Journal of Vascular Nursing最新文献

{"title":"A cross-sectional study on venous thromboembolism awareness in the Saudi Arabian community","authors":"Muazzam Sheriff Maqbul ,&nbsp;Noorain Asif Hamdani ,&nbsp;Razan hassan alharthi ,&nbsp;Assal Badr Aldeen Hobani ,&nbsp;Saja fawzi alzanbaqi ,&nbsp;Lujain Saleh Alahmadi ,&nbsp;Ghadi Abdullah Alsaadi ,&nbsp;Rahaf Abdullah Bashool ,&nbsp;Asmaa Mohammed Alsayed ,&nbsp;Nimah Mohammed Alsayed ,&nbsp;Abrar Jamal Algethmi ,&nbsp;Raghad Ali Alsaedi ,&nbsp;Renad Fawzi saleh Alshalhoub ,&nbsp;Hanin Ali aseeri ,&nbsp;Atyaf Fahad Ahmed Alzahrani","doi":"10.1016/j.jvn.2025.10.001","DOIUrl":"10.1016/j.jvn.2025.10.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Venous thromboembolism (VTE), encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE), presents a significant healthcare system issue globally, including in Saudi Arabia, where rising sedentary lifestyles and obesity rates increase the risk. Despite its serious health implications, public awareness of VTE remains limited. This cross-sectional study aims to assess VTE awareness among adults in Saudi Arabia, identify knowledge gaps, and explore how demographic factors influence awareness.</div></div><div><h3>Method</h3><div>A cross-sectional study design was employed, with a structured questionnaire distributed online to 773 adults across Saudi Arabia. The questionnaire assessed participants' knowledge of VTE, its risk factors, symptoms, and preventive measures. Demographic data, including age, gender, education, and region, were analyzed to identify awareness variations. Statistical analysis was performed using SPSS, with chi-square tests used to determine significant associations.</div></div><div><h3>Results</h3><div>The study found that awareness levels varied significantly across demographic groups. Higher awareness was observed among individuals in the Central region, females, and those aged 36-50. Education level positively correlated with awareness, while gaps were identified in recognizing VTE risk factors and symptoms. Smoking was the most commonly recognized risk factor, yet knowledge about VTE symptoms remained low. Healthcare professionals were the preferred source of VTE information.</div></div><div><h3>Conclusion</h3><div>The study highlights the need for targeted public health campaigns to improve VTE awareness, particularly among younger, older, and rural populations. By addressing knowledge gaps and leveraging healthcare professionals as key educators, these efforts can lead to better prevention, early detection, and management of VTE, ultimately reducing its burden on public health.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 12-21"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420602","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":"Review of article: Cucato G, Longano PPL, Perren D, Ritti-Dias RM, Saxton JM. Effects of additional exercise therapy after a successful vascular intervention for people with symptomatic peripheral arterial disease. Cochrane Database of Systematic Reviews 2024, Issue 5. Art. No.: CD014736","authors":"Rebecca JL Brown PhD, MEd, RN","doi":"10.1016/j.jvn.2025.11.002","DOIUrl":"10.1016/j.jvn.2025.11.002","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 253-255"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712377","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":"Self-efficacy and its effect on step count in patients with intermittent claudication after endovascular interventions: A six-month quantitative study","authors":"Chedva Levin ,&nbsp;Omar Baha ,&nbsp;Malak Hater ,&nbsp;Adar Klein-Druyan ,&nbsp;Mor Saban","doi":"10.1016/j.jvn.2025.08.006","DOIUrl":"10.1016/j.jvn.2025.08.006","url":null,"abstract":"<div><h3>Background</h3><div>Endovascular intervention is often associated with improvements in physical function in patients with peripheral artery disease. Self-efficacy, the belief in one’s ability to successfully carry out specific behaviors, is a well-established determinant of exercise engagement in diverse populations, including those with peripheral artery disease. However, the role of self-efficacy in maintaining basic and instrumental activities of daily living following endovascular intervention is unclear.</div></div><div><h3>Aim</h3><div>To investigate the relationship between self-efficacy and functioning, walking capacity, and emotional well-being in patients with peripheral artery disease before and after endovascular interventions.