» Articles » PMID: 34321032

A Multidisciplinary Team Nursing Model in the Treatment of Patients Undergoing Transapical Mitral Valve Clamping: a Prospective Study

Overview
Authors
Affiliations
Soon will be listed here.
Abstract

Background: As a new surgical method for older adults with cardiac insufficiency, transapical mitral valve clamp surgery requires the cooperation of practitioners across multiple disciplines to ensure appropriate treatment and nursing care. This study aimed to explore the utility of a multidisciplinary team nursing model in the clinical treatment and nursing care of patients undergoing transapical mitral valve clamping.

Methods: Our sample of ten patients included four men (40%) and six women (60%), with a mean age of 71.4 ± 5.2 years. The multidisciplinary team comprised nurses that specialized in severe illness, cardiac health, rehabilitation, psychology, nutrition, and pain. The team engaged in comprehensive discussions regarding problems specific to the patients undergoing transapical mitral valve surgery, allowing them to formulate individualized nursing measures and implement precise policies.

Results: No serious postoperative complications occurred in any of the ten patients included in this study, and a significant improvement was noted in the cardiac status of all the patients. Color ultrasound findings at discharge indicated that the degree of reflux of all the patients was ≤2+. Among the ten patients, the Activity of Daily Living Scale scores at discharge were significantly higher than before the operation (69.0 ± 4.6 vs. 55.0 ± 5.8). In addition, the 6-min walking test results at discharge were significantly better than those observed before the operation (318.0 ± 21.7 m vs. 295.2 ± 18.4 m).

Conclusions: Utilization of a multidisciplinary team allows nurses across various specialties to provide more comprehensive and systematic care for patients undergoing a mitral valve clamping operation, thus promoting patient recovery.

Citing Articles

Omniparticle Contrast Agent for Multimodal Imaging: Synthesis and Characterization in an Animal Model.

Robertson N, Sempere L, Kenyon E, Mallet C, Smith K, Hix J Mol Imaging Biol. 2022; 25(2):401-412.

PMID: 36071300 PMC: 9989039. DOI: 10.1007/s11307-022-01770-w.

References
1.
Russo N, Compostella L, Tarantini G, Setzu T, Napodano M, Bottio T . Cardiac rehabilitation after transcatheter versus surgical prosthetic valve implantation for aortic stenosis in the elderly. Eur J Prev Cardiol. 2013; 21(11):1341-8. DOI: 10.1177/2047487313494029. View

2.
van Venrooij L, de Vos R, Borgmeijer-Hoelen M, Haaring C, de Mol B . Preoperative unintended weight loss and low body mass index in relation to complications and length of stay after cardiac surgery. Am J Clin Nutr. 2008; 87(6):1656-61. DOI: 10.1093/ajcn/87.6.1656. View

3.
De Castro C, Murphy L, Battistella M . Pain assessment and management in hemodialysis patients. CANNT J. 2013; 23(3):29-32. View

4.
Latib A, Ancona M, Ferri L, Montorfano M, Mangieri A, Regazzoli D . Percutaneous Direct Annuloplasty With Cardioband to Treat Recurrent Mitral Regurgitation After MitraClip Implantation. JACC Cardiovasc Interv. 2016; 9(18):e191-2. DOI: 10.1016/j.jcin.2016.06.028. View

5.
Glowacki D . Effective pain management and improvements in patients' outcomes and satisfaction. Crit Care Nurse. 2015; 35(3):33-41. DOI: 10.4037/ccn2015440. View