Development of a complex intervention to prevent complications in patients recovering at home after transcatheter aortic valve replacement by optimizing home-based cardiac rehabilitation processes: a Delphi study
2024

Improving Home Cardiac Rehabilitation for Patients After Heart Valve Surgery

Sample size: 15 publication 10 minutes Evidence: high

Author Information

Author(s): Jia Ying Ying, Guo Zhi Tin, Zhang Yu Ping, Song Jian Ping

Primary Institution: The Second Affiliated Hospital of Zhejiang University School of Medicine

Hypothesis

Can a nurse-led complex intervention enhance the quality and adherence to home-based cardiac rehabilitation for patients recovering from transcatheter aortic valve replacement?

Conclusion

A comprehensive set of strategies for home-based cardiac rehabilitation was developed, which can help improve patient care and outcomes.

Supporting Evidence

  • Home-based cardiac rehabilitation can improve recovery and reduce healthcare costs.
  • Expert consensus was achieved through three rounds of Delphi consultations.
  • The intervention framework was developed based on diverse expert perspectives.

Takeaway

This study created a plan to help patients recover at home after heart surgery by making it easier for them to follow their rehabilitation program.

Methodology

The Delphi method was used to gather expert opinions over three rounds to develop a framework for home-based cardiac rehabilitation.

Potential Biases

Potential bias from the selection of experts and the lack of patient involvement in the Delphi process.

Limitations

The study did not include TAVR patients and their families in the expert panel, and the intervention has not yet been clinically tested.

Participant Demographics

Experts had a mean age of 40.13 years, with a mix of genders and educational backgrounds, primarily from rehabilitation and nursing fields.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3389/fpubh.2024.1491311

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