Application of perioperative integrated monitoring and psychological care in patients with transfemoral aortic valve replacement
Yang Shupeng
Shen Yun
Hao Nan
Chen Zhe
Liu Wei
Zhou Yujie
Liu Xiaoli
Abstract：Objective To evaluate the effect of perioperative integrated monitoring with psychological care on patients undergoing transcatheter aortic valve replacement(TAVR) through femoral approach. Methods Thirty-six patients undergoing transfemoral TAVR in Beijing Anzhen Hospital, Capital Medical University from March 2017 to November 2018 were divided into general care group( GC) group and psychological care( PC) group, with 18 cases in each group. Comprehensive preoperative risk evaluation and perioperative integrated monitoring involving respiratory function heart rate/rhythm, intake/output and position management were performed in all patients. The PC group was given psychological care by interpreting knowledge of disease, precautions of postoperative recovery and intervening with rational mental counseling. Occurrence of complications and duration of hospital stay were analyzed. Results There was no significant difference in anxiety status between groups before surgery; after surgery, psychological disturbance in PC group was significantly less than that in GC group [ before surgery 2 cases(11. 1％) vs 2 cases(11. 1％),χ2 =0. 000, P=1. 000;after surgery 0 vs 4 cases(22. 2％),χ2 =4. 500, P=0. 034 ] . Serious complications occurred in 12 cases ( 33. 3％) , including 9 cases of permanent pacemaker implantation, 1 case of severe femoral puncture site infection, 1 case of TAVR failure due to coronary artery obstruction( anatomical structural variation) and 1 case of transfer to cardiac surgery due to pericardial tamponade. There was no significant difference in perioperative complications between groups ( P=0. 480 ) . Average hospital stay time in PC group was significantly shorter than that in GC group[(9 ±5)d vs (12 ±6)d, t=2.040, P=0.044]. Conclusion Psychological care in patients undergoing TAVR can promote postoperative rehabilitation and shorten hospital stay.
Keywords：Aortic stenosisTranscatheter aortic valve replacementPsychological care
Publication Date：2020-04-08
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 539-541 )