Journal of Vascular Nursing最新文献

{"title":"Health literacy in stroke disease: A systematic review","authors":"Migena Ymeraj RN, MSc ,&nbsp;Fatjon Kotica RN, MSc ,&nbsp;Giorgia Bozzolan RN, MSc ,&nbsp;Gennaro Rocco PhD, MScN, Ed.M, RN, FFNMRCSI, FESNO, FAAN ,&nbsp;Michele Virgolesi RN, PhD (Assistant Professor) ,&nbsp;Rosaria Alvaro RN, MSN, FESC, FAAN (Professor) ,&nbsp;Ercole Vellone RN, PhD, FESC, FAAN (Associate Professor) ,&nbsp;Gianluca Pucciarelli RN, PhD, FAHA (Associate Professor)","doi":"10.1016/j.jvn.2025.01.001","DOIUrl":"10.1016/j.jvn.2025.01.001","url":null,"abstract":"<div><h3>Background</h3><div>Health literacy has been demonstrated to be a factor that influences patients’ ability to retain clinical education and counselling.</div></div><div><h3>Aims</h3><div>To describe: (1) the importance of health literacy in the prevention of stroke; (2) the correlation of risk factors with health literacy; and (3) the importance of health literacy in post-stroke outcomes.</div></div><div><h3>Methods</h3><div>A systematic review was conducted using the following databases: PubMed (via Medline), CINAHL (via EBSCO), PsycINFO (via EBSCO), and Web of Science (via EBSCO) for studies focused on health literacy in stroke. We included qualitative, quantitative and observational studies. The critical appraisal tool of JBI-Checklists was used to assess the methodological quality of the included studies.</div></div><div><h3>Results</h3><div>Thirty-three studies, involving 35,935 participants, were selected for this systematic review. Most of the studies (41 %) were cross-sectional. Health literacy levels among the general population and stroke patients were found to be relatively low, indicating the need for increased stroke education. Hypertension and stress were the most frequently identified risk factors while pregnancy and oral contraceptives, and anticoagulants were the least. People at risk of stroke have indicated a desire for more practical information and individually tailored behavioral interventions.</div></div><div><h3>Conclusions</h3><div>The results of this study highlighted the deficiency in health literacy among different populations. We noticed that even a simple educational intervention can help to improve health literacy. Targeting the general public is important in order to rapidly translate knowledge into action and to reduce the time from symptom onset to hospital arrival as time plays an important role in stroke.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 33-45"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deep vein thrombosis risk and preventive nursing practices in surgical patients: A descriptive cross-sectional study","authors":"Arzu Aslan Basli Ass. Prof., RN, MSc, PhD,&nbsp;Duygu Kurt Ass. Prof., RN, MSc, PhD","doi":"10.1016/j.jvn.2024.12.001","DOIUrl":"10.1016/j.jvn.2024.12.001","url":null,"abstract":"<div><h3>Background</h3><div>Deep vein thrombosis (DVT) is a major life-threatening complication in surgical patients. It is the responsibility of the surgical team (including the nurse) to determine the risk of DVT. The nurses play an important role in the identification and management of DVT risks.</div></div><div><h3>Objective</h3><div>This study aims to evaluate the risk of DVT and the implementation of preventive nursing practices among patients hospitalized in surgical wards.</div></div><div><h3>Material and Method</h3><div>The descriptive cross-sectional study was conducted among patients who underwent inpatient surgical procedures in the surgical wards of Orthopedics and Traumatology, General Surgery, Cardiovascular Surgery, and Neurosurgery of a university hospital during a six-month period from October 2023 to March 2024. Data were collected using the “Introductory Information and Nursing Interventions Identification Form” and the “Autar Deep Vein Thrombosis Risk Assessment Scale”.</div></div><div><h3>Results</h3><div>During the postoperative period, 31.6 % of patients were mobilized within the first 8 h, 64.5 % used graduated compression stockings, 92.3 % did not receive intermittent pneumatic compression, 66.5 % received anticoagulant medication, and 52.3 % did not perform foot and leg exercises. The mean total score of the Autar DVT Risk Assessment Scale was 12.03±4.29. According to the Autar DVT Risk Assessment Scale, 29 % of the patients were classified as high risk for deep vein thrombosis. Of the patients with high risk for DVT, 17.8 % underwent mobilization within the first 8 h, 64.5 % underwent graduated compression, 8.9 % underwent intermittent pneumatic compression, 84.4 % received anticoagulant, and 40 % performed foot and leg exercises.