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Effects of nurse-led transitional care program on patient outcomes following transcatheter aortic valve implantation:
1Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey.
Objectives:
This study evaluated the impact of a nurse-led transitional care program on self-care behaviors, quality of life, medication adherence, and rehospitalization rates in TAVI patients.
Methods:
A randomized controlled trial with two parallel groups involved 60 consenting patients. Outcomes were assessed at baseline (T0), 4 weeks (T1), and 12 weeks (T2). The Generalized Estimation Equation Model (GEE) analyzed the effects of group, time, and their interaction.
Results:
Compared to the usual care group, patients in the intervention group showed significant improvements in self-care and quality of life. The intervention group also had fewer rehospitalizations at T1 and T2 post-intervention. However, there was no statistically significant difference in medication adherence, except for adherence with antihypertensive treatment.
Conclusion:
The transitional care program improved self-care behaviors, enhanced quality of life, and decreased rehospitalization rates. Integrating transitional care programs into usual patient care in clinics holds promise for further improving patient outcomes.
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