慢性心力衰竭病人自我管理的最佳证据总结OA

Objective:To systematically evaluate and summarize the existing evidence on self-management of patients with chronic heart failure,and provide scientific basis for health education and self-management of these patients.Methods:Based on the"6S"evidence model,we searched domestic and foreign databases,as well as relevant association websites,for literature related to self-management of patients with heart failure,including clinical decisions,guidelines,expert consensuses,and systematic reviews.The search period was from the establishment of the database to October 20,2024.Results:A total of 19 articles were included,including 3 clinical decision-making articles,2 expert consensus articles,5 systematic reviews,and 9 guidelines.They covered 7 aspects:management goals,capacity management,exercise guidance,cognitive building,diet management,health behavior change,and follow-up guidance.There were a total of 39 pieces of evidence.Conclusions:The summarized evidence can provide evidence-based guidance for healthcare professionals.In clinical practice,based on the actual conditions of the hospital,the clinical situation,and the patient's wishes,the best evidence should be selected and applied to enhance the patient's self-management ability and ultimately optimize the patient's treatment outcome.