Best evidence for perioperative exercise in kidney transplant patients
10.3969/j.issn.1671-8283.2024.06.008
- VernacularTitle:肾移植患者围术期运动锻炼的最佳证据总结
- Author:
Shuangwen QIN
1
;
Xiuhong LU
;
Ling LI
;
Debin HUANG
Author Information
1. 广西医科大学第一附属医院重症医学科二病区,广西南宁,530021
- Keywords:
kidney transplantation;
perioperative;
exercise exercise;
evidence-based nursing
- From:
Modern Clinical Nursing
2024;23(6):56-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the best evidence for perioperative exercise in renal transplant patients and provide evidence-based evidence for clinical staff to perform exercise in renal transplant patients.Methods Evidence-based questions were identified according to the PIPOST model,and computerized searches were conducted on BMJ Best Practice,UpToDate,the World Health Organization,the US National Guidelines,the website of the Chinese Society of Nephrology,the website of the British Renal Association,the website of the American Society of Nephrology,CNKI,the knowledge service platform of Wanfang Data,the Wipo database and other databases for all evidence on perioperative exercise in renal transplant recipients,including clinical guidelines,clinical decision-making,systematic evaluations,evidence summaries,and expert consensus,with a timeframe for searching from the establishment of the database to August 2023.Quality assessment and evidence extraction of the literature were performed independently by 2 nursing graduate students.Results A total of 13 publications were included,including 1 clinical decision,1 guideline,3 expert consensus,and 8 systematic evaluations.A total of 24 pieces of best evidence were summarized in 7 areas:exercise benefits,exercise assessment,preoperative exercise strategies,postoperative exercise strategies,precautions,exercise instruction monitoring,and exercise support.Conclusions This study summarizes the best evidence about perioperative exercise exercise in renal transplantation and provides a reference for standardizing perioperative exercise exercise in renal transplantation.Clinical staff should fully identify the impediments and facilitators of exercise exercise in renal transplant patients,and develop personalized exercise exercise programs based on medical scenarios,patient conditions,and combined with patients'exercise wishes.