Lauck Sandra B, McCalmont Gemma, Smith Amanda, Højberg Kirk Bettina, de Ronde-Tillmans Marjo, Wundram Steffen, Adhami Nassim
School of Nursing, University of British Columbia, Centre for Heart Valve Innovation, St. Paul's Hospital, 5261-1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.
James Cook University Hospital, Marton Rd, Middlesbrough TS4 3BW, United Kingdom.
Crit Care Nurs Clin North Am. 2022 Jun;34(2):215-231. doi: 10.1016/j.cnc.2022.02.009. Epub 2022 Apr 28.
Transcatheter aortic valve replacement (TAVR) is an established therapy for the treatment of severe aortic stenosis. The evolution of technology and procedural approaches has facilitated the development of streamlined clinical pathways to optimize patient care and improve outcomes. The revision of historical practices and the adoption of contemporary best practices throughout patients' journey from referral to discharge create opportunities to drive quality improvement. Nursing expertise and leadership are essential to recalibrate preprocedure, periprocedure, and postprocedure practice to transform the way we care for TAVR, achieve excellent outcomes, and promote high-performing health services for the treatment of valvular heart disease.
经导管主动脉瓣置换术(TAVR)是治疗重度主动脉瓣狭窄的既定疗法。技术和手术方法的发展推动了简化临床路径的开发,以优化患者护理并改善治疗结果。在患者从转诊到出院的整个过程中,对既往实践进行修订并采用当代最佳实践,为推动质量改进创造了机会。护理专业知识和领导力对于重新校准术前、围手术期和术后实践至关重要,以改变我们护理TAVR患者的方式,实现卓越的治疗效果,并促进为瓣膜性心脏病治疗提供高效的医疗服务。