慢性心力衰竭患者容量管理的最佳证据总结  

Summary of best evidence for volume management in patients with chronic heart failure

作　　者：郭呈瑶 张贤 杜玉 Guo Chengyao;Zhang Xian;Du Yu(Department of Nursing,Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;School of Nursing,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学附属中山医院护理部,上海200032 [2]复旦大学护理学院,上海200032

出　　处：《中华现代护理杂志》2022年第24期3265-3271,共7页Chinese Journal of Modern Nursing

基　　金：中华医学会杂志社2021—2022年护理学科研究课题(CMAPH-NRP2021010)。

摘　　要：目的检索、评价和总结慢性心力衰竭患者容量管理的最佳证据。方法系统检索国内外数据库、相关学会网站中与慢性心力衰竭患者容量管理相关的指南、专家共识、系统评价、证据总结、推荐实践等。检索时限为建库至2021年8月31日。根据文献的纳入排除标准筛选文献,并对文献进行质量评价后提取证据。结果共纳入20篇文献,其中指南8篇,专家共识3篇,系统评价5篇,证据总结2篇,推荐实践2篇。从评估与监测、利尿剂的使用、液体摄入管理、钠盐摄入管理、容量负荷加重处理、健康教育6个方面总结出37条证据。结论医护人员应结合临床实际特征,根据最佳证据制订出符合中国慢性心力衰竭患者的容量管理方案,以减缓慢性心力衰竭患者的疾病进展,降低患者入院率。Objective To retrieve,evaluate and summarize the best evidence for volume management in patients with chronic heart failure.Methods Domestic and foreign databases and relevant society websites were systematically reviewed for guidelines,expert consensus,systematic reviews,evidence summaries and recommended practices related to volume management in patients with chronic heart failure.The retrieval time limit was from the establishment of the database to August 31,2021.The literature was screened according to the inclusion and exclusion criteria of the literature,and the evidence was extracted after the quality evaluation of the literature.Results A total of 20 articles were included,including 8 guidelines,3 expert consensus,5 systematic evaluation,2 evidence summary and 2 recommended practices.A total of 37 pieces of evidence were summarized from 6 aspects,including evaluation and monitoring,diuretic use,fluid intake management,sodium intake management,volume load aggravation management and health education.Conclusions Medical staff should formulate a volume management plan that is in line with Chinese chronic heart failure patients based on the best evidence based on the actual clinical characteristics,so as to slow down the disease progression of patients with chronic heart failure and reduce the admission rate of patients.

关 键 词：心力衰竭 慢性 容量负荷 液体潴留 循证护理 

分 类 号：R473.5[医药卫生—护理学]