Yan Han, Chen Yu Shuang, Li Yi, Wei Guan-Xing, Ma Fang, Hu Qiu Lan, Ding Lan, Wei Wei, Li Yan, Bai Yang-Juan
Intensive Care Unit of Cardiac Surgery Department, QingDao Municipal Hospital (Group), Qingdao, Shandong, People's Republic of China.
The First Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, People's Republic of China.
Patient Prefer Adherence. 2025 Sep 8;19:2771-2786. doi: 10.2147/PPA.S535177. eCollection 2025.
The purpose of this study is to systematically explore and summarize the best evidence of home-based self-management in patients with permanent pacemaker implantation, providing comprehensive references and guidance for improving the self-management ability of such patients.
Using the "6S" model, a systematic literature search was conducted on home-based self-management in patients with permanent pacemaker implantation. The types of literature included best practice, clinical decision-making, guidelines, expert consensus, systematic review and evidence summary. According to the inclusion and exclusion criteria, two researchers screened the literature, evaluated the quality, extracted the data, synthesized the evidence.
BMJ Best Practice, Up To Date, Joanna Briggs Institute (JBI), the World Health Organization (WHO), the Guidelines International Network (GIN), the National Institute for Health and Care Excellence (NICE), the Registered Nurses Association of Ontario (RNAO), the Scottish Intercollegiate Guidelines Network (SIGN), the American Heart Association (AHA), the Cochrane Library, PubMed, CINAHL, Web of Science, Medlive, CNKI Database, SinoMed (China Biomedical Literature Database), Wanfang Database and VIP Database. The retrieval period spanned from the establishment of these databases until January 31, 2025.
A total of 21 articles were included, 1 best practice, 9 clinical decision-making, 5 guidelines, 3 expert consensus, 1 systematic review, and 2 evidence summaries. Thirty-five pieces of the best evidence from 7 aspects were summarized, including complication management, electromagnetic interference management, sports rehabilitation management, operative limb management, postoperative follow-up management, role management, and emotional management.
This review comprehensively summarized the best evidence home-based self-management in patients with permanent pacemaker implantation. These findings are scientific and referential, and provide evidence-based support for nursing and management of patients during home-based rehabilitation.
本研究旨在系统探索和总结永久性起搏器植入患者居家自我管理的最佳证据，为提高此类患者的自我管理能力提供全面的参考和指导。
采用“6S”模型，对永久性起搏器植入患者的居家自我管理进行系统的文献检索。文献类型包括最佳实践、临床决策、指南、专家共识、系统评价和证据总结。两名研究人员根据纳入和排除标准筛选文献、评估质量、提取数据、综合证据。
英国医学杂志最佳实践（BMJ Best Practice）、Up To Date、乔安娜布里格斯研究所（JBI）、世界卫生组织（WHO）、指南国际网络（GIN）、英国国家卫生与临床优化研究所（NICE）、安大略省注册护士协会（RNAO）、苏格兰校际指南网络（SIGN）、美国心脏协会（AHA）、考克兰图书馆、PubMed、护理学与健康领域数据库（CINAHL）、科学引文索引（Web of Science）、医脉通、中国知网数据库、中国生物医学文献数据库（SinoMed）、万方数据库和维普数据库。检索时间跨度为各数据库建库至2025年1月31日。
共纳入21篇文献，其中最佳实践1篇、临床决策9篇、指南5篇、专家共识3篇、系统评价1篇、证据总结2篇。从并发症管理、电磁干扰管理、运动康复管理、术侧肢体管理、术后随访管理、角色管理和情绪管理7个方面总结出35条最佳证据。
本综述全面总结了永久性起搏器植入患者居家自我管理的最佳证据。这些研究结果具有科学性和参考性，为患者居家康复期间的护理和管理提供了循证支持。
