Understanding experiences of undergoing transcatheter aortic valve implantation: one-year follow-up
| العنوان: | Understanding experiences of undergoing transcatheter aortic valve implantation: one-year follow-up |
|---|---|
| المؤلفون: | Jennifer Baumbusch, Sarah Wu, Tamar O’Shea, L. Achtem, Sandra Lauck, Davina Banner |
| المصدر: | European Journal of Cardiovascular Nursing. 17:280-288 |
| بيانات النشر: | Oxford University Press (OUP), 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, Canada, medicine.medical_specialty, Transcatheter aortic, One year follow up, Frail Elderly, Decision Making, 030204 cardiovascular system & hematology, Transcatheter Aortic Valve Replacement, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Patient experience, medicine, Humans, 030212 general & internal medicine, Symptomatic aortic stenosis, Aged, Aged, 80 and over, Advanced and Specialized Nursing, business.industry, Aortic Valve Stenosis, medicine.disease, Comorbidity, Surgery, Medical–Surgical Nursing, Caregivers, Patient Satisfaction, Heart Valve Prosthesis, Aortic valve stenosis, Cardiology, Female, Cardiology and Cardiovascular Medicine, business, Follow-Up Studies |
| الوصف: | Background: Transcatheter aortic valve implantation (TAVI) is the treatment of choice for frail, older adults with severe symptomatic aortic stenosis. Although research about long-term clinical outcomes is emerging, there is limited evidence from the perspectives of patients and family caregivers on their perceived benefits and challenges after TAVI. Aims: The aim of this study was to describe older adults and family caregivers’ perspectives on undergoing TAVI at one year post-procedure. Methods: Qualitative description was the method of inquiry. A purposive sample of 31 patients and 15 family caregivers was recruited from a TAVI programme in western Canada. Semi-structured interviews were conducted with participants one year after TAVI. Data were analysed thematically. Results: All participants were satisfied with the decision to undergo TAVI. There were three central themes. First, recovery was experienced in the context of aging and comorbidities, which was shaped by patients’ limited options for care and post-procedure symptom burden. Second, reconciling expectations with reality meant that, for some patients, symptom burden remained prevalent and was also influenced by others’ expectations. Third, recommendations for recovery related to having information needs met, keeping informed of evolving care processes, and addressing individualised needs for support. Conclusions: The perspectives of participants provide a valuable contribution to the literature about undergoing TAVI. Clinicians need to be attentive to patients’ expectations of benefit and temper these with consideration of the individual’s broader health situation to provide treatment decision support. Patients and family caregivers also need adequate teaching and support to facilitate safe transition home given the shift towards early discharge after TAVI. |
| تدمد: | 1873-1953 1474-5151 |
| DOI: | 10.1177/1474515117738991 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::00b26be97cb17ca6b213e3b1a2cf9561 https://doi.org/10.1177/1474515117738991 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....00b26be97cb17ca6b213e3b1a2cf9561 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18731953 14745151 |
|---|---|
| DOI: | 10.1177/1474515117738991 |