关键词: 心血管疾病, 心力衰竭, 自我管理, 循证护理学

Abstract:

Objective To retrieve，evaluate and summarize the evidence of self-management of patients with chronic heart failure，and to provide evidence-based bases for medical staff to conduct self-management health education and standardize patients’ self-management behavior. Methods We searched UpToDate，BMJ Best Practice，Joanna Briggs Institute（JBI），National Institute for Health and Clinical Excellence（NICE），Guidelines International Network（GIN），National Guideline Clearinghouse（NGC），Scottish Intercollegiate Guidelines Network（SIGN），Cochrane Library，PubMed，SinoMed，CNKI，Wanfang Database to collect relevant clinical decisions，evidence summaries，syste-matic reviews，guidelines，expert consensuses and original articles published from the databases establishment to July 14，2022. There were 3 researchers who evaluated the quality of the literature that met the quality standards，and 2 researchers extracted and integrated evidence. Results A total of 18 pieces of literature were included，including 1 clinical decision，10 guidelines，2 systematic reviews，3 randomized controlled trials and 2 expert consensuses. Finally，39 pieces of evidence were summarized in 9 aspects，including multidisciplinary team cooperation，learning disease-related knowledge，medication management，symptom monitoring，exercise training，dietary and nutrition，lifestyle，psychological adjustment，medical treatment and follow-up. Conclusion This study summarizes the best evidence of self-management of patients with chronic heart failure，which can provide references for clinical medical staff to guide self-management of patients with chronic heart failure in a more comprehensive and scientific way.

Key words: Cardiovascular Diseases, Heart Failure, Self-Management, Evidence-Based Nursing