Postoperative exercise protocol development following pancreaticoduodenectomy:a summary of best evidence
Hu Ya
Liu Li
Zhong Najuan
Luo Shuangling
Zhong Zhihang
Luo Qun
Ran Yan
Abstract：Objective This study aims to summarize the best available evidence for developing exercise protocols after pancre-aticoduodenectomy,providing references for hepatobiliary surgical staff to design individualized postoperative exercise plans and enhance patients'postoperative physical conditions.Methods Following the 6 S Model of Evidence Resources pyramid model,a comprehensive search was conducted in Chinese and international evidence-based resource databases,comprehen-sive databases,and relevant association websites for evidence on postoperative exercise protocols after pancreaticoduodenec-tomy.The search period was from database inception to September 2024.Two researchers independently evaluated the qual-ity of the literature and extracted and integrated the evidence using the Joanna Briggs Institute(JBI)model of evidence-based healthcare's literature quality assessment tools and evidence grading system.Results A total of 15 articles were included,comprising 4 guidelines,3 expert consensuses,1 systematic review,3 randomized controlled trials,and 4 quasi-experimen-tal studies.Overall,35 pieces of best evidence were summarized across seven aspects:exercise assessment,timing of exer-cise,exercise intensity,exercise modality,exercise planning,exercise monitoring,and evaluation indicators.Conclusion This study summarizes the best evidence available for developing postoperative exercise protocols following pancreaticoduo-denectomy.It is recommended that hepatobiliary surgical staff effectively apply this evidence in combination with clinical practice and patients'preferences.
Keywords：PancreaticoduodenectomyPostoperative exerciseEvidence summaryEvidence-based nursing
Publication Date：2025-01-20
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 131-137 )