循证护理2023年3月第9卷第6期（总第98期）·975·癌症病人癌因性疲乏运动干预的证据总结▣▣王瑞，刘思琴2，周婷婷3，王可，余欢，彭国庆，王小梅*，张继元1.重庆医科大学附属第二医院，重庆400000；2.遵义医科大学附属医院；3.重庆医科大学附属第一医院；4遵义市红花岗区人民医院Summary of the evidence for exercise intervention in cancer-related fatigue in cancer patientsWANG Rui.LIU Siqin.ZHOU Tingting.WANG Ke,YU Huan.PENG Guoqing.WANG Xiaomei.ZHANG JiyuanThe Second Affiliated Hospital of Chongqing Medical University,Chongqing 400000 ChinaCorresponding Author WANG Xiaomei.E-mail:300394@hospital.cqmu.edu.cnAbstract Objective:Based on the framework of sports oncology prescription,to retrieve,evaluate and integrate the best evidence ofexercise intervention for cancer-related fatigue in cancer patients,and to provide reference for clinical medical staff to implementexercise intervention for cancer-related fatigue.Methods:BMJ Best Practice,Up To Date,Australia JBI evidence-based health carecenter,the Cochrane Library,PubMed,EMbase,Yimaitong.CNKI.WanFang Database,NCCN,ASCO.ESMO and other databases andprofessional association websites were systematically searched.The retrieval time limit was from the establishment of each database toMarch 2022.Results:A total of 13 articles were included,including 1 clinical decision,5 guidelines,1 expert consensus,1 evidencesummary.5 systematic reviews and Meta-analysis,and 29 pieces of evidence were summarized.Conclusion:The best evidence ofexereise intervention for cancer patients with cancer-related fatigue can provide evidence-based evidence for clinical practice.Medicalstaff can improve the effectiveness of exercise intervention programs from three aspects:improving the pre-exercise evaluationsystem,following the principles of exercise program formulation,and promoting the prescription of exercise intervention programs.Atthe same time,in combination with the patient's willingness to participate in activities,follow the principles of individualization andgradual progress,promote scientific sports intervention for cancer patients,and improve the patient's rehabilitation quality.Keywords cancer:cancer-related fatigue:non-pharmacologic intervention:exercise intervention:physical exercise:evidence summary:evidence-based nursing摘要目的：基于运动肿瘤学处方框案，检索、评价、整合癌症病人癌国性藏乏运动干预的最住证据，为格床医护人员实苑癌国性我乏运动千预捉供参考，方法：系统检索BMJ Best Practice、Up To Date、澳大利亚Joanna Briggs Institute(JB)循证卫生保健中心the Cochrane Library、PubMed,EMbase、医脉通，中国知网、万方数据库、美国国家综合癌症网络、美国格床肿瘤学会、欧洲临床肿瘤协会等数据库和专业学会网站，检索时限为各数据库建库至2022年3月，结果：共纳入13篇文献，包括临床决策1篇，指南5篇、专家共识1篇、证据总结1篇、系统评价及Mt分析5篇，总结出29条最佳证据，结论：癌症病人癌回性藏乏运动千预的最佳证据可为临床实践提供循证证据，医护人员可从完善运动前评估体系、遵循运动方案制定原则，推动运动干领方案处方化3个方面提高运动干预方案的有效性：同时结合病人活动意愿，遵循个体化和循序渐进原则，推动癌症病人科学运动干预，提高病人康复质量，关键词癌症：癌国性藏乏：非药物干预：运动干预：活动：证据总结：循证护理d0i:10.12102/1-issn.2095-8668.2023.06.005癌因性疲乏(cancer-related fatigue,.CRF),也称活叮。中国抗癌协会最新数据显示，癌因性疲乏发生癌症相关性疲乏，是一种痛苦的、持续的、主观的、有关率为30%~99%。作为癌症病人最常见的并发症躯体、情感或认知方面的疲乏感，与近期的活动量不之一，癌因性疲乏可导致病人生活质量降低、负性情绪符、与癌症或癌症治疗相关，并且妨碍病人日常生增加甚至癌症治疗中断等严重后果3门。国内外多项指南已明确推荐运动干预可作为癌因性疲乏管理的一级证据可。有研究也指出，运动干预能够有效缓解乳基金项目2019年批次高层次人才队伍建设“宽仁英才”项目，腺癌、结直肠癌、肺癌、前列腺癌等癌症病人的癌因性编号：重医二院党C2020)7
