心力衰竭患者居家抗阻训练的最佳证据总结  

Summary of the best evidence for home-based resistance training in patients with heart failure

作　　者：唐佳敏 马丹妮 李萌 丁一祺 周雪梅[2] 何红[3] TANG Jiamin;MA Danni;LI Meng;DING Yiqi;ZHOU Xuemei;HE Hong(School of Nursing and Rehabilitation,Nantong University,Nantong 226001,China;Department of Cardiology,Affiliated Hospital of Nantong University,Nantong 226001,China;Department of Nursing,Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学护理与康复学院,江苏南通226001 [2]南通大学附属医院心内科,江苏南通226001 [3]南通大学附属医院护理部,江苏南通226001

出　　处：《老年医学研究》2024年第6期44-49,共6页Geriatrics Research

摘　　要：目的总结心力衰竭患者居家抗阻训练的最佳证据。方法按照“6S”金字塔证据模型检索BMJ Best Practice、JBI循证卫生保健国际合作中心图书馆、医脉通、Google、国际指南图书馆(GIN)、美国国家指南库(NGC)、英国国家临床医学研究所指南网(NICE)、苏格兰学院间指南网(SIGN)及Cochrane Library、PubMed、Embase、CINAHL、中国生物医学文献数据库(CBM)、中国知网、万方数据库。检索时限为2016—2024年。2名接受过循证系统培训的研究人员从文献中提出符合质量标准的证据。结果共纳入13篇文献,其中4篇为指南,4篇为专家共识,3篇为系统综述,2篇为随机对照试验。通过证据提取与整合,最终形成了心力衰竭患者开展居家抗阻运动的评估、启动居家运动时机、运动方式、运动时间、运动强度和运动监测与评价6个方面共16条最佳证据。结论本研究总结了关于心力衰竭患者居家抗阻训练的最佳证据,可为心力衰竭患者开展居居家抗阻训练提供借鉴。Objective To summarize the best evidence for home-based resistance training in patients with heart failure.Methods According to the"6S"evidence-based resource pyramid model,databases such as BMJ Best Practice,Joanna Briggs Institute(JBI),Medlive,Google,Guidelines International Network(GIN),National Guideline Clearinghouse(NGC),National Institute for Health and Clinical Excellence(NICE),Scottish Intercollegiate Guidelines Network(SIGN),The Cochrane Library,PubMed,Embase,CINAHL,CBM,CNKI and Wanfang Data were searched.The search period was from 2016 to 2024.Two researchers trained in evidence-based systems presented evidence from the literature that met the quality criteria.Results A total of 13 articles were included,including 4 guidelines,4 expert consensus,3 systematic reviews,and 2 randomised controlled trials.Through evidence extraction and integration,a total of 16 pieces of best evidence were finally formed in 6 aspects:the assessment,the best time to exercise at home,mode of exercise,duration of exercise,intensity of exercise,and exercise monitoring and evaluation.Conclusion This study summarises the best evidence on home resistance training in patients with heart failure,which may inform the development of home resistance training in patients with heart failure.

关 键 词：心力衰竭 居家运动 抗阻训练 循证护理学 

分 类 号：R541.6[医药卫生—心血管疾病]