Objective To apply the best evidence for nutritional management in patients with chronic heart failure(CHF)into clinical practice and evaluate its effectiveness.Methods Totally 80 CHF patients admitted to the Department of Cardiology at the Affiliated Hospital of Chengde Medical University from October 2022 to March 2023 and 23 nurses involved in the project were selected by convenience sampling.The 40 CHF patients admitted from October to December 2022 formed the baseline group,while those admitted from January to March 2023 constituted the evidence application group.Evidence-based nursing methods were implemented in four stages:evidence retrieval,current status review,evidence implementation,and effectiveness evaluation.The compliance rates of review indicators,nurses'knowledge of nutritional management for CHF patients,and patient outcomes related to nutrition status and readmission rates were compared before and after evidence-based practice.Results After evidence-based practice,the compliance rates of review indicators increased from 0-60.87％to 80.00％-100.00％.Nurses'scores on nutritional management knowledge for CHF patients increased significantly from(48.48±13.09)to(91.30±4.82),with a statistically significant difference(P＜0.05).The NRS 2002 scores of CHF patients decreased from(3.05±0.50)to(2.10±0.44),MNA-HF scores increased from(18.20±2.64)to(21.24±2.94),and albumin levels increased from(37.33±4.98)g/L to(39.24±3.29)g/L,all with statistically significant differences(P＜0.05).The 3-month readmission rate for CHF patients in the evidence application group was 10.00％(4/40),significantly lower than the 27.50％(11/40)in the baseline group(P＜0.05).Conclusions Evidence-based nursing practice for nutritional management in CHF patients can enhance nurses'knowledge,improve patients'nutritional status,reduce readmission rates,and improve the quality of nursing care.
维普
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