慢性心力衰竭患者症状群的范围综述  

Symptom clusters in patients with chronic heart failure:A scoping review

作　　者：郑杰媚 邱小芩 韦吉思 丘欣雨 刘娜 陈思帆 ZHENG Jiemei;QIU Xiaoqin;WEI Jisi;QIU Xinyu;LIU Na;CHEN Sifan(Faculty of Nursing,Guangxi University of Chinese Medicine,Nanning 530000,Guangxi,China;Department of Nursing,Guangxi Hospital,the First Affiliated Hospital of Sun Yat-sen University,Nanning 530022,Guangxi,China;Graduate School of Youjiang Medical University For Nationalities,Baise 533000,Guangxi,China)

机构地区：[1]广西中医药大学护理学院,广西南宁530000 [2]中山大学附属第一医院广西医院护理部,广西南宁530022 [3]右江民族医学院研究生院,广西百色533000

出　　处：《中国现代医生》2025年第10期25-28,共4页China Modern Doctor

摘　　要：目的对慢性心力衰竭(chronic heart failure,CHF)患者的症状群相关研究进行范围综述,为CHF的治疗及管理提供参考。方法根据Arksey等提出的范围综述报告框架,检索Cochrane Library、CINAHL、Web of Science、PubMed、Embase、万方数据知识服务平台、中国生物医学文献服务系统、中国知网、维普网自2014年1月至2024年7月收录的相关文献,对文献内容进行筛选、提取并分析讨论。结果共纳入10篇文献,涉及的症状群较多,主要为情绪、缺血、淤血、消化道、疲倦症状群。症状群评估工具主要采用中文版Memorial心力衰竭症状评估量表。结论CHF患者症状群类型多样,且在疾病各阶段呈现出动态变化,仍需加强对症状群评估工具、发生原理、规范症状群命名的研究,医护人员可对各时期的主要症状群进行首优护理,预先制定个性化的护理干预措施,提高临床护理的症状管理效率。Objective A scoping review of studies on symptom clusters in patients with chronic heart failure(CHF)was conducted to provide reference for the treatment and management of CHF.Methods According to reporting framework of scoping review put forward by Arksey,the related literatures of Cochrane Library,CINAHL,Web of Science,PubMed,Embase,Wanfang Data Knowledge Service Platform,SinoMed,CNKI and VIP from January 2014 to July 2024 were searched,and the contents of the literatures were screened,extracted and analyzed.Results Ten articles were included,involving many symptom clusters,mainly including mood,ischemia,congestion,digestive tract and fatigue.Symptom group assessment tool mainly adopted Chinese version of Memorial symptom assessment scale-heart failure.Conclusion There are various types of symptom clusters in CHF patients,and they show dynamic changes in each disease stage.It is still necessary to strengthen the research on the evaluation tools,occurrence principles and standardized naming of symptom clusters.Medical staff can give first-class care to the main symptom clusters in each period,formulate personalized nursing intervention measures in advance,and improve the efficiency of symptom management in clinical nursing.

关 键 词：慢性心力衰竭 症状群 护理 范围综述 

分 类 号：R473.5[医药卫生—护理学]