Evidence-based Capacity Management Strategies for Elderly Heart Failure Inpatients
Objective To explore the clinical application status of evidence on volume management in elderly patients with heart failure(HF),analyze the obstacles and promoting factors in evidence-based practice,thus to provide reference for clinical transformation of evidence.Methods Clinical decisions,guidelines,expert consensus,evidence summary,systematic review on volume management of elderly HF patients in domestic and foreign databases and guide websites were searched,and the best evidence was evaluated and summarized to establish review indicators.Based on the results of the baseline review,obstacle factors were analyzed and action strategies were developed.Results A total of 8 articles were included,with 20 pieces of evidence and 18 quality review indicators were formulated.The implementation rate for 12 review indicators were less than 60％.The main obstacle factors were the lack of standardized procedures and assessment tools for volume management,poor compliance among junior healthcare staff,and sufficient knowledge of volume management in elderly patients.Conclusions There is a certain gap between the evidence of volume management in elderly HF patients and clinical practice.It is necessary to comprehensively evaluate the obstacle factors and promoting factors,and adopt reform strategies to promote the transformation of evidence.
万方数据
维普
