慢性阻塞性肺疾病患者运动体验质性研究的Meta整合

Qualitative research on exercise experience of patients with chronic obstructive pulmonary disease:a Meta-synthesis

目的系统评价与整合慢性阻塞性肺疾病患者运动体验,为根据患者实际需求制订个性化运动方案提供依据。方法计算机检索中国知网、中国生物医学数据库、万方、Web of Science、PubMed、Embase、Scopus数据库,搜集关于慢性阻塞性肺疾病患者运动体验的质性研究,检索时限均为建库至2023年1月31日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准(2016年)对纳入研究进行质量评价,并采用汇集性整合法对纳入文献进行结果整合。结果共纳入10篇文献,提炼出67个研究结果、归纳成9个类别,进一步汇总得到3个整合结果。整合结果1:运动训练对患者的影响,包括身体机能加强,心理状况改善,社会效益提升及运动信念与知识增加;整合结果2:促进患者运动的因素,包括身体获益增加运动信心与期待,社交鼓励激发锻炼动力与适宜的外部条件提升依从性;整合结果3:阻碍患者运动的因素,包括疾病与心理状况不佳和外部条件不利与生活负担。结论肺康复运动训练从身体机能、心理状况、社交等各个方面使患者受益,深入探讨慢性阻塞性肺疾病患者运动训练体验,了解患者运动的促进与阻碍因素,为制订个性化运动方案提供依据。

ObjectiveTo systematically evaluate and integrate the exercise experience of patients with chronic obstructive pulmonary disease,so as to provide a basis for formulating personalized exercise programs according to the actual needs of patients.MethodsThe qualitative studies on the exercise experience of patients with chronic obstructive pulmonary disease were searched in CNKI,CBM,Wanfang,Web of Science,PubMed,Embase and Scopus Database by computer.The search time was from the establishment of the database to January 31,2023.The quality of the included studies was evaluated using the Australian Joanna Briggs Institute evidence-based Health Care Center Qualitative Research Quality evaluation standard(2016),and the results of the included literature were integrated using the collection integration method.ResultsA total of 10 studies were included,67 research results and 9 categories were extracted,and 3 integrated results were obtained.Integration result 1:the effects of exercise training on patients,including physical function enhancement,psychological condition improvement,social benefit improvement,exercise beliefs and knowledge increased;integration result 2:factors that promote patients′exercise,including physical benefits increase exercise confidence and expectation,social encouragement stimulates exercise motivation,appropriate external conditions to improve compliance;integration result 3:factors that hinder movement,including illness and poor psychological condition,unfavorable external conditions and life burden.ConclusionsPulmonary rehabilitation exercise training benefits patients from various aspects such as physical function,psychological condition,and social interaction.This study deeply discusses the exercise training experience of chronic obstructive pulmonary disease patients and understands the factors that promote and hinder patients′exercise,which can provide a basis for formulating personalized exercise plans.