[1]戴秀娟,陈桂兰,汤爱洁,等.三联预康复对结直肠肿瘤手术患者影响的Meta分析[J].军事护理,2022,39(10):13-16.[doi:10.3969/j.issn.2097-1826.2022.10.004]
　DAI Xiujuan,CHEN Guilan,TANG Aijie,et al.Effects of Trimodal Prehabilitation Among Colorectal Cancer Patients Undergoing Surgery:A Meta-analysis[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(10):13-16.[doi:10.3969/j.issn.2097-1826.2022.10.004]
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三联预康复对结直肠肿瘤手术患者影响的Meta分析
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年10期
页码:
13-16
栏目:
肿瘤康复护理研究专栏
出版日期:
2022-10-15

文章信息/Info

Title:
Effects of Trimodal Prehabilitation Among Colorectal Cancer Patients Undergoing Surgery:A Meta-analysis
文章编号:
2097-1826(2022)10-0013-04
作者:
戴秀娟1; 2; 陈桂兰2; 汤爱洁1; 吴茜1; 汪夏云1; 胡鑫淼1
(1.同济大学医学院 护理系,上海 200092; 2.南通市中医院 护理部,江苏 南通 226001)
Author(s):
DAI Xiujuan1; 2; CHEN Guilan2; TANG Aijie1; WU Qian1; WANG Xiayun1; HU Xinmiao1
(1.Department of Nursing,Tongji University School of Medicine,Shanghai 200092,China 2.Nantong Hospital of Traditional Chinese Medicine,Nantong 226001,Jiangsu Province,China)
关键词:
结直肠肿瘤;  预康复;  运动疗法;  营养支持;  心理护理;  Meta分析
Keywords:
colorectal cancer;  prehabilitation;  exercise therapy;  nutrition support;  psychology nursing;  Meta-analysis
分类号:
R473.73
DOI:
10.3969/j.issn.2097-1826.2022.10.004
文献标志码:
A
摘要:
目的 探索三联预康复对结直肠肿瘤手术患者的影响,为三联预康复方案实施提供依据。方法 检索中英文共13个数据库中对结直肠肿瘤手术患者进行三联预康复干预的临床试验,采用专业工具对检索结果进行评价分析。结果 共纳入8篇文献,总样本量1305例,文献质量评价等级A级3篇、B级5篇。Meta分析结果显示:预康复组患者并发症发生率、术后综合并发症指数低于对照组; 术前6分钟步行试验结果及其改善(>20 m)比率高于对照组; 而两组住院时间、术后4周及8周6分钟步行试验结果差异均无统计学意义(均P>0.05)。结论 三联预康复能改善结直肠肿瘤患者术前体能,降低术后并发症发生率。但其干预措施仍偏向于运动干预,未来可研究营养和心理干预,制定个性化营养干预方案。
Abstract:
Objective To explore the effect of triple prehabilitation among colorectal cancer patients undergoing surgery,and to provide a basis for the implementation of triple prehabilitation nursing plan.Methods 13 databases were searched to find all the clinical trials of prehabilitation intervention on patients undergoing colorectal surgery.The retrieval results were evaluated using professional tools.Results 8 clinical trials were analyzed,with a total sample size of 1305 cases.3 of their quality grades were assessed as A,and 5 as B.Meta-analysis results showed that the incidence of complications in prehabilitation group and the CCI in prehabilitation group were lower than those of control group,The 6MWT and the rate of significant improvement(>20 m)at 6MWT before surgery was higher than that of the control group.But there was no statistically significant difference in 6MWT results between 4 and 8 weeks after surgery(all P>0.05).Conclusions The trimodal prehabilitation can improve the preoperative physical energy of patients with colorectal cancer,and reduce the incidence of postoperative complications.But the inventions of the trimodal prehabilitation are still inclined to exercise intervention at present.Future research could refine nutritional and psychological interventions for tailored nutritional protocols.

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备注/Memo

备注/Memo:
【 收稿日期 】 2021-06-07 【 修回日期 】 2022-08-19
【 基金项目 】 上海市卫生健康委员会科研课题(20204Y0171); 南通市卫生健康委员会青年课题(QB2021007)
【 作者简介 】 戴秀娟,硕士在读,主管护师,从事外科护理工作
【 通信作者 】 吴茜,电话:021-66303643
更新日期/Last Update: 2022-10-15