Vol. 4 No. 3 (2025): learning self-care
Articles

Optimizing Self-Care in Cardiovascular Patients Undergoing Transcatheter Aortic Valve Implantation: A Systematic Review Protocol

Francesco Limonti
Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy
Marco Abagnale
Department of Critical Care, M. Scarlato Hospital, Scafati, Local Health of Salerno, Italy
Luciano Cecere
Department of Anesthesia and Resuscitation, A.O.R.N. Antonio Cardarelli, Naples, Italy
Francesco Gravante
Department of Critical Care, Local Health Authority of Caserta, San Giuseppe Moscati Hospital, Aversa, Italy
Nicola Ramacciati
Department of Pharmacy, Health and Nutritional Sciences (DFSSN), University of Calabria, Rende (CS), Italy

Published 2025-09-30

Keywords

  • Self-Care,
  • Transcatheter Aortic Valve Intervention,
  • Health-Related Quality Of Life,
  • Systematic Review,
  • Aortic Valve Stenosis

Abstract

Introduction. Optimizing a self-care approach to support health maintenance in patients with aortic valve stenosis (AVS) who require minimally invasive transcatheter aortic valve implantation (TAVI) before and after the procedure could promote faster and more effective recovery. Additionally, this methodology may improve the perceived health-related quality of life (HRQoL) in the patients undergoing treatment, contributing to better overall outcomes through health promotion practices and disease management. This review's primary objective is to investigate self-care's effectiveness in enhancing quality of life.

Methods and materials. The literature review protocol follows PRISMA guidelines and uses the PIO framework for search terms. Studies will be identified through significant databases (PubMed, Scopus, CINAHL, Web of Science, and Cochrane Library). Methodological quality and bias risk will be assessed with JBI Critical Appraisal Tools. This review protocol has been registred on PROSPERO (No. CRD420250655531).

Results. The emerging findings could potentially contribute to refining current theories on the indications for using self-care interventions to improve the HRQoL of patients undergoing TAVI.

Discussion and conclusions. Future implications for research and clinical practice should adopt an increasingly targeted and focused approach in using self-care interventions to enhance the health-related quality of life of patients undergoing TAVI, both in terms of symptom recognition and disease management pre- and post-procedure. This systematic review will comprehensively examine the effects of the implementation of self-care methodologies on improving the quality of life in post-TAVI patients. 

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