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经导管主动脉瓣植入术临床连续过程中的护理:多学科角色的系统评价

Nursing Care Across the Clinical Continuum of TAVI: A Systematic Review of Multidisciplinary Roles.

作者信息

Jendrzejczak Anna, Klukow Jadwiga, Czerwik-Marcinkowska Joanna, Styk Wojciech, Zmorzynski Szymon

机构信息

Chair of Nursing Management and Clinical Nursing, Institute of Clinical Sciences, Faculty of Health Sciences, Academy of Zamosc, 22-400 Zamosc, Poland.

Institute of Biology, Jan Kochanowski University, 25-369 Kielce, Poland.

出版信息

J Clin Med. 2025 Jun 26;14(13):4535. doi: 10.3390/jcm14134535.

Abstract

: Aortic stenosis is a common heart disease, particularly among elderly patients. Transcatheter aortic valve implantation (TAVI) offers a minimally invasive alternative method to surgical valve replacement for high-risk patients. Although clinical guidelines for TAVI are well established, standardized nursing care pathways are lacking. This systematic review aims to clarify the nursing role in the pre-, peri-, and postoperative phases of TAVI. : This review was conducted in accordance with the PRISMA guidelines. After applying the eligibility criteria, ten studies were selected from five databases: PubMed, Scopus, CINAHL, Web of Science, and the Cochrane Library. The work was registered in the PROSPERO database with the ID number CRD420251061863. : The analysis revealed the following: (1) a strong emphasis on preoperative patient education, often led by nurse coordinators; (2) perioperative nursing roles in conscious sedation protocols and early mobilization; (3) a lack of standardized rehabilitative protocols, especially in the preoperative phase; and (4) an emerging but insufficiently evaluated role of the TAVI nurse coordinator in multidisciplinary care. Most studies concentrated on postoperative care, outcomes, follow-up, and rehabilitation, but the small sample sizes limited the strength of the conclusions. : Nurses play a vital role in multidisciplinary TAVI teams. There is an urgent need for evidence-based nursing guidelines to standardize care, improve clinical outcomes, and address the needs of TAVI patients. This review highlights the pivotal contribution of nursing to the success of TAVI.

摘要

主动脉瓣狭窄是一种常见的心脏病,在老年患者中尤为常见。经导管主动脉瓣植入术(TAVI)为高危患者提供了一种微创的替代手术瓣膜置换的方法。尽管TAVI的临床指南已经确立,但缺乏标准化的护理路径。本系统评价旨在阐明护理在TAVI术前、术中和术后阶段的作用。:本评价按照PRISMA指南进行。应用纳入标准后,从五个数据库中选择了十项研究:PubMed、Scopus、CINAHL、Web of Science和Cochrane图书馆。该研究已在PROSPERO数据库中注册,识别号为CRD420251061863。:分析结果如下:(1) 通常由护士协调员主导,高度重视术前患者教育;(2) 在清醒镇静方案和早期活动方面的围手术期护理作用;(3) 缺乏标准化的康复方案,尤其是在术前阶段;(4) TAVI护士协调员在多学科护理中的作用正在显现,但评估不足。大多数研究集中在术后护理、结果、随访和康复方面,但样本量较小限制了结论的说服力。:护士在多学科TAVI团队中发挥着至关重要的作用。迫切需要基于证据的护理指南来规范护理、改善临床结果并满足TAVI患者的需求。本评价强调了护理对TAVI成功的关键贡献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52c4/12250256/2ea7e7b0364f/jcm-14-04535-g001.jpg

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