摘要
目的 检索、评价急性心力衰竭患者早期运动康复的最佳证据,并对最佳证据进行汇总,为临床开展早期运动康复提供参考。方法 基于证据“6S”模型,计算机检索BMJ最佳临床实践,国际指南协作网,英国国家临床医学研究所指南库,安大略省注册护士协会,澳大利亚JBI循证卫生保健中心数据库,Cochrane Library,PubMed,Web of Science,CINAHL,医脉通,中国生物医学文献数据库,中国知网,万方和维普等网站,检索关于急性心力衰竭患者早期运动康复的最佳临床实践、指南、专家共识、证据总结、系统评价、Meta分析。检索时限为2018年4月1日至2023年4月13日。由2名接受过循证培训课程培训的研究员独立对纳入的文献进行评价,并对符合质量标准的文献进行证据提取、归纳和汇总。结果 共纳入16篇文献,其中2篇临床决策、6篇指南、3篇专家共识、2篇证据总结、1篇推荐实践、2篇系统评价。从运动康复的适应证、运动康复干预时机、低强度抗阻运动、柔韧性运动和吸气肌训练等9个方面形成20条最佳证据。结论 总结的关于急性心力衰竭患者早期运动康复的最佳证据,可为医护人员提供循证依据,建议医护人员根据临床情景应用证据,充分考虑患者的身体状况和意愿制订个性化的早期运动康复方案。
Objective To retrieve,evaluate and summarise the best evidences for early exercise rehabilitation in patients with acute heart failure,hence to provide references for clinically early exercise rehabilitation. Methods Websites of BMJ best clinical practice,the International Guidelines Collaborative Network (GIN),the UK National Institute of Clinical Medicine Guidance Library (NICE),the Ontario Registered Nurses Association (RNAO),the Australian JBI evidence-based health care centre database (JBI),Cochrane Library,PubMed,Web of Science,CINAHL,Medlive,CBM,CNKI,Wanfang Data and VIP published between April 1st,2018 and April 13th,2023 were searched to collect literatures that were relevant to clinical practice,guidelines,expert consensus,evidence summary,systematic evaluation and meta-analysis in early exercise rehabilitation in patients with acute heart failure. Two trained researchers independently evaluated the included literatures,and then extracted and summarised the evidences that met the inclusion criteria. Results A total of 16 articles were retrieved,including 2 articles in clinical decisions,6 guidelines,3 expert consensus,2 evidence summaries,1 recommended practice and 2 systematic reviews. Twenty pieces of the best evidence across 9 dimensions were summarised,including indications of exercise rehabilitation,timing for exercise rehabilitation intervention,flexibility movement,low intensity resistance exercise and inspiratory muscle training. Conclusions The summarised best evidence for early exercise rehabilitation in patients with acute heart failure can provide the healthcare professionals with evidence-based references in clinical practice. Healthcare professionals are encouraged to apply the evidence to propose the plans for individualised early exercise rehabilitation,after fully consideration of the physical condition and willingness of the patients.
作者
汪亚男
樊丽芳
袁建兰
徐艳
周会
Wang Yanan;Fan Lifang;Yuan Jianlan;Xu Yan;Zhou Hui(Department of Cardiovascular Medicine,the First People’s Hospital of Kunshan,Suzhou,215300,China)
出处
《现代临床护理》
2024年第5期65-72,共8页
Modern Clinical Nursing
基金
2022年昆山市科技专项项目,项目编号为KS2210
苏州市医学重点扶持学科建设项目,项目编号为SZFCXK202106。
关键词
急性心力衰竭
运动康复
抗阻训练
证据总结
循证护理
acute heart failure
exercise rehabilitation
resistance training
summary of evidence
evidence-based nursing
