儿童先天性心脏病患者术后心脏康复的证据总结  

Evidence summary for cardiac rehabilitation in children with Congenital Heart Disease after operation

作　　者：王秋萍 戈晓华[2] 边燕[3] 俞群[2] 王婷婷[4] 杨玲[5] 王君[5] WANG Qiuping;GE Xiaohua;BIAN Yan;YU Qun;WANG Tingting;YANG Ling;WANG Jun(Pediatric Gastroenterology&Nutrition Ward,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,200092,China)

机构地区：[1]上海交通大学医学院附属新华医院儿消化营养科,上海市200092 [2]上海交通大学医学院附属新华医院护理部,上海市200092 [3]上海交通大学医学院附属新华医院儿神经内分泌科,上海市200092 [4]中国科学技术大学附属第一医院南区护理部 [5]上海交通大学医学院附属新华医院儿心脏中心病房,上海市200092

出　　处：《中国护理管理》2024年第7期1094-1100,共7页Chinese Nursing Management

基　　金：上海交通大学医学院护理科研面上项目(Jyh2208);上海交通大学医学院附属新华医院护理青年人才项目(Xhlhb004)。

摘　　要：目的:检索、评价并汇总国内外儿童先天性心脏病患者术后心脏康复的证据,为临床决策提供参考。方法:系统检索从2003年6月至2023年6月国内外网站、专业学会网站及中英文数据库中与儿童先天性心脏病术后心脏康复相关的所有指南、证据总结、实践推荐、专家意见和系统评价。对符合纳入标准的研究进行质量评价,提取证据并汇总分级。结果:共纳入21篇文献,其中临床指南3篇、证据总结1篇、专家共识9篇、系统评价8篇。最后从团队组织、运动锻炼、营养支持、增强免疫力、维持心理健康、药物管理、有效过渡和随访7个方面总结了39条证据。结论:儿童先天性心脏病术后心脏康复的证据可为临床医护人员提供循证证据,以科学的方法评估并管理儿童先天性心脏病术后的身心健康,有助于提高患儿的生活质量。Objective:To search,evaluate and summarize the evidence of postoperative cardiac rehabilitation management in children with Congenital Heart Disease(CHD)at home and abroad,so as to provide a reference for clinical decision-making.Methods:All the guides,evidence summaries,practice recommendations,expert opinions and systematic reviews related to cardiac rehabilitation after operation of children with CHD in recent 20 years were systematically retrieved from websites at home and abroad,websites of professional societies and Chinese and English databases.Evidence was extrated and integrated after quality evaluation of the included studies.Results:A total of 21 articles were included,including 3 clinical guidelines,1 evidence summary,9 expert consensus and 8 systematic reviews.Finally,39 pieces of evidence were summarized from seven aspects:team organization,exercise,nutritional support,enhancing immunity,maintaining mental health,medication management and effective over-follow-up.Conclusion:The evidence of cardiac rehabilitation after CHD surgery in children can provide evidence-based evidence for clinical medical staff,evaluate and manage the physical and mental health of children after CHD surgery in a scientific way,and help to improve the quality of life of children.

关 键 词：先天性心脏病 心脏康复 证据总结 循证护理 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]