</div></div><div><h3>Conclusions</h3><div>The study results suggest that preventive nursing practices for DVT are consistent with evidence-based practices. Standardizing mobilization protocols, incorporating foot and leg exercises, and using evidence-based checklists are recommended for the prevention of DVT.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 27-32"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swallow evaluation tool to reduce aspiration among acute stroke patients: A quality improvement project","authors":"Ekta Koirala DNP, FNP- BC,&nbsp;Carolyn Greely DNP, CRNP, BSN,&nbsp;Suzanna Fitzpatrick DNP, ACNP-BC, FNP-BC, FAANP","doi":"10.1016/j.jvn.2024.11.001","DOIUrl":"10.1016/j.jvn.2024.11.001","url":null,"abstract":"<div><h3>Problem &amp; Purpose</h3><div>Dysphagia, a common yet often underdiagnosed neurological symptom after an acute stroke, can lead to life-threatening aspiration pneumonia. A three-month chart review at the project site revealed 42.5 % incidence of aspiration among acute stroke patients, necessitating additional intervention and cost for stabilization. Literature suggests that early dysphagia screening using a validated tool is associated with decreased aspiration and complications. However, the project site employed a screening tool that lacks validation, and completion within 24 h was &lt;50 %. This quality improvement initiative aimed to reduce aspiration risk among acute stroke patients by implementing the Yale Swallow Protocol tool (YSP), within 24 h of admission.</div></div><div><h3>Methods</h3><div>Over a 15-week implementation period in the fall of 2023, the YSP tool was included in the nurses' admission bundle at a stroke-certified neurological intermediate care unit. All eligible patients screened using the YSP tool were referred to a speech-language pathologist (SLP) if they failed the test. Nurses received education prior to and during implementation. Weekly audits assessed the number of patients screened and the utilization of the YSP tool.</div></div><div><h3>Result</h3><div>Out of 63 eligible patients, 37 (59 %) were screened within 24 h of admission. Of those screened, 29 met exclusion criteria in step one and were referred for SLP evaluation. Four failed the water swallow test in step two and were referred to SLP, and 4 passed the screening and were cleared for regular diet. Three patients were identified with aspiration pneumonia of the 37 screened. Overall, there were 59 % compliance with using the tool.</div></div><div><h3>Conclusion</h3><div>YSP is a quick, easy-to-follow, and effective tool to screen acute stroke patients within 24 h of admission. Further studies should explore its implementation in other areas including the Emergency Department where acute stroke patients are initially encountered. Nurses can safely utilize the tool with ongoing education on aspiration prevention.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 1-9"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using a standardized pain management approach through regional anesthesia for major limb amputation patients","authors":"Sarah Meadowcroft DNP, ACNP-BC ,&nbsp;Johnny Gayden DNP, CRNA ,&nbsp;Suzanna Fitzpatrick DNP, ACNP-BC","doi":"10.1016/j.jvn.2024.11.003","DOIUrl":"10.1016/j.jvn.2024.11.003","url":null,"abstract":"<div><h3>Problem</h3><div>The Vascular Surgery department at a large academic institution lacked a formalized approach to manage complex pain experienced by patients undergoing major limb amputation (MLA). Consequently, MLA patients averaged 2,352.2 total morphine milliequivalent (MME) and had prolonged hospitalizations averaging 21 days.</div></div><div><h3>Purpose</h3><div>This quality improvement (QI) project is to create a formalized clinical approach for the provider to manage the MLA patient's pain effectively. This approach ensures the application of evidence-based regional anesthesia (RA) for all eligible MLA patients.</div></div><div><h3>Methods</h3><div>The 22 providers managing MLA patients assessed a numeric pain score (NPS) at the time of MLA consent. Patients reporting an NPS of four or higher were triaged into the RA section of this process where the provider requested RA application by the pain team. To ensure process completion, these clinicians completed an embedded MLA checklist in the daily progress note. Utilizing a QR code, the providers submitted identified barriers for implementation via a survey. The project lead performed chart audits assessing total MME, NPS, and length of stay (LOS).