急性心肌梗死病人心臟康復(fù)自我管理的最佳證據(jù)總結(jié)

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Summary of the best evidence for self-management in cardiac rehabilitation for patients with acute myocardial infarction

LI Dan，LI Liuhua，ZHONG Ping，LIN Xiaoyu，MAO MinAffiliated Hospital of Guangdong Medical University，Guangdong 524001 ChinaCorresponding Author ZHONG Ping，E-mail：[email protected]

Abstract Objective：To retrieve，evaluate，and summarize the best evidence on cardiac rehabilitation self-management in patients with acute myocardial infarction（AMI），providing evidence-based references for clinical healthcare professionals in patient self-health education and self-management behavior standardization.Methods：Using the "6S" model，a systematic search was conducted across domestic and international databases，guideline websites，and professional association websites for evidence related to cardiac rehabilitation self-management in patients with AMI.The retrieval time was from the inception to March 31，2024.The included literature was subjected to quality evaluation，evidence extraction，and summarization.Results：A total of 11 documents were included，comprising 1 clinical decision，8 guidelines，1 systematic review，and 1 expert consensus.A total of 44 best evidence items were summarized，covering 8 aspects：team organization management，assessment，rehabilitation prescription management （exercise guidance，nutritional management，medication therapy，mental health，smoking cessation guidance），risk factor management，health education，social support，emergency management，self-monitoring，and follow-up.Conclusion：The summarized best evidence on cardiac rehabilitation self-management for patients with AMI provides a reference for clinical healthcare professionals in health education and standardizing patient cardiac rehabilitation self-management.It is recommended to conduct comprehensive and integrated rehabilitation assessments for patients with AMI，and based on patient preferences and individual circumstances，select personalized self-management interventions to improve cardiac rehabilitation adherence and effectively promote the clinical translation of best evidence.

Keywords acute myocardial infarction，AMI;cardiac rehabilitation;self-management;evidence summary;evidence-based nursing

摘要 目的：檢索、評價并匯總急性心肌梗死（AMI）病人心臟康復(fù)自我管理的最佳證據(jù)，為臨床醫(yī)護(hù)人員進(jìn)行病人自我健康教育及病人自我管理行為規(guī)范提供循證參考依據(jù)。（剩余9717字）