Post-sternotomy movement strategies in adults: a scoping review.

Autor:	Wiens K; Faculty of Nursing, University of Calgary, 2500 University Dr NW, Calgary, AB, CanadaT2N 1N4.; Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, CanadaT2N 2T9.; Libin Cardiovascular Institute of Alberta, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, CanadaT2N 4N1., Hayden KA; Libraries and Cultural Resources, University of Calgary, 2500 University Dr NW, Calgary, AB, CanadaT2N 1N4., Park L; Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, CanadaT2N 2T9.; Libin Cardiovascular Institute of Alberta, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, CanadaT2N 4N1., Colwell S; Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, CanadaT2N 2T9.; Libin Cardiovascular Institute of Alberta, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, CanadaT2N 4N1., Coltman C; Foothills Medical Center, Alberta Health Services, 1403 29 St NW, Calgary, AB, CanadaT2N 2T9.; Libin Cardiovascular Institute of Alberta, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, CanadaT2N 4N1., King-Shier KM; Faculty of Nursing, University of Calgary, 2500 University Dr NW, Calgary, AB, CanadaT2N 1N4.; Libin Cardiovascular Institute of Alberta, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, CanadaT2N 4N1.; Department of Community Health Sciences, Cumming School of Medicine, University of Calgary, 2500 University Dr NW, Calgary, AB, CanadaT2N 1N4.
Jazyk:	angličtina
Zdroj:	European journal of cardiovascular nursing [Eur J Cardiovasc Nurs] 2024 Jul 19; Vol. 23 (5), pp. 435-440.
DOI:	10.1093/eurjcn/zvad109
Abstrakt:	Aims: Post-sternotomy movement strategies for adults should be an evidence-informed approach and support a safe, independent return to daily activity. Recent new movement strategies have emerged. The aim of this scoping review was to identify and summarize the available evidence for post-sternotomy movement strategies in adults. Methods and Results: The electronic databases searched included MEDLINE, Embase, Sport Discus, CINAHL, Academic Search Complete, the Cochrane Library, Scopus, and PEDro. The search did not have a date limit. After 2405 duplicates were removed, 2978 records were screened, and 12 were included; an additional 2 studies were identified through reference searching for a total of 14 included studies. A data extraction table was used, and the findings are summarized in a tabular and narrative form. Three post-sternotomy movement strategies were identified in the literature: sternal precautions (SP), modified SP, and Keep Your Move in the Tube (KYMITT™). The authors suggested that the practice of SP was based on expert opinion and not founded in evidence. However, the evidence from the identified articles suggested that new movement strategies are safe and allow patients to choose an increased level of activity that promotes improved functional status and confidence. Conclusion: More prospective cohort studies and multi-centred randomized control trials are needed; however, the current evidence suggests that modified SP and KYMITT™ are as safe as SP and can promote a patient-centred approach. Registration: University of Calgary's Digital Repository PRISM http://hdl.handle.net/1880/115439. Competing Interests: Conflict of interest: None declared. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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