髋关节置换术后患者体力活动的最佳证据总结
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女,硕士在读,学生

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河南省医学科技攻关计划省部共建青年项目(SBGJ202003030)


Summary of the best evidence for postoperative physical activity in patients with hip arthroplasty
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    目的 对髋关节置换术后患者体力活动的相关证据进行总结和评价,为医护人员开展髋关节置换术后患者体力活动指导提供参考。 方法 系统检索国内外指南网、相关数据库及骨科相关专业协会网站中关于髋关节置换术后患者体力活动的临床决策、推荐实践、指南、证据总结、专家共识及系统评价。检索时限为2013年2月24日至2023年2月24日。根据纳入与排除标准对文献进行筛选,对纳入的研究进行评价和证据分级,提取并汇总最佳证据。 结果 共纳入文献10篇,包括2篇临床决策、3篇证据总结、1篇专家共识、1篇系统评价、3篇Meta分析,形成包括体力活动的类型、评估、恢复及时机、重要性、安全性及随访共5个类别的21条最佳证据。 结论 总结的证据可指导医护人员制定髋关节置换术后患者体力活动方案,以提高髋关节置换术后患者体力活动水平,改善患者康复结局。

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    Objective To summarize and evaluate the relevant evidence of postoperative physical activity of patients with hip arthroplasty, and provide reference for medical staff to guide postoperative physical activity of patients with hip arthroplasty. Methods Clinical decision supports, recommended practices, guidelines, evidence summaries, expert consensuses and systematic reviews related to physical activity of patients with hip arthroplasty were retrieved from domestic and foreign guideline networks, relevant databases and orthopedic professional association websites.The search period was from February 24, 2013 to February 24, 2023.The literature was screened according to inclusion and exclusion criteria, the included studies were evaluated and the evidence was graded, and the best evidence was extracted and summarized. Results A total of 10 articles were included, including 2 clinical decision supports, 3 evidence summaries, 1 expert consensus, 1 systematic review, and 3 meta-analysis articles.These formed a collection of 21 best evidence items across 5 categories:type, assessment, recovery and timing, importance, safety, and follow-up of physical activity. Conclusion The summarized evidence can guide the medical staff in developing a postoperative physical activity program for patients with hip arthroplasty, thereby increasing their level of physical activity and improving their rehabilitation outcomes.

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时慕华,刘延锦,李慧景,黄倩,董小方,徐慧萍,蔡立柏,郭玉茹.髋关节置换术后患者体力活动的最佳证据总结[J].护理学杂志,2023,28(17):116-120

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  • 收稿日期:2023-04-21
  • 最后修改日期:2023-06-24
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  • 在线发布日期: 2024-01-15