Construction Of Exercise Intervention Program For Adult Patients With Obstructive Sleep Apnea

Research PurposeThis research aims to summarize the best evidence of exercise intervention for adult patients with obstructive sleep apnea,and finally construct exercise intervention program for adult obstructive sleep apnea patients through two rounds of Delphi expert letter consultation,so as to provide evidence-based evidence for the exercise management of adult obstructive sleep apnea patients for the majority of clinical medical staff,and improve the prognosis of patients and their life quality.Research Methods1.A research group was set up to formulate a search strategy,developed criteria for inclusion and exclusion of literature and searched related literature of exercise intervention in adult patients with obstructive sleep apnea from BMJ,JBI,Cochrane Library,Pub Med,GIN,NGC,NICE,Web of Science,CINAHL,CNKI,Chinese Bio Medical Literature Database,Wan Fang,Yimaitong and other databases.The retrieval time was from the establishment of the database to February 2022.The literature was screened,and used literature quality evaluation criteria and evidence grading system of JBI Evidence-Based Health Care Center to evaluate and grade the included literature.Finally the best evidence of exercise intervention for adult patients with obstructive sleep apnea was summarized.2.Based on the summary of the best evidence,an expert letter consultation questionnaire was formed,two rounds of expert letter consultation were conducted among 15 experts in the form of face to face or We Chat files using Delphi expert consultation method.Through reliability analysis and modification opinions of experts,exercise intervention program for adult patients with obstructive sleep apnea was finally formed.Research Results1.Through systematic search of literature database,literature quality evaluation and hierarchical summary,12 literatures were finally included,including 6 guidelines,3 systematic reviews and 3 randomized controlled trials.The best evidence summary of exercise intervention for adult obstructive sleep apnea patients was formed,which included 21 pieces of evidence in 7 categories,including applicable population,exercise type,exercise frequency and time,exercise intensity,exercise principle,quality control and health education.2.A total of 15 experts were consulted.The effective recovery rates of the two rounds of expert letter consultation were 100%,and the authority coefficients of the two rounds of experts were 0.84 and 0.87.In the first round of all index coefficient of variation(CV)fluctuations range0.07?0.24,the importance and feasibility of harmony coefficient(W)were0.107 and 0.159;The second round of all index coefficient of variation(CV)fluctuations range 0.00?0.23,the importance and operability of harmony coefficient(W)were 0.183,0.162,experts tend to agree.Finally,the exercise intervention program for adult patients with obstructive sleep apnea was initially formed,including 5 first-level items,13 second-level items and 33 third-level items.Research Conclusion1.In this study,the best evidence summary of exercise intervention for adult patients with obstructive sleep apnea formed by evidence-based nursing method is systematic,comprehensive and clinically practical,worthy of promotion and use by clinical medical staff.2.In this study,exercise intervention program for adult patients with obstructive sleep apnea formed by Delphi expert consultation method is scientific,reliable,comprehensive and practical,and have a certain reference for clinical treatment and nursing work.