Best evidence application of exercise prescriptions for patients with chronic heart failure
10.3761/j.issn.0254-1769.2024.14.005
- VernacularTitle:慢性心力衰竭患者运动处方最佳证据的应用
- Author:
Lili ZHOU
1
;
Ge GUO
;
Mei LI
;
Cuimei SHAO
;
Yue MAO
;
Beibei ZHU
;
Jia FENG
;
Hailian CHEN
;
Jianping SONG
Author Information
1. 310000 杭州市 浙江大学医学院附属第二医院护理部
- Keywords:
Chronic Heart Failure;
Exercise Prescription;
Evidence-Based Nursing;
Best Evidence
- From:
Chinese Journal of Nursing
2024;59(14):1698-1705
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the best evidence application of exercise prescription in patients with chronic heart failure in clinical practice and evaluate its effectiveness.Methods The best evidence of exercise prescription for patients with chronic heart failure was summarized,and the evidence-based practice plan was developed,and it was implemented in the cardiology department of a tertiary hospital in Zhejiang Province from August to October,2022.Nurses'exercise prescription knowledge-attitude-practice level,implementation rate of review indicators,the length of hospital stay,exercise endurance,daily living ability and grip strength of both groups before and after the intervention were compared.Results After the application of the best evidence,the score of knowledge dimension was(9.34±0.98)points;the score of attitude dimension was(63.29±1.37)points;the score of practice dimension was(25.49±1.51)points,which were statistically significant compared with the scores before the application of evidence(P<0.05).After the application of the best evidence,the implementation rate of 16 review indicators was higher than that before the application of evidence(P<0.001).The length of hospital stay in the evidence application group was shorter than that in the baseline examination group(Z=-2.610,P<0.001).After intervention,the exercise endurance,daily living ability and grip strength of patients in the evidence application group were improved compared with the baseline review group,and the difference was statistically significant(P<0.05).Conclusion After the application of the best evidence of exercise prescription in patients with chronic heart failure,it can improve the level of knowledge,attitude and practice of nurses on exercise prescription,standardize the compliance of nurses'exercise prescription,reduce the number of days in the hospital,and improve patients'exercise endurance,daily living ability and grip strength.
