經導管主動脈瓣膜置換術後病人之急性後期整合照護

The Post-Acute Care in Patients undergoing Transcatheter Aortic Valve Replacement

林致源(Chih-Yuan Lin) ； 王佩茹(Pei-Ju Wang)

《源遠護理》 18卷1期 (2024/03) Pp. 17-21

https://doi.org/10.6530/YYN.202403_18(1).0003

摘要

隨著人類平均壽命延長，主動脈瓣狹窄已成為當今高齡化社會中最常見的瓣膜性心臟疾病之一。由於經導管主動脈瓣置換術（Transcatheter aortic valve replacement, TAVR）無需傳統外科傷口及使用體外循環輔助即可進行瓣膜置換，加上恢復時間短等優點，成為目前治療嚴重主動脈瓣狹窄且有心衰竭症狀病人之治療首選方案。然而，TAVR術後仍可能出現各種與手術相關的併發症，因此護理人員需熟悉可能併發症，並在黃金治療時期提供優質的急性後期整合照護，以幫助病人在手術治療後儘快復原，預防且即時處置可能的併發症，提升生活品質及減輕當今高齡社會照護體系之負荷。

關鍵字

主動脈瓣狹窄 ； 經導管主動脈瓣置換術 ； 急性後期整合照護

並列摘要

As human lifespans lengthen and populations age, aortic stenosis has become a prevalent heart diease. Transcatheter aortic valve replacement (TAVR) has shifted the treatment landscape, now preferred for severe cases. Despite its effectiveness, TAVR carries risks such as bleeding and stroke. Nursing interventions and implementing post-acute care play a crucial role in patient recovery, lowering readmissions, improving outcomes, and boosting quality of life while alleviating burden on the healthcare system. The purpose of this article is to update nurses on the latest trends in post-TAVR patient care and provide pertinent knowledge for their management.

並列關鍵字

aortic stenosis ； transcatheter ； aortic valve replacement ； post-acute care

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