Journal of Vascular Nursing最新文献

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Review of Article: Wu JY, Tu WL, Yu T, Liao KM, Lin YM. Tirzepatide and major adverse limb events: Insights from a multicenter real-world analysis in PAD and diabetes patients. Diabetes Res Clin Pract. 2025;222:112,083 文章综述:吴建勇,涂伟,于涛,廖建明,林彦明。替西帕肽和主要肢体不良事件:来自PAD和糖尿病患者多中心真实世界分析的见解。糖尿病临床实践。2025;222:112,083
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jvn.2025.04.001
Mary O. Whipple PhD, RN
{"title":"Review of Article: Wu JY, Tu WL, Yu T, Liao KM, Lin YM. Tirzepatide and major adverse limb events: Insights from a multicenter real-world analysis in PAD and diabetes patients. Diabetes Res Clin Pract. 2025;222:112,083","authors":"Mary O. Whipple PhD, RN","doi":"10.1016/j.jvn.2025.04.001","DOIUrl":"10.1016/j.jvn.2025.04.001","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 2","pages":"Pages 99-100"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144229652","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}
引用次数: 0
Information for readers 读者资讯
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-06-01 DOI: 10.1016/S1062-0303(25)00040-8
{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(25)00040-8","DOIUrl":"10.1016/S1062-0303(25)00040-8","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 2","pages":"Page A3"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230272","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}
引用次数: 0
Effects of an electronic foot massage device on venous blood flow velocity in healthy adults 电子足部按摩器对健康成人静脉血流速的影响
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jvn.2025.03.001
Praneed Songwathana , Osaree Akaraborworn , Wipa Sae-Sia , Chidchanok Choksuchart
{"title":"Effects of an electronic foot massage device on venous blood flow velocity in healthy adults","authors":"Praneed Songwathana ,&nbsp;Osaree Akaraborworn ,&nbsp;Wipa Sae-Sia ,&nbsp;Chidchanok Choksuchart","doi":"10.1016/j.jvn.2025.03.001","DOIUrl":"10.1016/j.jvn.2025.03.001","url":null,"abstract":"<div><h3>Background</h3><div>Deep vein thrombosis may lead to a high mortality rate in critically ill, elderly, or bedridden patients, but it could be prevented by using non-invasive methods. This study aimed to determine the effects of an electronic foot massage (EFM) device and an Intermittent Pneumatic Compression (IPC) device on femoral venous blood flow velocity and user satisfaction with each device.</div></div><div><h3>Methods</h3><div>A cross-over quasi-experimental design was conducted with thirty-two healthy adults who were randomly assigned to 30 min of using the EFM device and 30 min of using the IPC device. Each participant served as both the experimental (EFM) and control (IPC) group. Femoral venous blood flow velocity was measured by ultrasound at pretest, immediately after 30 min of applying each device, and again at 120 min following the end of each application. Data were analyzed using repeated-measures ANOVA and paired <em>t</em>-tests.</div></div><div><h3>Results</h3><div>Femoral blood flow velocity in participants using the EFM device was significantly higher than in those using the IPC device (<em>p</em> = 0.008) immediately after 30 min of application. However, participants’ satisfaction scores were lower with the EFM device compared to the IPC device (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The EFM device could potentially be applied as an innovative approach in clinical practice by integrating it with nursing therapeutics. Future studies are recommended to further examine the use of acupressure for promoting femoral venous blood flow velocity and to enhance the design for supporting the foot sole to improve user satisfaction.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 2","pages":"Pages 80-85"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230275","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}
引用次数: 0
Efficacy of life style modifications on severity, and operation rates for patients with peripheral artery disease 生活方式改变对外周动脉疾病患者严重程度及手术率的影响
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jvn.2025.01.003
Wafaa Ramadan Ahmed , Eman Kamel Hossny , Hanaa Moukhtar Ibrahim , Ahmed Khairy Sayed , Khaldoon Aied Alnawafleh , Neama Mamdouh Mostafa
