摘要
目的 总结慢性心力衰竭(CHF)患者居家自我容量监测的最佳证据,为准确监测容量状态提供依据.方法 计算机检索UpToDate、BMJ best practice、国际指南协作网、Cochrane Library、PubMed、Embase、中国知网、万方数据知识服务平台和中国生物医学文献数据库等网站和数据库中关于CHF患者居家自我容量监测的相关文献,检索时限均为建库至2023年8月31日.对各类文献进行质量评价后提取证据并总结.结果 共纳入21篇文献,总结了包括监测目标、监测内容及方法、健康教育、资源整合与支持4个方面共24条证据.结论 本研究总结了CHF患者居家自我容量监测的最佳证据,有利于护理人员为患者提供居家容量监测方案提供依据,从而提高患者自我容量监测的准确性与有效性.
Abstract
Objective To summarize the best evidence for home self-volume monitoring in patients with chronic heart failure(CHF),so as to provide evidence for accurate monitoring of volume status.Methods Computer search was conducted for literature on home self-volume monitoring in CHF patients in UpToDate,BMJ best practice,Guidelines International Network,Cochrane Library,PubMed,Embase,CNKI,Wanfang Data,China Biology Medicine disc and other websites and databases.The search period was from establishment of databases to August 31,2023.After the quality evaluation of various literatures,the evidence was extracted and summarized.Results A total of 21 literatures were included,and 24 pieces of evidence were summarized from 4 aspects,including monitoring objectives,monitoring content and methods,health education and resource integration and support.Conclusions This study summarizes the best evidence for home self-monitoring of CHF patients,which is beneficial for nursing staff to provide a basis for providing patients with home self-monitoring plans,thereby improving the accuracy and effectiveness of patient self-monitoring.