Journal of Vascular Nursing最新文献

{"title":"Association between health literacy at discharge and post-discharge step count in stroke survivors: A prospective cohort study","authors":"Ryota Ashizawa ,&nbsp;Keisuke Ikeda ,&nbsp;Hiroya Honda ,&nbsp;Yuto Kameyama ,&nbsp;Yoshinobu Yoshimoto","doi":"10.1016/j.jvn.2026.01.004","DOIUrl":"10.1016/j.jvn.2026.01.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined whether health literacy of patients hospitalized with acute stroke is associated with physical activity and sedentary behavior three months after discharge.</div></div><div><h3>Methods</h3><div>A prospective cohort study of 61 patients was conducted. Health literacy was assessed using the HLS-EU-Q16 questionnaire, and physical activity and sedentary behavior were measured three months post-discharge using a triaxial accelerometer. Multiple linear regression analyses examined associations between health literacy and step count, sedentary behavior, light-intensity physical activity, and moderate-to-vigorous physical activity, adjusting for age, sex, stroke severity, walking speed, and modified Rankin Scale score.</div></div><div><h3>Results</h3><div>Health literacy was significantly associated with post-discharge step count (<em>B</em> = 93.07, <em>p</em> = 0.025) but not with sedentary behavior, light-intensity physical activity, or moderate-to-vigorous physical activity.</div></div><div><h3>Conclusions/Implications</h3><div>Health literacy at the acute stroke phase was associated with post-discharge step count. These findings emphasize the need for multidisciplinary collaboration, including nurses, to enhance health literacy from the acute care stage.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 84-89"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420144","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":"Sexual function following elective endovascular surgery for abdominal aortic aneurysm","authors":"Johan Nilsson MSN, CCRN, PHRN ,&nbsp;Joakim Nordanstig MD, PhD (Professor) ,&nbsp;Per Skoog MD, PhD (Associate Professor) ,&nbsp;Mona Ringdal PhD, CCRN (Professor Emeritus) ,&nbsp;Monica E Pettersson PhD, RN, RNT (Associate Professor)","doi":"10.1016/j.jvn.2025.12.001","DOIUrl":"10.1016/j.jvn.2025.12.001","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the perceived sexual function of patients with abdominal aortic aneurysm before elective endovascular treatment, and to compare it with the perceived sexual function one year after treatment.</div></div><div><h3>Design and Methods</h3><div>Descriptive quantitative study. Data were collected as part of a sub-study within a prospective open-label single-centre randomized clinical trial, using the Male Sexual Function-4 questionnaire and three additional items specific to contextual aspects. For female participants, two of the items in the Male Sexual Function-4 questionnaire specifically related to male sexual anatomy and physiology were replaced by two items specifically related to female sexual anatomy and physiology. Descriptive statistics and Friedmans test were used, results were reported according to the CONSORT guidelines.</div></div><div><h3>Results</h3><div>Of the enrolled male patients, 88% did not receive any information from their caregiver at baseline regarding the potential risk of experiencing procedure-related changes in their sexual function and desired more information from their caregiver. On average, male patients reported a significant decrease in both their sexual interest and in achieving ejaculation during sexual activities (<em>p</em> = .036) while simultaneously reporting significant improvement in global sexual health 12 months postoperatively compared with baseline (<em>p</em> = .003). After surgery, the proportion of female patients reporting an interest in sex was low (12.5%), and a low proportion (12.5%) of female patients also reported a preserved ability to achieve orgasm compared to baseline (37.5%).</div></div><div><h3>Conclusions</h3><div>The results indicated a procedure-related impact on sexual health and function among patients undergoing elective endovascular aortic repair for abdominal aortic aneurysm, a risk most patients reported not being informed of. The results suggest a lack of patient education that should be addressed, and a need for better clinician communication to ensure informed consent.