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应用心力衰竭管理改善健康结局：但究竟是哪一种？

Applying Heart Failure Management to Improve Health Outcomes: But WHICH One?

作者信息

Chan Yih-Kai, David Alice M, Mainland Caitlyn, Chen Lei, Stewart Simon

机构信息

Mary MacKillop Institute for Health Research, Australian Catholic University,Melbourne, Australia.

出版信息

Card Fail Rev. 2017 Nov;3(2):113-115. doi: 10.15420/cfr.2017:11:1.

DOI:10.15420/cfr.2017:11:1
PMID:29387463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5739906/
Abstract

We report on our learning from many years of research testing the value of nurse-led, multidisciplinary, home-based management of heart failure. We discuss and highlight the key challenges we have experienced in testing this model of care relative to alternatives and evolving patient population. Accordingly, we propose a pragmatic approach to adapt current models of care to meet the needs of increasingly complex (and costly) patients with multimorbidity.

摘要

我们报告了多年来对由护士主导的多学科居家心力衰竭管理的价值进行研究的经验教训。我们讨论并强调了在测试这种护理模式时相对于其他替代方案以及不断变化的患者群体所遇到的关键挑战。因此，我们提出一种务实的方法来调整当前的护理模式，以满足患有多种疾病的日益复杂（且费用高昂）的患者的需求。

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1
Applying Heart Failure Management to Improve Health Outcomes: But WHICH One?应用心力衰竭管理改善健康结局：但究竟是哪一种？
Card Fail Rev. 2017 Nov;3(2):113-115. doi: 10.15420/cfr.2017:11:1.
2
Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement.建立一个优化心力衰竭和多种疾病健康结局的实用框架（ARISE-HF）：一份多学科立场声明。
Int J Cardiol. 2016 Jun 1;212:1-10. doi: 10.1016/j.ijcard.2016.03.001. Epub 2016 Mar 10.
3
Quality and outcomes of heart failure care in older adults: role of multidisciplinary disease-management programs.老年人心力衰竭护理的质量与结局：多学科疾病管理项目的作用
J Am Geriatr Soc. 2002 Sep;50(9):1590-3. doi: 10.1046/j.1532-5415.2002.50418.x.
4
Impact of a nurse-led home and clinic-based secondary prevention programme to prevent progressive cardiac dysfunction in high-risk individuals: the Nurse-led Intervention for Less Chronic Heart Failure (NIL-CHF) randomized controlled study.护士主导的家庭和诊所二级预防方案对高危人群预防进行性心功能障碍的影响：护士主导的减少慢性心力衰竭干预（NIL-CHF）随机对照研究。
Eur J Heart Fail. 2015 Jun;17(6):620-30. doi: 10.1002/ejhf.272. Epub 2015 Apr 21.
5
Development and Implementation of a Nurse-Led Model of Care Coordination to Provide Health-Sector Continuity of Care for People With Multimorbidity: Protocol for a Mixed Methods Study.由护士主导的护理协调模式的开发与实施，为患有多种疾病的人群提供卫生部门的连续性护理：一项混合方法研究的方案
JMIR Res Protoc. 2019 Dec 9;8(12):e15006. doi: 10.2196/15006.
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J Cardiovasc Nurs. 2018 Sep/Oct;33(5):437-445. doi: 10.1097/JCN.0000000000000391.
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An economic analysis of specialist heart failure nurse management in the UK; can we afford not to implement it?英国专科心力衰竭护士管理的经济分析；我们能承担不实施它的后果吗？
Eur Heart J. 2002 Sep;23(17):1369-78. doi: 10.1053/euhj.2001.3114.
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Student and educator experiences of maternal-child simulation-based learning: a systematic review of qualitative evidence protocol.基于母婴模拟学习的学生和教育工作者体验：定性证据协议的系统评价
JBI Database System Rev Implement Rep. 2015 Jan;13(1):14-26. doi: 10.11124/jbisrir-2015-1694.
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Have Traditional Heart Failure Management Programs Reached Their "Use by" Date? Time to Apply More Nuanced Care.传统的心力衰竭管理方案是否已过“保质期”？是时候采用更细致入微的护理方式了。
Curr Heart Fail Rep. 2019 Jun;16(3):75-80. doi: 10.1007/s11897-019-00426-1.
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Understanding how a palliative-specific patient-reported outcome intervention works to facilitate patient-centred care in advanced heart failure: A qualitative study.了解姑息治疗特异性患者报告结局干预措施如何促进晚期心力衰竭患者的以患者为中心的护理：一项定性研究。
Palliat Med. 2018 Jan;32(1):143-155. doi: 10.1177/0269216317738161. Epub 2017 Nov 20.

