Summary of best evidence for volume management in patients with chronic heart failure
10.3760/cma.j.cn115682-20220123-00369
- VernacularTitle:慢性心力衰竭患者容量管理的最佳证据总结
- Author:
Chengyao GUO
1
;
Xian ZHANG
;
Yu DU
Author Information
1. 复旦大学附属中山医院护理部，上海 200032
- Keywords:
Heart failure;
Chronic;
Volume load;
Fluid retention;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2022;28(24):3265-3271
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the best evidence for volume management in patients with chronic heart failure.Methods:Domestic and foreign databases and relevant society websites were systematically reviewed for guidelines, expert consensus, systematic reviews, evidence summaries and recommended practices related to volume management in patients with chronic heart failure. The retrieval time limit was from the establishment of the database to August 31, 2021. The literature was screened according to the inclusion and exclusion criteria of the literature, and the evidence was extracted after the quality evaluation of the literature.Results:A total of 20 articles were included, including 8 guidelines, 3 expert consensus, 5 systematic evaluation, 2 evidence summary and 2 recommended practices. A total of 37 pieces of evidence were summarized from 6 aspects, including evaluation and monitoring, diuretic use, fluid intake management, sodium intake management, volume load aggravation management and health education.Conclusions:Medical staff should formulate a volume management plan that is in line with Chinese chronic heart failure patients based on the best evidence based on the actual clinical characteristics, so as to slow down the disease progression of patients with chronic heart failure and reduce the admission rate of patients.
