Journal of Vascular Nursing最新文献

{"title":"Risk factors for Surgical Site Infections in Vascular Procedures: A systematic review","authors":"Maria Clara Novaes Sousa RN, MSc ,&nbsp;Flávia Falci Ercole RN, MSc, PhD ,&nbsp;Clara Marzinetti Neves ,&nbsp;Cláudia Silva Marinho RN, MSc, PhD ,&nbsp;Cícero Fidelis Lopes MD, MsN, PhD ,&nbsp;Daniel Mendes Pinto MD, MSc, PhD ,&nbsp;Gisele Nepomuceno de Andrade RN, MSc, PhD ,&nbsp;Rafael Lima Rodrigues de Carvalho RN, MSc, PhD","doi":"10.1016/j.jvn.2026.02.003","DOIUrl":"10.1016/j.jvn.2026.02.003","url":null,"abstract":"<div><div><em>Objective:</em> To identify the risk factors that may lead to a higher incidence of Surgical Site Infection in patients undergoing vascular surgery reported in publications between 2018 and 2023</div><div><em>Methodology:</em> A systematic review was carried out using the following guiding question: “In patients undergoing vascular surgery, what risk factors can lead to a higher incidence of Surgical Site Infection?”. Data relevant to SSI in vascular procedures was selected. Four electronic databases were used: Virtual Health Library, PubMed Central, SciVerse Scopus, and EMBASE, with references published from 2018 to 2023. The risk of bias was assessed using Cochrane's RoB 2.0 tool for randomized clinical trials and JBI's “Checklist for cohort studies” for cohort studies</div><div><em>Results</em>: Of the 322 articles found in the initial search, 20 studies were selected for analysis. The studies came from 9 different countries and analyzed data from 49,309 patients undergoing vascular surgery. The mean incidence of SSI calculated from all studies was 11.02%. Fifty-two distinct risk factors were identified and classified by personal history, preoperative period, comorbidities, intraoperative and postoperative periods, and laboratory tests</div><div><em>Conclusion</em>: This systematic review identified several risk factors predisposing to SSI in vascular surgery, including diabetes and glycemic status; obesity; American Society of Anesthesiologists (ASA) index; and longer surgery time, which were some of the risk factors that led to a higher incidence of SSI. Of all the studies reviewed, none were conducted in the Global South.</div><div><strong>DESCRIPTORS: Vascular Surgery, Risk Factors, Surgical Site Infection, Postoperative Complications.</strong></div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 172-179"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case study: Technical and non-technical skills in complex wound management","authors":"Sue Monaro ,&nbsp;Louise Naylor ,&nbsp;Sarah Joy Aitken ,&nbsp;Bethany Stavert ,&nbsp;Danielle Slater","doi":"10.1016/j.jvn.2026.02.001","DOIUrl":"10.1016/j.jvn.2026.02.001","url":null,"abstract":"<div><h3>Introduction</h3><div>This case study explores the illness experience of a patient with lower leg ischaemia resulting from damage to the pelvic arteries by radiotherapy. It details comprehensive person-centred care involving an integrated plan from multiple specialities. The technical and non-technical skills to provide expert wound care are overviewed.</div></div><div><h3>Case Report</h3><div>A 51-year-old female was admitted for multiple revascularisations for radiation-induced peripheral artery disease (RIPAD). Despite multiple attempts at limb salvage, she eventually required a major amputation. She had multiple co-morbidities and difficult pain management. In addition to the breakdown of her stump, she developed a pressure injury during her long length of stay.</div></div><div><h3>Conclusion</h3><div>The reflections about this patient highlight that comprehensive care for complex wounds requires advanced technical and non-technical skills. A capable workforce with adequate time to coordinate and deliver care is essential.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 117-123"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The benefits of a discharge checklist to identify care needs after stroke","authors":"Hamed Bikdeli ,&nbsp;Kazem Hosseinzadeh ,&nbsp;Ahad Alizadeh","doi":"10.1016/j.jvn.2026.02.004","DOIUrl":"10.1016/j.jvn.2026.02.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Stroke is the second and the third leading cause of death and disability worldwide, respectively. Having medical and nursing care after discharge from hospital is necessary to most older patients. The aim of this study was to develop a post stroke checklist detecting older patients who need follow up cares.