Application research on a discharge preparation service plan for patients undergoing transcatheter heart valve surgery
10.3761/j.issn.0254-1769.2025.12.005
- VernacularTitle:经导管心脏瓣膜手术患者出院准备服务方案的应用研究
- Author:
Qiaozhen YANG
1
;
Huafen WANG
;
Li ZHENG
;
Xia CHEN
;
Xujing ZHU
;
Danni XU
Author Information
1. 310003 杭州市 浙江大学医学院附属第一医院护理部
- Publication Type:Journal Article
- Keywords:
Valvular Heart Disease;
Transcatheter Heart Valve Replacement;
Discharge Preparation Service;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(12):1440-1447
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application effects of a discharge planning service program based on King's Goal Attainment Theory in patients undergoing transcatheter heart valve surgery.Methods Using convenience sampling method,80 patients who underwent transcatheter heart valve surgery at a tertiary comprehensive hospital in Zhejiang Province from August 2023 to January 2024 were selected as the research subjects.Among them,40 patients from November 2023 to January 2024 were selected as an experimental group.A discharge preparation service plan for patients undergoing transcatheter heart valve surgery based on King's Goal Attainment Theory was adopted.Totally 40 patients who underwent transcatheter heart valve surgery from August to October 2023 were selected as a control group and underwent routine measures for discharge preparation.The differences in the scores of the discharge preparation scale,discharge guidance quality scale,self-management scale for patients after mechanical heart valve replacement surgery,and unplanned readmission rate were compared between 2 groups before and after intervention.Results During the application of the plan,a total of 2 cases were excluded,and 38 cases were included in the experimental group and 40 cases were included in the control group.After intervention,the experimental group had higher scores in discharge readiness,discharge guidance quality,and self-management ability than the control group,and the differences were statistically significant(P＜0.001).The unplanned readmission rate within 30 days in the experimental group(2.63％)was lower than that in the control group(7.50％),and the difference was not statistically significant(P＞0.05).Conclusion The discharge preparation service plan for patients undergoing transcatheter heart valve surgery based on King's Goal Attainment Theory can improve the discharge preparation,discharge guidance quality,and self-management ability of patients undergoing transcatheter heart valve surgery,and has a positive effect on improving their quality of life.
