Special Topics: Nutrition Management for Chronic Disease Patients
Summary of the best evidence for nutritional management in patients with chronic heart failure
Ma Yan, Liang Fuli, Zhang Qingyu, Meng Hongyan
Published 2023-09-16
Cite as Chin J Mod Nurs, 2023, 29(26): 3512-3517. DOI: 10.3760/cma.j.cn115682-20220929-04808
Abstract
ObjectiveTo retrieve evidence on nutritional management in patients with chronic heart failure and summarize the best evidence.
MethodsBased on the search terms "heart failure" and "nutrition", the evidence on nutritional management in patients with chronic heart failure including guidelines, evidence summary, expert consensus, recommended practices, systematic reviews, and original studies closely related to the topic were searched through computer on British Medical Journal (BMJ) Best Practice, UpToDate, Joanna Briggs Institute (JBI) Evidence-Based Health Care Center Database in Australia, Scottish Intercollegiate Guidelines Network, Guidelines International Network, Cochrane Library, PubMed, China National Knowledge Infrastructure, and other websites and databases. The search period was from the establishment of the database to February 25, 2022. Two researchers evaluated the quality of the included literature and extracted evidence from the literature that met the quality standards.
ResultsA total of 15 articles were included, including 5 guidelines, 5 expert consensus, and 5 systematic reviews. Finally, 24 best pieces of evidence were summarized, covering 7 aspects, including multidisciplinary team building, nutritional screening and evaluation, nutritional needs, nutrient recommendation, liquid intake management, weight management, and nutritional intervention.
ConclusionsThis study summarizes the best evidence for nutritional management in patients with chronic heart failure from 7 aspects. Clinical medical and nursing staff can implement evidence conversion applications based on the patient's wishes and clinical actual situation.
Key words:
Heart failure; Nutritional support; Evidence summary; Evidence-based nursing
Contributor Information
Ma Yan
Nursing Department, Qinghai Provincial Cardiovascular and Cerebrovascular Disease Hospital, Xining 810012, China
Liang Fuli
Second Department of Coronary Heart Disease, Qinghai Provincial Cardiovascular and Cerebrovascular Disease Hospital, Xining 810012, China
Zhang Qingyu
Nursing Department, Qinghai Provincial Cardiovascular and Cerebrovascular Disease Hospital, Xining 810012, China
Meng Hongyan
Second Department of Coronary Heart Disease, Qinghai Provincial Cardiovascular and Cerebrovascular Disease Hospital, Xining 810012, China