启发性肌肉训练对重症成年人身体功能的影响:系统审查和元分析议定书
Christopher Farley1, Dina Brooks1,2,3,4,5, Anastasia N L Newman1
1Faculty of Health Science, School of Rehabilitation Science, McMaster University, Hamilton, ON, Canada.
鼓舞性肌肉训练 (IMT) 可能会改善机械通风的危急病患者的身体功能. 本系统性审查综合了关于IMT的当前证据.
科学领域:
- 关键护理医学 关键护理医学
- 康复科学是康复的科学.
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 侵入性机械通风可以导致呼吸道肌肉衰弱.
- 在重症监护中对鼓舞性肌肉训练 (IMT) 的现有评论主要集中在呼吸系统结果上,忽视了身体功能.
- 最近的试验需要进行更新的系统审查.
研究的目的:
- 系统地审查和综合当前关于启发性肌肉训练 (IMT) 对重症成人患者身体功能的影响的证据.
- 调查IMT作为改善这一群体身体功能干预措施的有效性.
主要方法:
- 综合数据库搜索 (MEDLINE,EMBASE,Emcare,AMED,CINAHL,CENTRAL) 和临床试验.gov随机对照试验 (RCT). 为了获得随机对照试验 (RCT) 的数据库搜索.
- 纳入标准:成人ICU患者需要侵入性机械通风24小时以上,IMT干预使用值装置,以及RCT设计.
- 主要结果:身体功能. 使用ROB2评估偏差风险;使用GRADE评估证据质量. 在PROSPERO注册并按照PRISMA-P指南报告的协议.
主要成果:
- 本节将总结包括在内的RCT的发现.
- 综合将重点关注IMT对重症患者身体功能的各种措施的影响.
- 数据将被分析,以确定IMT的整体效果和效益的一致性.
结论:
- 这些发现将阐明当前关于IMT对重症患者身体功能的影响的证据.
- 结果将为临床实践和重症监护康复的未来研究方向提供信息.
- 计划通过同行评审的出版物和会议演讲传播发现.
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