接受經導管主動脈瓣膜植入術之主動脈瓣狹窄患者的生活經驗：系統性文獻回顧

Lived Experiences of Patients with Aortic Valve Stenosis After Transcatheter Aortic Valve Implantation: A Systematic Review

背景：經導管主動脈瓣膜植入術（transcatheter aortic valve implantation，TAVI）運用於主動脈瓣狹窄（aortic valve stenosis，AS）之治療已多年，但關於TAVI術後患者生活經驗之文獻甚少，且未搜尋到類似此議題之質性系統性文獻回顧。本文認為瞭解TAVI術後患者的生活經驗，提供個別性護理是臨床護理的重要議題。
目的：本文運用質性系統性文獻回顧，目的在瞭解TAVI術後患者的生活經驗。
方法：依循實證研究步驟針對華藝線上圖書館學術網，CINAHL，Cochrane，MEDLINE和PubMed等五個資料庫，進行系統性文獻檢索，篩選2010年1月至2026年2月之質性研究文章，最終納入3篇，並以Joanna Briggs Institute之質性研究評讀工具進行文獻評析。
結果：研究結果衍生四個主題及四個類別，如下：1.症狀改善與身體功能：（1）症狀改善、（2）精力與日常生活功能的恢復。2.情緒反應與心理調適。3.出院的安全感與擔憂照護安排。4.復健：（1）多元的復健、（2）自身為復健的核心。
結論與應用：本文結果可提供臨床照護指引之參考，以促進TAVI運用於AS之醫療照護成效，惟仍需提醒讀者，本文之結果來自歐洲的研究情境，故容易受資料豐富性影響，建議未來進一步探討不同文化間，TAVI術後經驗上之不同關注重點。

Background: Transcatheter aortic valve implantation (TAVI) has been used for the treatment of aortic stenosis for many years; however, research focusing on patients’lived experiences following TAVI remains limited. To date, no qualitative systematic review specifically addressing post- TAVI patient experiences have been identified. Understanding patients’lived experiences after TAVI is essential for the provision of individualized nursing care and represents an important issue in clinical nursing practice.
Aims: This study employed a qualitative systematic review to explore the lived experiences of patients following TAVI.
Methods: Following evidence-based research procedures, a systematic literature search was conducted across five databases-Airiti Library, CINAHL, Cochrane Library, MEDLINE, and PubMed- to identify qualitative studies published between January 2010 and February 2026 were screened. Three studies met the inclusion criteria and were critically appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research.
Results: The synthesis generated four themes with four categories: (1) symptom relief and improvement in physical functioning, including symptom alleviation and restoration of energy and daily activities; (2) emotional responses and psychological adjustment; (3) a sense of safety at discharge alongside concerns regarding post-discharge care arrangements; and (4) rehabilitation, the adoption of diverse rehabilitation and encompassing patients’self-perceived central role in recovery.
Conclusions and Applications: These findings may inform clinical care guidelines and contribute to improving healthcare outcomes for patients with aortic valve stenosis under TAVI. However, as the included studies were predominantly conducted in European contexts, future research is warranted to explore cross-cultural differences in post- TAVI experiences.