Effects of multi-disciplinary collaborative nursing on patients with transcatheter aortic valve implantation_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Yuanyuan ¹ , LUOZE Ruxin ² , LI Yuan ³ , WANG Yuqiang ⁴ ,  CHEN Miao ¹

1. West China School of Nursing, Sichuan University/Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
2. Rehabilitation Medicine Center, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;
3. Nursing Department, West China Second University Hospital, Sichuan University/West China School of Nursing,Sichuan University, Chengdu, 610041, P. R. China;
4. Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P. R. China;

Corresponding?author：

CHEN Miao, Email: 846260052@qq.com

Keywords：

Multi-disciplinary collaborative nursing; transcatheter aortic valve implantation; cardiopulmonary fitness; quality of life; emotional status

DOI：

10.7507/1007-4848.202209064

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the clinical intervention effect of multi-disciplinary team (MDT) nursing mode on patients after transcatheter aortic valve implantation (TAVI). Methods A total of 89 patients who were admitted to our hospital and underwent TAVI surgery from April to December 2021 were selected, including 64 males and 25 females, with an average age of 64.7±11.8 years. The subjects were divided into a MDT intervention group (n=42) and a control group (n=47) according to different postoperative nursing intervention methods. Clinical effectivenesses were compared between the two groups. Results The left ventricular ejection fraction in the two groups significantly increased on the 7th day after the operation, and the increase in the MDT intervention group was more obvious, with no statistical difference between the two groups (P=0.14). On the 7th day after surgery, forced vital capacity/predicated value and forced expiratory volume in one second/predicated value significantly decreased, and decreased more significantly in the control group than those in the MDT intervention group with statistical differences (P=0.01). The ICU stay time (P=0.01), hospital stay time (P<0.01) and total postoperative pulmonary complications rate (P=0.03) in the MDT intervention group were significantly shorter or lower than those in the control group The evaluation results of the anxiety and depression status of the patients before and after nursing intervention showed that the scores of anxiety and depression in the two groups were significantly lower than before, and the scores of each scale in the MDT intervention group were lower. The score of quality of life of the two groups significantly improved at the end of 6 months after surgery, and in the MDT intervention group it was significantly higher than that in the control group (P=0.02). Conclusion MDT intervention mode can promote the rapid recovery of patients after TAVI, effectively reduce the risk of postoperative pulmonary complications, and improve the postoperative quality of life.

Citation： WANG Yuanyuan, LUOZE Ruxin, LI Yuan, WANG Yuqiang, CHEN Miao. Effects of multi-disciplinary collaborative nursing on patients with transcatheter aortic valve implantation. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(2): 260-265. doi: 10.7507/1007-4848.202209064 Copy

