网络首发时间：2023-03-0317：1447网络首发地址：https:/kns.cnki.net/kcms/detail/13.1222.R.20230302.1803.009.html中国全科医学http/hewne.chinagpnet E-mail-agqkyx(@chinagp.net.en1·医学循证·冠心病患者心脏康复相关指南的系统评价刘晶涛，苏荷2，秦小金，兰云霞3，张金枝2【摘要】背景心脏康复作为冠心病患者康复的有效干预措施已达成共识，但国内外制定的心脏康复相关指南的质量尚不明确，相关的推荐意见有待整合。目的系统评价冠心病患者心脏康复的相关指南，为临床实践提供参考。方法于2022年6月，计算机检索The Cochrane Library、W山of Science、PubMed、中国知网、维普网及万方数据知识服务平台，以及国内外指南网和相关学会网，搜集冠心病患者心脏康复相关指南，检索时限均为建库至2022-06-30.2名研究者按照纳入和排出标准独立筛选文献并提取资料。采用AGEEⅡ对纳人指南进行质量评价，并汇总冠心病患者心脏康复的推荐意见。结果最终纳入10部指南，8部来源于国外，指南发布时间为2011一2020年。纳入指南AGEEⅡ各领域平均得分为：范围和目的71%、参与人员65%、严谨性58%、清晰性80%、应用性64%、独立性45%，4部指南推荐级别为A级，6部指南推荐级别为B级。主要推荐意见汇总为心脏康复基本要求、健康教育、危险因素控制、心理支持、运动训练及促进患者参与心脏康复6个方面。结论指南的质量处于中等至较高水平，在参与人员、严谨性、应用性、独立性领域仍需提高；各指南推荐意见趋于一致，但在促进患者参与心脏康复方面意见仍显不足；我国心脏康复指南质量水平与国外相比仍存差距，应构建适用于我国冠心病患者的高质量心脏康复循证指南。【关键词】冠心病；心脏康复；指南：系统评价【中图分类号】R493【文献标识码】AD0I:10.121146.issn.1007-9572.2022.0700刘晶涛，苏荷，秦小金，等.冠心病患者心脏康复相关指南的系统评价[J].中国全科医学，2023.[Epub aheadof print www.chinagp.net]LIU JT,SU H,QIN X J,et al.Guidelines on cardiac rehabilitation in patients with coronary heart disease:a systematicreview J].Chinese General Practice,2023.Epub ahead of print]Guidelines on Cardiac Rehabilitation in Patients with Coronary Heart Disease:a Systematic Review L/U Jingtao',SUHe2,QIN Xiaojin',LAN Yunxia,ZHANG Jinzhi21.Interventional Operating Rooml,Henan Provincial Chest Hospital (Affiliated Chest Hospital of Zhengzhou University),Zhengzhou 450000,China2.General Intensive Care Unit,Henan Provincial Chest Hospital (Affiliated Chest Hospital of Zhengzhou University),Zhengzhou 450000,China3.Department of Nursing,Henan Provincial Chest Hospital Affiliated Chest Hospital of Zhengzhou Unicersity )Zhengzhou450000,ChinaCorresponding author:ZHANG Jinzhi,Co-chiefsuperintendent nurse:E-mail:hangjinzhi0323@126.com[Abstract Background It has been a consensus that cardiac rehabilitation is an effective comprehensive interventionfor patients with coronary heart disease (CHD )but the quality of relevant guidelines is still unclear,and recommendationsfrom the guidelines need to be integrated.Objective To systematically review the guidelines on cardiac rehabilitation in patientswith CHD,providing evidence to inform clinical practice.Methods In June 2022,guidelines on cardiac rehabilitationin patients with CHD were searched in electronic databases of The Cochrane Library,Web of Science,PubMed,CNKI,CQVIP and Wanfang Data,relevant guideline repositories and association websites from inception to 30 June 2022.Literaturescreening and data extraction were performed by two researchers separately according to the inclusion and exclusion criteria.Thequality of included guidelines was assessed using the Appraisal of Guidelines for Research Evaluation II AGREE II )and recommendations from which were summarized.Results Ten guidelines eight of them are foreign guidelines)with基金项目：河南省卫健委联合共建项目(LHG20190729)1.450000河南省郑州市，河南省胸科医院（郑州大学附属胸科医院）介人手术室12.450000河南省郑州市，河南省胸科医院（郑州大学附属胸科医院)综合重症监护病房(GC0)3.450000河南省郑州市，河南省胸科医院（郑州大学附属胸科医院）护理部·通信作者：张金枝
