对心力衰竭与减少喷射率的自我管理计划的有效性:一个系统审查协议
Pupalan Iyngkaran1,2, Monika Buhler3, Maximilian de Courten4
1NT Medical School, The University of Notre Dame Australia Melbourne Clinical School, Werribee, Victoria, Australia.
BMJ open
|June 5, 2024
概括
本系统性审查审查了慢性心力衰竭 (CHF) 患者的慢性疾病自我管理 (CDSM) 计划. 它综合了证据,以确定CDSM的有效性和对主要心血管不良事件 (MACE) 的影响.
科学领域:
- 心脏病学和心血管疾病.
- 医疗保健服务研究 医疗服务研究
- 基于证据的医学基于证据的医学.
背景情况:
- 慢性疾病自我管理 (CDSM) 对于充血性心力衰竭 (CHF) 护理至关重要.
- 最近的指导方针质疑CHF中CDSM计划的证据.
- 需要进行全面的审查,以评估CDSM在CHF中的有效性.
研究的目的:
- 系统地审查和综合CDSM计划对CHF患者的证据.
- 确定CDSM干预措施对重大心血管不良事件 (MACE) 的有效性.
主要方法:
- 从1966年到2024年在多个数据库中对随机对照试验进行系统审查.
- 包括报告MACE的CDSM和CHF研究;数据提取和质量评估由两个独立审稿人进行.
- 量化综合和元分析 (如果可行),以评估MACE变化的主要结果.
主要成果:
- 根据PRISMA指南,建立了审查协议.
- 数据提取和分析将专注于MACE作为主要结果.
- 小组分析将探索不同类型的CDSM程序之间的差异.
结论:
- 这一系统性审查将提供关于CDSM在CHF中的有效性的综合证据.
- 研究结果将为临床实践和关于CHFCDSM的指导方针制定提供信息.
- 计划通过同行评审期刊和会议进行传播.
相关概念视频
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
421
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
421
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Heart Failure Drugs: β-Blockers
336
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
336
Heart Failure Drugs: Diuretics
363
Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
363
Stress Prevention and Stress Management Techniques I
47
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
47
Stress Prevention and Stress Management Techniques VI
31
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
31


