·工作探讨·中国医药导报2023年3月第20卷第8期心肌梗死患者出院准备服务实践的证据总结韩球1陈媛2张于21.厦门大学附属心血1管病医院重症监护室，福建厦门361006：2.厦门大学附属心血1管病医院护理部，福建厦门361006[摘要]目的检索、评价并整合心肌梗死患者出院准备服务的相关证据。方法计算机检索相关指南网、学会网站及中英文数据库中关于出院准备服务在心肌梗死患者中应用的指南、证据总结、系统评价、推荐实践、专家共识，对纳入的文献进行质量评价，根据主题进行证据提取与汇总。结果共纳入7篇文献，包括指南3篇、专家共识1篇、系统评价2篇、推荐实践1篇，共总结出成立多学科服务团队、入院时、住院期间、出院前、出院后、患者及照顾者参与的重要性、培训共7个主题17条证据。结论本研究总结形成了心肌梗死患者出院准备服务的实践方案，临床实施过程中可根据实际情况选择最佳证据，服务于患者，使患者受益。[关键词]心肌授死：出院准备服务：证据总结：循证护理学[中图分类号]R473[文献标识码]A[文章编号]1673-7210(2023)03(b)-0192-05D01:10.200476.issn1673-7210.2023.08.44Summary of evidence on the practice of discharge preparation services forpatients with myocardial infarctionHAN Qiong CHEN Yuan2 ZHANG Yu1.ICU,Xiamen Cardiovascular Hospital Xiamen University,Fujian Province,Xiamen 361006,China;2.Departmentof Nursing.Xiamen Cardiovascular Hospital Xiamen University,Fujian Province,Xiamen 361006,China[Abstract]Objective To retrieve,evaluate,and integrate evidence related to discharge preparation services for patientswith myocardial infarction.Methods Computer searches of guidelines,evidence summaries,systematic reviews,recommended practices,and expert consensus on the use of discharge preparation services in patients with myocardialinfarction in relevant guideline networks,society websites,and English and Chinese databases were conducted to evaluatethe quality of the included literature and to extract and summarize evidence according to themes.Results A total of sevenpapers were included,including three guidelines,one expert consensus,two systematic reviews,and one recommendedpractice,summarizing a total of 17 pieces of evidence on seven topics:establishment of a multidisciplinary service team,atadmission,during hospitalization,before discharge,after discharge,importance of patient and caregiver involvement,andtraining.Conclusion This study summarizes the formation of a practice protocol for discharge preparation services forpatients with myocardial infarction,and the best evidence can be selected for clinical implementation to serve and benefitpatients according to the actual situation.[Key words]Myocardial infarction;Discharge planning:Evidence summary:Evidence-based nursing冠状动脉闭塞、血流中断造成心肌持续且严重的于出院后5d内，77.7%因心脏事件再入院。高再入院缺血、缺氧，继而引起心肌局部坏死称为心肌梗死和。率不仅严重影响患者生命质量，还给患者及家庭带来心肌梗死临床多为急性，发病率、死亡率高，呈不断上了沉重的负担。出院准备服务又称出院计划，是指在升趋势四。国外有研究显示，急性心肌梗死患者的30d患者入院时就考虑到其后续照护需求，制订并实施照再入院率为18.5%，我国的则为6.3%，近一半发生护计划，并向家属提供信息，使患者得到应有的后续照护9。实施出院准备服务可以降低心肌梗死患者的[基金项目]国家重点研发计划项目(2019Y下E0113900):厦门市临床重点专科建设项目（厦卫科教〔2021215号）：厦门市心脏事件发生率、非计划性再入院率、提高自我管理医疗卫生指导性项目(3502Z20214ZD1182)。行为与生活质量。目前国外已有专家共识等，然而，[作者简介]韩琼(1992.12-)，女，硕士；研究方向：心血管专这些证据较为分散，缺乏对护士和患者照护者简明易科护理。读的实践指导。国内心肌梗死患者出院准备服务实践[通讯作者]陈媛(1980.9-)，女，MBA,副主任护师，厦门大学的证据尚少，尚缺乏指导性证据，临床缺乏统一明附属心血管病医院副院长、护理部主任：研究方向：心血管确的方案，仍处于探索阶段。因此，本研究通过总结心专科护理、护理管理、信息护理。肌梗死患者出院准备服务的实践证据，以其为临床实12 CHINA MEDICAL HERALD Vol.20 No.8 March 2023(C)1994-2023 China Academic Journal Electronic Publishing House.All rights reserved.http://www.cnki.net
