在患有慢性阻塞性肺病的人群中以人为本的方法进行营养支持和体育活动干预计划:范围审查
Tanja Sofie Hansen1,2, Ingrid Poulsen2,3,4, Vibeke Nørholm3
1Department of Medical Diseases, Amager Hvidovre Copenhagen University Hospital, Copenhagen, Denmark.
International journal of chronic obstructive pulmonary disease
|October 7, 2024
概括
本综述强调了针对慢性阻塞性肺病 (COPD) 以人为中心的营养和体力活动干预措施的有限研究. 虽然一些研究改善了身体功能,但为了有效的COPD自我管理,需要更多的综合营养支持.
科学领域:
- 肺部医学 肺部医学
- 康复科学 康复科学 康复科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于慢性阻塞性肺病 (COPD) 患者的营养支持和体力活动相结合的以人为中心的干预措施,有有限的文献.
- 现有的研究往往无法将整体的,以患者为中心的方法整合到COPD管理计划中.
研究的目的:
- 通过以人为中心的方法,探索和绘制有关干预计划的当前证据.
- 特别关注COPD患者的营养支持和体育活动的整合.
主要方法:
- 在Arksey & O'Malley的框架下进行了全面的范围审查.
- 搜索包括2012-2023年的CINAHL,PubMed和灰色文献,报告以PRISMA和PAGER框架为指导.
主要成果:
- 包括15项研究,主要关注行为改变或自我管理策略.
- 虽然没有观察到生活质量或住院时间的显著变化,但八项研究显示身体功能和活动水平有所改善.
- 营养结果仅在一项研究中得到解决,亲属参与仅限于三项研究.
结论:
- 关于COPD以人为中心的营养支持干预措施存在重大知识差距.
- 未来的干预措施应加强营养支持,并将患者的身体和社会资源纳入自我管理计划.
- 应用以人为中心的方法可以通过跨学科团队整合患者资源来优化COPD管理.
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