</div></div><div><h3>Methods</h3><div>This checklist development study was conducted in Iran throughout 2023 to systematically screen older post-stroke patients requiring follow-up nursing care on discharge. A five-stage mixed-methods approach was employed: 1) initial checklist drafting based on a synthesis of 42 relevant studies; 2) interviews with home care nurses to identify clinical experiences and barriers; 3) interviews with patients and their families to determine care demands; 4) a multidisciplinary Delphi panel (<em>n</em> = 15) with experts in neurology, geriatrics, nursing, and social medicine to refine the checklist; and 5) clinical application over three months to evaluate detection rates compared to pre-checklist data. Content validity (CVI, CVR) and reliability (Cronbach’s α) were assessed statistically.</div></div><div><h3>Results</h3><div>The checklist structure was designed in eleven main domains, including nervous, respiratory, digestive, urinary systems, skin, movement disorders, psychological status, pain assessment, medical connections and equipment, underlying conditions, and others. The experts’ opinions were analyzed through the validation form using the Content Validity Ratio (CVR) and Content Validity Index (CVI) indices. The results of the CVR analysis showed that all items had the necessary content validity with a score higher than 0.90. Also, the CVI index for each item was higher than 0.81, and the average CVI of the overall checklist was calculated to be 0.93, all of which indicate the desired content validity of the tool.</div></div><div><h3>Conclusion</h3><div>This study developed and validated an 11-item post-stroke checklist for screening older patients requiring follow-up care. The tool provides clinicians with a standardized method to initiate timely interventions, though future studies should assess its impact on long-term patient outcomes.</div></div><div><h3>Clinical Practice Relevance</h3><div>Clinical implementation demonstrated substantially improved identifying rates. Using the checklist enabled nurses to screen significantly more targeted older patients during follow-up than they did in the same period before its implementation (86% vs. 4.7%).</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 124-127"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond ‘Walk Walk Walk’: Barriers and facilitators of physical activity in individuals with claudication","authors":"Ebuka Miracle Anieto PhD ,&nbsp;Philippa Dall PhD ,&nbsp;Ukachukwu Abaraogu PhD ,&nbsp;Ijeoma Blessing Anieto MSc ,&nbsp;Colette Ramsay ,&nbsp;Cathy Gormal ,&nbsp;Kay Smith ,&nbsp;Obinna Ejiogu PhD ,&nbsp;Chris Seenan PhD","doi":"10.1016/j.jvn.2026.02.005","DOIUrl":"10.1016/j.jvn.2026.02.005","url":null,"abstract":"<div><h3>Background</h3><div>Individuals with claudication have significantly reduced capacity for walking, which leads to worsening prognosis and decline in overall health status. Basic walking advice is usually provided to individuals with claudication during their routine clinic visits, which has very limited efficacy, resulting in little or no change in physical activity behaviour.</div></div><div><h3>Objective</h3><div>This study explored barriers and facilitators to physical activity (PA) in individuals with claudication, using the Behaviour Change Wheel (BCW) and the Socioecological Model (SEM) for behavioural diagnosis.</div></div><div><h3>Methods</h3><div>The study used a phenomenological design. A purposive sampling was used, and five individuals with claudication and three healthcare professionals participated in the study, out of a target sample size of 18 individuals. An online focus group/workshop was conducted, recorded, and transcribed verbatim. Data were coded in NVivo 12 and analyzed thematically. A deductive approach was used to map themes to BCW and SEM frameworks.</div></div><div><h3>Results</h3><div>Intrapersonal barriers included comorbidities, walking-related pain, and psychological challenges; facilitators were motivation and goal setting. At the interpersonal level, lack of social support was a barrier, while peer support and social connection were facilitators. Organizational-level barriers included lack of guidance, limited access to supervised exercise programmes (SEPs), poor communication, financial challenges, and variability in healthcare access; facilitators included alternative exercise options and access to resources and education. Recommended interventions include enablement, environmental restructuring, persuasion, education, training, and modelling.