Evidence summary phase Ⅰ exercise rehabilitation in patients with acute decompensated heart failure

GAO Huiying; CHENG Peixia; YANG Ningning; YAN Suhua

doi:10.12102/j.issn.2095-8668.2024.19.007

Abstract：Objective:To analyze and summarize the best evidence of phase Ⅰ exercise rehabilitation in patients with acute decompensated heart failure(ADHF),and to provide a basis for the clinical development of scientific and standardized phase Ⅰexercise rehabilitation program for ADHF patients.Methods:BMJ Best Practice,the Cochrane Library,CINAHL Complete,PubMed,Web of Science,CNKI,WanFang Database,VIP and SinoMed were searched for clinical guidelines,expert consensus,evidence summary,systematic evaluation and Meta-analysis related to exercise rehabilitation in patients with ADHF,as well as well-designed randomized controlled trials.The retrieval time was from the inception to July 5,2022.Extract relevant topics and evidence for evidence-based group demonstration.Results:A total of 11 articles were included,including 4 guidelines,3 expert consensus,2 randomized controlled trials and 2 retrospective cohort studies.Combined with the evidence-based nursing group,30 pieces of evidence including 6 aspects of the start time,evaluation,exercise procedure,exercise form,exercise intensity,exercise time and frequency of phase Ⅰ exercise rehabilitation in ADHF patients were summarized.Conclusion:This study summarizes the best evidence of phase Ⅰexercise rehabilitation in ADHF patients,and provides evidence-based evidence for clinical cardiac rehabilitation teams.It is recommended that clinical cardiac rehabilitation teams conduct a comprehensive and detailed assessment based on the age,vital signs,symptoms and signs,cardiac function improvement,emotional state and exercise tolerance of ADHF patients,and formulate personalized exercise rehabilitation programs as soon as possible to improve patients'cardiopulmonary adaptability,improve cardiac function,improve exercise capacity,and shorten hospitalization days.