国内关于有氧运动对患者癌因性疲乏干预性研究的文献质量评价

Critical appraisal of domestic intervention studies of aerobic exercise in cancer- related fatigue patients

目的分析国内有关有氧运动对肿瘤患者癌因性疲乏干预性研究的现状及文献质量。方法以"肿瘤OR癌症""有氧运动""癌因性疲乏OR疲乏"为检索词,对中国生物医学数据库(CBM)、中国知网(CNKI)、万方数据库、维普数据库(VIP)进行检索;纳入文献采用改良后的Jadad量表进行方法学质量评价,采用CONSORT声明2010版本对文献报告质量进行综合评价。结果共检索出18篇符合纳入及排除标准的文献,纳入文献方法学质量较低,只有1篇文献Jadad评分为3分,5篇为2分,其余均低于2分;纳入研究报告书写欠规范。结论有氧运动能缓解癌因性疲乏的严重程度,但运动方式缺乏规范性;相关研究方法学质量较低,研究报告书写欠规范。因此,应进一步寻找最佳运动方式,同时,重视方法学研究,改善文献书写质量。

Objective To analyze the quality of domestic intervention studies of aerobic exercise in cancer- related fatigue patients. Methods CBM,CNKI,Wan-fang data and VIP were searched using MESH words of ＂tumour＂ ,＂ aerobic exercise＂ and ＂cancer -related fatigue＂. Modified Jadad scale was used for method- ology quality evaluation,and the 2010 division of CONSORT statement was used for comprehensive evaluation of articles included. Results Eighteen articles were included. The methodological quality of articles included was low,only 1 article got 3 points of Jadad scale,5 articles got 2 points,and the rest articles got less than 2 points. Further, the writing of articles included was lack of standardization. Conclusion Aerobic exercise can release the severity of cancer - related fatigue to a certain extent, but the mode of exercise is lack of normalization. The methodological quality of relative researches is low, and the writing is lack of standardization. Therefore, further studies are needed to explore the optimal exercise mode, the methodology research and writing quality should be improved, to meet the demand of evidence - based nursing.