Aortic Stenosis
Conditions
Keywords
Cardiac Rehabilitation, Extended Care, Aortic Stenosis, TAVR
Brief summary
Cardiac rehabilitation is a long-term process, but patients have poor compliance with cardiac rehabilitation. The theory of behavior change rotation aims to comprehensively intervene from three aspects: ability, opportunity, and motivation, promoting individual behavior change by selecting the best intervention function and maximizing the use of available resources. To improve the compliance of TAVR patients with digital home cardiac rehabilitation, this study is based on the needs of TAVR patients and their caregivers for digital home cardiac rehabilitation. Based on the best evidence summary of TAVR patients' home cardiac rehabilitation, a home cardiac rehabilitation plan for TAVR patients is constructed using the theory of behavior change wheels. The Delphi method is used to revise the plan, develop a TAVR patient home cardiac rehabilitation management system, and conduct clinical application research on the plan to explore the intervention effect of TAVR patients' home cardiac rehabilitation based on real-time information intervention.
Detailed description
Conduct home cardiac rehabilitation assessment 1-6 days before discharge; In the first week after discharge, cultivate the patient's motivation for rehabilitation; In the second week after discharge, create a home rehabilitation environment; In the third week after discharge, health education on risk factor management; Health education on anticoagulation management in the fourth week after discharge; 5 weeks after discharge, home symptom and follow-up management education; Carry out home exercise and monitoring from 1 to 12 weeks after discharge.
Interventions
BEHAVIORALA home rehabilitation program centered on exercise
Establish a multidisciplinary team, with team members combining clinical experience, summarizing the best evidence as the basis, and using the theory of behavior change wheels as the framework, to preliminarily construct a home-based cardiac rehabilitation plan suitable for TAVR patients in China's national conditions. Conduct expert consultation using the Delphi method to form the final version of the home cardiac rehabilitation plan for TAVR patients.
Sponsors
Second Affiliated Hospital, School of Medicine, Zhejiang University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
50 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
Patients undergoing TAVR who were classified as Grade I-III by the New York Heart Association (NYHA); Patients are able to use mobile devices such as smartphones; Patients who have obtained admission qualifications after undergoing digital home cardiac rehabilitation risk assessment by the rehabilitation team; The patient and their family members voluntarily participate in this study and are willing to provide an informed consent form; Able to use remote rehabilitation diagnosis and treatment systems
Exclusion criteria
Malignant tumors or those with serious complications; Patients with hearing and visual impairments; Patients with limited physical activity due to other diseases; Patients with obvious cognitive or mental disorders; Patients without Internet connection after returning home from hospital; Patients who have participated in or participated in other trials or rehabilitation plans within the past three months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Home-based cardiac rehabilitation exercise adherence | After surgery, and 3 months after discharge | Measured at the time of the patient's follow-up visit to the clinic |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Modified Barthel Index | After surgery, and 3 months after discharge | Measured at the time of the patient's follow-up visit to the clinic |
| Minnesota Living with Heart Failure questionnaire | After surgery, and 3 months after discharge | Measured at the time of the patient's follow-up visit to the clinic |
| Tilburg Frailty Indicator | After surgery, and 3 months after discharge | Measured at the time of the patient's follow-up visit to the clinic |
| Postoperative related complications | After surgery, and 3 months after discharge | Measured at the time of the patient's follow-up visit to the clinic |
Countries
China
Outcome results
None listed