan, JIAO Jie, LIU Lifeng. Evidence summary of preoperative rehabilitation in lung cancer patients[J]. Chinese Journal of Nursing Education, 2024, 21(7): 881-886.

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参考文献 30

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