Objective: To develop a best-evidence-based optimal nutrition management plan for patients with chronic heart failure, apply it in clinical practice, and evaluate its effectiveness. Methods: Use the KTA knowledge translation model to guide evidence-based practice in nutrition management, and compare the nutritional status, cardiac function status, quality of life, and quality review indicators of chronic heart failure patients before and after the application of evidence. Results: After the application of evidence, the nutritional status indicators (MNA-SF score, albumin, hemoglobin) of two groups of heart failure patients significantly increased compared to before the application of evidence, with statistically significant differences (p < 0.05), The indicators related to cardiac function status (LVEF, NT-proBNP) showed a significant decrease compared to before the application of evidence (p < 0.05), The MLHFQ quality of life scale scores significantly decreased after the application of evidence, with all differences being statistically significant (p < 0.05). Conclusion: The KTA knowledge translation model provides methodological guidance for the implementation of evidence-based practice for heart failure patients. This evidence-based practice project is beneficial for improving the outcomes of malnutrition in chronic heart failure patients and is conducive to standardizing nursing pathways, thereby promoting the improvement of nursing quality.
References
[1]
Heart Failure Group, Chinese Society of Cardiology, Heart Failure Professional Committee, Chinese Medical Doctor Association, Editorial Committee of Chinese Journal of Cardiology (2018) China Heart Failure Diagnosis and Treatment Guidelines 2018. Chinese Journal of Cardiovascular Disease, 46-48, 760-789.
[2]
Ma, L.Y., Wang, Z.W., Fan, J., et al. (2023) Key Points of China Cardiovascular Health and Disease Report 2022. Chinese Journal of General Medicine, 26, 3975-3994.
[3]
Heidenreich, P.A., Bozkurt, B., Aguilar, D., et al. (2022) 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 145, e895-e1032.
[4]
Sze, S., Pellicori, P., Zhang, J. and Clark, A.L. (2018) Malnutrition, Congestion and Mortality in Ambulatory Patients with Heart Failure. Heart, 105, 297-306. https://doi.org/10.1136/heartjnl-2018-313312
[5]
Li, W.J., Li, S.R., Sun, M.C., et al. (2021) Prediction of Prognosis of Hospitalized Patients with Chronic Heart Failure by Nutritional Risk Index in Elderly Patients. Chinese Journal of General Medicine, 24, 2955-2961.
[6]
Kim, S.E., Azarian, M., Naik, A.D., Park, C., Horstman, M.J., Virani, S.S., et al. (2024) What Is the Additive Value of Nutritional Deficiency to VA-FI in the Risk Assessment for Heart Failure Patients? The Journal of nutrition, health and aging, 28, 100253. https://doi.org/10.1016/j.jnha.2024.100253
[7]
Wickman, B.E., Enkhmaa, B., Ridberg, R., Romero, E., Cadeiras, M., Meyers, F., et al. (2021) Dietary Management of Heart Failure: DASH Diet and Precision Nutrition Perspectives. Nutrients, 13, Article 4424. https://doi.org/10.3390/nu13124424
[8]
Miyajima, I., Yatabe, T., Kuroiwa, H., Tamura, T. and Yokoyama, M. (2020) Influence of Nutrition Support Therapy on Readmission among Patients with Acute Heart Failure in the Intensive Care Unit: A Single-Center Observational Study. Clinical Nutrition, 39, 174-179. https://doi.org/10.1016/j.clnu.2019.01.010
[9]
Graham, I.D. and Tetroe, J. (2007) Some Theoretical Underpinnings of Knowledge Translation. Academic Emergency Medicine, 14, 936-941. https://doi.org/10.1111/j.1553-2712.2007.tb02369.x
[10]
Rycroft-Malone, J., Bucknall, T. (2010) Models and Frameworks for Implementing Evidence-Based Practice: Linking Evidence to Action 22. John Wiley & Sons Ltd., 82-102.
[11]
Fu, Y., Wang, C., Hu, Y. and Muir‐Cochrane, E. (2020) The Barriers to Evidence‐based Nursing Implementation in Mainland China: A Qualitative Content Analysis. Nursing & Health Sciences, 22, 1038-1046. https://doi.org/10.1111/nhs.12763
[12]
Wang, L.Z., Chen, Y.E., Li, Q., et al. (2024) Evidence-Based Practice for the Prevention and Care of Eye Complications in ICU Patients. Chinese Journal of Nursing, 59, 781-788. (In Chinese)
[13]
Hong, Y., Wang, X.H., Ju, Y., et al. (2020) Qualitative Study on Malnutrition Perception in Patients with Heart Failure. Journal of Nursing Science, 35, 87-89, 105. (In Chinese)
[14]
Chen, F.F., Ye, L.X., Zhou, L.M., et al. (2024) Construction and Application of In-Hospital Nutrition Management Program for Patients with Chronic Heart Failure. Chinese Nursing Management, 24, 145-151. (In Chinese)