循证护理2023年5月第9卷第10期（总第102期）1767·慢性心力衰竭病人过渡期护理的证据总结刘允，孙含，杨阳，张蜀，冯志芬*河南大学护理与健康学院，河南475000Summary of evidence for transitional nursing of patients with chronic heart failureLIU Yun.SUN Han,YANG Yang,ZHANG Shu,FENG ZhifenSchool of Nursing and Health,Henan University,Henan 475000 ChinaCorresponding Author FENG Zhifen,E-mail:fzf0315@126.comAbstract Objective:To search and obtain the relevant evidence of transitional nursing for patients with chronic heart failure,and tosummarize the best evidence,to provide ideas and reference for clinical medical staff and relevant decision makers.Methods:Allliterature related to transitional nursing for patients with chronic heart failure,including guidelines.best practices.summary ofevidence.expert consensus were retrieved from BMJ Best Practice.Up To Date.JBI Evidence Based Health Care Center in Australia.NICE.SIGN.NGC.AHA,HFSA.ACC.AHRQ.the Cochrane Library.PubMed.EMbase.CINAHL.CNKI,and WanFang Database.Two researchers independently evaluated the quality of the literature.extracted and summarized the best evidence.Results:A total of15 articles were included.including 6 guidelines.3 systematic evaluations.4 evidence summaries,and 2 expert consensus.Based on thecharacteristics of transitional nursing.a total of 19 pieces of evidence were extracted and summarized.Conclusion:The evidencesummary of transitional nursing plans is scientifically standardized.It is recommended that evidence application personnel shouldchoose the best evidence based on the hospital's medical level and cultural background,in order to standardize the clinical nursingpractice of transitional nursing in patients with chronic heart failure,improve patients'self-management ability,and reduce thereadmission rate of patients with chronic heart failure.Keywords chronic heart failure:transitional nursing:self-management:evidence summary:evidence-based nursing摘要目的：检索并茯取慢性心力表溺病人过渡期护理的相关证搭，并对最佳证据进行总结，为临床医护人员及相关决策者提供思路和参考，方法：系统检索BMJ Best Practice,.Up To Date,澳大利亚Joanna Briggs Institute(JBI)猫证卫生保健中心，英国国家卫生与临床优化研究所(NICE)、苏格兰校际指南网(SIGN)、美国国立指南网(NGC)、美国心脏协会(AHA)、美国心力表弱协会(HFSA)、美国心脏病学会(ACC)、美国医疗保健研究和质童机构(AHRQ)、the Cochrane Library、PubMed,EMbase、CINAHL、中国知网、万方数搭库中与慢性心力表酒病人过渡期护理相关的文献，包括指南、景佳实践，证搭总结、专家共识等，由2名研究员独立对文献质量进行评价，提取并汇总形成最佳证据。结果：共纳入15篇文献，包括6篇指南，3篇系统评价、4篇证据总结、2篇专家共识。根据过渡期护理的特点，共提取和汇总了19条证据，结论：过渡期护理方案的证据总结科学规范，建议证据应用人贡应结合医院医疗水平和文化背景选择景佳证据，从而规范过渡期护理在慢性心力表弱病人中应用的临床护理实践，提高病人的自我管理能力，降低慢性心力表溺病人的再入院率，关键词慢性心力表溺：过渡期护理，自我管理，证据总结，循证护理d0i:10.12102/.ssn.2095-8668.2023.10.009心血管疾病是近年来我国居民死亡原因之首，也(chronic heart failure,CHF)是由于原发性心脏病的是50岁以上人群的第一大疾病负担。心力衰竭是心反复损伤而造成的心肌泵血功能衰退，心脏搏血量无血管疾病病人的死因之一，慢性心力衰竭在世界范围法满足机体需要的一种长期、持续的病理状态。国内影响着成人的身体健康可。慢性心力衰竭是外研究显示，慢性心力衰竭病人出院后再入院率达24.8%。根据《中国心血管健康与疾病报告2019概要》)显示，我国目前心力衰竭病人达890万例，患病作者简介刘允，硕士研究生在读*通讯作者冯志芬，E-mail:fzf0315@126.com率及死亡率还在不断升高。心力衰竭病人反复再人院引用信息刘允，孙含，杨阳，等.慢性心力衰竭病人过渡期护理不仅导致病人心功能下降，生存质量降低，也给家庭带的证据总结[J门.循证护理，2023,9(10)：1767-1773.来了经济负担。提高慢性心力衰竭病人自我管理能(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.ht
