| 陈茹.,施春香,单亚维,陈丹露.,徐春柳..全膝关节置换术后患者无监督居家康复锻炼的最佳证据总结[J].上海护理,2023,23(11): |
| 全膝关节置换术后患者无监督居家康复锻炼的最佳证据总结 |
| Evidence summary of unsupervised home-based rehabilitation exercise in patients after total knee arthroplasty |
| DOI： |
| 中文关键词: 全膝关节置换术 居家锻炼 康复护理 循证护理 证据总结 |
| 英文关键词:total knee arthroplasty rehabilitation Exercise rehabilitation nursing evidence-based nursing evidence summary |
| 基金项目:上海市护理学会科研项目（2021MS-B14）；上海市长宁区卫生健康委员会科研项目（20214Y019）；上海中医药大学“杏林学者-护理青年”人才计划（2022HLXL05）；国家自然科学基金委青年项目（72204165） |
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| 中文摘要: |
| 目的 总结全膝关节置换术后患者无监督居家康复锻炼的相关证据。方法 使用计算机系统检索国内外相关指南网站、专业协会网站及PubMed、Cochrane library 、Embase、中国知网、万方、维普、中国生物医学文献数据库中关于全膝关节置换术后无监督居家康复锻炼的相关文献，类型包括指南、临床决策、系统评价及随机对照试验，检索时限为2012年1月1日—2022年6月30日。由3名研究者独立评估文献质量，提取证据。结果 共纳入文献23篇，包括指南4篇、临床决策1篇、系统评价5篇、随机对照试验13篇。无监督居家康复锻炼证据主要涵盖适用人群、康复目标、锻炼内容、锻炼时长及强度、锻炼原则、安全保障及效果评定7个维度，进行证据合并，最终形成25条最佳证据。结论 总结的全膝关节置换术后患者无监督居家康复锻炼的最佳证据，可为患者术后康复锻炼健康教育与运动方案的制定提供循证依据。 |
| 英文摘要: |
| Objective To summarize the relevant evidence of unsupervised home-based rehabilitation exercise in patients after total knee replacement. Methods We systematically searched for evidence on unsupervised home-based rehabilitation exercise of total knee replacement patients in relevant guideline networks and association websites, as well as PubMed, Cochrane library, Embase, CNKI, Wanfang, VIP, CBM and other databases to collect relevant guidelines, clinical decision, systematic review and randomized controlled trial. The timeframe of data search ran from January 1, 2012 to June 30, 2022. The quality of the literature was independently evaluated by three researchers and the evidence was extracted. Results A total of 23 articles were included, including 4 guidelines, 1 Clinical decision, 5 systematic reviews, 13 randomized controlled trials. Totally 25 items of evidence were summarized from 7 dimensions of unsupervised home-based rehabilitation exercise: adaptation population, rehabilitation goals, exercise contents, duration and intensity of exercise，exercise principles, security guarantee and effect evaluation. Conclusion This study summarizes the best available evidence for unsupervised home-based rehabilitation exercise in patients after total knee arthroplasty, in order to provide evidence-based information for health education and motion scheme. |
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