優(yōu)化前列腺癌根治術(shù)病人術(shù)后結(jié)局圍術(shù)期運動的最佳證據(jù)總結(jié)

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Summaryofthebestevidenceonperioperativeexercisetooptimizeoutcomesinpatientsundergoingradicalprostatectomy

LIUJia，LIXuemei，CHENXiaomei，ZHANGZuli，ZHANGHuan，TAOYuqing，YANGYanniTheSouthwestHospitalofArmyMedicalUniversity，Chongqing400038ChinaCorrespondingAuthorYANGYanni，Email：[email protected]

AbstractObjective：Tosummarizetheevidencerelatedtoperioperativeexerciseafterradicalprostatectomyinordertoprovideabasisforclinicalimprovementofurinaryincontinenceandhealthrelatedqualityoflifeafterradicalprostatectomy.Methods：Relevantliteratureonperioperativeexerciseforradicalprostatectomy，includingclinicaldecisionmaking，guidelines，evidencesummaries，expertconsensus，systematicreviews，andrandomizedcontrolledtrials（RCTs）whicharenotincludedinthesystematicreviewsandevidencesummarieswereretrievedfromBMJBestClinicalPractice，EvidenceBasedHealthCareCenterDatabase，UpToDate，theCochraneLibrary，PubMed，CNKI，Yimaitong，andotherdatabasesandrelatedwebsites.ThesearchtimelimitwasfromJanuary1，2012，toDecember29，2022.Tworesearcherswhohavereceivedsystematicevidencebasednursingtrainingindependentlyscreenedtheliterature，extracteddata，andevaluatedthequalityoftheincludedliterature.Then，theyextractedevidencefromtheliteraturethatmetthequalitystandards，gradedthequalityoftheevidence，andsummarizedthebestevidenceofperioperativeexerciseafterradicalprostatectomy.Results：Atotalof8879documentswereretrieved，and21documentswerefinallyincluded，including2guidelines，9systematicreviews，2evidencesummaries，and8RCTs.Theoverallqualityoftheincludeddocumentswashigh.Atotalof36piecesofevidencecovering5aspectsweresummarized：exercisebenefits，exerciseassessment，pelvicfloormuscletraining，wholebodyexercise，andearlypostoperativeactivities.Conclusions：Perioperativeexercisecaneffectivelyimproveurinaryincontinenceandhealthrelatedqualityoflifeafterradicalprostatectomy.Professionalsshoulddeveloppersonalizedperioperativeexerciseprogramsforpatientsundergoingradicalprostatectomybasedonclinicalsituations，regionalculturalfactors，andpatientpreferences.

Keywordsradicalprostatectomy;urinaryincontinence;qualityoflife;pelvicfloormuscletraining;exercise;evidencebasednursing;summaryofevidence

摘要目的：總結(jié)前列腺癌根治術(shù)圍術(shù)期運動相關(guān)證據(jù)，為臨床改善前列腺癌根治術(shù)后尿失禁和健康相關(guān)生活質(zhì)量提供依據(jù)。（剩余12958字）