肝移植术后患者不同时期运动方案的构建

The development of exercise programs for liver transplantation recipients in different periods after operation

目的:构建肝移植术后患者不同时期的运动锻炼方案。方法:系统检索美国国立临床诊疗指南数据库、Cochrane图书馆、英国国家临床医学研究所、中国知网、万方数据库等数据库和网站中关于肝移植受者术后运动以及疲乏管理相关的文献。两名研究者独立评定文献并提取证据,初步形成运动方案,继而采用德尔菲法进一步论证运动方案的科学性和可行性。结果:构建了肝移植受者术后运动的总体原则和移植术后1个月内、1~3个月、4~12个月、1年后的具体运动锻炼方案。结论:肝移植受者运动锻炼方案科学、合理,可为医务人员和患者提供参考。

Objective:To identify the exercise programs for liver transplantation recipients in different periods after operation.Method:We searched databases like National Guideline Clearinghouse,Cochrane Library,National Institute of Health and Care Excellence,CNKI,and WanFang Data for information on exercise and fatigue management after liver transplantation.Two researchers independently evaluated literature using JBI evidence grade and quality evaluation methods,and extracted evidences.The preliminary exercise program was then formulated.The Delphi method was used to further test the scientificity and feasibility of the exercise program.Results:Four different periods(1 month,1-3 months,4-12 months,and>1 year after liver transplantation)of general principles and detailed exercise schedules have been constructed.Conclusion:The exercise program is scientific and reasonable.It can be referred by health professionals and patients.