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 (4): 493-498.doi: 10.3969/j.issn.1672-1756.2025.04.003

• 特别策划·肿瘤专科护理发展 • 上一篇    下一篇

恶性肿瘤康复期患者居家运动的证据总结

谌永毅 胡永红 王佳丽 易彩云 肖淑梅 舒艳芳 王可   

  1. 湖南省肿瘤医院/中南大学湘雅医学院附属肿瘤医院护理部,410013 长沙市(谌永毅,易彩云);党委办公室(胡永红);结直肠外科(王佳丽,肖淑梅,舒艳芳,王可)
  • 出版日期:2025-04-15 发布日期:2025-04-15
  • 通讯作者: 王可,硕士,主管护师,E-mail:wangke@hnca.org.cn
  • 作者简介:谌永毅,博士,主任护师
  • 基金资助:
    湖南省自然科学基金部门(行业)联合基金项目(2025JJ80832); 湖南省科技厅重点领域研发计划项目(2020SK2121)

Evidence summary for home-based exercise in patients with cancer after treatment

CHEN Yongyi, HU Yonghong, WANG Jiali, YI Caiyun, XIAO Shumei, SHU Yanfang, WANG Ke   

  1. Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, 410013, China
  • Online:2025-04-15 Published:2025-04-15
  • Contact: E-mail:wangke@hnca.org.cn

摘要: 目的:分类整理恶性肿瘤康复期患者居家运动的相关证据,为开展肿瘤患者居家运动康复提供实践指导。方法:根据“6S”金字塔,采用主题词与自由词相结合的方式,自上而下检索中英文数据库中关于恶性肿瘤康复期患者居家运动的文献资料,检索时限为建库至2024年12月31日。对纳入文献进行质量评价,提取并汇总证据。结果:共纳入14篇文献,其中指南2篇、系统评价6篇、专家共识4篇、证据总结2篇。从运动风险评估及测试、运动处方、运动监测与随访、运动激励策略4个方面总结了13条证据。结论:本研究总结了恶性肿瘤康复期患者居家运动康复的证据,为患者、照顾者、社区及有需要的医护人员提供循证依据。

关键词: 肿瘤;居家;运动;康复;证据总结

Abstract: Objective: To systematically organize and compile evidence on home-based exercise for patients with cancer during their rehabilitation, offering practical advice for implementing exercise programs for cancer survivors. Methods: Using the '6S' evidence hierarchy pyramid, an extensive literature review was performed utilizing both subject headings and free-text terms in Chinese and English databases. A top-down search approach was used to find studies on home-based exercise interventions for cancer patients in the rehabilitation phases, covering the period from the start of the databases to December 31, 2024. The included studies underwent thorough quality evaluation, followed by evidence extraction and synthesis. Results: Fourteen articles were included, consisting of ?2 clinical guidelines, 6 systematic reviews, 4 expert consensus, and 2 evidence summaries. Thirteen evidence-based recommendations were compiled across four areas: exercise risk assessment and testing, exercise prescription development, exercise monitoring and follow-up, and strategies to motivation. Conclusion: This study consolidates existing evidence regarding home-based exercise rehabilitation for patients with cancer, providing an evidence-based foundation for patients, caregivers, community healthcare providers, and clinicians.

Key words: cancer; home-based; exercise; rehabilitation; evidence summary

中图分类号:  R47;R197