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慢性心力衰竭患者运动干预的证据图谱分析

Evidence mapping for exercise intervention in patients with chronic heart failure
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摘要 目的通过描述和评价慢性心力衰竭患者运动干预的相关研究,为今后开展运动干预研究提供指导。方法计算机检索2015年1月至2024年8月中国知网、万方数据、维普、中国生物医学数据库、PubMed、Cochrane Library、Web of Science、EMBASE,获取慢性心力衰竭患者运功干预的随机对照试验和系统评价/Meta分析。采用RoB‑2和AMSTAR‑2对纳入的研究进行质量评价,基于《护理结局分类》对结局指标进行分类,利用Excel对纳入的研究进行数据提取与编码,采用气泡图综合呈现纳入的研究内容。结果最终纳入358篇文献,包括205篇随机对照试验和153篇系统评价/Meta分析,包括185篇联合运动,118篇有氧运动,22篇抗阻运动及33篇呼吸肌训练,共涉及4种干预措施。结局指标主要包括生活质量326篇,心功能289篇及肺功能214篇。结局效果有益/可能有益为294篇。结论运动干预对慢性心力衰竭患者是有效、易实施的,具有推广性;不同的干预类型和方法,干预效果不尽相同,且还要考虑不良反应等方面,未来仍需进一步研究。 Objective:This article is to systematically describe and evaluate exercise intervention in patients with chronic heart failure and to provide guidance for future exercise intervention research through evidence mapping method.Methods:Related studies on exercise intervention for patients with chronic heart failure are searched in CNKI,Wanfang Data,VIP,CBM,PubMed,Cochrane Library,Web of Science,and EMBASE from January 2015 to August 2024.The quality of the studies is assessed with the Risk of Bias-2(RoB-2)tool and A Measurement Tool to Assess Systematic Review-2(AMSTAR-2).Based on the Nursing Outcome Classification,the outcome indexes are classified.An evidence mapping framework is established with Microsoft Excel tools for data extraction and coding and bubble charts to comprehensively present the research content.Results:A total of 205 randomized controlled trials and 153 systematic reviews/Meta-analyses are included,which involve four intervention types,including 185 combined exercises,118 aerobic exercises,22 resistance exercises,and 33 respiratory muscle training.The main outcome indicators included 326 quality of life,289 cardiac function and 214 pulmonary function.294 of the research conclusions are classified as"beneficial"and"probably beneficial".Conclusion:Exercise intervention may be effective for patients with chronic heart failure.At the same time,it is easy to implement and promote.However,its effectiveness are different for different types,methods and approaches of interventions,and it is needed to consider aspects such as adverse reactions.Further exploration of highquality research is also needed in the future.
作者 陈春旭 王雪婷 王承栋 温维光 刘延政 焦梦凡 王伟 CHEN Chunxu;WANG Xueting;WANG Chengdong;WEN Weiguang;LIU Yanzheng;JIAO Mengfan;WANG Wei(School of Nursing,Shandong First Medical University&Shandong Academy of Medical Sciences,Taian 271016,China;Department of Cardiovascular Medicine,the Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250022,China)
出处 《山东第一医科大学(山东省医学科学院)学报》 CAS 2024年第10期583-588,共6页 Journal of Shandong First Medical University & Shandong Academy of Medical Sciences
基金 山东省医药卫生科技项目(202303010274)。
关键词 慢性心力衰竭 运动 随机对照试验 系统评价 META分析 证据图谱 chronic heart failure exercise randomized controlled trials systematic reviews meta-analysis evidence mapping
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