关键词: 心肾综合征；容量管理；方案构建；循证护理学；专家会议法

Abstract: Objective: To develop a volume management nursing protocol in patients with Cardio-Renal Syndrome (CRS), to provide a scientific basis for preventing and managing volume overload and related complications. Methods: Based on the "6S" evidence resource model, a systematic literature search of domestic and foreign databases related to CRS volume management was conducted with the searching period from January 2015 to January 2024. Evidence extraction and content analysis were performed to draft the initial nursing protocol. The initial draft was then further validated and revised through expert meetings to form the final protocol. Results: A total of 13 experts participated in the demonstration meeting, and its authority coefficient was 0.84. Six themes were formulated in the nursing protocol on volume management for CRS, including admission assessment, condition monitoring and management, dynamic volume assessment and management, nutritional support care, health education, and discharge follow-up, with a total of 21 specific implementation contents. Conclusion: The constructed nursing protocol comprehensively summarizes the key points of CRS volume management, which is scientific and feasible. It can provide guidance for medical staff to carry out CRS volume management.

Key words: Cardio-Renal Syndrome; volume management; protocol formulation; evidence-based nursing; expert meeting method