</div></div><div><h3>Conclusions</h3><div>Barriers to PA in claudication are complex and multi-level. Addressing them requires system-wide strategies, including patient education, peer-supported and personalized programmes, standardized national guidance, expanded SEP access, and reducing geographic disparities in service provision.</div></div><div><h3>Social media abstract</h3><div>Barriers to physical activity in individuals with claudication are complex and multi-level. Addressing them requires system-wide strategies @GCU @UoS</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 128-137"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative nursing management in hybrid procedures for complex stanford type B Aortic dissection: A descriptive observational study","authors":"Qian Tao BD,&nbsp;Qiujing Wang BD","doi":"10.1016/j.jvn.2026.02.006","DOIUrl":"10.1016/j.jvn.2026.02.006","url":null,"abstract":"&lt;div&gt;&lt;ul&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Hybrid repair with nursing care improved outcomes in complex type B dissection.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Protocolized blood pressure and sedation control reduced perioperative risk.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Strategies prevented spinal cord ischemia and contrast-induced kidney injury.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;li&gt;&lt;span&gt;•&lt;/span&gt;&lt;span&gt;&lt;div&gt;Standardized nursing pathways enhanced safety in hybrid aortic repair.&lt;/div&gt;&lt;/span&gt;&lt;/li&gt;&lt;/ul&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To describe perioperative nursing management strategies and clinical outcomes in patients undergoing hybrid repair for complex Stanford type B aortic dissection.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;To describe perioperative nursing management strategies and clinical outcomes in patients undergoing hybrid repair for complex Stanford type B aortic dissection.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This single-center retrospective descriptive observational study included 98 patients with acute Stanford type B aortic dissection who underwent hybrid supra-aortic branch bypass combined with thoracic endovascular aortic repair between January and December 2024. Standardized perioperative nursing protocols were implemented, focusing on hemodynamic stabilization, spinal cord ischemia prevention, contrast-induced acute kidney injury prevention, and postoperative monitoring. Clinical outcomes and perioperative complications were analyzed descriptively.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;This single-center retrospective descriptive observational study included 98 patients with acute Stanford type B aortic dissection who underwent hybrid supra-aortic branch bypass combined with thoracic endovascular aortic repair between January and December 2024. Standardized perioperative nursing protocols were implemented, focusing on hemodynamic stabilization, spinal cord ischemia prevention, contrast-induced acute kidney injury prevention, and postoperative monitoring. Clinical outcomes and perioperative complications were analyzed descriptively.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Hybrid procedures were technically successful in all patients. The mean hospital stay was 19.58 ± 6.29 days. Ninety-six patients (98.0%) were discharged in stable condition. Spinal cord ischemia occurred in one patient (1.0%) and resolved after cerebrospinal fluid drainage and medical management. Contrast-induced acute kidney injury occurred in two patients (2.0%) and resolved with hydration therapy. No patients experienced stroke, permanent neurological deficit, or graft-related complications. Wound complications were minimal and successfully managed.