基于指南的慢性心力衰竭患者运动康复科普手册研制

doi:10.16460/j.issn1008-9969.2024.09.036

摘要/Abstract

摘要： 目的开发基于循证证据的慢性心力衰竭患者运动康复科普手册,为临床开展健康教育提供科学依据。方法在现有指南框架下,借鉴患者健康教育材料评估工具的系统方法学,通过质性访谈确立科普主题。将访谈结果与指南证据进行对应匹配,精细化归纳出各主题相关的证据条目,并将其转化为患者易于理解的文字、图像等多种形式。本科普手册经过9名评审小组成员（包括2名医生、2名护士、3例患者、1名循证方法学专家和1名科普编辑）外部评审。结果本研究所开发的慢性心力衰竭患者运动康复科普手册覆盖了康复运动益处、适用人群、禁忌人群、运动前评估、运动场所选择、运动方式、运动过程监督及运动效果评估8个主题,共计18个细化主题。经历2轮外部评审,第2轮满意率得分范围为77.8%~100%,变异系数在0~0.102。结论慢性心力衰竭患者运动康复科普手册的开发采用了科学的研究方法,并获得了医护人员及患者广泛认可。本研究成果可作为未来更多心血管疾病科普资料制作的参考。

关键词: 慢性心力衰竭, 运动康复, 科普手册, 循证护理学

Abstract: Objective To develop a guideline-based popular science handbook for exercise rehabilitation of patients with chronic heart failure, and to enhance the effectiveness of health education in clinical practice. Methods Within the framework of existing guidelines, the development of the handbook was guided by a systematic methodology referenced from patient health education material assessment tools,. Key themes for popular science were identified through qualitative interviews. The results of the interviews were meticulously matched with evidence from the guidelines, distilling evidence entries corresponding to each theme, which were then transformed into patient-friendly formats such as text, visuals, etc. The handbook was subjected to an external review by a panel of nine professionals (including two physicians, two nurses, three patients, one evidence-based medicine expert, and one science editor). Results The developed handbook on exercise rehabilitation for patients with chronic heart failure covered eight main themes, including benefits, suitable populations, contraindications, pre-exercise assessment, choice of exercise settings, exercise modalities, supervision during exercise, and effectiveness assessment, encompassing 18 detailed subthemes. After two rounds of external reviews, the second round of satisfaction score ranged from 77.8% to 100%, with a coefficient of variation between 0 and 0.102. Conclusion The development of this popular science handbook for patients with chronic heart failure is scientific and has been widely accepted by medical professionals and patients. TIt can serve as a significant reference for the development of more cardiovascular popular science materials.

Key words: chronic heart failure, exercise rehabilitation, science popularization manual, evidence-based nursing

中图分类号:

R473.54

陈洁, 孟庆童, 刘惊今, 吴艳妮. 基于指南的慢性心力衰竭患者运动康复科普手册研制[J]. 护理学报, 2024, 31(9): 36-41.

CHEN Jie, MENG Qing-tong, LIU Jing-jin, WU Yan-ni. Development of guideline-based exercise rehabilitation handbook for patients with chronic heart failure[J]. Journal of Nursing, 2024, 31(9): 36-41.

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