左心室辅助装置植入术后患者自我管理的最佳证据总结  

Evidence summary on self-management in patients receiving left ventricular assist device implantation

作　　者：宓龙 刘翠[1] 张丽[2] 周莹皓 张来东 赵林[5] Mi Long;Liu Cui;Zhang Li;Zhou Yinghao;Zhang Laidong;Zhao Lin(Intensive Care Unit of Cardiovascular Surgery,The Affiliated Hospital of Qingdao University,Qingdao 266003,China)

机构地区：[1]青岛大学附属医院心血管外科监护室,山东青岛266003 [2]青岛大学附属医院消化内科,山东青岛266003 [3]青岛大学附属医院手术室,山东青岛266003 [4]山东大学齐鲁医院急诊神经外科NICU [5]青岛大学附属医院护理部,山东青岛266003

出　　处：《护理学杂志》2024年第21期45-50,共6页Journal of Nursing Science

摘　　要：目的总结左心室辅助装置植入术后患者自我管理的最佳证据,为护理人员进行健康教育及患者自我管理提供循证依据。方法系统检索指南网站、数据库、专业协会网站中关于左心室辅助装置植入术后患者自我管理内容的相关文献,检索时限为建库至2024年4月30日。由2名研究者独立进行文献质量评价和资料提取,并结合专业人士的判断,进行证据的提取与整合。结果共纳入11篇文献,其中临床决策5篇、指南3篇、专家共识1篇、RCT 2篇。围绕学习设备管理相关知识、生活环境及生活方式、功能康复训练、营养与体质量管理、并发症预防、心理社会支持及出院随访7个主题,总结出51条最佳证据。结论总结的最佳证据具有科学性和实用性,便于护理人员规范、科学性地指导左心室辅助装置植入术后患者进行自我管理。Objective To summarize the best evidence regarding patient self-management following left ventricular assist device(LVAD)implantation,and to provide evidence for health education and patient self-management.Methods A systematic literature search was performed to identify relevant literature on patient self-management after LVAD implantation across various guideline websites,bibliometric databases,and websites of professional organizations and societies.The search time frame was from the inception of the database to April 30,2024.Two researchers independently evaluated the quality of the literature and extracted data,then integrated the evidence,with the assistance of professional judgment.Results Eleven publications were eligible,including 5 clinical decision support statements,3 guidelines,1 expert consensus report,and 2 randomized clinical trials.A total of 51 pieces of best evidence were summarized,covering 7 topics:knowledge related to equipment management,living environment and lifestyle,exercise rehabilitation,nutrition and body weight management,prevention of complications,psychosocial support,and discharge follow-up.Conclusion The best evidence summarized for self-management in patients after LVAD implantation is scientific and practical,enabling nursing staff to guide patients′self-management behaviors in a more standardized and evidence-based manner.

关 键 词：心力衰竭 左心室辅助装置 自我管理 营养 并发症 运动康复 证据总结 循证护理 

分 类 号：R473.6[医药卫生—护理学]