</div></div><div><h3>Methods</h3><div>Twenty-eight individuals with peripheral artery disease presenting with either intermittent claudication or critical limb-threatening ischemia—who underwent endovascular interventions participated in this study. Standardized questionnaires were used to assess self-efficacy, anxiety, and depression. Daily-steps were calculated by a smartwatch. Independence in performing daily living activities was assessed using the modified Barthel Activities of Daily-Living Index and the independence in instrumental activities of daily-living questionnaire. Data was collected before the intervention (T1), at three months (T2), and at six months post-intervention (T3); this design enabled a comprehensive analysis of changes over time.</div></div><div><h3>Results</h3><div>Initially, higher self-efficacy correlated with better functioning of daily activities (<em>r</em> = 0.437, <em>p</em> &lt; 0.01) and instrumental activities (<em>r</em> = 0.475, <em>p</em> &lt; 0.01). At six months, higher self-efficacy correlated positively with all domains, including increased step count (<em>r</em> = 0.555, <em>p</em> &lt; 0.01). Self-efficacy had a significant negative correlation with reported anxiety (<em>r</em> = -0.574, <em>p</em> &lt; 0.01) and depression levels (<em>r</em> = -0.622, <em>p</em> &lt; 0.01) post-treatment. A positive association was observed between female sex and self-efficacy in those with initially high self-efficacy levels.</div></div><div><h3>Conclusions</h3><div>Self-efficacy influences outcomes such as functional abilities, physical activity, and mental wellness in patients with peripheral artery disease following endovascular interventions.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 216-222"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712444","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":"Impact of disease severity on physical function in patients with chronic venous insufficiency: A cross-sectional study","authors":"Wagner Jorge Ribeiro Domingues ,&nbsp;Emely Kércia Santiago de Souza Brandão ,&nbsp;Lenon Corrêa de Souza ,&nbsp;Emmina Lima da Cruz de Souza ,&nbsp;Paulo Lucas da Silva e Silva ,&nbsp;Stephanie Vitória Alves dos Santos ,&nbsp;Priscilla Ribeiro dos Santos Campelo ,&nbsp;Neivaldo José Nazaré dos Santos ,&nbsp;Caroline Ferraz Simões","doi":"10.1016/j.jvn.2025.08.001","DOIUrl":"10.1016/j.jvn.2025.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Chronic venous insufficiency (CVI) affects physical function; however, the impact of disease severity on gait, balance, and handgrip strength in patients with CVI remains unclear.</div></div><div><h3>Objective</h3><div>To evaluate the impact of the clinical severity of CVI on physical function parameters in patients in less severe stages (CEAP C3–C4) compared to those in more advanced stages of the disease (CEAP C5–C6).</div></div><div><h3>Methods</h3><div>This cross-sectional study included 96 patients of both sexes with CVI with Etiology-Anatomy-Pathology (CEAP) C3 to C6. Physical function was measured using the six-minute walk test (6MWT), Short Physical Performance Battery (SPPB), Gait speed (usal and fast) and handgrip strength. The Mann-Whitney U test was applied to compare physical function indicators according to the disease severity of CVI (CEAP C3-C4 and CEAP C5-C6).</div></div><div><h3>Results</h3><div>Patients with CVI CEAP C3-C4 walked 68 meters longer compared to individuals with CVI CEAP C5-C6 (451 m vs 383 m; p = 0.001 respectively) and had a higher total score on the SPPB (11 vs 10 points; p = 0.029). For the other tests there were no statistical differences (P &gt; 0.05).</div></div><div><h3>Conclusion</h3><div>Therefore, the clinical severity of CVI appears to influence physical function, with patients in less severe stages (CEAP C3-C4) of the disease demonstrating better walking distances and SPPB scores compared with those classified in more advanced stages of the disease (CEAP C5-C6).</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 186-191"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712438","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":"Exploring ethical dilemmas in vascular surgery practice. A Qualitative study","authors":"Evangelos C. Fradelos ,&nbsp;Eleni Tsimitrea ,&nbsp;Elias Tsagalas ,&nbsp;Konstantinos Spanos ,&nbsp;Christos Karathanos ,&nbsp;George Kouvelos ,&nbsp;Athanasios Giannoukas ,&nbsp;Anna Mavroforou","doi":"10.1016/j.jvn.2025.08.003","DOIUrl":"10.1016/j.jvn.2025.08.003","url":null,"abstract":"<div><h3>Background</h3><div>Vascular surgery practice presents a variety of ethical dilemmas for vascular surgeons and nurses.</div></div><div><h3>Aim</h3><div>The present study aimed to explore the ethical dilemmas that healthcare professionals are facing in vascular surgery practice.