在腹腔切除手术之前,自我报告和设备测量身体活动的变化:元分析
Caspar F Mylius1,2, Yvet Mooiweer3, Wim P Krijnen1
1Healthy Aging, Allied Health Care and Nursing, Hanze University of Applied Sciences, Research Group Healthy Ageing, Allied Health Care and Nursing, Groningen, The Netherlands.
手术前的体育活动干预措施在等待腹部手术的患者中显示出适度的改善. 自我报告的措施表明,比设备测量活动更大的收益,突出了客观研究的必要性.
科学领域:
- 手术瘤学手术瘤学
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 在等待腹部切除手术的患者经常体验到身体活动减少.
- 手术前的体力活动干预措施旨在减轻脱和改善手术结果.
- 评估这些干预措施的有效性需要强有力的结果措施.
研究的目的:
- 评估干预措施对腹部切除手术前患者体力活动水平的影响.
- 为了比较自我报告与设备测量体育活动结果的有效性.
主要方法:
- 在PubMed和EMBASE上进行了系统的文献搜索,寻找关于手术前体育活动干预措施的研究.
- 包括的研究测量了腹部手术患者干预前和后的身体活动.
- 随机效应元分析是对17项涉及452名参与者的研究数据进行的.
主要成果:
- 干预措施导致手术前体力活动水平的适度改善 (SMD = 0.67).
- 自我报告的身体活动显示显著增加 (SMD = 0.78).
- 设备测量的身体活动显示非显著增加 (SMD = 0.16).
结论:
- 在腹部手术患者手术前期增加体力活动是可以实现的.
- 自我报告的措施似乎比客观的设备措施更容易受到干预效应的影响.
- 建议进一步使用客观测量工具进行高质量的研究.
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