Jendrzejczak Anna, Klukow Jadwiga, Czerwik-Marcinkowska Joanna, Styk Wojciech, Zmorzynski Szymon
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.
J Clin Med. 2025 Jun 26;14(13):4535. doi: 10.3390/jcm14134535.
: 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.
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。