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Journal of Nursing ›› 2022, Vol. 29 ›› Issue (8): 53-58.doi: 10.16460/j.issn1008-9969.2022.08.053

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Best Evidence Summary of Early Exercise Rehabilitation after Pacemaker Implantation

CHEN Fang-fang1a, YE Ling-xiao1a, HU Yan2, ZHENG Ya-hua1b, LI Juan1b, LOU Ke-nan1a, LIU Mei1c, HU Kang-li1d   

  1. 1a. Dept. of Cardiology; 1b. Dept. of Nursing Administration; 1c. Intensive Care Unit; 1d. Dept. of Rehabilitation Medicine, Ningbo Medical Center LIHUILI Hospital, Ningbo 315000, China;
    2. School of Nursing, Fudan University, Shanghai 200032, China
  • Received:2021-11-08 Online:2022-04-25 Published:2022-05-11

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Abstract: Objective To retrieve and summarize the relevant evidence of early exercise rehabilitation in patients after pacemaker implantation, and to provide reference for clinical practice. Methods The problem was identified through the nursing evidence-based method. According to the “6S” classification model of the evidence-based retrieval, the evidence related to “early exercise rehabilitation after pacemaker implantation” was retrieved including clinical guidelines, systematic review, expert consensus and evidence summary. Two researchers who completed evidence-based nursing training independently evaluated the included literature and extracted evidence from eligible literature. Results Six pieces of literature were attained, including 1 clinical guideline, 4 expert consensuses, and 1 systematic review. Sixteen pieces of best evidence were summarized into 6 themes: pre-exercise assessment, exercise plan, indications for exercise initiation, exercise supervision, exercise mode and intensity, and discharge guidance. Conclusion Early exercise rehabilitation of patients after pacemaker transplantation requires a comprehensive evaluation by a professional rehabilitation team, including the evaluation of clinical syndromes and pacemaker function, and at the same time, with the help of professional auxiliary tools, the rehabilitation process should be safely monitored.Gradually increased exercise intensity may help to reduce postoperative complications, ensure the safety of early exercise rehabilitation, and improve patient comfort.

Key words: pacemaker, early exercise rehabilitation, best evidence, evidence-based nursing

CLC Number: 

  • R473.6
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