家庭静脉注射利尿剂用于心力衰竭管理:一个范围审查
Morgan B Krauter1, Katherine S McGilton1,2, Stuti S Patel2
1Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
PloS one
|January 17, 2025
概括
对心力衰竭 (HF) 的家庭静脉注射 (IV) 利尿疗法显示出希望,但需要更多的研究. 关键的挑战包括患者选择和提供者能力,以便在门诊环境中成功实施.
科学领域:
- 心脏病学 心脏病学
- 护理 护理 护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭 (HF) 对住院和医疗保健费用作出了重大贡献.
- 静脉注射 (IV) 利尿剂对于管理恶化的高血压至关重要,家庭治疗作为一种替代方案.
- 目前对于在HF患者中实施家庭IV尿液治疗的实际指导是有限的.
研究的目的:
- 进行对家用IV利尿剂对HF患者的管理的文献进行范围审查.
- 识别和总结干预特征,促进者和与家庭IV尿液治疗实施相关的障碍.
主要方法:
- 遵循阿克西和奥马利框架和PRISMA-ScR指导方针进行范围审查.
- 在六个数据库和灰色文献中进行了全面的搜索,截至2024年4月13日.
- 两位独立审查员选了研究,并使用标准化表格提取了数据.
主要成果:
- 九项研究符合纳入标准,设计范围从可行性到观察性.
- 研究主要来自欧洲国家,涉及12-96名患者,他们接受了针对高血压的家庭静脉分泌剂.
- 确定了关键的实施挑战:适当的患者选择,医疗保健提供者IV导管技巧和多学科合作.
结论:
- 目前,在高血压管理中,对在家用静脉注射利尿剂的证据有限.
- 跨研究的共同点表明了制定标准门诊协议的基础.
- 建议采用量身定制的方法和安全输注指南,以提高家庭IV尿液治疗的疗效和可扩展性.
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