</div></div><div><h3>Results</h3><div>Vascular surgeons performed 11 MLAs, with 73 % completing the provider survey and 64 % compliance with the checklist. Of the MLA patients, 64 % reported NPS of four or higher, 57 % of which successfully received RA. The average NPS scores on post-operative day one improved from an average of 4.7 (pre-operative) to 3.2 on post-operative day one. However, the average NPS elevated to a score of five by discharge. These 11 MLA patients averaged a 28.4-day LOS and experienced a significant reduction (approximately 65 %) in total MME from pre-implementation requiring an average of 842.5 MME for their hospitalization.</div></div><div><h3>Conclusions</h3><div>While the new approach did not show improvement in LOS or NPS, there was a substantial reduction in total MME required by these patients. This formalized framework aids the effective management of the MLA patient's pain. For sustainability, improved education and sedation training of the advanced practice providers will allow for bedside RA application. There is a marked need to develop a formalized transition from RA to an oral pain regimen prior to discharge to provide adequate long-term coverage.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 18-22"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(25)00011-1","DOIUrl":"10.1016/S1062-0303(25)00011-1","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Page A3"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research Article: Corroon, J., Bradley, R., Grant, I., Daniels, M. R., Denenberg, J., Bancks, M. P., & Allison, M. A. (2024). Regular cannabis smoking and carotid artery calcification in the Multi-Ethnic Study of Atherosclerosis (MESA). Vascular medicine (London, England), 1358863 × 241287690. Advance online publication. https://doi.org/10.1177/1358863X241287690","authors":"Debra Kohlman-Trigoboff RN, MS, ACNP-BC, CVN","doi":"10.1016/j.jvn.2025.02.001","DOIUrl":"10.1016/j.jvn.2025.02.001","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 61-62"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for authors","authors":"","doi":"10.1016/S1062-0303(25)00010-X","DOIUrl":"10.1016/S1062-0303(25)00010-X","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Page A2"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case report: Treatment of chronic venous ulceration","authors":"Eleanor Dunlap DNP, ACNP-BC,&nbsp;Suzanna Fitzpatrick DNP, ACNP-BC, FNP-BC, FAANP,&nbsp;Khanjan Nagarsheth MD","doi":"10.1016/j.jvn.2024.11.005","DOIUrl":"10.1016/j.jvn.2024.11.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic venous insufficiency (CVI) is a complex condition characterized by venous hypertension that can cause pain, swelling, edema, skin changes, or ulcerations of the leg, involving either the deep or superficial venous system. Venous ulcerations result from elevated ambulatory venous pressure or venous hypertension, leading to limb edema. The mainstay of treatment for this edema has been and continues to be compression therapy. Despite optimal medical therapy with external compression, venous ulcers of the lower extremities can be a chronic, long-term problem with recurrence rates as high as 70 %.</div></div><div><h3>Case Report</h3><div>Herein, we describe a case of utilizing the best medical and surgical therapies including advanced wound care products to treat CVI and close chronic venous ulceration. A 66-year-old African American man with a history of heart failure and preserved ejection fraction, hypertension, hepatitis C, and CVI with recurrent bilateral venous ulcerations presented to the vascular surgery clinic for evaluation. Imaging was suggestive of normal arterial perfusion, and a venous reflux study, which was positive for diffuse venous reflux in the right leg along with an area of the greater saphenous vein in the calf with an arterial waveform concerning for arterial-venous fistula. He underwent sclerotherapy to the perforator vein, which was acting as an AVF feeding the ulceration. Conservative treatment with Unna boot and compression, the wound decreased in size and serial debridement with advanced wound care products were used to made to aid in the closure of this chronic wound.</div></div><div><h3>Conclusion</h3><div>Chronic venous insufficiency can lead to venous leg ulcerations, accounting for 80 % of all leg ulcerations. Treatment of the underlying CVI with surgical intervention and conservative compression therapy may not be enough to close a chronic venous ulcer alone. The SVS guidelines on managing venous ulcerations include comprehensive care, including compression therapy, local wound debridement, control of bioburden, wound moisture balance, and the possible use of advanced wound care products for chronic wounds.