Application of demand orientation-based standardized management regimen combined with non-invasive hemoglobin monitoring in the intervention of patients after transcatheter aortic valve implantation
Objective To explore the application effect of demand orientation-based standardized management regimen combined with non-invasive hemoglobin monitoring in the intervention of patients after transcatheter aortic valve implantation(TAVI).Methods Two hundred and two patients with TAVI admitted to our hospital from December 2022 to July 2023 were selected.Based on the implementation time of demand orientation-based standardized management regimen combined with non-invasive hemoglobin monitoring in our hospital,the patients were divided into a control group(n=102)and an observation group(n=100).The imple-mentation time of the control group was from December 2022 to March 2023 and the observation group was from April 2023 to July 2023.The control group was given routine nursing model intervention.The observation group was given demand orientation concept-based standardized management regimen combined with non-invasive hemoglobin monitoring intervention.The complications such as perivalvular leakage,conduction block and local bleeding and adverse events such as valve leaflet shedding,valve insufficiency and valve dysfunction were recorded in both groups within 3 months after surgery.The cardiac function indicators such as left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),left atrial diameter(LAD)and left ventricular ejection fraction(LVEF),hemoglobin concentration,psychological state estimated by Connor-Davidson Resilience Scale(CD-RISC)and quality of life estimated by MOS 36-Item Short-From Health Survey(SF-36)after 3 months of intervention were compared between the two groups.Results Within 3 months after surgery,the incidence rates of complications and adverse reactions in the observation group were significantly lower than those in the control group(P＜0.05).After 3 months of intervention,the hemoglobin concentration,CD-RISC scores and SF-36 scores in the observation group were significantly higher than those in the control group(P＜0.05)while the cardiac function indicators(LVEDD and LVESD)were significantly lower than those in the control group(P＜0.05).There were no statistical differences in LAD and LVEF between the two groups(P＞0.05).Conclusions Demand orientation-based standardized management regimen combined with non-invasive hemoglobin monitoring has a good application effect for patients after TAVI surgery.It can significantly reduce the occurrence of complications and adverse reactions,promote the recovery of hemoglobin level,and improve the quality of life.
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