主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2020, Vol. 20 ›› Issue (10): 1557-1563.doi: 10.3969/j.issn.1672-1756.2020.10.027

• 循证护理 • 上一篇    下一篇

出院准备服务在慢性心力衰竭患者中应用的最佳证据总结

胡慧秀 孙超 崔玲玲 邢唯杰 王蕾 王霞   

  1. 北京医院护理部 国家老年医学中心 中国医学科学院老年医学研究院,100730 北京市(胡慧秀,孙超,王蕾,王霞);心内科(崔玲玲);复旦大学护理学院(邢唯杰)
  • 出版日期:2020-10-15 发布日期:2020-10-15
  • 通讯作者: 孙超,硕士,副主任护师,护理部副主任,E-mail:sunchaobjyy@163.com
  • 作者简介:胡慧秀,硕士,护师
  • 基金资助:
    北京医院“科技新星”项目(BJ-2020-089);北京医院科技新星项目(BJ-2018-129);北京医院院内课题(BJ-2019-166);复旦循证护理中心证据转化与临床应用项目(Fudanebn2019020)

Evidence summary of discharge planning for patients with chronic heart failure

HU Huixiu, SUN Chao, CUI Lingling, XING Weijie, WANG Lei, WANG Xia   

  1. Department of Nursing, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Science, Beijing, 100730, China
  • Online:2020-10-15 Published:2020-10-15
  • Contact: E-mail:sunchaobjyy@163.com

摘要: 目的:评价和整合出院准备服务在慢性心力衰竭患者中应用的证据。方法:检索各指南网站和数据库中有关出院准备服务在慢性心力衰竭患者中应用的最佳实践信息册、推荐实践、指南、证据总结、系统评价、专家共识。采用澳大利亚Joanna Briggs Institute循证卫生保健中心的文献质量评价标准和证据分级系统,对不同类型研究进行文献质量评价及证据级别评定。结果:共纳入14篇文献,包括最佳实践信息册1篇、指南2篇、证据总结4篇、系统评价6篇、共识1篇,共提取和汇总出15条出院准备服务在慢性心衰患者中应用的证据,包括服务目的、服务原则及服务内容3个方面。结论:证据应用人员需要结合医院科室特点和临床情境选择最佳证据,从而规范心力衰竭患者的出院准备服务临床护理实践,提高护理质量,最终改善患者结局。

关键词: 出院准备服务;心力衰竭;证据总结;循证护理学

Abstract: Objective: To summarize the evidence on the application of discharge planning for patients with chronic heart failure. Methods: A review of the literature for discharge planning for patients with chronic heart failure in guide sites and databases was conducted, and all the available best practice evidences, recommendations for clinical practice, guidelines, evidence summaries, system reviews and expert consensuses were included. The Joanna Briggs Institute evidence appraisal and recommendation system was used to evaluate the quality of studies and the level of evidence. Results: Totally 14 literatures were included, including 1 best practice information sheet, 2 clinical practice guidelines, 4 evidence summaries, 6 systematic reviews and 1 expert consensuse, and 15 evidences on discharge planning for patients with chronic heart failure were extracted and summarized from the three aspects of objective, principle and contents. Conclusion: Selecting best evidence on the base of combining characteristics of hospital departments and clinical situations, to standardize the clinical nursing practice for discharge planning for patients with heart failure, to improve the nursing quality, and ultimately to improve patient outcomes.

Key words: discharge planning; heart failure; evidence summery; evidence-based nursing

中图分类号: 

  • R47