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 43-48"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420149","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":"Dose-dependent neurotoxic impact of cigarette smoking on post-stroke survival","authors":"Ali Bahari ,&nbsp;Neda Gilani ,&nbsp;Elyar Sadeghi-Hokmabadi ,&nbsp;Arezoo Fathalizadeh ,&nbsp;Mehdi Farhoudi M.D.","doi":"10.1016/j.jvn.2025.11.001","DOIUrl":"10.1016/j.jvn.2025.11.001","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Cigarette smoking is a significant risk factor for stroke. However, there is no consistent association between baseline smoking and post-stroke mortality. The aim of this investigation was to identify the effect of cigarette smoking on short-term outcomes of stroke survivors registered in the Tabriz Stroke Registry.</div></div><div><h3>Material and methods</h3><div>A prospective cohort study was performed on patients with stroke registered at the Tabriz Stroke Registry (TSR) over seven years, from 2014 to 2021. Two groups were compared: current cigarette smokers (≥1 cigarette/day) and non-smokers. The World Health Organization (WHO) criteria were used to define stroke. Data were collected on demographic information, clinical features, imaging and lab findings, exposure to risk factors, indicators of stroke severity, drug history, complication, and medications. In-hospital mortality was the primary outcome of the current study. Patients were categorized based on their smoking status.</div></div><div><h3>Results</h3><div>The mortality rate in cigarette smokers was 29.1 %, while it was only 10.1 % in non-smokers. Patients who were current smokers had an increased risk of post-stroke mortality in comparison to non-smokers (Hazard Ratio = 4.3, 95% CI = 3.6, 5.2) (<em>P</em>-value &lt; 0.001). Hazard of post-stroke mortality in light smoker was 1.6 (95 % CI = 0.9, 2.8, <em>P</em>-value = 0.087) times higher than non-smokers, while it increased to 4.5 (95% CI = 3.6, 5.6, <em>P</em>-value &lt; 0.001) and 21.6 (95 % CI = 15.9, 29.5, <em>P</em>-value &lt; 0.001) in heavy (11–20 cigarettes smoke per day) and very smokers (&gt;20 cigarette per day), respectively.</div></div><div><h3>Conclusion</h3><div>In this study, current cigarette smoking was found to be an independent risk factor for post-stroke mortality with a dose dependent pattern. By quantifying the dose‑related mortality risk among post‑stroke smokers, this study reinforces the importance of integrating targeted risk assessment, patient‑specific education, and structured smoking cessation interventions within vascular nursing practice to improve survival outcomes in this high‑risk population.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 38-42"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420150","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":"Short-term outcomes and nursing interventions in patients undergoing femoropopliteal bypass: A five-year retrospective study","authors":"Sevcan Avcı Işık PhD, RN ,&nbsp;Elif Budak Ertürk PhD, RN ,&nbsp;Hakkı Tankut Akay MD ,&nbsp;Aysel Abbasoğlu MSN, RN ,&nbsp;Ecem Tuğba Yamaç MD ,&nbsp;Elshad Mansımzada MD","doi":"10.1016/j.jvn.2025.10.002","DOIUrl":"10.1016/j.jvn.2025.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Femoropopliteal bypass surgery is a standard treatment for peripheral arterial disease, designed to restore blood flow and prevent limb loss. Despite its clinical benefits, the procedure is associated with postoperative complications that may compromise short-term outcomes. Nursing care is critical for detecting and managing complications; however, research specifically addressing nursing interventions in this context remains limited.</div></div><div><h3>Aim</h3><div>To evaluate the short-term (30-day) outcomes and nursing interventions in patients who underwent femoropopliteal bypass surgery over a five-year period.</div></div><div><h3>Methods</h3><div>This retrospective study included patients who underwent femoropopliteal bypass surgery at a university hospital in Turkey between March 14, 2018, and March 14, 2023. Data were collected from medical records regarding primary patency, amputation-free survival, postoperative complications, length of hospital stay, emergency reoperation, unplanned 30-day readmission, and nursing interventions documented during the postoperative period.</div></div><div><h3>Results</h3><div>Primary patency was achieved in 80.9% of patients, and amputation-free survival in 95.6%. The most frequent complications were emergency reoperation (27.9%), surgical site infection (14.7%), occlusion (10.3%), and need for blood transfusion (10.3%). Patients without primary patency had significantly longer intensive care unit stays compared with those with primary patency (OR 0.38; 95% CI 0.21–0.67; p = 0.001).