The effectiveness of a nurse-led of home-based cardiac rehabilitation based on instant information intervention in the prognosis of patients with TAVR: a randomized controlled trial protocol.

Autor: Jia YY; Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China; Nursing Department, Zhejiang University School of Medicine, Hangzhou, 310000, China., Dong MQ; Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China., Feng J; Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China., Hu JN; Nursing Department, Zhejiang Chinese medical university, Hangzhou, 310000, China., Hu HT; Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China., Yuan TM; Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China., Song JP; Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310000, China. Electronic address: zrxwk1@zju.edu.cn.
Jazyk: angličtina
Zdroj: Current problems in cardiology [Curr Probl Cardiol] 2024 Dec 08, pp. 102967. Date of Electronic Publication: 2024 Dec 08.
DOI: 10.1016/j.cpcardiol.2024.102967
Abstrakt: Background: Patients with poor prognosis after TAVR surgery require high-quality cardiac rehabilitation. Digital home-based rehabilitation based on real-time information intervention can improve outcomes. However, the parameters of the text message intervention, such as text message content, intervention duration, text message frequency, and other parameters, may vary.
Methods: This is an evaluator-blinded randomized controlled trial. TAVR patients will be recruited from the cardiology intensive care unit of a hospital and randomly assigned to either the control group or the experimental group. The control group will receive standard cardiac rehabilitation, while the experimental group will receive instant message rehabilitation intervention over three months in addition to the standard care. The primary outcomes are home cardiac rehabilitation adherence and six-minute walk distance. Secondary outcomes include quality of life, frailty quality, and activities of daily living scale scores, incidence of adverse events, death during follow-up, NYHA functional classification, readmission rate, length of hospital stay. Data will be collected at three time points: baseline, three months after intervention, and six months after intervention. Generalized equation assessment will be used to evaluate the effectiveness of the instant message intervention.
Discussion: Using behavior change theory as the overall framework, guided by behavior change techniques and based on evidence-based medicine, a digital HBCR intervention program that can be implemented by caregivers has been designed. If the intervention proves effective, it will promote the development of home-based rehabilitation for TAVR patients.
Trial Registration: NCT06418555.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Inc.)
Databáze: MEDLINE
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