对临床实践的洞察:关于心力衰竭中流体摄入管理的全国调查
Linn Höög1,2, Anna Strömberg3, Nana Waldréus2
1Department of Cardiology, Heart and Vascular Center, Karolinska University Hospital, Stockholm, Sweden.
ESC heart failure
|March 18, 2025
概括
医疗保健专业人员在心力衰竭 (HF) 患者的液体限制方面展示了各种实践. 建议往往来自个人意见,而不是指南,可能导致不一致的患者护理.
科学领域:
- 心脏病学 心脏病学
- 护理实践 护理实践
- 医疗保健管理的管理
背景情况:
- 限制流体是心力衰竭 (HF) 管理的常见建议.
- 缺乏统一的指导方针有助于医疗保健专业人员之间的液体限制实践的变化.
- 对于HF患者的液体摄入量和限制管理的变化程度没有得到充分的记录.
研究的目的:
- 描述医生和注册护士 (RN) 关于HF成人患者的液体摄入量和液体限制的临床实践.
- 为了识别不同医疗保健专业人员之间流体管理策略的变化.
- 评估心力衰竭护理中流体限制建议的基础.
主要方法:
- 在瑞典75家医院的医生和护士之间进行了基于网络的调查,这些医生和护士对待着高血压患者.
- 从45家医院的646名参与者收集了数据.
- 描述性统计和千平方测试用于数据分析.
主要成果:
- 显著多数 (93.8%) 建议对一些或所有HF患者进行液体限制.
- 注册护士 (RN) 比医生更有可能为所有HF患者推限制流体 (34.5%对14.9%,P <0.001).
- 许多专业人士 (49.2%) 认为液体限制有效地防止了拥堵,但只有29.3%的专业人士经常推这种做法. 三分之一的人缺乏对当地指导方针的了解.
结论:
- 在医疗保健专业人员之间,关于HF患者的液体摄入量和限制建议的临床实践有很大的差异.
- 这些实践变化可能导致心力衰竭患者的护理不一致.
- 关于限制流体的建议往往是基于个人的专业意见,而不是建立的证据或指南.
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