Early exercise rehabilitation in patients with acute heart failure:a summary of best evidences
10.3969/j.issn.1671-8283.2024.05.010
- VernacularTitle:急性心力衰竭患者早期运动康复的最佳证据总结
- Author:
Yanan WANG
1
;
Lifang FAN
;
Jianlan YUAN
;
Yan XU
;
Hui ZHOU
Author Information
1. 昆山市第一人民医院心血管内科,江苏苏州,215300
- Keywords:
acute heart failure;
exercise rehabilitation;
resistance training;
summary of evidence;
evidence-based nursing
- From:
Modern Clinical Nursing
2024;23(5):65-72
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarise the best evidences for early exercise rehabilitation in patients with acute heart failure,hence to provide references for clinically early exercise rehabilitation.Methods Websites of BMJ best clinical practice,the International Guidelines Collaborative Network(GIN),the UK National Institute of Clinical Medicine Guidance Library(NICE),the Ontario Registered Nurses Association(RNAO),the Australian JBI evidence-based health care centre database(JBI),Cochrane Library,PubMed,Web of Science,CINAHL,Medlive,CBM,CNKI,Wanfang Data and VIP published between April 1st,2018 and April 13th,2023 were searched to collect literatures that were relevant to clinical practice,guidelines,expert consensus,evidence summary,systematic evaluation and meta-analysis in early exercise rehabilitation in patients with acute heart failure.Two trained researchers independently evaluated the included literatures,and then extracted and summarised the evidences that met the inclusion criteria.Results A total of 16 articles were retrieved,including 2 articles in clinical decisions,6 guidelines,3 expert consensus,2 evidence summaries,1 recommended practice and 2 systematic reviews.Twenty pieces of the best evidence across 9 dimensions were summarised,including indications of exercise rehabilitation,timing for exercise rehabilitation intervention,flexibility movement,low intensity resistance exercise and inspiratory muscle training.Conclusions The summarised best evidence for early exercise rehabilitation in patients with acute heart failure can provide the healthcare professionals with evidence-based references in clinical practice.Healthcare professionals are encouraged to apply the evidence to propose the plans for individualised early exercise rehabilitation,after fully consideration of the physical condition and willingness of the patients.