{"title":"Efficacy of life style modifications on severity, and operation rates for patients with peripheral artery disease","authors":"Wafaa Ramadan Ahmed ,&nbsp;Eman Kamel Hossny ,&nbsp;Hanaa Moukhtar Ibrahim ,&nbsp;Ahmed Khairy Sayed ,&nbsp;Khaldoon Aied Alnawafleh ,&nbsp;Neama Mamdouh Mostafa","doi":"10.1016/j.jvn.2025.01.003","DOIUrl":"10.1016/j.jvn.2025.01.003","url":null,"abstract":"<div><div>Background: Peripheral artery disease is a circulatory problem causing reduced blood flow through the arteries. The study aimed to evaluate the efficacy of lifestyle modifications on severity and operating rates for patients with peripheral artery disease. Design and methods: An experimental study design was used with a purposive sample of 100 adult patients admitted to the vascular unit with peripheral artery disease aged ≥ 45 years. The study was carried out at the vascular surgery department and its outpatient clinic at Assiut University Hospital. Tools: (I) Patients’ interview questionnaire sheet; (II): Fagerström Tolerance Questionnaire; (III): The ankle-brachial index; (IV): The San Diego Claudication Questionnaire; and (V): Manipal lifestyle' modifications scale. Results: The mean age of patients in the study and control groups was 58.15±12.08 years. 84 % of study group patients experienced no pain, compared with 64 % of patients in the same group who experienced rest pain on admission. There was a decrease in amputation rates, with 12 % in the study group compared with 34 % in the control group of patients. More than three-quarters (76 %) had high lifestyle modification at follow-up compared with (96 %) of the study group having low lifestyle modification at admission. Conclusion and recommendation: Lifestyle modifications have a great effect on decreasing disease severity and operation rates. Peripheral artery disease patients should be included in a lifestyle modification program and closely monitored to decrease their disease severity and operative and amputation rates.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 2","pages":"Pages 63-72"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230273","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}
引用次数: 0
Impact of peripheral artery disease on daily living: A study on knowledge, contributing factors and quality of life among patients 外周动脉疾病对日常生活的影响:患者知识、影响因素和生活质量的研究
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jvn.2025.02.002
Sanjivi Govind Govekar , Janet Prameela D'Souza , Reshma R. Kotian
{"title":"Impact of peripheral artery disease on daily living: A study on knowledge, contributing factors and quality of life among patients","authors":"Sanjivi Govind Govekar ,&nbsp;Janet Prameela D'Souza ,&nbsp;Reshma R. Kotian","doi":"10.1016/j.jvn.2025.02.002","DOIUrl":"10.1016/j.jvn.2025.02.002","url":null,"abstract":"<div><h3>Background</h3><div>Peripheral artery disease (PAD) is a condition that affects blood vessels and may lead to complications such as foot or leg ulcers and gangrene. However, the level of awareness of PAD among the population of coastal Karnataka is not well known, and it is known that PAD has a significant negative impact on the quality of life of these patients. The objective of the present study was to assess knowledge, identify contributing factors, and quality of life among patients with PAD, and determine the associations between quality of life and selected demographic and clinical variables.</div></div><div><h3>Methods</h3><div>This hospital-based descriptive study was conducted among 202 patients with PAD. The demographic details, clinical parameters, knowledge of PAD, factors contributing to PAD, and quality of life of patients with PAD were assessed via validated data collection instruments.</div></div><div><h3>Results</h3><div>The mean age was 60.35 (SD=1.04) years, and 86.1% were males. Among the participants, 77.7% had undergone surgery, 13.4% had a below-knee amputation, and 2.5% had forefoot amputation. The majority of the patients (75.8%) had a moderate level of knowledge, 18.8% had good knowledge, and very few (5.4%) had poor knowledge of PAD, with a median value of 10.5 (IQR 9–12), where the IQR represents the range between the 25th and 75th percentiles of the data, capturing the middle 50% of the distribution. The contributing factors of PAD, such as advanced age (42.6%), diabetes mellitus (76.7%), hypertension (60.4%), dyslipidemia (49%), smoking (26.2%), sedentary lifestyle (11.4%) and overweight (8.4%), were present among these patients. The quality-of-life score was low in areas of self-concept and feelings, with a median value of 8.57 (IQR 0–17.14), and positive adaptation scores were high, with a median value of 51.42 (IQR 40– 54.28). An association was found between PAD quality of life and advanced age (p=0.038), rural residency (p=0.006), and the clinical diagnosis of PAD with diabetes mellitus and hypertension (p=0.021).</div></div><div><h3>Conclusion</h3><div>The findings are concerning, as they reveal numerous complications and a significant incidence of amputation among patients. Moreover, the patients had moderate knowledge of PAD; hence, education materials were prepared to provide knowledge to these patients. Advanced age, diabetes mellitus, hypertension, dyslipidemia, smoking, a sedentary lifestyle, and overweight were the contributing factors identified among these patients. The quality-of-life score in the areas of self-concept and feelings was low. This study strongly identifies the need for general awareness of PAD, which can be prevented by lifestyle modifications. This study highlights the need for early PAD screening to prevent complications and major cardiovascular events.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 2","pages":"Pages 73-79"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230274","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}
