Summary of the best evidence for follow-up of patients after heart transplantation
10.3760/cma.j.cn115682-20210201-00500
- VernacularTitle:心脏移植术后患者出院随访的最佳证据总结
- Author:
Minying WANG
1
;
Ping GUO
;
Li SHI
;
Jun LAN
Author Information
1. 中国医学科学院阜外医院结构性心脏病二病区，北京 100037
- Keywords:
Heart transplantation;
Evidence-based nursing;
Medicine after discharge;
Follow-up
- From:
Chinese Journal of Modern Nursing
2021;27(18):2406-2411
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for follow-up patients after heart transplantation so as to provide a reference for clinical practice.Methods:According to the "6S" evidence model, we systematically searched the National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Clinical Practice Guideline of Canadian Medical Association, Australian Government National Health and Medical Research Council, Guidelines International Network and Medlive and other guide networks, and PubMed, CINAHL, Embase, UpToDate, British Medical Journal (BMJ) best practice, Joanna Briggs Institute (JBI) Evidence-based Practice Database, Cochrane Library, China National Knowledge Infrastructure (CNKI) , Wanfang Database, Chinese Biology Medicine Literature, VIP and other databases for the evidence on the follow-up of patients after heart transplantation. The evidence included systematic reviews, guidelines, and expert consensus. The search time limit was from the establishment of the database to October 2020. Two researchers independently evaluated the quality of literature, and extracted and summarized the evidence that met the quality standards.Results:A total of 10 articles were included, including 2 guidelines, 7 systematic reviews, and 1 expert consensus. A total of 26 pieces of evidence were collected from 8 topics including follow-up team composition and requirements, follow-up frequency, follow-up content, condition monitoring, evaluation and improvement of treatment compliance, evaluation and improvement of psychological conditions, exercise and rehabilitation, and prevention and management of complications.Conclusions:This study summarizes the best evidence for follow-up patients after heart transplantation. Medical and nursing staff can form effective and feasible nursing strategies according to the patient's wishes and specific clinical conditions, combined with professional judgment, so as to implement scientific follow-up management of patients.
