对于患有喘的成年人进行康复干预的有效性:系统审查和元分析
Elisabetta Zampogna1, Federico Mattia Oliva, Matteo Johann Del Furia
1From the Istituti Clinici Scientifici Maugeri IRCCS, Respiratory Rehabilitation Unit of Tradate Institute, Tradate, Italy (EZ); Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy (FMO); IRCCS Istituto Ortopedico Galeazzi, Milan, Italy (MJDF); IRCCS Istituto Ortopedico Galeazzi, Milan, Italy (CC); Department of Biomedical, Surgical and Dental Sciences, University "La Statale," Milan, Italy (CC); IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy (SGL); and Postdoctoral Fellow and Cochrane Rehabilitation Coordinator, IRCCS Fondazione Don Gnocchi, Milan, Italy (CA).
与呼吸练习相比,肺部康复在改善喘生活质量方面几乎没有差异. 证据的确定性很低,因此无法就喘康复干预措施得出坚定的结论.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 康复科学 康复科学 康复科学
背景情况:
- 喘显著影响与健康相关的生活质量.
- 有效的康复策略对于喘管理至关重要.
研究的目的:
- 评估肺部康复计划和其他干预措施在患有喘的成年人中的有效性.
主要方法:
- 36个随机对照试验的系统审查和元分析.
- 搜索的主要数据库 (PubMed,Embase,CINAHL,CENTRAL) 截至2023年5月.
- 由于异质性,汇集了26项研究的数据.
主要成果:
- 肺部康复与呼吸练习教育相比,在喘生活质量问卷得分上几乎没有差异 (MD 0.01,CI -0.48至0.50).
- 证据确定性很低,三项研究共有163名参与者.
- 研究中的异质性限制了聚合分析的范围.
结论:
- 与基础教育和呼吸练习相比,肺部康复可能不会显著改善喘患者的健康相关生活质量.
- 低至非常低的证据确定性阻止了关于各种喘康复干预措施有效性的最终结论.
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