引用本文的文献

1
Sex and Gender Differences in Heart Failure.心力衰竭中的性别差异
Int J Heart Fail. 2020 Apr 13;2(3):157-181. doi: 10.36628/ijhf.2020.0004. eCollection 2020 Jul.

本文引用的文献

1
Standard vs. intensified management of heart failure to reduce healthcare costs: results of a multicentre, randomized controlled trial.标准治疗与强化治疗心力衰竭以降低医疗成本：一项多中心、随机对照试验的结果。
Eur Heart J. 2017 Aug 7;38(30):2340-2348. doi: 10.1093/eurheartj/ehx259.
2
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America.2017年美国心脏病学会/美国心脏协会/美国心力衰竭学会对2013年美国心脏病学基金会/美国心脏协会心力衰竭管理指南的重点更新：美国心脏病学会/美国心脏协会临床实践指南工作组及美国心力衰竭学会的报告
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Comparative effectiveness of transitional care services in patients discharged from the hospital with heart failure: a systematic review and network meta-analysis.从医院出院的心衰患者过渡性护理服务的效果比较：系统评价和网络荟萃分析。
Eur J Heart Fail. 2017 Nov;19(11):1427-1443. doi: 10.1002/ejhf.765. Epub 2017 Feb 24.
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2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC.2016欧洲心脏病学会急性和慢性心力衰竭诊断与治疗指南：欧洲心脏病学会（ESC）急性和慢性心力衰竭诊断与治疗工作组编写，欧洲心脏病学会心力衰竭协会（HFA）提供特别贡献。
Eur Heart J. 2016 Jul 14;37(27):2129-2200. doi: 10.1093/eurheartj/ehw128. Epub 2016 May 20.
5
Impact of Nurse-Led, Multidisciplinary Home-Based Intervention on Event-Free Survival Across the Spectrum of Chronic Heart Disease: Composite Analysis of Health Outcomes in 1226 Patients From 3 Randomized Trials.护士主导的多学科家庭干预对慢性心脏病全谱无事件生存期的影响：来自3项随机试验的1226例患者健康结局的综合分析
Circulation. 2016 May 10;133(19):1867-77. doi: 10.1161/CIRCULATIONAHA.116.020730. Epub 2016 Apr 15.
6
Establishing a pragmatic framework to optimise health outcomes in heart failure and multimorbidity (ARISE-HF): A multidisciplinary position statement.建立一个优化心力衰竭和多种疾病健康结局的实用框架（ARISE-HF）：一份多学科立场声明。
Int J Cardiol. 2016 Jun 1;212:1-10. doi: 10.1016/j.ijcard.2016.03.001. Epub 2016 Mar 10.
7
Fluid status telemedicine alerts for heart failure: a randomized controlled trial.心力衰竭的液体状态远程医疗警报：一项随机对照试验。
Eur Heart J. 2016 Nov 1;37(41):3154-3163. doi: 10.1093/eurheartj/ehw099. Epub 2016 Mar 16.
8
Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients With Heart Failure: The Better Effectiveness After Transition -- Heart Failure (BEAT-HF) Randomized Clinical Trial.心力衰竭住院患者出院后远程患者监测的有效性：过渡后更佳有效性——心力衰竭（BEAT-HF）随机临床试验
JAMA Intern Med. 2016 Mar;176(3):310-8. doi: 10.1001/jamainternmed.2015.7712.
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Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study.握力的预后价值：来自前瞻性城乡流行病学（PURE）研究的结果。
Lancet. 2015 Jul 18;386(9990):266-73. doi: 10.1016/S0140-6736(14)62000-6. Epub 2015 May 13.
10
Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis.过渡性护理干预预防心力衰竭患者再入院的效果：系统评价和荟萃分析。
Ann Intern Med. 2014 Jun 3;160(11):774-84. doi: 10.7326/M14-0083.