慢性心力衰竭患者Ⅱ期心脏康复的最佳证据总结

doi:10.3761/j.issn.2096-7446.2024.03.005

摘要/Abstract

摘要： 目的检索并获取国内外慢性心力衰竭患者Ⅱ期心脏康复的最佳证据。方法检索BMJ Best Practice、UpToDate、国际指南协作网等指南网站,美国心脏协会等专业学会网站,PubMed、Web of Science、中国知网等数据库中有关慢性心力衰竭患者Ⅱ期心脏康复的相关证据,证据类型包括临床决策、指南、专家共识、系统评价、最佳证据总结。由2名研究者对文献质量进行评价和资料提取。结果共纳入19篇文献,包括8篇指南、2篇临床决策、3篇专家共识、4篇系统评价和2篇证据总结。从多学科团队协作、场地及配置、评估、运动、药物、营养、心理、危险因素管理、健康教育、依从性监督10个方面形成30条最佳证据。结论该研究总结了慢性心力衰竭患者Ⅱ期心脏康复的最佳证据,可为临床医护人员制订慢性心力衰竭患者Ⅱ期心脏康复全面管理方案及开展高质量Ⅱ期心脏康复提供循证依据。

关键词: 慢性心力衰竭, 心脏康复, 最佳证据, 循证护理学

Abstract: Objective To search and obtain the best evidence on phase II cardiac rehabilitation for chronic heart failure patients. Methods We searched all relevant databases and website for evidence of phase II cardiac rehabilitation for chronic heart failure,such as UpToDate,BMJ Best Practice,Guidelines International Network,American Heart Association,PubMed,Web of Science,CNKI. Evidence types included clinical decision-making,evidence-based guideline,expert consensus,systematic review,and summary of best evidence. Two researchers evaluated the quality of the included literature and extracted evidence that met quality standards. Results A total of 19 articles were included,including 8 guidelines,2 clinical decisions,3 expert consensuses,4 systematic reviews and 2 evidence summaries. 30 pieces of best evidence were summarized into 10 aspects,including multidisciplinary team collaboration,venue and configuration,evaluation,exercise,medicine,nutrition,psychology,risk factors management,health education,and compliance supervision. Conclusion This study summarized the best evidence for phase Ⅱ cardiac rehabilitation in patients with chronic heart failure,provide an evidence based reference for clinical medical staff to formulate comprehensive management plans of phase Ⅱ cardiac rehabilitation in patients with chronic heart failure,and conduct high quality phase Ⅱ cardiac rehabilitation.

Key words: Chronic Heart Failure, Cardiac Rehabilitation, Best Evidence, Evidence-Based Nursing

吴迪, 陶明, 陈永梅, 陈玉, 吴和梅, 张鹭. 慢性心力衰竭患者Ⅱ期心脏康复的最佳证据总结[J]. 中华急危重症护理杂志, 2024, 5(3): 222-229.

WU Di, TAO Ming, CHEN Yongmei, CHEN Yu, WU Hemei, ZHANG Lu. Evidence summary of phase Ⅱ cardiac rehabilitation for patients with chronic heart failure[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(3): 222-229.

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