在TAVI手术中患者报告的经验:VALVEX研究
Miryam González-Cebrian1,2,3,4, Jose Luis Mendoza García5, Ignacio Cruz-González1,2,3
1Cardiology Department, University Hospital of Salamanca, Salamanca, Spain.
Journal of geriatric cardiology : JGC
|September 2, 2025
概括
接受过导管大动脉植入术 (TAVI) 的患者对手术和护理,特别是TAVI护士的护理,表示高度满意. 改善手术前的信息和解决延迟问题可以进一步改善患者的体验.
科学领域:
- 心脏病学
- 患者体验研究
背景情况:
- 导管大动脉植入 (TAVI) 是主治疗大动脉狭窄症 (AS),提供了外科置换的替代方案.
- 虽然临床结果已得到充分证实,但患者对TAVI的看法仍未得到充分研究.
研究的目的:
- 评估通过导管大动脉植入术 (TAVI) 后的患者体验和满意度.
主要方法:
- 一项描述性观察性研究,涉及100名在西班牙两家医院接受TAVI治疗的患者.
- 在TAVI护士带领的随访期间,制定了定制问卷 (VALVEX),并在手术后30天给患者使用.
主要成果:
- 患者报告的平均满意度为9/10,其中96%的人推TAVI.
- 人们对手术前的信息,手术期间的护理和入院以及TAVI护士在随访中的作用表示高度满意.
- 需要改进的领域包括医院餐饮,诊断到治疗的延迟以及患者参与决策.
结论:
- 评估患者的经验对于改进TAVI信息和准备至关重要,从而减少焦虑和提高满意度.
- 为了监测康复和解决患者的担忧,TAVI护士的持续跟踪至关重要.
- 整合患者报告的体验测量 (PREM) 和患者报告的结果测量 (PROM) 与患者的意见对于以患者为中心的TAVI途径至关重要.
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