主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2024, Vol. 24 ›› Issue (4): 551-558.doi: 10.3969/j.issn.1672-1756.2024.04.014

• 循证护理 • 上一篇    下一篇

运动对孕妇疲乏干预效果的Meta分析

刘利 朱灿 崔盈佳 孔含娇 赵红   

  1. 中国医学科学院北京协和医学院护理学院,100144 北京市
  • 出版日期:2024-04-15 发布日期:2024-04-15
  • 通讯作者: 赵红,博士,教授,E-mail:zhaohong@nursing.pumc.edu.cn
  • 作者简介:刘利,硕士在读

Meta-analysis of the effect of exercise intervention on reducing fatigue in pregnant women

LIU Li, ZHU Can, CUI Yingjia, KONG Hanjiao, ZHAO Hong   

  1. School of Nursing, Peking Union Medical College, Beijing, 100144, China
  • Online:2024-04-15 Published:2024-04-15
  • Contact: E-mail:zhaohong@nursing.pumc.edu.cn

摘要: 目的:系统评价运动干预对孕妇疲乏的改善效果,为临床更加规范地指导孕妇运动提供参考。方法:计算机检索PubMed、Web of Science、Embase、CINAHL、The Cochrane Library、中国知网、万方数据库、维普中文期刊数据库和中国生物医学文献数据库,纳入自建库起至2023年8月关于运动对孕妇疲乏干预效果的实验研究。由2名研究员独立进行文献筛选、资料提取,并对文献进行偏倚风险评估。采用RevMan?5.3软件进行Meta分析。结果:最终7篇文献进入Meta分析,共643例孕妇。结果显示,孕期运动干预对孕妇疲乏改善有统计学意义[SMD=-0.39,95%CI(-0.67,-0.11),P=0.007],运动类型包括瑜伽、抗阻运动、呼吸训练等,其中瑜伽可以改善孕妇的疲乏症状[SMD=-0.71,95%CI(-1.34,-0.08),P=0.030],干预时长>8周可改善疲乏症状[SMD=-0.75,95%CI(-1.29,-0.21),P=0.006],不同运动强度在改善疲乏症状方面无统计学意义。全程线下监督可改善孕妇的疲乏症状[SMD=-0.27,95%CI(-0.49,-0.05),P=0.020]。结论:孕期运动有助于改善孕妇疲乏症状;建议未来研究进一步规范干预方案策略,以促进运动安全性和依从性。

关键词: 运动;孕妇;疲乏;Meta分析

Abstract: Objective: To systematically review the effect of exercise intervention on reducing fatigue in pregnant women. Methods: We searched the literature in PubMed, Web of Science, Embase, CINAHL, The Cochrane Library, CNKI, Wanfang Data, VIP Science, and Chinese Biomedical Literature Database from the inception to August 2023. Data extraction, quality evaluation, and result analysis were carried out by two researchers independently. Meta-analysis was performed using RevMan 5.3 software. Results: Seven studies were entered into Meta-analysis with a total of 643 pregnant women. The results showed that exercise interventions during pregnancy were significant for the improvement of fatigue in pregnant women [SMD=-0.39, 95%CI (-0.67, -0.11), P=0.007], and the types of exercise included yoga, resistance exercise, and breathing training, among which yoga could reduce the fatigue symptoms of pregnant women [SMD=-0.71, 95%CI (-1.34, -0.08), P=0.030], intervention duration more than eight weeks improved fatigue symptoms [SMD=-0.75, 95%CI (-1.29, -0.21), P=0.006], and exercise intensity was not statistically significant in improving fatigue symptoms. Full offline supervision improved fatigue symptoms in pregnant women [SMD=-0.27, 95%CI (-0.49, -0.05), P=0.020]. Conclusion: Exercise during pregnancy can help ease fatigue symptoms in pregnant women. So future studies should focus on further standardization of intervention program strategies to promote exercise safety and compliance.

Key words: exercise; pregnant women; fatigue; Meta-analysis

中图分类号:  R47;R197