临床与病理杂志2024，Vol.44Issue(3)：408-418,11.DOI:10.11817/j.issn.2095-6959.2024.230635
老年全髋关节置换术患者早期运动疗法的最佳证据总结
Best evidence summary of early exercise therapy for elderly patients undergoing total hip arthroplasty
摘要
Abstract
Objective:Total hip arthroplasty(THA)is a common method for treating hip diseases and restoring hip function.Early rehabilitation after THA can optimize surgical outcomes.Exercise therapy is an important component of rehabilitation strategies.This study aims to integrate relevant evidence on early exercise therapy for elderly THA patients to provide a theoretical basis for clinical nursing staff to develop scientific and standardized early exercise rehabilitation nursing plans. Methods:Following the 6S evidence model,a systematic search was conducted in the International Guidelines Collaboration Network,American National Guidelines Clearinghouse,Scottish Intercollegiate Guidelines Network,British National Institute for Health and Care Excellence,Chinese Clinical Guidelines Library,Yimaitong Guidelines Network,Pubmed,Embase,Web of Science,cumulative index to nursing&allied health literature(CINAHL),Australian Joanna Briggs Research Institute(JBI)Evidence-based Healthcare Center Database,Cochrane,Chinese Biomedical Literature Database,China National Knowledge Infrastructure(CNKI)Database,Wanfang Database,and VIP Database.The search aimed to find literature related to early exercise rehabilitation nursing practice of elderly THA patients.The inclusion and exclusion criteria were used for screening,quality evaluation,and evidence extraction.The search period was from the establishment of the database to June 2022.Additional searches were conducted through the references of retrieved literature. Results:A total of 15 documents were included,consisting of 4 guidelines,5 expert consensus documents,3 systematic reviews,2 interventional studies,and 1 clinical decision-making document.A total of 18 pieces of evidence were extracted,covering early exercise plans,early exercise assessment,early exercise implementation,early exercise evaluation,and early exercise education. Conclusion:The evidence included in this study provides an evidence-based basis for developing early exercise rehabilitation nursing plans.However,in clinical practice,it is necessary to consider patient preferences,clinical environment,cost,and feasibility to develop early exercise rehabilitation nursing plans suitable for elderly THA patients in China.关键词
老年/髋关节置换术/早期运动疗法/循证护理Key words
elderly/total hip arthroplasty/early exercise therapy/evidence-based nursing引用本文复制引用
朱小霞,傅利勤,徐曼,赵思佳,吴红,姜金霞..老年全髋关节置换术患者早期运动疗法的最佳证据总结[J].临床与病理杂志,2024,44(3):408-418,11.基金项目
上海申康医院发展中心医企融合创新支撑技能培训专项基金(SHDC2023CRS002).This work was supported by Special Fund for Medical Enterprise Integration and Innovation Support Skills Training of Shanghai Shenkang Hospital Development Center,China(SHDC2023CRS002). （SHDC2023CRS002）
