慢性心力衰竭患者出入量管理的最佳证据总结

doi:10.3761/j.issn.0254-1769.2020.03.028

摘要/Abstract

摘要：

目的检索慢性心力衰竭患者出入量管理的相关证据,并对最佳证据进行总结。方法系统检索BMJ Best Practice、UpToDate、乔安娜布里格斯研究中心循证卫生保健中心数据库、国际指南图书馆、美国指南网、英国国家临床医学研究所指南库、加拿大安大略注册护士学会网站、苏格兰学院间指南网、中国指南网、Cochrane Library、PubMed、荷兰医学文摘数据库、护理文献累积索引数据库、中国生物医学文献数据库、WHO及各类专业协会网站中有关慢性心力衰竭患者出入量管理的证据,包括指南、证据总结、最佳临床实践信息册、推荐实践及系统评价。由2名研究者对纳入文献的质量进行评价,并对符合质量标准的文献进行证据提取。结果共纳入9篇文献,包括临床决策1篇、指南5篇、系统评价2篇、专家共识1篇,最终在多学科合作团队、评估与监测、水钠限制、利尿剂的使用、有氧运动、健康教育6个方面,总结了13条最佳证据。结论总结的证据为临床医护人员提供了慢性心力衰竭患者出入量管理的证据,建议护理管理者建立科学的出入量管理制度,定期对成员进行培训,为患者制订个体化的体液管理方案。

关键词: 心力衰竭, 出入量, 循证护理学

Abstract:

Objective To search and summarize the best available evidence on management of output and input in chronic heart failure patients. Methods We searched the BMJ Best Practice,UpToDate,Joanna Briggs Institute,Guideline International Network（GIN）,National Guideline Clearinghouse（NGC）,National Institute for Health and Care Excellence（NICE）,Registered Nurses Association of Ontario（RNAO）,Scottish Intercollegiate Guidelines Network（SIGN）,Chinese Guideline Network,Cochrane Library,PubMed,Embase,CINAHL,CBM,World Health Organization（WHO） and various professional association websites,etc.,to collect evidence including guideline,best practice information sheet,evidence summary,recommended practice,and systematic review on management of output and input in chronic heart failure patients. 2 authors independently assessed quality and extracted data. Results Totally 8 articles were enrolled,including 1 clinical decision,5 guidelines,2 systematic reviews,and 1 expert consensus. Finally 13 pieces of best evidence were summarized including the multidisciplinary cooperation team,assessment and monitoring,sodium and fluid restriction,usage and regulation of diuretic,aerobic exercise and patient education. Conclusion Our research summed the best evidence on management of output and input in chronic heart failure patients. Nursing managers should establish a scientific management system for output and input,provide regular training for members,and develop programs of individualized body fluid management for patients.

Key words: Heart Failure, Output and Input, Evidence-based Nursing

赵旭, 王伟, 赵小静, 历广招, 金琳, 杨丽娟. 慢性心力衰竭患者出入量管理的最佳证据总结[J]. 中华护理杂志, 2020, 55(3): 456-461.

ZHAO Xu, WANG Wei, ZHAO Xiaojing, LI Guangzhao, JIN Lin, YANG Lijuan. Best evidence summary for management of output and input in chronic heart failure patients[J]. Chinese Journal of Nursing, 2020, 55(3): 456-461.

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