</div></div><div><h3>Methods</h3><div>Qualitative study design was employed in this study. Two focus group were conducted using a semi-structured focus group guide, in which ten healthcare professionals participated. Recordings were transcribed, and then analyzed using an inductive content analysis approach.</div></div><div><h3>Results</h3><div>Analysis identified two primary themes: (1) Balancing patient care and minimizing harm, which included subthemes on patient autonomy and concordance, age and surgical intervention, and end-of-life care with invasive procedures; and (2) Aligning treatment with patient values, which encompassed subthemes on understanding patient preferences and values, and addressing patient concordance, lifestyle modification, and challenges of non- concordant patients. One of the most challenging issues they face daily in clinical practice is balancing patient care with minimal complications.</div></div><div><h3>Conclusions</h3><div>Vascular healthcare professionals express various concerns during daily vascular surgery practice. The challenges of balancing patient care with minimizing harm along with the patient’s values remain a major issue.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 198-202"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712440","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":"Factors influencing negative emotional stages in patients with chronic limb-threatening ischemia prior to surgery","authors":"Nutthawadee Sinporn ,&nbsp;Kessiri Wongkongkam ,&nbsp;Suporn Danaidutsadeekul ,&nbsp;Khamin Chinsakchai","doi":"10.1016/j.jvn.2025.08.002","DOIUrl":"10.1016/j.jvn.2025.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Negative emotional stages are defined as stress, anxiety, and depression. These psychological symptoms can occur among patients with peripheral arterial disease before surgery especially those who present with chronic limb-threatening ischemia (CLTI).</div></div><div><h3>Objective</h3><div>This study aims to examine predictive factors of negative emotional stages - age, smoking, walking ability, signs and symptoms - of patients with CLTI before surgery.</div></div><div><h3>Methods</h3><div>This is a descriptive study of 90 patients with CLTI before surgery who met the inclusion and exclusion criteria recruited from two tertiary hospitals, in Bangkok, Thailand. The walking impairment questionnaire, Rutherford’s categories, and Depression Anxiety Stress Scales (DASS - 21) were used for collecting data.</div></div><div><h3>Results</h3><div>Of 90 preoperative CLTI patients, 57.8 % were male, with an average age of 71.90 years (SD = 11.32). The participants had depression and anxiety equal to 24.4 % and stress for 7.8 %. The majority of the participants had depression, anxiety, and stress scores in mild levels, 13.3 % (<span><math><mover><mi>x</mi><mo>¯</mo></mover></math></span> = 3.30, SD = 2.69), 17.8 % (<span><math><mover><mi>x</mi><mo>¯</mo></mover></math></span>= 2.36, SD = 2.14), and 4.4 % (<span><math><mover><mi>x</mi><mo>¯</mo></mover></math></span>= 3.47, SD = 3.12), respectively. 32.2 % of the participants had a negative emotional stage in one symptom. The multiple linear regression analysis by the backward method found that age can predict depression symptoms with statistically significant (<em>β</em> = -0.282, <em>p</em> &lt; .05). Walking ability can predict anxiety symptoms with statistically significant (<em>β</em> = -0.278, <em>p</em> &lt; .05). Age and walking ability can predict stress symptoms with statistically significant (<em>β</em> = -0.207, <em>p</em> &lt; .05, <em>β</em> = -0.302, <em>p</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>This study shows that age and walking ability influence negative emotional states in patients with CLTI before surgery.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 192-197"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712439","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":"Letter to the editor: Health literacy in stroke disease: A systematic review","authors":"Sankar S. Sailesh MPH","doi":"10.1016/j.jvn.2025.07.005","DOIUrl":"10.1016/j.jvn.2025.07.005","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Page 250"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712375","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":"Comparison of ‘Lite’ reduced compression two-layer bandages for treatment of leg ulcers: Results of the pragmatic, single-centre randomized controlled PEACH trial","authors":"Jane Todhunter ,&nbsp;Helen Greenhow ,&nbsp;Leon Jonker","doi":"10.1016/j.jvn.2025.07.004","DOIUrl":"10.1016/j.jvn.2025.07.004","url":null,"abstract":"<div><h3>Background</h3><div>In a subset of patients with leg ulcer, reduced compression is indicated to aid wound healing whilst not compromising circulation. It is not clear if there are differences in efficacy between different two-layer compression bandages.