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 ›› 2024, Vol. 24 ›› Issue (7): 1094-1100.doi: 10.3969/j.issn.1672-1756.2024.07.025

• 儿科护理专题 • 上一篇    下一篇

儿童先天性心脏病患者术后心脏康复的证据总结

王秋萍 戈晓华 边燕 俞群 王婷婷 杨玲 王君   

  1. 上海交通大学医学院附属新华医院儿消化营养科,200092 上海市(王秋萍);护理部(戈晓华,俞群);儿神经内分泌科(边燕);儿心脏中心病房(杨玲,王君);中国科学技术大学附属第一医院南区护理部(王婷婷)
  • 出版日期:2024-07-15 发布日期:2024-07-15
  • 通讯作者: 戈晓华,博士,主任护师,护理部副主任,E-mail:gexiaohua@xinhuamed.com.cn
  • 作者简介:王秋萍,硕士,主管护师,儿科总带教
  • 基金资助:
    上海交通大学医学院护理科研面上项目(Jyh2208);上海交通大学医学院附属新华医院护理青年人才项目(Xhlhb004)

Evidence summary for cardiac rehabilitation in children with Congenital Heart Disease after operation

WANG Qiuping, GE Xiaohua, BIAN Yan, YU Qun, WANG Tingting, YANG Ling, WANG Jun   

  1. Pediatric Gastroenterology &Nutrition Ward, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, 200092, China
  • Online:2024-07-15 Published:2024-07-15
  • Contact: E-mail:gexiaohua@xinhuamed.com.cn

摘要: 目的:检索、评价并汇总国内外儿童先天性心脏病患者术后心脏康复的证据,为临床决策提供参考。方法:系统检索从2003年6月至2023年6月国内外网站、专业学会网站及中英文数据库中与儿童先天性心脏病术后心脏康复相关的所有指南、证据总结、实践推荐、专家意见和系统评价。对符合纳入标准的研究进行质量评价,提取证据并汇总分级。结果:共纳入21篇文献,其中临床指南3篇、证据总结1篇、专家共识9篇、系统评价8篇。最后从团队组织、运动锻炼、营养支持、增强免疫力、维持心理健康、药物管理、有效过渡和随访7个方面总结了39条证据。结论:儿童先天性心脏病术后心脏康复的证据可为临床医护人员提供循证证据,以科学的方法评估并管理儿童先天性心脏病术后的身心健康,有助于提高患儿的生活质量。

关键词: 先天性心脏病;心脏康复;证据总结;循证护理

Abstract: Objective: To search, evaluate and summarize the evidence of postoperative cardiac rehabilitation management in children with Congenital Heart Disease (CHD) at home and abroad, so as to provide a reference for clinical decision-making. Methods: All the guides, evidence summaries, practice recommendations, expert opinions and systematic reviews related to cardiac rehabilitation after operation of children with CHD in recent 20 years were systematically retrieved from websites at home and abroad, websites of professional societies and Chinese and English databases. Evidence was extrated and integrated after quality evaluation of the included studies. Results: A total of 21 articles were included, including 3 clinical guidelines, 1 evidence summary, 9 expert consensus and 8 systematic reviews. Finally, 39 pieces of evidence were summarized from seven aspects: team organization, exercise, nutritional support, enhancing immunity, maintaining mental health, medication management and effective over-follow-up. Conclusion: The evidence of cardiac rehabilitation after CHD surgery in children can provide evidence-based evidence for clinical medical staff, evaluate and manage the physical and mental health of children after CHD surgery in a scientific way, and help to improve the quality of life of children.

Key words: Congenital Heart Disease; cardiac rehabilitation; evidence summary; evidence-based nursing

中图分类号:  R47;R197