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Hybrid procedures were technically successful in all patients. The mean hospital stay was 19.58 ± 6.29 days. Ninety-six patients (98.0%) were discharged in stable condition. Spinal cord ischemia occurred in one patient (1.0%) and resolved after cerebrospinal fluid drainage and medical management. Contrast-induced acute kidney injury occurred in two pati","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 138-143"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing inpatient substance use disorder screening: Brief intervention and referral to treatment","authors":"Nicole Davies DNP, FNP-C, CCRN, CEN, TCRN SANE-A,&nbsp;Suzanna Fitzpatrick DNP, ACNP-BC, FNP-BC","doi":"10.1016/j.jvn.2026.03.001","DOIUrl":"10.1016/j.jvn.2026.03.001","url":null,"abstract":"<div><div><em>Problem &amp; Purpose:</em> Improving substance use disorder (SUD) screenings can enhance patient outcomes by increasing access to treatment. Hospitalization provides an opportunity to connect individuals with SUD to care. In Spring 2024, the Vascular Surgery Progressive Care Unit at a large academic medical center had a SUD screening rate of only 40%, well below the institutional goal of 100%, which delayed referrals and impacted patient outcomes. This quality improvement project aimed to increase screening rates to 100% by implementing the NIDA Single-Question Screening Tool, an evidence-based intervention. <em>Methods</em><strong>:</strong> This 15-week project occurred in the Fall of 2024 in a 12-bed Vascular Surgery Progressive Care Unit. Nursing staff integrated the screening tool into the electronic medical record. Once completed, they informed the Vascular Surgery Team during Interdisciplinary Rounds, prompting a provider consultation with the Substance Abuse Consultation Service (SACS) for further evaluation and referral. Weekly run charts tracked process and outcome measures, including screening completion rates and referrals. <em>Results:</em> The screening rate increased from 40% to 74.2%. Among patients who screened positive for possible substance use, 86% (<em>n</em> = 7) were referred for provider evaluation, and 100% (<em>n</em> = 6) of those were referred for treatment. <em>Conclusions:</em> Findings demonstrated that a nurse-driven screening algorithm significantly improved referral rates, aligning with previous research. Routine SUD screening and referral are well-supported, evidence-based interventions. The project brought screening rates closer to the institutional goal and highlighted the impact of structured interventions in improving SUD identification and treatment access.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 153-165"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of nursing in the assessment of Peripheral Artery Disease: Comparison of two ankle to arm Index methods in patients with Diabetes","authors":"Esther Chicharro-Luna ,&nbsp;Sara Zúnica-García ,&nbsp;Coral Moya-Cuenca ,&nbsp;Alba Gracia-Sánchez","doi":"10.1016/j.jvn.2026.03.003","DOIUrl":"10.1016/j.jvn.2026.03.003","url":null,"abstract":"<div><h3>Aims</h3><div>To compare the clinical implications of the new International Working Group on the Diabetic Foot (IWGDF) criterion for calculating the ankle-brachial index (ABI), which uses the lowest systolic blood pressure (SBP) in the foot (Diagnosis 2, D2), versus the classical method that uses the highest SBP (Diagnosis 1, D1). Additionally, we assessed patient characteristics and the diagnostic accuracy of clinical signs of peripheral artery disease (PAD).</div></div><div><h3>Methods</h3><div>A cross-sectional study analyzed 442 limbs from 221 patients with diabetes. ABI was calculated as the foot SBP (highest for D1, lowest for D2) over the highest arm SBP. Low ABI (≤ 0.90) was considered indicative of PAD. Clinical and sociodemographic variables were collected. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for PAD signs.</div></div><div><h3>Results</h3><div>The prevalence of low ABI was 9.0% using D1 and 18.8% using D2, representing an absolute increase of 9.8 percentage points, with all D1 cases also identified by D2. Compared with D1, patients identified using D2 were slightly younger (66.28 ± 8.91 vs. 67.48 ± 11.27 years; p = 0.024), had a lower proportion of men (72.1% vs. 77.5%; p = 0.042), differed in smoking status distribution (p = 0.016), showed lower total cholesterol levels (153 ± 27.23 vs. 164.08 ± 36.96 mg/dL; p = 0.040), and had reduced glomerular filtration rate (58.57 ± 8.14 vs. 62.47 ± 10.47 mL/min/1.73 m²; p = 0.009). Clinical signs and symptoms demonstrated limited sensitivity but generally high specificity for PAD detection, particularly the absence of pedal pulses.</div></div><div><h3>Conclusion</h3><div>The ABI calculation method recommended by the IWGDF doubles PAD detection and identifies a broader and slightly younger at-risk population compared with the traditional method. Given the limited sensitivity of clinical signs alone, these findings support the use of the IWGDF ABI calculation as a systematic screening tool in individuals with diabetes, including those without overt symptoms.