Journal of Vascular Nursing最新文献

{"title":"Predicting factors of patient satisfaction after varicose vein surgery at a university hospital in Nepal","authors":"P. Shrestha MNS, MA ,&nbsp;R.M. Karmacharya MS, CTVS ,&nbsp;P. Dhakal MBBS ,&nbsp;S. Bade MBBS ,&nbsp;S. Dahal MBBS ,&nbsp;N. Bhandari MBBS ,&nbsp;S. Bade MBBS","doi":"10.1016/j.jvn.2023.06.007","DOIUrl":"10.1016/j.jvn.2023.06.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Varicose veins are a common vascular problem with a high prevalence, yet they are often neglected. The main objective of this study was to explore the patient satisfaction after varicose vein surgery, along with its predicting factors. To our knowledge, no similar study has been conducted in Nepal to date.</p></div><div><h3>Methodology</h3><p>This retrospective cross-sectional study included patients who underwent varicose vein surgery at Dhulikhel Hospital from September 2019 to February 2020. The satisfaction level after the surgery was assessed using a 10-point Likert scale questionnaire during a telephone interview with their verbal consent. Descriptive statistics and linear regression were performed to identify the predicting factors of patient satisfaction.</p></div><div><h3>Results</h3><p>Among a total of 84 patients interviewed, 53.6% were male. The mean age of the participants was 43.13 ± 13.62 years. The mean patient satisfaction score was 42 ± 5.5, with nursing service, discharge teaching and hospital service being the highest scoring items in terms of patient satisfaction. Linear regression revealed age ≤40 years as a predictor of higher patient satisfaction (β=0.258, <em>p</em>=0.015) while early stage of varicose veins (β=-0.233, <em>p</em>=0.026) and duration of post-operative follow-up (β=-0.25, <em>p</em>=0.021) were negative predictors of patient satisfaction. This means that patients with C2-C3 venous disease and longer duration of postoperative follow-up tended to have lower satisfaction scores.</p></div><div><h3>Conclusion</h3><p>The overall patient satisfaction following varicose vein surgery was very good, and the major predictors of better satisfaction were age ≤40 years, C4-C6 clinical classification of venous disease and the shorter duration of follow-up after surgery.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 180-185"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44120284","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":"Danish men's experiences of cardiovascular screening and their views on preventive cardiovascular medication: A qualitative explorative nurse study","authors":"Ina QVIST RN, MHS, PhD ,&nbsp;Bodil RASMUSSEN RN, MEdSt, PhD (Professor) ,&nbsp;Lars FROST MD, PhD, DMSc (Associate Professor) ,&nbsp;Jes S. LINDHOLT MD, PhD, DMSc (Professor) ,&nbsp;Rikke SØGAARD MSc, MPH, PhD (Professor) ,&nbsp;Vibeke LORENTZEN RN, PhD (Associate Professor)","doi":"10.1016/j.jvn.2023.06.009","DOIUrl":"10.1016/j.jvn.2023.06.009","url":null,"abstract":"<div><h3>Objectives</h3><p>This study explored Danish men's experience of participating in a screening program for cardiovascular disease (CVD) and their perceptions of preventive medication for CVD before and after participation in the screening program.</p></div><div><h3>Methods</h3><p>An exploratory phenomenological-hermeneutical study. Fifteen men from a cardiovascular screening program for men aged 65–74 years participated. Semi-structured interviews were conducted before screening and one year later (2015–2017). The interviews were transcribed verbatim and analysed using Kvale and Brinkmann's approach to data analysis.</p></div><div><h3>Results</h3><p>Two main themes were identified: (i) seeking confirmation and control of health: familiarity with CVD; understanding the screening program; confirmation of health; perception of preventive medication, and (ii) sense of own health and prevention: experiences with the screening program; accept or denial of diagnosis and preventive medication.</p></div><div><h3>Conclusion</h3><p>A minority of the men understood the nature of the diseases for which they were being examined. The invitation for screening and the outcome of the examinations must be communicated more skilfully. The health providers need to engage early in treatment after the screening and provide an individualised plan that addresses patients concerns and knowledge based on their needs.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 195-202"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41630224","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 experiences of closed-incision negative pressure therapy on groin incisions after discharge following peripheral arterial surgery: A qualitative study","authors":"Camilla Borch Graversen RN, BScN ,&nbsp;Malene Missel RN, MScN, PhD ,&nbsp;Sally Jakobsen RN, MScN","doi":"10.1016/j.jvn.2023.06.006","DOIUrl":"10.1016/j.jvn.2023.06.006","url":null,"abstract":"<div><h3>Background</h3><p>Closed-incision negative pressure therapy may lower the risk of surgical site infections in patients after peripheral arterial surgery.</p></div><div><h3>Aim</h3><p>To explore patient experience of negative pressure therapy applied to groin incisions after discharge following peripheral arterial surgery, and to study their perception and attitudes toward the self-care information sheet they received at the vascular department.</p></div><div><h3>Methods</h3><p>A qualitative study underpinned by Gadamer's philosophical hermeneutics was conducted semi-structured interviews by telephone around day seven after therapy ended with ten participants. All had received self-care information sheet at the discharge and been home with closed-incision negative pressure therapy for 3-6 days. The participants had open peripheral arterial surgery in the groin in form of femoral thromboendarterectomy. Kvale and Brinkmann's research guided the data collection, analysis, and interpretation.