医学
肺康复
肺移植
物理疗法
科克伦图书馆
奇纳
生活质量(医疗保健)
梅德林
不利影响
移植
荟萃分析
随机对照试验
肺功能测试
间质性肺病
康复
重症监护医学
肺
外科
内科学
心理干预
护理部
法学
精神科
政治学
作者
Mariana Hoffman,Gabriela Costa Chaves,Giane Amorim Ribeiro-Samora,Raquel Rodrigues Britto,Verônica Franco Parreira
出处
期刊:BMJ Open
[BMJ]
日期:2017-02-01
卷期号:7 (2): e013445-e013445
被引量:37
标识
DOI:10.1136/bmjopen-2016-013445
摘要
The aim of this systematic review of randomised controlled trials (RCTs), and quasi-experimental and retrospective studies is to investigate the effects of pulmonary rehabilitation (PR) in patients with advanced chronic disease on the waiting list for lung transplantation.PR performed for inpatient or outpatient lung transplant candidates.PR programme including aerobic exercise training and/or resistance exercise training.Quality of life and exercise capacity (primary outcomes). Survival rate after transplant surgery; pulmonary function; respiratory muscle strength; psychological aspects; upper and lower extremity muscle strength and adverse effects (secondary outcomes). Two review authors independently selected the studies, assessed study quality and extracted data. Studies in any language were included.This was a systematic review and studies were searched on the Cochrane Library, MEDLINE, EMBASE, CINAHL and PEDro. Experimental and retrospective studies evaluating the effects of PR in candidates for lung transplantation (>18 years old) with any lung diseases were included. 2 RCTs, and two quasi-experimental and two retrospectives studies, involving 1305 participants were included in the review. 5 studies included an enhancement reported in quality of life using the Short Form 36 questionnaire and showed improvements in some domains. All studies included exercise capacity evaluated through 6 min walk test and in five of them, there were improvements in this outcome after PR. Owing to the different characteristics of the studies, it was not possible to perform a meta-analysis.Studies included in this review showed that PR is an effective treatment option for patients on the waiting list for lung transplantation and can improve quality of life and exercise capacity in those patients. Although individual studies reported positive effects of PR, this review shows that there is a need for more studies of a high methodological quality addressing PR effects in lung transplant candidates.PROSPERO CDR42015025110.
科研通智能强力驱动
Strongly Powered by AbleSci AI