目的检索、评价和总结心房颤动(atrial fibrillation，AF)患者生活方式管理的最佳证据。方法基于PIPOST模式确定循证问题，根据"6S"金字塔模型从上而下系统检索BMJ Best Practice、Up To Date、Cochrane Li-brary、JBI 循证卫生保健数据库、PubMed、Web of Science、中国知网(CNKI)、万方等数据库及指南相关专业网站中关于AF患者生活方式管理的证据，并对纳入文献进行质量评价、证据提取及汇总。检索时限为建库至2023年6月1日。结果共纳入17篇文献，包括7篇指南、3篇专家共识、3篇证据总结及4篇系统评价，并总结出目的、多学科团队合作、饮食管理、控烟管理、运动管理、体重管理、睡眠与心理管理等7个维度共22条证据。结论本研究总结了 AF患者生活方式管理相关的证据，可为护士对AF患者进行个性化、全方面的生活方式相关的健康教育提供循证依据及参考。
Summary of the best evidence for lifestyle management in patients with atrial fibrillation
Objective To retrieve,evaluate,and summarize the best evidence at home and abroad regarding lifes-tyle management in patients with atrial fibrillation(AF).Methods Based on PIPOST pattern identify evidence-based problem,according to the"6S"pyramid model related,evidence on AF patients lifestyle management was systemati-cally searched from the top down in databases and the related professional websites of guide such as BMJ Best Prac-tice,Up To Date,Cochrane Library,JBI EBP Database,PubMed,Web of Science,CNKI,Wanfang,etc.The quality e-valuation,evidence extraction,and summary of the included literature were carried out.The search time limit was from the establishment of the data to June 1,2023.Results A total of 17 literatures were enrolled,including 7 guide-lines,3 expert consensus,3 evidence summaries,and 4 systematic reviews.A total of 22 pieces of evidence were ob-tained,divided into 7 aspects:Objective,multidisciplinary teamwork,diet management,smoking control manage-ment,exercise management,weight-loss management,sleep and psychological management.Conclusion The evi-dence related to lifestyle management for patients with AF is summarized in this study,which can provide guidance and reference for nurses to provide personalized and comprehensive lifestyle-related health education for AF patients.
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