引用次数: 0
The transitional care from hospital to home for stroke survivors and their caregivers: A systematic review 中风幸存者及其照护者从医院到家庭的过渡照护:一项系统回顾
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-06-01 DOI: 10.1016/j.jvn.2025.03.002
Mayra Veronese RN, MSN, Ercole Vellone PhD, FESC, FAAN (Associate Professor), Rosaria Alvaro FESC, FAAN (Professor), Gianluca Pucciarelli PhD, FAHA (Assistant Professor)
{"title":"The transitional care from hospital to home for stroke survivors and their caregivers: A systematic review","authors":"Mayra Veronese RN, MSN,&nbsp;Ercole Vellone PhD, FESC, FAAN (Associate Professor),&nbsp;Rosaria Alvaro FESC, FAAN (Professor),&nbsp;Gianluca Pucciarelli PhD, FAHA (Assistant Professor)","doi":"10.1016/j.jvn.2025.03.002","DOIUrl":"10.1016/j.jvn.2025.03.002","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe transitional care after hospital discharge to home in stroke survivors and their caregivers.</div></div><div><h3>Design</h3><div>A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines.</div></div><div><h3>Methods</h3><div>A systematic review was conducted using the following electronic databases: PubMed, CINAHL, Scopus, and Web of Science. This systematic review included studies examining transition care from hospital to home in stroke survivors.</div></div><div><h3>Results</h3><div>Thirty studies were included in this systematic review. The main intervention observed in this systematic review was educational. Intervention programs, such as health coaching activities, home visits, telephone follow-up, and informative intervention during transition care from hospitals to home, could improve quality of life, self-efficacy, physical function, and activities of daily living in both stroke survivors and caregivers. This systematic review will help nurses and physicians to implement specific interventions during transitional period for stroke survivors, supporting and improving care delivery during this critical period.</div></div><div><h3>Conclusions</h3><div>This study supports educational and informative interventions to improve the physical functioning, quality of life, and self-efficacy of stroke survivors and reduce caregiver strain.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 2","pages":"Pages 86-98"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230276","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}
引用次数: 0
Information for authors 作者信息
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-06-01 DOI: 10.1016/S1062-0303(25)00039-1
{"title":"Information for authors","authors":"","doi":"10.1016/S1062-0303(25)00039-1","DOIUrl":"10.1016/S1062-0303(25)00039-1","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 2","pages":"Page A2"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230271","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}
引用次数: 0
Health literacy in stroke disease: A systematic review 卒中疾病的健康素养:系统综述
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-03-01 DOI: 10.1016/j.jvn.2025.01.001
Migena Ymeraj RN, MSc , Fatjon Kotica RN, MSc , Giorgia Bozzolan RN, MSc , Gennaro Rocco PhD, MScN, Ed.M, RN, FFNMRCSI, FESNO, FAAN , Michele Virgolesi RN, PhD (Assistant Professor) , Rosaria Alvaro RN, MSN, FESC, FAAN (Professor) , Ercole Vellone RN, PhD, FESC, FAAN (Associate Professor) , Gianluca Pucciarelli RN, PhD, FAHA (Associate Professor)
{"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}
引用次数: 0
Deep vein thrombosis risk and preventive nursing practices in surgical patients: A descriptive cross-sectional study 外科患者深静脉血栓形成风险和预防性护理实践:一项描述性横断面研究
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-03-01 DOI: 10.1016/j.jvn.2024.12.001
Arzu Aslan Basli Ass. Prof., RN, MSc, PhD, Duygu Kurt Ass. Prof., RN, MSc, PhD
{"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}
引用次数: 0
Swallow evaluation tool to reduce aspiration among acute stroke patients: A quality improvement project 减少急性脑卒中患者误吸的吞咽评估工具:一个质量改进项目
IF 1.1
Journal of Vascular Nursing Pub Date : 2025-03-01 DOI: 10.1016/j.jvn.2024.11.001
Ekta Koirala DNP, FNP- BC, Carolyn Greely DNP, CRNP, BSN, Suzanna Fitzpatrick DNP, ACNP-BC, FNP-BC, FAANP
{"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}
引用次数: 0
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