急性心肌梗死PCI术后患者运动康复干预的最佳证据总结  

Evidence summary of exercise rehabilitation intervention in patients with acute myocardial infarction after PCI

作　　者：任鹏娜 张月[2] 丁琳[3] 汤爱玲[2] 胡小懿 朱张逸 许方蕾[2] Ren Pengna;Zhang Yue;Ding Lin;Tang Ailing;Hu Xiaoyi;Zhu Zhangyi;Xu Fanglei(School of Medicine,Tongji University,Shanghai 200092,China;Department of Nursing,Tongji Hospital of Tongji University,Shanghai 200065,China;Department of Cardiology,Tongji Hospital of Tongji University,Shanghai 200065,China)

机构地区：[1]同济大学医学院,上海200092 [2]同济大学附属同济医院护理部,上海200065 [3]同济大学附属同济医院心内科,上海200065

出　　处：《中国实用护理杂志》2022年第15期1162-1168,共7页Chinese Journal of Practical Nursing

基　　金：上海市同济医院国自然培育项目(TJ2038);上海市普陀区卫生健康委员会护理管理类研究课题(2021PTGL16)。

摘　　要：目的检索、评价和整合急性心肌梗死PCI术后患者运动康复干预的最佳证据,为临床医护人员对患者运动康复的干预提供循证依据。方法计算机检索PubMed、中国知网、万方等国内外数据库、指南网站以及专业协会网站中关于急性心肌梗死PCI术后患者运动康复干预的证据。检索时限为2010年1月至2021年6月。由2名研究者对纳入的文献质量进行评价,并提取符合质量标准的文献证据。结果共纳入20篇文献,总结了组建多学科团队、评估、运动处方、运动中监测等11个方面共39条证据。结论本研究总结了急性心肌梗死PCI术后患者运动康复干预的最佳证据,为临床提供理论支持。建议结合临床情境、患者意愿,促进最佳证据向临床转化。Objective To search,evaluate and integrate the best evidence of exercise rehabilitation intervention after PCI in patients with acute myocardial infarction,so as to provide evidence-based basis for clinical doctors and nurses to intervene in exercise rehabilitation of patients.Methods We searched PubMed,China National Knowledge Infrastructure,Wanfang Data and other domestic and foreign databases,guide websites and professional association websites about the evidence of exercise rehabilitation intervention in patients with acute myocardial infarction after PCI.The search period is from January 2010 to June 2021.The quality of the included literature was evaluated by two researchers,and the literature evidence in accordance with the quality standard was extracted.Results A total of 20 articles were included,and 39 pieces of evidence were summarized from 11 aspects,such as the establishment of multidisciplinary team,evaluation,exercise prescription,exercise monitoring and so on.Conclusions This study summarized the best evidence of exercise rehabilitation intervention in patients with acute myocardial infarction after PCI,and provided theoretical support for clinical practice.It is suggested to combine the clinical situation and patients'wishes to promote the transformation of the best evidence to clinical practice.

关 键 词：循证护理 急性心肌梗死 PCI 运动康复 

分 类 号：R542.22[医药卫生—心血管疾病] R493[医药卫生—内科学]