青少年抑郁症患者运动干预最佳证据总结

Best evidence summary for exercise intervention in adolescents with depression

目的:通过循证方法检索、汇总和分析关于青少年抑郁症患者运动干预的相关证据,为青少年抑郁症患者进行运动锻炼干预提供循证依据。方法:确定循证问题,通过计算机检索数据库、指南网站及相关协会中关于青少年抑郁症运动干预相关证据,包括指南、专家共识、临床实践、证据总结、系统评价,检索时限为2013年9月至2023年9月,筛选符合质量标准的文献。对文献质量进行评价,并进行证据提取和分析。结果:最终纳入16篇文献,其中指南6篇,临床决策2篇,系统评价8篇。经过分析总结,从运动效果、运动宣教、运动前准备、运动实施、运动安全管理5个方面提取了21条证据。结论:总结青少年抑郁症患者运动锻炼干预的最佳证据,为医护人员在指导青少年抑郁症患者运动时提供循证依据。

Objective:To provide evidence-based guidance for exercise interventions in adolescents with depression by systematically retrieving,synthesizing,and analyzing relevant evidence.Methods:The research questions were identified,using an evidence-based approach,a computer search of databases,guideline websites,and relevant associations for evidence related to exercise interventions for adolescent depression.This included guidelines,expert consensus,clinical practices,evidence summaries,and systematic reviews.The search was conducted from September 2013 to September 2023.The literatures that met quality standards were selected,to evaluate the quality of the literature,and to perform evidence extraction and analysis.Results:A total of 16 articles were included,comprising 6 guidelines,2 clinical decisions,and 8 systematic reviews.After analysis and synthesis,21 pieces of evidence were extracted from five aspects:exercise effectiveness,exercise education,pre-exercise preparation,exercise implementation,and exercise safety management.Conclusion:This study summarizes the best evidence for exercise interventions in adolescents with depression.It provides healthcare professionals with evidence-based guidance for instructing exercise in adolescents with depression.