ISSN 2096-7446 CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

Chinese Journal of Emergency and Critical Care Nursing ›› 2024, Vol. 5 ›› Issue (3): 214-221.doi: 10.3761/j.issn.2096-7446.2024.03.004

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Summary of the best evidence for home cardiac rehabilitation in patients undergoing transcatheter aortic valve replacement

JIA Yingying,SONG Jianping,ZHANG Qian,PANG Linyan,NIU Shan   

  • Online:2024-03-10 Published:2024-03-25

Abstract: Objective To extract,evaluate,and integrate evidence related to the management of home cardiac rehabilitation for patients undergoing transcatheter aortic valve replacement (TAVR),with the aim of providing a basis for home cardiac rehabilitation for TAVR patients. Methods We comprehensively searched domestic and international databases,guideline websites,and websites of cardiovascular-related associations for clinical guidelines, expert consensuses,evidence summaries,clinical decision-making,recommended practices,and systematic reviews related to home cardiac rehabilitation for patients with TAVR,with a timeframe from the establishment of the databases to November 1,2023. Two researchers independently evaluated the quality of the literature and extracted relevant topics and evidence. Results A total of 16 papers were included,including 5 expert consensus papers,7 guidelines,and 4 clinical decisions,and 26 pieces of best evidence were summarized in 7 aspects:rehabilitation risk assessment,home health education,home exercise rehabilitation,risk factor management,home anticoagulation management,home complication management,and home follow-up management. Conclusion The rehabilitation team can rigorously screen patients for participation in rehabilitation based on their condition and preference, incorporating the best evidence. The focus is on anticoagulation management,complication management,and follow- up management to enable dynamic monitoring of valve function,reduce the incidence of postoperative complications, and improve patient compliance with rehabilitation.

Key words: Transcatheter Aortic Valve Replacement, Cardiac Rehabilitation, Extended Care, Summary of Evidence, Evidence-Based Nursing