主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (2): 310-316.doi: 10.3969/j.issn.1672-1756.2025.02.028

• 综述 • 上一篇    下一篇

运动干预在成人肝移植患者康复中应用的范围综述

鲍向英 王菲 方炜娜 潘丽红 倪梦琪   

  1. 浙江大学医学院附属第二医院护理部,310009 杭州市
  • 出版日期:2025-02-15 发布日期:2025-02-15
  • 通讯作者: 王菲,硕士,E-mail:2521117@zju.edu.cn
  • 作者简介:鲍向英,硕士,副主任护师,护士长
  • 基金资助:
    浙江省医药卫生科技计划项目(2023KY768)

Physical exercise in the rehabilitation of adult liver transplantation patients: a scoping review

BAO Xiangying, WANG Fei, FANG Weina, PAN Lihong, NI Mengqi   

  1. Nursing Department, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310009, China
  • Online:2025-02-15 Published:2025-02-15
  • Contact: E-mail:2521117@zju.edu.cn

摘要: 目的:对运动干预在成人肝移植患者康复中应用的相关研究进行范围综述,以期为成人肝移植患者标准化运动方案的制定和实施提供参考。方法:系统检索中、英文数据库从建库至2024年9月30日的相关文献,由2名研究者独立筛选并提取资料,进行范围综述。结果:共纳入16篇文献,包括7项随机对照试验和9项类实验研究。运动干预的对象为肝移植等待期患者和肝移植术后患者;运动干预的类型主要为有氧运动、抗阻力运动和柔韧性运动;运动频率多为2或3次/周,运动时间多为30~60?min/次,运动周期多为8~12周。运动干预对成人肝移植患者的身体功能、身体成分、心理状态、生活质量等有不同程度的改善,同时具有一定的安全性和较高的依从性。结论:运动干预在成人肝移植患者中的应用具有整体化和多元化的特征,同时具有安全性和有效性。未来可依托移动医疗平台及多学科团队的力量,进一步优化运动干预的具体内容、规范评价体系,制定并实施科学、合理和有效的干预方案,以促进疾病康复。

关键词: 肝移植;运动;康复;范围综述

Abstract: Objective: To review the relevant studies regarding physical exercise in the rehabilitation of adult liver transplant patients, hope to provide reference for the development and implementation of standardized exercise plans for them. Methods: According to the method of scope review, the relevant studies were comprehensively searched in the relevant databases from their establishment to September 30 2024. Data were independently screened and extracted by two researchers. Results: A total of 16 articles were included, including 7 randomized controlled trials and 9 quasi-experimental studies. The subjects were patients waiting for transplantation or patients after transplantation. The main types of physical exercise included aerobic exercise, resistance exercise, and flexibility exercise. The frequency of exercise was usually 2 or 3 times per week. The duration of exercise each time was usually within 30-60 minutes and the length of exercise intervention was usually 8-12 weeks. Physical exercise can improve the physical function, body composition, psychological status, and quality of life of adult liver transplant patients to a certain extent. These exercises were also safety and patients had accepted compliance with these physical exercise programs. Conclusion: The physical exercise in adult liver transplant patients is integral, diversified, safe, and effective. In the future, relying on the power of mobile medical platforms and multidisciplinary teams, we can further optimize the contents of exercise, standardize the evaluation system, and develop and implement scientific, reasonable, and effective intervention plans to promote disease recovery.

Key words: liver transplantation; exercise; rehabilitation nursing; scoping review

中图分类号:  R47;R197