进行性纤维化间质性肺病患者规范化肺康复训练实施方案的构建

杨秀娟; 陈美珠; 刘素蓉

doi:10.13517/j.cnki.ccm.2024.04.003

中国疗养医学 >

2024 , Vol. 33 >Issue 4: 10 - 16

DOI: https://doi.org/10.13517/j.cnki.ccm.2024.04.003

论著

进行性纤维化间质性肺病患者规范化肺康复训练实施方案的构建

杨秀娟 ,
陈美珠 ,
刘素蓉

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1. 成都市第一人民医院
2. 成都中医药大学

收稿日期: 2023-12-18

修回日期: 2024-01-09

网络出版日期: 2024-03-15

基金资助

基金项目：2021 年度“ 杏林学者 ”学科人才科研提升计划(YYZX2021118)

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Construction of standardized pulmonary rehabilitation training program for patients with progressive fibrotic interstitial lung disease

YANG Xiu-Juan ,
CHEN Mei-Zhu ,
LIU Su-Rong

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Received date: 2023-12-18

Revised date: 2024-01-09

Online published: 2024-03-15

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摘要

【摘要】目的基于循证医学，构建一套适用于进行性纤维化间质性肺病患者的规范化肺康复训练方案，丰

富肺康复指导的系统教育方案内涵，为临床康复护理提供科学指导。方法计算机检索中国 WanFang 数据

库、中国知网数据库(CNKI)、维普数据库(VIP)、中国生物医学文献数据库 (CBM)、PubMed、Embase、Cochrane

Library、Web of Science 数据库文献及指南网站，以循证医学为指导，通过文献回顾分析，采用《临床指南研究

与评价系统》(Appraisal of Guidelines for Research and Evaluation，AGREE Ⅱ)评价指南质量及澳大利亚 JBI(Joanna

Briggs Institute)循证卫生保健中心开发的文献质量评价工具对随机对照试验、系统评价、类实验文献进行质量

评价，对纳入的文献进行全文阅读及等级划分，以汇总最佳证据，拟定进行性纤维化间质性肺病患者肺康复训练

方案初稿，最后结合专家会议和专家咨询结果，对方案初稿进行可用性评鉴，最终修订完善方案。结果经文献

质量评价及筛选后，共纳入 30 篇文献，其中指南与专家共识 3 篇，随机对照试验文献 16 篇，系统评价文献 6

篇，类实验文献 5 篇。方案内容包括训练评估、呼吸训练、运动训练、健康教育、社会心理干预、营养支持 6 个

一级指标。结论该研究构建的方案结果可靠，其规范性、科学性和安全性高，能够为进行性纤维化间质性

肺病患者临床康复护理工作提供参考。

关键词： 进行性纤维化间质性肺病; PF-ILD; 规范化; 肺康复; 方案构建

本文引用格式

杨秀娟 , 陈美珠 , 刘素蓉 . 进行性纤维化间质性肺病患者规范化肺康复训练实施方案的构建[J]. 中国疗养医学, 2024 , 33(4) : 10 -16 . DOI: 10.13517/j.cnki.ccm.2024.04.003

Abstract

【Abstract】 Objective Based on evidence-based medicine, a standardized pulmonary rehabilitation training program

for patients with progressive fibrotic interstitial lung disease(PF-ILD)is formulated, aiming to enhance the content of

systematic educational programs for pulmonary rehabilitation guidance and provide scientific guidance for clinical

rehabilitation nursing. Methods Relevant literatures were searched in the China Wanfang Database, China National

Knowledge Network Database(CNKI), Weipu Database(VIP)database, China Biomedical Literature Database(CBM),

PubMed, Embase, Cochrane Library, and Web of Science. Guided by evidence-based medicine, screened randomized

controlled trials, systematic reviews,and quasi-experimental literatures were subjected to the quality assessments by the

Appraisal of Guidelines for Research and Evaluation Ⅱ(AGREE Ⅱ)and the JBI(Joanna Briggs Institute)critical appraisal

tool.The full text of the included literatures was reviewed and graded to summarize the optimal evidences,and a first

draft of a pulmonary rehabilitation training program for PF-ILD patients was developed.Finally,through expert meetings

and consultations, we conducted a usability evaluation on the preliminary draft, revised and polished. Results After

evaluation of literature quality and screening of eligible literatures, a total of 30 literatures were finally included,

involving 3 guidelines and expert consensus, 16 randomized controlled trials, 6 systematic reviews, and 5 quasi

experimental literatures. The standardized pulmonary rehabilitation training program for PF-ILD patients included six

first-level indicators of training assessment,breathing training,exercise training,health education,psychosocial intervention

and nutritional support. Conclusion The pulmonary rehabilitation training program designed for PF-ILD patients is

reliable, standardized, scientific and safety, providing references for clinical rehabilitation and nursing of patients with

progressive fibrotic interstitial lung disease.

Key words：

【Keywords】 Progressive fibrotic interstitial lung disease

; Standardization; Pulmonary rehabilitation; Scheme construction

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