</div></div><div><h3>Conclusions</h3><div>Short-term outcomes following femoropopliteal bypass were adversely affected by complications such as occlusion, graft thrombosis, and emergency reoperation. Prolonged hospital and intensive care unit stays were also associated with these complications. While routine nursing assessments and interventions were consistently implemented, patient education on smoking cessation, home exercise programs, and dietary modification was less frequently provided. Strengthening nursing-led education in these areas may enhance postoperative recovery and long-term outcomes.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 22-29"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420599","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)00012-9","DOIUrl":"10.1016/S1062-0303(26)00012-9","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Page A3"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420151","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":"Diagnosis and management of nutcracker syndrome: Nursing considerations and a review of current practice","authors":"Gabriell N. Grayson DNP, APRN, ACNP-BC, CV-BC","doi":"10.1016/j.jvn.2026.01.001","DOIUrl":"10.1016/j.jvn.2026.01.001","url":null,"abstract":"<div><div>Nutcracker Syndrome (NCS), the symptomatic manifestation of left renal vein (LRV) compression—commonly between the abdominal aorta and the superior mesenteric artery (SMA)—presents with a range of nonspecific symptoms including hematuria and flank or abdominal pain. Due to the vague clinical presentation, diagnosis is often delayed.</div><div>Clinicians, particularly vascular nurses and advanced practice providers (APPs) should include NCS in the differential when evaluating unexplained hematuria and atypical abdominal or flank pain. Enhancing familiarity with diagnostic criteria for vascular nurses and vascular APPs can improve the quality of care for the patient and decrease time to diagnosis.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 68-71"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420148","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 needs about peripheral arterial disease: Perspectives from healthcare providers, health students, and patients","authors":"Carolina Machado de Melo Felix ,&nbsp;Gabriela Lima de Melo Ghisi ,&nbsp;Lilian Pinto da Silva ,&nbsp;Bárbara de Cássia Dias Fagundes ,&nbsp;Camila Kümmel Duarte ,&nbsp;Marcella Guimarães Assis ,&nbsp;Danielle Aparecida Gomes Pereira","doi":"10.1016/j.jvn.2026.01.005","DOIUrl":"10.1016/j.jvn.2026.01.005","url":null,"abstract":"<div><div>This cross-sectional study conducted an online survey with healthcare providers and students and focus groups with patients with peripheral arterial disease (PAD) to identify the information needs on PAD from the perspective of the three groups. Descriptive statistics were applied to closed-ended items in the survey, and open-ended responses were coded for analysis. Triangulation was conducted by comparing quantitative rankings with qualitative themes across the three participant groups to identify highlighting areas of agreement as well as distinct concerns patient education. Providers and students identified the following key topics as important for the understanding of patients: symptoms (84% of each group), complications (84% and 86%), risk factors (82% and 86%), treatments (78% and 83%), characteristics (72% and 77%), and definition of the disease (55% and 67%). Four themes emerged from the focus groups: <strong>understanding the disease, consequences and daily life impacts, treatment knowledge/uncertainty, and empowerment</strong>. These results may improve the strategies to address the information needs of patients with PAD, and future research should focus on the topics found.