Why the study?
The construction and application value of a standardized nursing program guided by fluid management goals for hospitalized heart failure patients was unclear.
A standardized nursing pathway guided by fluid management targets, which translates guideline recommendations into actionable nursing protocols, is proposed to optimize volume status control and improve clinical outcomes in hospitalized heart failure patients.
May support fluid protocols in acute HF hospitalization; hypothesis-generating and requires randomized confirmation before practice change.
目的:探讨以液体管理目标为导向的心力衰竭住院患者标准化护理方案的构建与应用价值。方法:基于 当前心力衰竭液体管理的最新指南和循证证据,系统分析液体管理目标的内涵,从护理评估、干预实施、效果评价 三个维度构建标准化护理框架。结果:提出涵盖每日液体入量控制、出量监测、体重变化追踪、钠盐摄入限制及利尿 剂反应观察的核心护理指标,并建立目标值分层调整机制。同时,强调多学科协作下的动态目标调整策略,以及护理 文书记录的标准化模板。结论:液体管理目标的明确化与护理流程的标准化可有效提升心力衰竭住院患者容量状态控 制的精准性,降低再住院率,改善临床结局。标准化护理路径应结合个体化差异,并借助信息化工具实现持续质量 改进。
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高 et al. (2026) conducted a review in Heart Failure. Standardized nursing care guided by fluid management goals was evaluated.
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