González-Cebrian Miryam, Alonso-Fernández-Gatta Marta, Hernández Martos Ángel Víctor, Alonso Meléndez Sara, Carreño Sánchez Rosa, González Egido Elena Olaya, de Tapia Majado Beatriz, Calvo Elena, Cruz-González Ignacio, Sánchez Pedro L
Cardiology Department, University Hospital of Salamanca, IBSAL, Paseo San Vicente, 58-182, 37007 Salamanca, Spain.
CIBER-CV, Instituto de Salud Carlos III (ISCIII), 28028 Madrid, Spain.
J Clin Med. 2025 Jun 3;14(11):3944. doi: 10.3390/jcm14113944.
Multidisciplinary TAVI programs are focused on improving patient-centred care. We compared outcomes in patients undergoing transcatheter aortic valve implantation (TAVI) within a multidisciplinary programme including a nurse with those of patients in the standard programme. : This single-centre observational retrospective study includes patients with severe aortic valve disease and a TAVI indication, with the goal of comparing a nurse programme with standard practice. In the TAVI nursing programme, the nurse has several key roles: patient and family education, comprehensive assessment and procedure planification, patient and family accompaniment, complications detection during admission and follow-up, and patient experience evaluation in the post-procedure period. : 154 patients were included: 87 in the nurse programme and 67 in standard practice groups, respectively. Men comprised 52.6%, with an average age of 81 years. Both groups achieved high procedure success without differences in mortality during admission and follow-up (median 13.4 months). The nurse programme group showed better functional class more frequently and had significantly fewer emergency department visits (11.8% vs. 31.3%) and less frequency of readmission (1.2% vs. 23.4%). The TAVI nurse group reported significantly higher overall satisfaction with the process (9.8 vs. 8.9 scores), with the information received and the nurse treatment being the best rated items. : A multidisciplinary programme for patients undergoing TAVI, coordinated by nurses and based on comprehensive attention that places the patients at the centre of the process, is feasible and shows high patient satisfaction.
多学科经导管主动脉瓣置换术（TAVI）项目专注于改善以患者为中心的护理。我们比较了在包括一名护士的多学科项目中接受经导管主动脉瓣植入术（TAVI）的患者与标准项目中患者的结局。：这项单中心观察性回顾性研究纳入了患有严重主动脉瓣疾病且有TAVI指征的患者，目的是将护士参与的项目与标准做法进行比较。在TAVI护理项目中，护士有几个关键作用：对患者及其家属进行教育、进行全面评估和制定手术计划、陪伴患者及其家属、在住院和随访期间检测并发症，以及在术后阶段评估患者体验。：共纳入154例患者，分别为87例参与护士项目组和67例标准治疗组。男性占52.6%，平均年龄81岁。两组手术成功率均很高，住院和随访期间死亡率无差异（中位数13.4个月）。护士项目组更频繁地表现出更好的心功能分级，急诊就诊次数显著更少（11.8%对31.3%），再入院频率更低（1.2%对23.4%）。TAVI护士组对整个过程的总体满意度显著更高（评分9.8对8.9），所获得的信息和护士的治疗是评价最高的项目。：由护士协调、基于将患者置于过程中心的全面关注的多学科TAVI患者项目是可行的，且患者满意度很高。