1.	陳翔, 葛均波. 經導管主動脈瓣置入術治療嚴重主動脈瓣反流的研究進展. 中華心血管病雜志, 2015, 43(7): 639-641.
2.	Flécher E. Valvular surgery before cardiac transplantation: The exception that proves the rule. Arch Cardiovasc Dis, 2020, 113(11): 671-673.
3.	Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med, 2010, 363(17): 1597-1607.
4.	Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med, 2011, 364(23): 2187-2198.
5.	齊喜玲, 許海燕, 劉慶榮, 等. 中國老年退行性心臟瓣膜病住院患者診療現狀分析. 中國循環雜志, 2019, 34(8): 771-776.
6.	Russell EA, Walsh WF, Tran L, et al. The burden and implications of preoperative atrial fibrillation in Australian heart valve surgery patients. Int J Cardiol, 2017, 227: 100-105.
7.	孟慶童, 黃靖, 李源, 等. 主動脈瓣重度狹窄患者經導管主動脈瓣膜置換術后生活質量現狀及影響因素分析. 中華現代護理雜志, 2019, 25(20): 2535-2539.
8.	木巴拉克·依克拉木, 古麗蘇木汗·阿布來提, 張翠萍. 多學科協作護理模式在乳腺癌患者中應用效果的Meta分析. 中國實用護理雜志, 2022, 38(2): 147-154.
9.	和霞, 林梅, 楊清, 等. 我國多學科協作護理模式的應用現狀. 天津護理, 2021, 29(3): 375-378.
10.	Stern AF. The hospital anxiety and depression scale. Occup Med (Lond), 2014, 64(5): 393-394.
11.	Hunt-Shanks T, Blanchard C, Reid R, et al. A psychometric evaluation of the Hospital Anxiety and Depression Scale in cardiac patients: Addressing factor structure and gender invariance. Br J Health Psychol, 2010, 15(Pt 1): 97-114.
12.	Feng Y, Parkin D, Devlin NJ. Assessing the performance of the EQ-VAS in the NHS PROMs programme. Qual Life Res, 2014, 23(3): 977-989.
13.	Asmarats L, Puri R, Latib A, et al. Transcatheter tricuspid valve interventions: Landscape, challenges, and future directions. J Am Coll Cardiol, 2018, 71(25): 2935-2956.
14.	B?z L, Wiesel M, M?bius-Winkler S, et al. Depression and anxiety in elderly patients with severe symptomatic aortic stenosis persistently improves after transcatheter aortic valve replacement (TAVR). Int J Cardiol, 2020, 309: 48-54.
15.	Yu PM, Wang YQ, Luo ZR, et al. Postoperative pulmonary complications in patients with transcatheter tricuspid valve implantation-implications for physiotherapists. Front Cardiovasc Med, 2022, 9: 904961.
16.	Caspi-Avissar N, Grosman-Rimon L, Gohari J, et al. Clinical, surgical, and sociopsychological gactors and depression after cardiothoracic surgery. Ann Thorac Surg, 2021, 111(3): 1064-1070.
17.	Saint-Pierre C, Herskovic V, Sepúlveda M. Multidisciplinary collaboration in primary care: A systematic review. Fam Pract, 2018, 35(2): 132-141.
18.	李蒙, 梁茜, 郭輝, 等. 護理多學科協作模式聯合信息化血糖管理在虛擬病區圍術期高血糖患者中的應用. 中華現代護理雜志, 2020, 26(23): 3210-3217.
19.	應朝暉, 胡澤盈. 多學科團隊協作護理模式在腦轉移瘤手術患者中的應用效果研究. 護士進修雜志, 2018, 33(14): 1257-1260.
20.	張密, 潘寶瑩, 黎淑玲, 等. 多學科協作護理模式在乳腺癌圍手術期患者中的應用. 現代臨床護理, 2016, 15(8): 24-27.
21.	呂建萍, 丁淑芳, 周志慶, 等. 多學科合作延續護理對慢性阻塞性肺疾病患者生命質量的影響. 中國實用護理雜志, 2015, 31(22): 1657-1661.
22.	歐陽梅, 劉玲, 劉雯, 等. MDT協作護理在急性膽囊炎手術患者中的效果研究. 中國當代醫藥, 2017, 24(32): 189-191.
23.	許祖存, 李靜, 胡新春, 等. 護士主導的多學科協作干預對外科術后靜脈血栓栓塞癥的預防效果. 中國實用護理雜志, 2020, 36(7): 495-500.
24.	吳世雯, 曾修碧, 王月, 等. 醫養結合機構內多學科專科護士團隊在老年腦卒中后風險管理中的作用. 現代醫藥衛生, 2020, 36(1): 124-127.
25.	鄭紅宇, 姬秀紅, 李莉. 多學科團隊及綜合評估在老年腫瘤患者護理中的應用現狀. 天津護理, 2019, 27(4): 500-502.
26.	Mathis MR, Duggal NM, Likosky DS, et al. Intraoperative mechanical ventilation and postoperative pulmonary complications after cardiac surgery. Anesthesiology, 2019, 131(5): 1046-1062.
27.	Boden I, Robertson IK, Neil A, et al. Preoperative physiotherapy is cost-effective for preventing pulmonary complications after major abdominal surgery: A health economic analysis of a multicentre randomised trial. J Physiother, 2020, 66(3): 180-187.
28.	Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Circulation, 2017, 135(25): e1159-e1195.
29.	劉柳, 汪婕, 任玲俐. 多學科協作護理模式對原發性肝癌術后復發患者自我感受負擔及生活質量的影響. 天津護理, 2021, 29(3): 292-295.

