摘要
目的:检索、评价并汇总国内外儿童先天性心脏病患者术后心脏康复的证据,为临床决策提供参考.方法:系统检索从 2003 年 6月至 2023 年 6月国内外网站、专业学会网站及中英文数据库中与儿童先天性心脏病术后心脏康复相关的所有指南、证据总结、实践推荐、专家意见和系统评价.对符合纳入标准的研究进行质量评价,提取证据并汇总分级.结果:共纳入 21篇文献,其中临床指南 3 篇、证据总结 1篇、专家共识 9 篇、系统评价8 篇.最后从团队组织、运动锻炼、营养支持、增强免疫力、维持心理健康、药物管理、有效过渡和随访 7个方面总结了39 条证据.结论:儿童先天性心脏病术后心脏康复的证据可为临床医护人员提供循证证据,以科学的方法评估并管理儿童先天性心脏病术后的身心健康,有助于提高患儿的生活质量.
Abstract
Objective:To search,evaluate and summarize the evidence of postoperative cardiac rehabilitation management in children with Congenital Heart Disease(CHD)at home and abroad,so as to provide a reference for clinical decision-making.Methods:All the guides,evidence summaries,practice recommendations,expert opinions and systematic reviews related to cardiac rehabilitation after operation of children with CHD in recent 20 years were systematically retrieved from websites at home and abroad,websites of professional societies and Chinese and English databases.Evidence was extrated and integrated after quality evaluation of the included studies.Results:A total of 21 articles were included,including 3 clinical guidelines,1 evidence summary,9 expert consensus and 8 systematic reviews.Finally,39 pieces of evidence were summarized from seven aspects:team organization,exercise,nutritional support,enhancing immunity,maintaining mental health,medication management and effective over-follow-up.Conclusion:The evidence of cardiac rehabilitation after CHD surgery in children can provide evidence-based evidence for clinical medical staff,evaluate and manage the physical and mental health of children after CHD surgery in a scientific way,and help to improve the quality of life of children.
基金项目
上海交通大学医学院护理科研面上项目(Jyh2208)
上海交通大学医学院附属新华医院护理青年人才项目(Xhlhb004)
维普
万方数据