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 23-26"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of training on satisfaction and anxiety levels in stroke patients receiving warfarin treatment","authors":"Fadime Aynal Msc RN ,&nbsp;Selda Arslan PhD","doi":"10.1016/j.jvn.2025.01.004","DOIUrl":"10.1016/j.jvn.2025.01.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Due to the narrow therapeutic range of warfarin, patients require close monitoring. This study aimed to examine the effects of training provided to stroke patients receiving warfarin treatment on their perception of satisfaction and state of anxiety.</div></div><div><h3>Methods</h3><div>This quasi-experimental study used a pretest-posttest design with similar groups and a control group.</div></div><div><h3>Results</h3><div>Comparison of the posttest scores on the Duke Anticoagulation Satisfaction Scale revealed that the experimental group had significantly lower mean scores on the positive subscale and the total scale compared to the control group. When the Time in Therapeutic Range (TTR) status was evaluated, it was observed that 69.9 % of the patients in the intervention group and 21.7 % of the patients in the control group achieved a TTR ratio of 60 % or above.</div></div><div><h3>Conclusions</h3><div>Training provided to stroke patients receiving warfarin therapy improved their TTR ratio and increased their satisfaction levels but did not affect their anxiety levels. Based on these findings, it is recommended to prepare standardized training materials to enhance patient outcomes.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 55-60"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing anxiety in men undergoing surveillance in the NHS abdominal aortic aneurysm screening programme: A survey of screening staff in England","authors":"Elizabeth Lumley ,&nbsp;Jane Hughes ,&nbsp;Alan Elstone ,&nbsp;Jo Hall ,&nbsp;Niall MacGregor-Smith ,&nbsp;Jonathan Michaels ,&nbsp;Akhtar Nasim ,&nbsp;Stephen Radley ,&nbsp;Phil Shackley ,&nbsp;Gerry Stansby ,&nbsp;Emily Wood ,&nbsp;Alicia O'Cathain","doi":"10.1016/j.jvn.2024.11.002","DOIUrl":"10.1016/j.jvn.2024.11.002","url":null,"abstract":"<div><h3>Background</h3><div>AAA is an enlargement in the aorta that can increase in size and rupture. In England, the National Health Service (NHS) AAA Screening Programme offers screening to all men aged 65 to identify those with an AAA. Men with small or medium sized aneurysm enter surveillance where they receive ultrasound scans annually or every three months respectively. Due to concerns about mortality from AAA rupture, anxiety levels may be high for men and their families and impact on their quality of life.</div></div><div><h3>Aim</h3><div>To obtain the views of staff providing Abdominal Aortic Aneurysm (AAA) screening on how best to help men in surveillance to manage AAA-related anxiety.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey of the 38 AAA regional screening services in England was conducted. Four staff with different roles from each service (doctor, nurse, manager and scanning technician) were asked to complete an online questionnaire.</div></div><div><h3>Results</h3><div>The response rate was 71 % (27/38) for regional AAA screening services and 65 % (99/152) for the staff approached. 93 % (79/84) of respondents strongly or somewhat agreed that men in surveillance may need help to manage anxiety. The size of the aneurysm was rated as the factor most likely to cause anxiety. 63 % (51/81) considered AAA Programme Nurses to be the best people to deliver an intervention. Staff suggested that improved information about AAA and associated risks, group support/networking sessions, and more contact with the screening service were ways of helping with management of anxiety.</div></div><div><h3>Conclusion</h3><div>Staff providing AAA screening recognised that being in surveillance can cause anxiety for men and their families, and identified that potential interventions, such as organised support groups and improved provision of information, might help manage anxiety. Programme Nurses were considered the ideal healthcare professional to help men in surveillance manage AAA-related anxiety.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 1","pages":"Pages 10-17"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}