</p></div><div><h3>Findings</h3><p>Patients found themselves coping with an unfamiliar situation after peripheral arterial surgery and the need arose to conceal the pump and tubing that were part of their incision treatment to protect their self-image. Their treatment became a constant companion, with some patients viewing the equipment as an extension of their bodies and others feeling its impact on activities of daily living. Patients perceived the treatment as providing reassurance, albeit with constraints, leading to feelings of manageability and an increasing sense of control. They viewed the written information as informative but with room for improvement.</p></div><div><h3>Conclusions</h3><p>Patient experiences of closed-incision negative pressure therapy on groin incisions after discharge following peripheral arterial surgery showed that they perceived it as safe and manageable. Patients need support, however, in learning how to hide the treatment and to expand their own involvement and improve self-care. The study found that patient involvement and individually tailored information is essential to facilitating a healthy transition from hospital to self-care at home and that written information must be improved further.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 171-179"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S106203032300050X/pdfft?md5=01c41fc5d3a3a0e861f6ad7a87a626fe&pid=1-s2.0-S106203032300050X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42364618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identification of types of wound bed tissue as a percentage and total wound area by planimetry in neuropathic and venous ulcers","authors":"Silvia Bottaro Carvalho Alcântara ,&nbsp;Juliano Gonçalves de Araújo ,&nbsp;Diogo Fernandes Santos ,&nbsp;Tathiane Ribeiro da Silva ,&nbsp;Isabela Maria Bernardes Goulart ,&nbsp;Andrea Mara Bernardes da Silva ,&nbsp;Douglas Eulálio Antunes","doi":"10.1016/j.jvn.2023.06.005","DOIUrl":"10.1016/j.jvn.2023.06.005","url":null,"abstract":"<div><h3>Background</h3><p>Neuropathic and venous leg ulcers<span> are chronic wounds associated with devitalized tissue and recurrent infection. Management should be guided by accurate tissue assessment, including the use of planimetry, which provides tissue types as a percentage of the total wound bed surface area.</span></p></div><div><h3>Objective</h3><p>This innovative study aimed to assess and identify the wound bed tissues, as a percentage, of neuropathic and venous ulcers using digital planimetry, providing support to nurses optimize the management of necrotic tissues and, consequently, to avoid wound infection.</p></div><div><h3>Methods</h3><p>This cross-sectional study enrolled 24 patients with chronic wounds who were assessed from January to March 2021 at the Wound Outpatients Clinic. The wound photographs were analyzed using Image J 1.53e and a smartphone with WoundDoc Plus® 2.8.2 via digital planimetry. Statistical analyses were performed using the binomial test, t-test, and Mann-Whitney.</p></div><div><h3>Results</h3><p>Median wound areas (p=0.3263) did not differ between the group with 2 or 3 risk factors for delayed healing (Md: 31.7) and the group with up to 1 risk factor (Md: 5.3). A low exudate level was associated with the up-to-1-risk-factor-for-delayed-healing group (p=0.0405), while a medium level was associated with the two-or-three-risk-factor group (p=0.0247). A heat map displayed the tissue percentages in the wound bed. In the group with 2 or 3 risk factors for delayed healing, 91.7% (11/12) had less than 70% granulation tissue, which was the primary factor for this group (p&lt;0.0001). Additionally, 66.7% (8/12) of patients with 2 or 3 risk factors for delayed healing exhibited discolored and/or dark red granulation tissue as the primary factor (p=0.0130).</p></div><div><h3>Conclusion</h3><p>This novel identification of wound area and tissue types as a percentage, using digital planimetry, can play a crucial role in assisting nurses in decision-making related to the appropriate management of devitalized tissues. Furthermore, this measurements may facilitate the conducting of virtual wound consultations and offer valuable support in the development of protocols aimed at preventing infection and biofilm formation in the wound bed.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 164-170"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46790869","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 authors","authors":"","doi":"10.1016/S1062-0303(23)00080-8","DOIUrl":"https://doi.org/10.1016/S1062-0303(23)00080-8","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Page A3"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030323000808/pdfft?md5=88fb9ed5f06cfdb800eb87419f36f1d0&pid=1-s2.0-S1062030323000808-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(23)00081-X","DOIUrl":"https://doi.org/10.1016/S1062-0303(23)00081-X","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Page A4"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S106203032300081X/pdfft?md5=1c90762aa99870f4f3523396541896ee&pid=1-s2.0-S106203032300081X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of exercise training on heart rate variability in individuals with lower extremity arterial disease and claudication: A systematic review","authors":"Isabela R. Marçal MSc ,&nbsp;Raphael M. Abreu PhD ,&nbsp;Nils Cornelis PhD ,&nbsp;Anthony S. Leicht PhD ,&nbsp;Claudia L.M. Forjaz PhD ,&nbsp;Gabriel Cucato PhD ,&nbsp;Ingrid Brenner PhD ,&nbsp;Marko Novakovic PhD ,&nbsp;Raphael Ritti-Dias PhD ,&nbsp;Emmanuel G. Ciolac PhD ,&nbsp;Véronique A. Cornelissen PhD","doi":"10.1016/j.jvn.2023.09.002","DOIUrl":"10.1016/j.jvn.2023.09.002","url":null,"abstract":"<div><h3>Purpose</h3><p>To perform a systematic review of studies assessing the effects of regular exercise on heart rate variability (HRV) in individuals with lower extremity arterial disease (LEAD) and symptoms of claudication.