eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association

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

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Online 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.

Cite this article

JIA Yingying, SONG Jianping, ZHANG Qian, PANG Linyan, NIU Shan . Summary of the best evidence for home cardiac rehabilitation in patients undergoing transcatheter aortic valve replacement[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024 , 5(3) : 214 -221 . DOI: 10.3761/j.issn.2096-7446.2024.03.004

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