慢性心衰患者灸疗干预的最佳证据总结
Summary of the Best Evidence for Moxibustion Intervention in Patients with Chronic Heart Failure
DOI: 10.12677/acm.2024.14112939, PDF,    科研立项经费支持
作者: 吕 宁, 杨 月*：黑龙江中医药大学附属第一医院心血管二科，黑龙江 哈尔滨
关键词: 艾灸治疗；慢性心衰；证据总结；循证护理学；Moxibustion Treatment； Chronic Heart Failure； Summary of Evidence； Evidence-Based Nursing
摘要: 目的：本研究旨在借助文献筛选和质量评估的过程，全面检索慢性心衰患者灸疗指南及相关文献，提取最佳证据，为临床护理人员提供符合循证医学的指导，对慢性心衰患者进行灸疗干预。方法：采用PIPOST模式确定循证问题，对慢性心衰患者灸疗干预的指南、系统评价和META分析、专家共识和意见、护理方案、规范标准、临床随机对照试验等证据资源进行计算机检索。两位研究员分别对所收录的文献进行质量评价和资料提取，对其中符合标准的文献资料、证据进行归纳、整理。检索时限自建库到2024年8月1日。结果：最终收录1篇指南，1篇系统评价，1篇Meta分析，1篇专家共识，1篇专家意见、1份国家中医药管理局护理方案，1份国家规范标准，7篇临床随机对照试验，共14篇文献，慢性心衰患者灸疗干预的最佳证据汇总4个维度30条。结论：研究总结了艾灸治疗过程中有利于规范慢性心衰患者临床实施的操作细节，是目前对慢性心衰患者进行灸疗干预的最佳证据，使中医护理技术更科学、更系统、更实用，更好地促进中医护理技术内涵的发展。
Abstract: Objective: This study aims to comprehensively search for moxibustion treatment guidelines and related literature for patients with chronic heart failure through the process of literature screening and quality evaluation, and extract the best evidence, providing evidence-based medical guidance for clinical nursing staff to intervene in moxibustion therapy for patients with chronic heart failure. Method: The PIPOST model was used to identify evidence-based issues, and computer searches were conducted on evidence resources such as guidelines, systematic reviews, META analysis, expert consensus and opinions, nursing plans, standardized standards, and clinical randomized controlled trials for moxibustion intervention in patients with chronic heart failure. Two researchers conducted quality evaluations and data extraction on the included literature, and summarized and organized the literature and evidence that met the standards. The retrieval time limit is from the establishment of the database to August 1, 2024. The final results included 1 guideline, 1 systematic review, 1 meta-analysis, 1 expert consensus, 1 expert opinion, 1 nursing plan of the National Administration of Traditional Chinese Medicine, 1 national standard, and 7 clinical randomized controlled trials, totaling 14 articles. The best evidence for moxibustion intervention in patients with chronic heart failure was summarized in 4 dimensions and 30 articles. Conclusion: The study summarizes the operational details that are beneficial for standardizing the clinical implementation of moxibustion therapy in patients with chronic heart failure. It is currently the best evidence for moxibustion intervention in patients with chronic heart failure, making traditional Chinese medicine nursing techniques more scientific, systematic, and practical, and better promoting the development of the connotation of traditional Chinese medicine nursing techniques.
文章引用：吕宁, 杨月. 慢性心衰患者灸疗干预的最佳证据总结[J]. 临床医学进展, 2024, 14(11): 734-745. https://doi.org/10.12677/acm.2024.14112939

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