左心室辅助装置植入患者围手术期的循证护理实践

doi:10.3761/j.issn.2096-7446.2025.02.015

Abstract

Abstract:

Objective To develop and implement a perioperative evidence-based care protocol for 8 patients with end-stage heart failure with implantable left ventricular assist devices（LVAD）. Methods Based on multidisciplinary collaboration，addressing the priorities and difficulties of care，we searched relevant guidelines，systematic reviews and expert consensus. After evaluation and integration of evidence，it was applied to 8 patients with end-stage heart failure undergoing LVAD implantation. Results A total of 9 articles were finally included，including a clinical decision，six expert consensuses，a guideline and a cohort study. Based on the actual clinical problems of patients and the suggestion of multidisciplinary team，nursing plans were formulated，including goal-oriented circulation management，dynamic anticoagulation management，early warning of intestinal obstruction complications，transmission system infection management，device alarm management. After 35-68 d of treatment and rehabilitation，all functions of the patient recovered well and they were discharged. Conclusion For patients with LVAD implantation，evidence-based methods are used to provide scientific and effective nursing measures，which promote patient rehabilitation.

Key words: End-Stage Heart Disease, Left Ventricular Assist Device, Evidence-based Nursing, Perioperative Care

CHEN Xia, HUANG Aoli, ZHU Xujing, HU Min, YANG Qiaozhen, FENG JieHui. Perioperative evidence-based care practice for patients with implantable left ventricular assist devices[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(2): 210-213.

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Perioperative evidence-based care practice for patients with implantable left ventricular assist devices

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