摘要
目的:总结慢性心力衰竭健康管理综合评价指标的最佳证据。方法:检索NGC、SIGN、PubMed、Web of Science、CINAHL、Cochrane图书馆、中国知网、万方、中国生物医学等数据库,自建库到2021年1月发表的关于慢性心力衰竭健康管理的文献,选取符合标准的临床指南、专家共识、系统评价及原始研究,并评价文献质量。结果:共纳入22篇文献,以健康生态学模型为框架将证据归纳为患者个体、医疗卫生服务、社会环境、卫生经济学4个方面,汇集35条证据,其中A级推荐17条,B级推荐18条。结论:医护人员可遵循证据评价慢性心力衰竭的健康管理成效,以促进健康管理模式的发展。
Objective:To summarize the best evidence of indicators for comprehensive evaluation of health management in patients with chronic heart failure.Methods:A systematic review was performed utilizing NGC,SIGN,PubMed,Web of Science,CINAHL,the Cochrane Library,CNKI,WanFang and CBM Database from inception to January 2021.The clinical guidelines,expert consensus,systematic review and original studies that met the standards were included,screened and extracted,and the literature quality was evaluated.Results:A total of 22 studies were included.Based on the framework of health ecology model,all the evidence is summarized into 35 pieces focused on four aspects:individual patients,medical and health services,social environment and health economics,and 17 pieces were recommended for grade A and 18 pieces were recommended for grade B.Conclusion:The effectiveness of health management in patients with chronic heart failure can be evaluated based on evidence to promote the development of health management models.
作者
徐筱璐
徐翠荣
汤卫红
谈雅茹
郝天天
周冰莹
张美玲
XU Xiaolu;XU Cuirong;TANG Weihong;TAN Yaru;HAO Tiantian;ZHOU Bingying;ZHANG Meiling(Department of Nursing,School of Medicine,Southeast University,Nanjing,210009,China)
出处
《中国护理管理》
CSCD
2022年第2期274-281,共8页
Chinese Nursing Management
基金
江苏省重点研发计划(社会发展)项目(BE2019746)。
关键词
评价指标
健康管理
慢性心力衰竭
循证护理学
健康生态学
evaluation index
health management
chronic heart failure
evidence-based nursing
health ecology
