【摘要】 目的 总结左心室辅助装置植入术后患者自我管理的最佳证据，为护理人员进行健康教育及患者自我管理提供循证依据。方法 系统检索指南网站、数据库、专业协会网站中关于左心室辅助装置植入术后患者自我管理内容的相关文献，检索时限为建库至2024年4月30日。由2名研究者独立进行文献质量评价和资料提取，并结合专业人士的判断，进行证据的提取与整合。结果 共纳入11篇文献，其中临床决策5篇、指南3篇、专家共识1篇、RCT 2篇。围绕学习设备管理相关知识、生活环境及生活方式、功能康复训练、营养与体质量管理、并发症预防、心理社会支持及出院随访7个主题，总结出51条最佳证据。结论 总结的最佳证据具有科学性和实用性，便于护理人员规范、科学性地指导左心室辅助装置植入术后患者进行自我管理。更多还原

【Abstract】 Objective To summarize the best evidence regarding patient self-management following left ventricular assist device(LVAD) implantation, and to provide evidence for health education and patient self-management.Methods A systematic literature search was performed to identify relevant literature on patient self-management after LVAD implantation across various guideline websites, bibliometric databases, and websites of professional organizations and societies.The search time frame was from the inception of the database to April 30, 2024.Two researchers independently evaluated the quality of the literature and extracted data, then integrated the evidence, with the assistance of professional judgment.Results Eleven publications were eligible, including 5 clinical decision support statements, 3 guidelines, 1 expert consensus report, and 2 randomized clinical trials.A total of 51 pieces of best evidence were summarized, covering 7 topics: knowledge related to equipment management, living environment and lifestyle, exercise rehabilitation, nutrition and body weight management, prevention of complications, psychosocial support, and discharge follow-up.Conclusion The best evidence summarized for self-management in patients after LVAD implantation is scientific and practical, enabling nursing staff to guide patients′ self-management behaviors in a more standardized and evidence-based manner.更多还原