Summary of the best evidence for exercise interventions in adult hemophiliacs
10.3760/cma.j.cn211501-20240218-00354
- VernacularTitle:血友病成年患者运动干预的最佳证据总结
- Author:
Jingyi HU
1
;
Qingxin MAI
;
Xingshan LIANG
;
Siyi XU
;
Ziyin YANG
;
Yang SONG
Author Information
1. 广州中医药大学第一附属医院 广东省中医临床研究院肝胆肌病科，广州 510400
- Keywords:
Hemophilia;
Exercise training;
Physical activity;
Daily exercise;
Summary of evidence
- From:
Chinese Journal of Practical Nursing
2024;40(26):2052-2058
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize and evaluate the relevant evidence of exercise intervention for adult hemophiliacs patients at home and abroad, and to provide a reference basis for healthcare professionals to individualize exercise programs for adult hemophiliacs.Methods:A computer-based "6s" evidence resource pyramid model was used to systematically search for guidelines, evidence summaries, expert consensuses, systematic reviews and random controlled trials on exercise of adult hemophiliacsin databases such as China Biology Medicine disc, Wanfang Med Online, UpToDate, BMJ Best Practice, PubMed, etc, from the time of creation to January 31, 2023. Quality assessment, evidence extraction and evidence integration of relevant literature was performed by two researchers, with a third researcher adjudicating in case of conflicting opinions. An expert panel meeting was conducted to rate the level of evidence extracted.Results:A total of 15 literatures were included. Among them, 4 guidelines, 2 expert consensuses, 2 systematic reviews, and 7 randomized controlled trials. A total of 28 pieces of best evidence were developed, encompassing 6 aspects of exercise assessment, exercise modality, exercise duration, exercise intensity, precautions, and benefits of exercise.Conclusions:Before exercising, hemophiliacs should be assessed by a multidisciplinary team and an appropriate exercise program should be developed to maintain normal body functions and improve the quality of life of hemophiliacs.