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 166-171"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A patient with cardiac and cerebrovascular comorbidity","authors":"Yanrong Li ,&nbsp;Haiyan Li ,&nbsp;Weixin Cai ,&nbsp;Lijun Han ,&nbsp;Wenting Xie ,&nbsp;Ran Zhang ,&nbsp;Yana Xing ,&nbsp;Chaoqun Song","doi":"10.1016/j.jvn.2026.03.002","DOIUrl":"10.1016/j.jvn.2026.03.002","url":null,"abstract":"<div><div>This case report highlights the experience of formulating nurse-led health education or intervention for a patient with cardiovascular and cerebrovascular comorbidity. Nursing care was guided by Omaha system. The risk factors of a patient with cardio-cerebral comorbidity were evaluated and intervened from four dimensions: health-related behavior, physiology, social psychology and environment. Some risk factors that affected the progression of the patient's disease still existed, such as second-hand smoke in the environment, social drinking, alternative therapies, and sitting for a long time. Alternative therapies such as Raw Garlic &amp; Vinegar Soak, Corn Silk Decoction, Sesame Seed &amp; Black Bean Porridge were also used by the patient to treat diseases. The patient lacked some self-management abilities, such as not of attending regular follow-up, no home blood-pressure measurement, no regular monitoring in lipid management and diabetes management, Family members and the patient had no knowledge of first aid, identification and knowledge about cardiac and cerebrovascular adverse event management. 3 months later, the patient's health-related behaviors had improved, such as actively avoiding second-hand smoke, paying attention to his nutritional status, and engaging in scientific exercise. At the same time, his self-management skills had also been enhanced, such as mastering knowledge related to first aid and attending follow-up visits on time.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 180-186"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient voices from the chronic wound care journey: A meta-synthesis of experiences with negative pressure therapy","authors":"Ning Pan ,&nbsp;Meixia Zhang ,&nbsp;Xiao Fang ,&nbsp;Yun Liu ,&nbsp;Qiao Meng ,&nbsp;Yan Li","doi":"10.1016/j.jvn.2026.02.007","DOIUrl":"10.1016/j.jvn.2026.02.007","url":null,"abstract":"<div><h3>Background</h3><div>Chronic wounds are characterized by long course, difficult healing, and severe impact on patients' quality of life. Negative Pressure Wound Therapy (NPWT) is a commonly used effective intervention in clinical practice, but systematic synthesis of patients' real experiences during NPWT is insufficient.</div></div><div><h3>Objective</h3><div>To synthesize the lived experiences of patients with chronic wounds undergoing NPWT, providing a foundation for enhancing standardized care, treatment efficacy, and quality of life.</div></div><div><h3>Methods</h3><div>We systematically searched 9 databases from inception to August 2023 for qualitative studies on patient experiences, preferences, and needs regarding NPWT for chronic wounds. Study quality was assessed using the JBI Critical Appraisal Tool, and findings were analyzed via meta-synthesis.</div></div><div><h3>Results</h3><div>Eleven studies were included. Analysis yielded 45 findings, categorized into 10 themes and further synthesized into four overarching themes: altered routine of life: limitations, stress, and challenges; complex emotional experiences: differences and diversity; facing uncertainty: distress and acceptance; evaluation and expectations: benefits and improvement.</div></div><div><h3>Conclusion</h3><div>Patients on NPWT face multifaceted challenges, including major life disruptions, psychological distress, and adaptation to uncertainty. A paradigm shift towards holistic, patient-centered care is essential. Integrating psychological support, education, and practical management strategies is crucial for improving adherence, outcomes, and quality of life.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Pages 144-152"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(26)00033-6","DOIUrl":"10.1016/S1062-0303(26)00033-6","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 2","pages":"Page A2"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148214587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}