肝移植受者康复运动的最佳证据总结

Evidence summary on rehabilitation exercise in liver transplant recipients

目的检索汇总肝移植受者康复运动最佳证据,为肝移植受者康复运动提供参考。方法按"6S"模型系统检索国内外数据库关于肝移植受者康复运动的证据,包括临床决策、指南、证据总结、推荐实践、系统评价及专家共识。对文献质量进行评价,并对符合质量标准的文献进行证据提取。结果共纳入文献13篇,其中临床决策1篇,指南1篇,证据总结1篇,推荐实践2篇,系统评价5篇以及专家共识3篇。从运动时机、运动评估、运动方案、运动安全性、运动依从性、健康教育和随访7个方面共总结24条最佳证据。结论本研究总结的肝移植受者康复运动最佳证据,可用于肝移植受者康复运动过程中,应用时注意个体化调整与更新。

Objective To retrieve and summarize the best evidence of rehabilitation exercise in liver transplant recipients.Methods We followed the 6 S Pyramid and searched electronic databases to retrieve literature regarding rehabilitation exercise for liver transplant recipients,including best practice recommendations report,guideline,evidence summary,clinical practice recommendation statement,systematic review,and expert consensus statement.Quality of the literature was evaluated and evidence was extracted from the literature that met the quality standards.Results A total of 13 articles were eligible,including 1 best practice recommendations report,1 guideline,1 evidence summary,2 clinical practice recommendation statements,5 systematic reviews and 3 consensus statements.Twenty-four pieces of evidence were summarized into 7 aspects:exercise timing,assessment,protocol,safety,compliance,health education and follow-up.Conclusion The best evidence summarized in this study can be used in rehabilitation exercise program for liver transplant recipients,however,the evidence should be adjusted to individual patients and updated.