心肾综合征患者容量管理护理方案的构建  

Construction of nursing protocol on volume management in patients with Cardio-Renal Syndrome

作　　者：张宇扬 李庆印[2,3] 张琳彦 蔡文清 苏雅静 陈阳 张雨萌[1] 陈婉君 唐雅玢 胡晋豪 刘皓然 刘欣龙 ZHANG Yuyang;LI Qingyin;ZHANG Linyan;CAI Wenqing;SU Yajing;CHEN Yang;ZHANG Yumeng;CHEN Wanjun;TANG Yabin;HU Jinhao;LIU Haoran;LIU Xinlong(Nursing Department,Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing,100037,China)

机构地区：[1]中国医学科学院北京协和医学院阜外医院护理部,北京市100037 [2]中国医学科学院北京协和医学院阜外医院护理研究室,北京市100037 [3]中国医学科学院阜外医院深圳医院 [4]中国医学科学院阜外医院肾内科 [5]北京协和医学院护理学院

出　　处：《中国护理管理》2024年第10期1564-1569,共6页Chinese Nursing Management

基　　金：中国医学科学院阜外医院高水平医院临床科研业务费(2023-GSP-HL-4)。

摘　　要：目的:构建心肾综合征患者容量管理护理方案,为预防和管理容量超负荷及相关并发症提供依据。方法:按照“6S”证据资源模型,系统检索国内外数据库中心肾综合征患者容量管理相关文献,检索时限为2015年1月至2024年1月,提取证据并进行内容分析,构建方案初稿;通过专家会议法对方案初稿进行论证和修改,形成最终方案。结果:共13名专家参加论证会议,其权威系数为0.84。形成的心肾综合征患者容量管理护理方案包括6个主题,分别为入院评估、病情监测与管理、容量动态评估与管理、营养支持、健康教育、出院随访,共有21条具体实施内容。结论:构建的方案较为全面地归纳了心肾综合征容量管理护理要点,具有一定的科学性和可行性,可为医护人员进行心肾综合征患者容量管理实践提供指导。Objective:To develop a volume management nursing protocol in patients with Cardio-Renal Syndrome(CRS),to provide a scientific basis for preventing and managing volume overload and related complications.Methods:Based on the"6S"evidence resource model,a systematic literature search of domestic and foreign databases related to CRS volume management was conducted with the searching period from January 2015 to January 2024.Evidence extraction and content analysis were performed to draft the initial nursing protocol.The initial draft was then further validated and revised through expert meetings to form the final protocol.Results:A total of 13 experts participated in the demonstration meeting,and its authority coefficient was 0.84.Six themes were formulated in the nursing protocol on volume management for CRS,including admission assessment,condition monitoring and management,dynamic volume assessment and management,nutritional support care,health education,and discharge follow-up,with a total of 21 specific implementation contents.Conclusion:The constructed nursing protocol comprehensively summarizes the key points of CRS volume management,which is scientific and feasible.It can provide guidance for medical staff to carry out CRS volume management.

关 键 词：心肾综合征 容量管理 方案构建 循证护理学 专家会议法 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]