院内及院外功能锻炼对ICU后综合征病人影响的Meta分析

打开文本图片集

Abstract Objective：To systematically evaluate the influence of in－hospital and out－of－hospital functional exercise on patients with post－intensive care syndrome.Methods：Randomized controlled trials on the influence of in－hospital and out－of－hospital functional exercise of patients with post－intensive care syndrome were searched from the Cochrane Library，PubMed，Web of Science，EMbase，CBM，CNKI，WanFang Database，and supplemented by manual retrieval.Meta－analysis was performed by using RevMan 5.3 software.Results：A total of 14 randomized controlled trials were included.Meta－analysis results showed that in－hospital and out－of－hospital functional exercise could effectively improve the physiology of patients at 2 to 3 months and 6 months after discharge，mental health and anxiety at 6 months，cognitive function at 3 months，the difference between the intervention group and the control group was statistically significant（P<0.05）.But the difference of depression between the two groups was not statistically significant（P>0.05）.Conclusion：Current evidence shows that in－hospital and out－of－hospital functional exercise can effectively improve the long－term physiology，mental health，anxiety and cognitive function of ICU patients，but the effectiveness of depression and long－term effects still needs further studies to verify.

Keywords post－intensive care syndrome;ICU survivors;functional exercise;Meta－analysis;evidence－based nursing

摘要 目的：系统评价院内及院外功能锻炼对重症监护室（ICU）后综合征病人的影响。（剩余17813字）