Application of preoperative pulmonary rehabilitation training in patients undergoing cardiac surgery:a scoping review
10.3761/j.issn.0254-1769.2025.02.006
- VernacularTitle:术前肺康复训练在心脏外科手术患者中应用的范围综述
- Author:
Li HUANG
1
;
Yage LIU
;
Bin ZHANG
;
Jin ZHAO
;
Yunfeng BAI
;
Qian GENG
;
Hongbo LUO
;
Mingxi ZHAO
;
Lu ZHANG
;
Jing CAO
Author Information
1. 100144 北京市 中国医学科学院北京协和医学院护理学院
- Publication Type:Journal Article
- Keywords:
Cardiac Surgery;
Pulmonary Rehabilitation;
Scoping Review;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2025;60(2):162-169
- CountryChina
- Language:Chinese
-
Abstract:
Objective A scoping review of studies on pulmonary prehabilitation in cardiac surgery patients was conducted to provide evidence support for the construction of a preoperative pulmonary rehabilitation program for cardiac surgery patients that suitable for China's national conditions.Methods In accordance with the scope review's research methodologies,databases including PubMed,Embase,Web of Science,CINAHL,CNKI and Wanfang were searched by the computer for relevant studies.The deadline for retrieval is from the establishment of databases to June,2024.The included literature was systematically analyzed.Results 26 articles were finally included.Among them,4 were quasi-experiment studies,while the other 22 were randomized controlled trials.Forms of the intervention included comprehensive breathing exercises,inspiratory muscle training,positive expiratory pressure,incentive spirometer training and balloon blowing training.The intervention initiation ranged from 10 weeks to 1 day preoperatively;the outcome measures included postoperative pulmonary complications,lung function metrics,the 6-Minute Walk Test,duration of mechanical ventilation,length of hospital stay,patient-reported outcomes and so on.Conclusion There remains a deficiency in standardized protocols for preoperative pulmonary rehabilitation training among patients undergoing cardiac surgery.High-quality studies should be conducted,and intervention strategies for pulmonary prehabilitation in cardiac surgery patients should be optimized and a unified evaluation standard system should be established.