</div></div><div><h3>Methods</h3><div>A single-centre, prospective, non-blinded, randomised, controlled trial was conducted in a Hospital’s vascular department in England to determine 'wound healed’ status at week 12 of treatment. Two ‘Lite' compression bandaged were compared, each providing ∼25 mmHg of pressure. Eligible patients could have leg ulcer of venous or mixed venous-arterial nature, with or without contributing co-morbidities.</div></div><div><h3>Results</h3><div>In total, 78 patients were randomised. With Andoflex TLC Calamine Lite (also marketed under brand name Coflex, OVIK Health) 18 out of 34 (53%) wounds healed and for Coban2 Lite (3 M) this figure was 15 out of 33 (45%; p-value 0.63, Fisher exact test). A secondary outcome semi-quantitative measure of wound size, PUSH score, did not show a statistical difference between the two bandages either: median score of 0 (inter-quartile range 7) for Andoflex TLC Calamine Lite and 1.5 (inter-quartile range 8) for Coban2 Lite respectively (p-value 0.60, Mann-Whitney <em>U</em> test). Associated leg ulcer symptoms did not differ significantly either.</div></div><div><h3>Conclusions</h3><div>Andoflex TLC Calamine Lite and Coban2 Lite are non-inferior to each other to up to 20% difference in ‘wound healed’ status at twelve weeks of compression bandage treatment. Any preference in utilisation of one over the other can therefore be dictated by clinician and patient preference. Future research may focus on a comparison of two-layer compression in patients who can tolerate full compression, and/or of two-layer versus hosiery or four-layer devices.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 167-172"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712381","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(25)00116-5","DOIUrl":"10.1016/S1062-0303(25)00116-5","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Page A3"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712380","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":"Chronic abdominal pain: Budd-Chiari syndrome with converging pathologies","authors":"Jennifer J. DeVries ,&nbsp;Holly A. Myers ,&nbsp;Jasmine Buffington ,&nbsp;Alexis Brant","doi":"10.1016/j.jvn.2025.08.007","DOIUrl":"10.1016/j.jvn.2025.08.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Chronic abdominal pain can be diagnostically challenging, especially when vascular causes like Budd-Chiari Syndrome (BCS) are overlooked. BCS, often linked to prothrombotic conditions such as protein S deficiency, may be further complicated by anatomical anomalies like May-Thurner Syndrome (MTS), leading to significant hepatic congestion and morbidity. This case highlights the need to consider vascular etiologies in patients with hypercoagulable risk factors to ensure timely diagnosis and intervention.</div></div><div><h3>Case Study</h3><div>A 21-year-old Caucasian female with a complex history including type 1 diabetes mellitus (DM1), protein S deficiency, and prior pulmonary embolism presented with progressive right upper quadrant abdominal pain, early satiety, bloating, and edema. Imaging and venography revealed BCS due to hepatic venous congestion, as well as MTS with chronic thrombus in the left iliac vein and inferior vena cava. She underwent successful iliac vein stenting, which initially improved her symptoms, but later experienced recurrent pain linked to biliary dyskinesia. Gallbladder ultrasound and hepatobiliary iminodiacetic acid (HIDA) scan revealed wall thickening, sludge, and reduced ejection fraction, leading to laparoscopic cholecystectomy. Her symptoms significantly improved postoperatively, highlighting the role of overlapping vascular and hepatobiliary pathologies in chronic abdominal pain.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of evaluating vascular causes in young patients with chronic abdominal symptoms, especially when thrombophilia is present. Early identification and coordinated management of BCS, MTS, and associated complications can prevent serious hepatic consequences. A multidisciplinary, vascular-focused approach was essential in achieving a positive outcome in this diagnostically complex presentation.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 246-249"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712374","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}