中华护理杂志2023年2月第58卷第4期证据综合研究学龄期恶性肿瘤患儿运动康复的最佳证据总结徐欣怡唐莉余雅婷陈晓容毛孝容闵丽华【摘要】目的检索、评价及总结学龄期恶性肿病惠儿运动康复的相关证据，为医护人员指导患儿及其家庭开展运动康复提供参考。方法计算机系统检索国内外效据库、相关指南网站及专业学会网站中关于学龄期恶性肿编患儿运动康复的临床决策、推荐实践、指南、证据总结、专家共识及系统评价。检索时限为2017年2月一2022年2月。由2名研究者独立进行文献质量评价、证据提取及整合。结果最终纳入13篇文献，其中指南3篇、证据总结3篇、推荐实践1篇、专家共识1篇、系统评价5篇。从运动目的、运动对象、运动评估、运动方案和运动管理5个方面共总结21条最佳证据。结论该研究总结了学龄期恶性肿编患儿运动康复的最佳证据，建议医护人员应用证据时充分考虑临床情境，结合患儿及其家庭的需求和偏好，制订更为详细的个性化运动康复方案。【关键词】肿编；儿童；学龄期；运动疗法；循证护理学The best evidence summary for exercise rehabilitation in school-age children with malignant tumors/XUXinyi,TANG Li,YU Yating,CHEN Xiaorong,MAO Xiaorong,MIN Lihua[Abstract]Objective To retrieve,evaluate and summarize the current evidence related to exercise rehabilitationin school-age children with malignant tumors,and provide references for clinical healthcare workers to guidechildren and their families to practice the plan for exercise rehabilitation.Methods The researchers conducted asystematical search in national and international databases,relevant guideline websites and professional societywebsites for related clinical decisions,recommended practices,guidelines,evidence summaries,expert consensuses,andsystematic reviews for exercise rehabilitation in school-age children with malignancies since February 2017 toFebruary 2022.The quality evaluation,extraction,and integration for evidence were conducted independently by 2researchers,respectively.Results A total of 13 studies,including 3 guidelines,3 JBI evidence summaries,Irecommended practice,I expert consensus and 5 systematic reviews,were included.There were 21 pieces of bestevidence with 5 dimensions,including the purposes,participants,assessment,detailed programs,and management forexercise rehabilitation being summarized.Conclusion The study summarizes the best evidence of exerciseD0I:10.37615.issn.0254-1769.2023.04.014基金项目：四川省医学科学院·四川省人民医院2021年院科研基金资助项目(2021ZX08):四川省卫生和计划生育委员会科研课题(19P121)作者单位：610072成都市电子科技大学附属医院·四川省人民医院护理研究中心（徐欣恰），门诊儿科（唐莉），儿科监护室（余雅婷），消化内科（陈晓容），护理研究中心（毛孝容），护理部（闵丽华）通信作者：毛孝容，E-ail:449696256@qqom徐欣恰：女，本科（硕士在读），护士，E-il:1192451940@qq.com2022-05-11收稿[31]Jo JH,Harkins CP,Schwardt NH,et al.Alterations of human590-593.skin micmobiome and expansion of antimicrobial resistance afJia J,Xu J,Qiu XX.The application of a structured skinter systemie antibiotics[J].Sci Transl Med,2021,13(625):ea-care regimen to reduce incontinenceassociated[J].Chin J Nurs,bd8077.2016,51(5):590-593.[32]杨婷，蒋琪霞，俞惠，等.危重病人失禁相关性皮炎危险因素的[34]Dimitri B,Nele VD,Lisette S,et al.Interventions for prevent-Meta分析[J].护理研究，2019,33(20)：3478-3483.ing and treating incontinence-associated dermatitis in adultsYang T,Jiang QX,Yu H,et al.Risk factors of incontinence-[J].Cochrane Database Syst Rev,2016,11:CD011627.associated dermatitis in critically ill patients:a Meta-analysis[35]Valls-Matarin J,Del CM,Ribal-Prior R,et al.Incidence of moi-[J1.Chin Nurs Res,2019,33(20):3478-3483.sture-associated skin damage in an intensive care unit[J].Enferm[33]贾静，徐品品，仇晓溪.结构化皮肤护理方案对降低患者失禁ntensiva,2017,28(1）:13-20.性皮炎患病率的应用效
