慢性阻塞性肺疾病患者肺康复运动最佳实践证据总结

Evidence summary of best practice literature for pulmonary rehabilitation in patients with chronic obstructive pulmonary disease

目的总结慢性阻塞性肺疾病患者肺康复运动的相关证据,为开展肺康复运动循证实践奠定基础。方法计算机检索美国国立指南网(NGC)、苏格兰校际指南网(SIGN)、美国/欧洲呼吸协会(ATS)、英国胸科协会(BTS)、JBI循证卫生保健数据库、Cochrane Library、PubMed等网站以及数据库关于慢性阻塞性肺疾病患者肺康复运动的指南、专家共识、证据总结、系统评价和随机对照试验,提取相关主题及证据,进行专家论证。结果共纳入35篇文献,最终形成最佳证据21条,包括适宜人群、肺康复时机、肺康复场所、患者评估、运动处方、持续时间、质量控制、其他运动方式、健康教育、效果评价10个主题。结论本研究汇总的慢性阻塞性肺疾病患者肺康复运动的实践证据较为全面,医疗卫生保健工作者可根据实际情境选择实践证据,促进患者健康。

Objective To summarize the evidence of pulmonary rehabilitation exercise in COPD patients,and to pave the way for the development of evidence-based pulmonary rehabilitation programs.Methods Computerized search in such websites and databases as the National Guideline Clearinghouse(NGC),the Scottish Intercollegiate Guidelines Network(SIGN),the American Thoracic Society(ATS),British Thoracic Society(BTS),JBI Evidence-Based Health Care Database,Cochrane Library,PubMed,etc.,was performed to retrieve literature on pulmonary rehabilitation exercise in COPD patients,which included guidelines,expert consensus statements,evidence summary reports,systematic reviews,and randomized controlled trials.Results A total of 35 publications were included,resulting in the formation of 21 pieces of best evidence,which embraces 10 themes(indicated population,timing of pulmonary rehabilitation exercise,places to practice pulmonary rehabilitation exercise,assessment of patients,exercise prescription,duration of exercise programs,quality control,other ways of exercise,health education,effect evaluation).Conclusion The evidence summary of best practice for pulmonary rehabilitation in patients with chronic obstructive pulmonary disease is inclusive.Medical and health care workers can select practical evidence tailored to the actual situation,in an effort to promote patient health.