1. 陳翔, 葛均波. 經導管主動脈瓣置入術治療嚴重主動脈瓣反流的研究進展. 中華心血管病雜志, 2015, 43(7): 639-641.
2. Flécher E. Valvular surgery before cardiac transplantation: The exception that proves the rule. Arch Cardiovasc Dis, 2020, 113(11): 671-673.
3. Leon MB, Smith CR, Mack M, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med, 2010, 363(17): 1597-1607.
4. Smith CR, Leon MB, Mack MJ, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. N Engl J Med, 2011, 364(23): 2187-2198.
5. 齊喜玲, 許海燕, 劉慶榮, 等. 中國老年退行性心臟瓣膜病住院患者診療現狀分析. 中國循環雜志, 2019, 34(8): 771-776.
6. Russell EA, Walsh WF, Tran L, et al. The burden and implications of preoperative atrial fibrillation in Australian heart valve surgery patients. Int J Cardiol, 2017, 227: 100-105.
7. 孟慶童, 黃靖, 李源, 等. 主動脈瓣重度狹窄患者經導管主動脈瓣膜置換術后生活質量現狀及影響因素分析. 中華現代護理雜志, 2019, 25(20): 2535-2539.
8. 木巴拉克·依克拉木, 古麗蘇木汗·阿布來提, 張翠萍. 多學科協作護理模式在乳腺癌患者中應用效果的Meta分析. 中國實用護理雜志, 2022, 38(2): 147-154.
9. 和霞, 林梅, 楊清, 等. 我國多學科協作護理模式的應用現狀. 天津護理, 2021, 29(3): 375-378.
10. Stern AF. The hospital anxiety and depression scale. Occup Med (Lond), 2014, 64(5): 393-394.
11. Hunt-Shanks T, Blanchard C, Reid R, et al. A psychometric evaluation of the Hospital Anxiety and Depression Scale in cardiac patients: Addressing factor structure and gender invariance. Br J Health Psychol, 2010, 15(Pt 1): 97-114.
12. Feng Y, Parkin D, Devlin NJ. Assessing the performance of the EQ-VAS in the NHS PROMs programme. Qual Life Res, 2014, 23(3): 977-989.
13. Asmarats L, Puri R, Latib A, et al. Transcatheter tricuspid valve interventions: Landscape, challenges, and future directions. J Am Coll Cardiol, 2018, 71(25): 2935-2956.
14. B?z L, Wiesel M, M?bius-Winkler S, et al. Depression and anxiety in elderly patients with severe symptomatic aortic stenosis persistently improves after transcatheter aortic valve replacement (TAVR). Int J Cardiol, 2020, 309: 48-54.
15. Yu PM, Wang YQ, Luo ZR, et al. Postoperative pulmonary complications in patients with transcatheter tricuspid valve implantation-implications for physiotherapists. Front Cardiovasc Med, 2022, 9: 904961.
16. Caspi-Avissar N, Grosman-Rimon L, Gohari J, et al. Clinical, surgical, and sociopsychological gactors and depression after cardiothoracic surgery. Ann Thorac Surg, 2021, 111(3): 1064-1070.
17. Saint-Pierre C, Herskovic V, Sepúlveda M. Multidisciplinary collaboration in primary care: A systematic review. Fam Pract, 2018, 35(2): 132-141.
18. 李蒙, 梁茜, 郭輝, 等. 護理多學科協作模式聯合信息化血糖管理在虛擬病區圍術期高血糖患者中的應用. 中華現代護理雜志, 2020, 26(23): 3210-3217.
19. 應朝暉, 胡澤盈. 多學科團隊協作護理模式在腦轉移瘤手術患者中的應用效果研究. 護士進修雜志, 2018, 33(14): 1257-1260.
20. 張密, 潘寶瑩, 黎淑玲, 等. 多學科協作護理模式在乳腺癌圍手術期患者中的應用. 現代臨床護理, 2016, 15(8): 24-27.
21. 呂建萍, 丁淑芳, 周志慶, 等. 多學科合作延續護理對慢性阻塞性肺疾病患者生命質量的影響. 中國實用護理雜志, 2015, 31(22): 1657-1661.
22. 歐陽梅, 劉玲, 劉雯, 等. MDT協作護理在急性膽囊炎手術患者中的效果研究. 中國當代醫藥, 2017, 24(32): 189-191.
23. 許祖存, 李靜, 胡新春, 等. 護士主導的多學科協作干預對外科術后靜脈血栓栓塞癥的預防效果. 中國實用護理雜志, 2020, 36(7): 495-500.
24. 吳世雯, 曾修碧, 王月, 等. 醫養結合機構內多學科專科護士團隊在老年腦卒中后風險管理中的作用. 現代醫藥衛生, 2020, 36(1): 124-127.
25. 鄭紅宇, 姬秀紅, 李莉. 多學科團隊及綜合評估在老年腫瘤患者護理中的應用現狀. 天津護理, 2019, 27(4): 500-502.
26. Mathis MR, Duggal NM, Likosky DS, et al. Intraoperative mechanical ventilation and postoperative pulmonary complications after cardiac surgery. Anesthesiology, 2019, 131(5): 1046-1062.
27. Boden I, Robertson IK, Neil A, et al. Preoperative physiotherapy is cost-effective for preventing pulmonary complications after major abdominal surgery: A health economic analysis of a multicentre randomised trial. J Physiother, 2020, 66(3): 180-187.
28. Nishimura RA, Otto CM, Bonow RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Task Force on clinical practice guidelines. Circulation, 2017, 135(25): e1159-e1195.
29. 劉柳, 汪婕, 任玲俐. 多學科協作護理模式對原發性肝癌術后復發患者自我感受負擔及生活質量的影響. 天津護理, 2021, 29(3): 292-295.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Effects of multi-disciplinary collaborative nursing on patients with transcatheter aortic valve implantation

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content