摘要
目的 检索并获取国内外慢性心力衰竭患者Ⅱ期心脏康复的最佳证据.方法 检索BMJ Best Practice、UpToDate、国际指南协作网等指南网站,美国心脏协会等专业学会网站,PubMed、Web of Science、中国知网等数据库中有关慢性心力衰竭患者Ⅱ期心脏康复的相关证据,证据类型包括临床决策、指南、专家共识、系统评价、最佳证据总结.由2名研究者对文献质量进行评价和资料提取.结果 共纳入19篇文献,包括8篇指南、2篇临床决策、3篇专家共识、4篇系统评价和2篇证据总结.从多学科团队协作、场地及配置、评估、运动、药物、营养、心理、危险因素管理、健康教育、依从性监督10个方面形成30条最佳证据.结论 该研究总结了慢性心力衰竭患者Ⅱ期心脏康复的最佳证据,可为临床医护人员制订慢性心力衰竭患者Ⅱ期心脏康复全面管理方案及开展高质量Ⅱ期心脏康复提供循证依据.
Abstract
Objective To search and obtain the best evidence on phase Ⅱ cardiac rehabilitation for chronic heart failure patients.Methods We searched all relevant databases and website for evidence of phase Ⅱ cardiac rehabilitation for chronic heart failure,such as UpToDate,BMJ Best Practice,Guidelines International Network,American Heart Association,PubMed,Web of Science,CNKI.Evidence types included clinical decision-making,evidence-based guideline,expert consensus,systematic review,and summary of best evidence.Two researchers evaluated the quality of the included literature and extracted evidence that met quality standards.Results A total of 19 articles were included,including 8 guidelines,2 clinical decisions,3 expert consensuses,4 systematic reviews and 2 evidence summaries.30 pieces of best evidence were summarized into 10 aspects,including multidisciplinary team collaboration,venue and configuration,evaluation,exercise,medicine,nutrition,psychology,risk factors management,health education,and compliance supervision.Conclusion This study summarized the best evidence for phase n cardiac rehabilitation in patients with chronic heart failure,provide an evidence based reference for clinical medical staff to formulate comprehensive management plans of phase n cardiac rehabilitation in patients with chronic heart failure,and conduct high quality phase Ⅱ cardiac rehabilitation.
基金项目
贵州省卫生健康委科学技术基金(gzwkj2021-497)
遵义市联合基金(遵市科合HZ字2022329号)
遵义医科大学护理学院科研项目(Hlxyky2021-08)
维普
万方数据