Effects of nurse-led transitional care program on patient outcomes following transcatheter aortic valve implantation: a randomized controlled trial

AKBABA A., MERT H.

Geriatric Nursing, vol.66, 2025 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 66
  • Publication Date: 2025
  • Doi Number: 10.1016/j.gerinurse.2025.103620
  • Journal Name: Geriatric Nursing
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, Abstracts in Social Gerontology, AgeLine, CINAHL, EMBASE
  • Keywords: Medication adherence, Nursing, Quality of life, Rehospitalization, Self-care, Transcatheter aortic valve implantation, Transitional care
  • Dokuz Eylül University Affiliated: Yes

Abstract

Objectives: This study evaluated the impact of a nurse-led transitional care program on self-care behaviors, quality of life, medication adherence, and rehospitalization rates in TAVI patients. Methods: A randomized controlled trial with two parallel groups involved 60 consenting patients. Outcomes were assessed at baseline (T0), 4 weeks (T1), and 12 weeks (T2). The Generalized Estimation Equation Model (GEE) analyzed the effects of group, time, and their interaction. Results: Compared to the usual care group, patients in the intervention group showed significant improvements in self-care and quality of life. The intervention group also had fewer rehospitalizations at T1 and T2 post-intervention. However, there was no statistically significant difference in medication adherence, except for adherence with antihypertensive treatment. Conclusion: The transitional care program improved self-care behaviors, enhanced quality of life, and decreased rehospitalization rates. Integrating transitional care programs into usual patient care in clinics holds promise for further improving patient outcomes.