FAR EASTERN UNIVERSITY

Nicanor Reyes St. Sampaloc, Manila

S.Y. 2020-2021
INSTITUTE OF NURSING

GOBOY, LOUISE GERMAINE U​.

BSN 310

General Question
Systemic lupus erythematosus in adults: Is exercise an effective nursing intervention?

Reconstruction of General Question related to client’s problem identified in the RLE

Is exercise an effective nursing intervention for treating fatigue among adults suffering
from systemic lupus erythematosus?

Patient Intervention Comparison Outcome

Focus population
The three studies used The study focused on The researchers The consolidated data
by the researchers in the effectiveness of included two showed that 12 weeks
the systematic review exercise training as a randomized controlled of an aerobic exercise
and meta-analysis nursing intervention for trials and one program supervised by
included 163 adults patients with SLE; the quasiexperimental health professionals can
with systemic lupus components of the said study. Aerobic exercise, reduce fatigue as well
erythematosus (SLE) training included the three times a week and as increase vitality for
who underwent exercise training of moderate intensity, patients with SLE. In
exercise training. The frequency, intensity, was a common addition to this, SLE
mean age of the type of exercise, and component of the three patients with mild
participants in the said training duration per studies. Two studies disease must begin with
studies ranged from 34 session. were conducted in a moderate intensity for
to 43 years. supervised setting while at least 20 minutes, 3
the other was based at days a week.
home. One study lasted
 8 weeks while the other
two lasted 12 weeks.
Critical Review with Summary of the Literature
The databases searched by the researchers for their systematic review and meta-analysis
were MEDLINE, CINAHL, PEDro, Cochrane Library, Scopus, and PQDT from their inception
to February 3, 2016. The quality of the selected studies were assessed using the PEDro scale.
The researchers included two randomized controlled trials and one quasiexperimental study. The
three studies used by the researchers in the systematic review and meta-analysis included 163
adults with systemic lupus erythematosus (SLE) who underwent exercise training. The mean age
of the participants in the said studies ranged from 34 to 43 years. The study focused on the
effectiveness of exercise training as a nursing intervention for patients with SLE; the components
of the said training included the exercise training frequency, intensity, type of exercise, and
training duration per session. The researchers included two randomized controlled trials and one
quasiexperimental study. Aerobic exercise, three times a week and of moderate intensity, was a
common component of the three studies. Two studies were conducted in a supervised setting
while the other was based at home. One study lasted 8 weeks while the other two lasted 12
weeks. To evaluate the effectiveness of the exercise training, a between-group analysis was
performed. The pooled data were analyzed using the Cochrane Collaboration’s RevMan 5.3
(Copenhagen, Denmark). Furthermore, the consolidated data showed that 12 weeks of an aerobic
exercise program supervised by health professionals can reduce fatigue as well as increase
vitality for patients with SLE. In addition to this, SLE patients with mild disease must begin with
moderate intensity for at least 20 minutes, 3 days a week.

The study provided enough information to answer our general question in terms of the
type of patients, interventions, and outcome. In addition to this, the interventions are completely
safe and effective for patients with SLE, hence, they are highly appropropriate for our patient.
The study discussed the effectiveness and safety of the interventions for fatigue in patients with
SLE. Articles like this are indeed helpful in the field of nursing given that nurses are known to
implement interventions based on scientific research. Also, the article itself is sufficient for one
to know about the effectiveness and safety of exercise as an intervention for fatigue in patients
with SLE.
REFERENCE: ​Wu, M., Yu, K., & Tsai, J. (2017). The Effectiveness of Exercise in Adults With
Systemic Lupus Erythematosus: A Systematic Review and Meta-Analysis to Guide
Evidence-Based Practice. ​Worldviews on Evidence-Based Nursing,14​(4), 306-315.
doi:10.1111/wvn.12221