Effect of Interventional Program on Symptoms Management for Patients Post Trans-Catheter Aortic Valve Replacement

Abstract

Background: Interventional program considers as a method that contributes in increasing knowledge and subsequently enhancing symptoms management for patients post transcatheter aortic valve replacement (TAVR). The positive atmosphere was created among the studied patients through interventional program encourage them to learn new knowledge and acquire health practices in order to manage their discomfort symptoms post TAVR. Aim: this study aims to assess the effect of interventional program on symptoms management, knowledge and practice level for patients post trans-catheter aortic valve replacement. Design: A quazi experimental design was used. Setting: This study was conducted in the Cardiac Critical Care Unit at Cardio- Thoracic academy which affiliated to Ain Shams university hospital, Cairo, Egypt. Subjects: A purposive subject of 80 adult patients from both gender post trans-catheter aortic valve replacement were recruited from the previously mentioned setting. Data collection tools: (1) Patients' structured interview questionnaire, (2) Patients’ Cardiac Symptoms Survey. (3) Patients' knowledge regarding symptoms management post TAVR assessment tool. (4) Patients' observational checklist regarding symptoms management post TAVR. Results: Showed significant difference between cardiac symptoms of the studied patients pre and post the interventional program post TransCatheter Aortic Valve Replacement at (p< 0.05). Also, there was statistically significant difference among the studied patients regarding satisfactory level of knowledge and practice post the interventional program post Trans- Catheter Aortic Valve Replacement at (p< 0.05) compared to the pre level. Conclusions: The implementation of interventional program for patients post TAVR improve the patients' cardiac symptoms management, level of knowledge and practice. Recommendations: Implementing interventional program for educating patients undergoing TAVR is very important in order to enhance their knowledge and practice regrading symptoms management.