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 90-94"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420145","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":"To the Editor, JVN","authors":"Muhammad Taufan Umasugi","doi":"10.1016/j.jvn.2025.11.003","DOIUrl":"10.1016/j.jvn.2025.11.003","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 113-114"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420140","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":"Knowledge mapping of nursing research structures in peripheral endovascular interventions: A bibliometric analysis and scientific mapping","authors":"Huali Zhang,&nbsp;Dongyuan Chen,&nbsp;Minshu Zhou,&nbsp;Chenqiao Hua,&nbsp;Xin Xu","doi":"10.1016/j.jvn.2026.01.003","DOIUrl":"10.1016/j.jvn.2026.01.003","url":null,"abstract":"<div><h3>Background</h3><div>With the rapid development of peripheral endovascular interventions, nursing plays a pivotal role throughout the treatment process. However, the structural composition, hotspots, and evolutionary trends of nursing research in this field have not yet been systematically summarized.</div></div><div><h3>Methods</h3><div>Relevant nursing literature on peripheral endovascular diseases was retrieved from the Web of Science (WOS) Core Collection. A bibliometric analysis was conducted, using Citespace software, covering keyword co-occurrence, clustering, and burst detection to identify major research themes and emerging frontier.</div></div><div><h3>Results</h3><div>The research shows two main trends: (1) Core topics focus on ischemic stroke, abdominal aortic aneurysm, carotid endarterectomy, patient safety, and long-term follow-up.; (2) The literature highlights the critical roles of pre-procedural risk assessment, intra-procedural management, workflow optimization, standardized nursing interventions, and information-based follow-up in improving patient outcomes. Since 2019, “acute ischemic stroke” has become the most prominent emerging hotspot. The United States leads in research output (51.5%), with the <em>Journal of Vascular Surgery</em> being the most referenced source.</div></div><div><h3>Conclusion</h3><div>Nursing research in peripheral endovascular interventions is shifting from traditional postoperative management to comprehensive perioperative, technology-enhanced, and outcome-oriented models. Future studies should strengthen nurses’ roles in vascular access management, patient experience support, and digital health applications.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 78-83"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420142","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":"Association of level of activation for self-management with the degree of anticoagulation control in patients undergoing oral anticoagulant treatment","authors":"Alba Vall-Vargas ,&nbsp;M Angeles de Juan-Pardo ,&nbsp;Mireia Constans ,&nbsp;Marina Sala Ribas ,&nbsp;Nuria Tora ,&nbsp;Anna Arnau ,&nbsp;Albert Altes","doi":"10.1016/j.jvn.2025.12.005","DOIUrl":"10.1016/j.jvn.2025.12.005","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the association of level of activation for self-management with the degree of anticoagulation control in a group of chronically anticoagulated patients.</div></div><div><h3>Methods</h3><div>Cross-sectional study of patients treated with oral antivitamin-k drugs attended at a specialized outpatient anticoagulation unit between November 2021 and June 2022. International normalized ratio (INR) values over the past 6 months were recorded. The degree of INR control was defined as the time the patient had remained within the therapeutic range (TTR) and was determined by the Rosendaal method. A TTR value &gt;60% was taken as representing adequate control. Simple and multiple logistic regression models were conducted, with degree of INR control as dependent variable.</div></div><div><h3>Results</h3><div>One hundred and thirty-seven patients were included. The mean age was 59.6 years (SD 13.8; range 22 - 86) and 60.6% were males. A total of 67.9% of patients (95%CI: 60.0 to 75.8) had adequate INR control. Factors independently associated with adequate INR control were high levels of activation according to the PAM-13 scale (OR: 1.05; 95%CI: 1.02–1.09) and self-management monitoring mode (OR: 7.12; 95%CI: 2.10–24.06).</div></div><div><h3>Conclusion</h3><div>The level of activation and the control mode were associated with a better degree of INR control. Knowing the factors associated with the degree of control allows us to identify the subgroups of chronic anticoagulated patients who require more individualized educational interventions. Self-management monitoring programs and patient activation appear to be useful tools in improving the INR control of anticoagulated patients.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 58-67"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420147","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}