急性心肌梗死病人心脏康复自我管理的最佳证据总结
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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：717823128@qq.com
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：检索、评价并汇总急性心肌梗死（AMI）病人心脏康复自我管理的最佳证据，为临床医护人员进行病人自我健康教育及病人自我管理行为规范提供循证参考依据。（剩余9717字）