A Study on the Application of the Timing-It-Right Framework Combined with Phase I Cardiac Rehabilitation Model in Patients Undergoing Transcatheter Aortic Valve Replacement

Wenming CHEN; Jinghong PI; Xintong FU; Yueqing CHEN; Hua LI

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Wenming CHEN, Jinghong PI, Xintong FU, Yueqing CHEN, Hua LI, . A Study on the Application of the Timing-It-Right Framework Combined with Phase I Cardiac Rehabilitation Model in Patients Undergoing Transcatheter Aortic Valve Replacement[J]. Journal of Kunming Medical University.

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A Study on the Application of the Timing-It-Right Framework Combined with Phase I Cardiac Rehabilitation Model in Patients Undergoing Transcatheter Aortic Valve Replacement

Department of Cardiovascular Surgery，Yan'an Hospital Affiliated to Kunming Medical University/Kunming Yan'an Hospital/Yunnan Clinical Medical Center of Heart Diseases/Yunnan Medical Research Center of Cardiovascular Diseases/Yunnan Key Laboratory of Cardiovascular Diseases，Kunming Yunnan 650051，China

Received Date: 2025-05-17
Available Online: 2025-11-01

Abstract

Abstract

Objective To integrate the Timing It Right （TIR） framework with Phase I Cardiac Rehabilitation （CR） strategies to develop a staged, individualized rehabilitation protocol for patients after Transcatheter Aortic Valve Replacement （TAVR） and verify its clinical effectiveness. Methods A quasi-experimental study design was employed. A total of 128 TAVR patients admitted to Kunming Yan'an Hospital between January 2023 and December 2024 were selected as participants and randomly assigned via a random number table to either an intervention group （n = 64） or a control group （n = 64）. The control group received routine care, while the intervention group received TIR theory-based Phase I cardiac rehabilitation nursing care in addition to routine care. This intervention was implemented across three stages: diagnostic, perioperative, and discharge preparation period. Comparisons were made between the two groups regarding Left Ventricular Ejection Fraction （LVEF）, the 6-Minute Walk Test （6MWT） distance, the incidence of Major Adverse Cardiac and Cerebrovascular Events （MACCE）, scores across all domains of the China Questionnaire of Quality of Life in patients with Cardiovascular Diseases （CQQC）, and patient satisfaction before and after the intervention. Results After the intervention, the intervention group demonstrated significantly higher LVEF and 6MWT results at both discharge and 3 months postoperatively compared to the control group （P < 0.05）. The incidence of MACCE was significantly lower in the intervention group （4.84%） than in the control group （13.33%）. Scores across all CQQC domains and patient satisfaction were significantly superior in the intervention group than in the control group （P < 0.05）. Furthermore, The length of ICU stay and total hospitalization duration were significantly shorter in the intervention group compared to the control group （P < 0.05）. Conclusion Phase I cardiac rehabilitation nursing care based on the Timing It Right theory effectively improves cardiac function and exercise tolerance in TAVR patients, reduces the risk of MACCE, enhances quality of life and nursing satisfaction, and promotes patient recovery. It is worthy of clinical application and promotion.
- Transcatheter aortic valve replacement,
- Timing it right theory,
- Cardiac rehabilitation,
- Cardiac function,
- Quality of life

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