Transforming the experience of aortic valve disease in older patients: A qualitative study

Abstract

Aim and objectives:To explore patients' lived experiences of daily life and coping with recovery after transcatheter aortic valve implantation (TAVI).Background: Transcatheter aortic valve implantation is increasingly used to treat older patients with severe aortic stenosis with high surgical risk. This novel treatment has been shown to be effective in relieving symptoms, improving survival and prognosis, but its impact on patients' daily life has been sparsely explored. Design: Qualitative design.Methods: Qualitative interviews were conducted in a purposeful sample of ten patients three-four months after TAVI. A phenomenological hermeneutical approach comprised an epistemological stance and Ricoeur's work inspired the qualitative methodological foundation. The study adhered to the COREQ guidelines.Results: This study is illuminating patients' perception of recovery after TAVI. The patients experienced a transformation of bodily sensations, a changed bodily attention and enhanced physical possibilities to cope with life. Undergoing TAVI changed the pre-treatment symptoms that limited daily activities, allowing the patients to resume or participate in activities that were previously impossible. TAVI gives patients the feeling that they can do more than before, which strengthens their faith in the body's possibilities and means that they can live a more self-reliant and independent life. Conclusion:For older patients, TAVI can serve to bolster a sense of trusting their own body again. A clear distinction between pre-and post-TAVI is recognised.Patients may be able to resume everyday activities following TAVI. The recovery process, however, must take into account the individual patient's own resources.Relevance to clinical practice: The impact of TAVI on daily life activities should be communicated to the patient in decision-making. Recovery depends on the patient's own effort, why identification of the patients who need support for recovery after TAVI as well as differentiated rehabilitation is required. Walking as a parameter should be integrated in the recovery trajectory. K E Y W O R D S aged, aortic stenosis, patient experience, qualitative research, recovery, Ricoeur, transcatheter aortic valve implantation (TAVI) SUPPORTING INFORMATION Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Kirk BH, De Backer O, Missel M.Transforming the experience of aortic valve disease in older patients: A qualitative study.

Nursing-Guided Pre-Procedural Preparation In Patients Undergoing Transcatheter Aortic Valve Replacement

“…There is experience in different countries that have already implemented their TAVR nurse protocol with excellent results. Nurse leadership and teamwork skills have helped TAVR nurse to become an essential pillar in standardizing care for these patients [13][14][15][16]23,[34][35][36]. Spain has recently drawn up a national framework protocol, which must be adapted to the local characteristics of each center [37].…”

Exploring experiences associated with aortic stenosis diagnosis, treatment and life impact among middle-aged and older adults

“…While several studies have explored patient treatment decisions and highlighted different treatment approaches to AS (Olsson, 2016;Smith & Argaez, 2019). and others have explored patient experiences specific to recovery from TAVI (Kirk et al, 2019) the literature is lacking a description of the personal experiences of patients living with AS, their discussions with health care providers around their treatment decisions, and their methods for self-management, especially among the medically managed population. The purpose of this investigation was to outline the patient experiences related to AS diagnosis, treatment, self-management, and overall personal feelings and psychological impact of the disease.…”

Last Chance Between Life and Death: Experiences of Patients with Transcatheter Aortic Valve Implantation

“…Sonuçlarımız literatürdeki diğer kalitatif araştırmalar ile benzer çıkmıştır. [8,[13][14][15][16] Olsson ve ark. [17] yaptıkları çalışmada işlem öncesi hastaların %50'sinin nefes darlığı, %25'inin yorgunluk ve %16.7'sinin göğüs ağrısı yaşadıkları saptanmıştır.…”

“…Literatürdeki 6-12 ay aralığında yapılan takip çalışmaları bu iyilik halinin giderek artış gösterdiğini belirtmektedir. [8,9,14,15,35]…”