关键词: 经导管主动脉瓣植入术；个案管理；多学科团队；心脏康复

Abstract: Objective: To explore the application of case manager-led TAVI perioperative management program in patients with aortic stenosis. Methods: Forty-two patients undergoing TAVI surgical treatment were selected from November 2019 to November 2020.Case management program was carried out by forming TAVI perioperative multidisciplinary team, case management path and intervention plan. Six Minute Walk Test (6MWT), Borg Scale and SF-12 were used to measure heart function and quality of life of patients before the surgery, before discharge, one month after and three months after the surgery. Results: Six Minute Walk Distance one month and three months after the surgery was significantly longer than that before discharge (P<0.05). There was statistical significance in terms of cardiac function in different time points (P<0.05). Quality of life of patients was significantly increased after the surgery compared with that before the surgery (P<0.05). Conclusion: The implementation of case manager-led TAVI perioperative management program is helpful to promote the recovery of cardiac function and improve the quality of life of patients.

Key words: TAVI; case management; multidisciplinary team; cardiac rehabilitation