目的 检索、评价及总结冠心病Ⅱ期心脏康复患者居家运动康复的最佳证据,为医护人员指导患者开展居家运动康复提供参考.方法 按照证据资源"6S"模型,采用自上而下的原则进行检索.计算机系统检索国际指南协作网(Guidelines International Network,GIN),苏格兰院际间指南网(Scottish Intercollegiate Guidelines Network,SIGN),英国国家卫生与临床优化研究所(National Institute for Health and Clinical Excellence,NICE),美国心肺康复协会(American Association of Cardiovascular and Pulmonary Rehabilitation,AACVPR),美国心脏协会(American Heart Association,AHA),欧洲心脏病协会(European Society of Cardiology,ESC),BMJ Best Practice,UpToDate,JBI循证卫生保健中心数据,PubMed,Web of Science,Cochrane Library,EBSCON,SinoMed,医脉通,中国知网,万方数据知识服务平台中关于冠心病Ⅱ期心脏康复患者居家运动康复的指南、专家共识、证据总结、系统评价、临床决策和原始研究.检索时限为建库至2023年12月.由2名研究者独立进行文献质量评价、证据提取及整合.结果 最终纳入15篇文献,其中指南5篇、专家共识3篇、证据总结2篇、系统评价3篇、临床决策2篇.从运动获益、运动评估、运动处方、安全与监测和健康教育5个方面共总结23条最佳证据.结论 本研究总结了冠心病Ⅱ期心脏康复患者居家运动康复的最佳证据,建议医护人员应用证据时充分考虑临床情境,结合患者及其家庭的需求和偏好,制订适宜的、个性化运动康复方案,促进患者康复.
Best evidence summary of home exercise rehabilitation for patients with phase Ⅱ coronary artery disease undergoing cardiac rehabilitation
Objective To retrieve,evaluate and summarise evidence on home exercise rehabilitation in patients with stage Ⅱ coronary heart disease(CHD)undergoing cardiac rehabilitation and to provide a reference for healthcare professionals to instruct the patients for home-based exercise rehabilitation.Methods Following the"6S"evidence hierarchy model and a top-down search strategy,a systematic search was conducted across databases of Guidelines International Network(GIN),Scottish Intercollegiate Guidelines Network(SIGN),National Institute for Health and Clinical Excellence(NICE),American Association of Cardiovascular and Pulmonary Rehabilitation(AACVPR),American Heart Association(AHA),European Society of Cardiology(ESC),BMJ Best Practice,UpToDate,Joanna Briggs Institute(JBI)evidence-based healthcare database,PubMed,Web of Science,Cochrane Library,EBSCON,SinoMed,China National Knowledge Infrastructure(CNKI),and Wanfang Data Knowledge Service Platform for guidelines,expert consensus,evidence summaries,systematic reviews,primary study and clinical decisions regarding home-based exercise rehabilitation for patient with CHD phase Ⅱ cardiac rehabilitation.Literature included the articles published on databases from the inception to December 2023.Two researchers independently evaluated the quality of acquired literature and the extracted and integrated the evidence.Results A total of 15 articles were retrieved,including 5 guidelines,3 expert consensuses,2 evidence summaries,3 systematic reviews and 2 clinical decisions.A total of 23 best evidence statements were summarised and further reduced to 5 topics:exercise benefits,exercise assessment,exercise prescription,safety and monitoring,and health education.Conclusion This study summarises the best evidence for home-based exercise rehabilitation in patients with phase Ⅱ cardiac rehabilitation.It recommends that healthcare professionals should consider the clinical context rehabilitation,by taking into account of the needs and preferences of patients and their families,when applying the evidence and developing appropriate and individualised plans for exercise hence to promote the recovery of patients.
万方数据
维普