</p></div><div><h3>Methods</h3><p>A systematic search in the electronic databases MEDLINE, Embase, and Scielo, was conducted and updated on January 21, 2023. Randomized clinical trials investigating patients with LEAD and IC, assessing ≥ 4 wk of exercise interventions, and reporting at least one HRV measure (e.g., time or frequency domains) at baseline and follow-up were included. Two reviewers independently screened studies for inclusion, performed data extraction, and quality assessment of included studies.</p></div><div><h3>Results</h3><p>Data from 7 trials were included (i.e., 5 walking, 1 resistance, and 1 isometric handgrip training), totaling 327 patients (66% males; range: 61 - 68 yr; ankle brachial index: 0.4 - 0.7). Following exercise training, three studies investigating walking training reported an increase in parasympathetic modulation indices and/or a decrease in sympathetic modulation indices (n = 2) as well as an increase in non-linear indices (n = 1).</p></div><div><h3>Conclusion</h3><p>The current evidence is weak, and larger randomized controlled trials are needed to confirm the efficacy of exercise training in improving HRV. Additionally, the high divergence in the methodology of studies indicated the need for standard tools to improve the quality of HRV measurements in exercise trials. It is recommended to use standard procedures in future trials investigating HRV.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 226-234"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136009630","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":"Developing post-stroke psychometric properties for an Adherence to rehabilitation regimen scale: A sequential exploratory mixed-method study","authors":"Asghar Dalvandi LPN, ADN, BSN, MSN, PhD ,&nbsp;Maryam Khoshbakht-Pishkhani BSN, MSN, PhD in nursing ,&nbsp;Abbas Ebadi BSN, MSN, PhD ,&nbsp;Mohammadali Hosseini BSN, RN, MSN, PhD","doi":"10.1016/j.jvn.2023.09.001","DOIUrl":"10.1016/j.jvn.2023.09.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Adherence to rehabilitation in patients<span> post-stroke plays a significant role in the effectiveness of rehabilitation and patient recovery. This study aimed to design and determine the psychometric properties of a scale for measuring adherence to the rehabilitation regimen in patients post-stroke in the Iranian community.</span></p></div><div><h3>Methods</h3><p>The present study used a sequential exploratory mixed method and was conducted in two phases (phase one qualitative and phase two quantitative). Participants in the first phase were patients post-stroke, caregivers, and rehabilitation team members (n=20). The second phase was conducted on patients post-stroke (n=198), and the psychometric steps, including face, content, and construct validity, as well as reliability, were assessed.</p></div><div><h3>Results</h3><p>The Adherence to Rehabilitation Regimen Scale (ARRS)was designed with 26 items and four factors of participation: 1) physical exercises, 2) following prescribed regimens, 3) performing the activities of daily living, and 4) psychological follow-up. The internal consistency was 0.96 by calculating Cronbach's alpha coefficient<span>. The Interclass Correlation Coefficient was 0.99 with a confidence interval of 0.96-0.99.</span></p></div><div><h3>Conclusion</h3><p>The scale measuring adherence to the rehabilitation regimen in patients post-stroke has optimal psychometric properties. Therefore, as the first specific scale to measure the degree of rehabilitation regimen adherence in patients post-stroke, this tool may be beneficial for other rehabilitation programs interested in managing and improving program adherence.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 219-225"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135761830","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":"What have we learned from two trials comparing open surgery and endovascular revascularization in patients with chronic limb threatening ischemia?","authors":"Susan Monaro PhD, RN","doi":"10.1016/j.jvn.2023.11.002","DOIUrl":"https://doi.org/10.1016/j.jvn.2023.11.002","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 248-249"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030323000766/pdfft?md5=c523647132aaf22e1781e605006fe238&pid=1-s2.0-S1062030323000766-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138557368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The International Society of Thrombosis and Hemostasis (ISTH) criteria in intensive care units","authors":"Eman Mahmoud Qasim Emleek RN, MS ,&nbsp;Amani Anwar Khalil","doi":"10.1016/j.jvn.2023.06.004","DOIUrl":"10.1016/j.jvn.2023.06.004","url":null,"abstract":"<div><h3>Background</h3><p>Disseminated Intravascular Coagulation (DIC) has been assessed by the International Society of Thrombosis and Hemostasis (ISTH) 2001 and the ISTH 2018-modified version. More investigations are needed to assess usability and visibility of those DIC scoring systems in the intensive care units (ICU).</p></div><div><h3>Aims</h3><p>This study investigated the predictive performance of the ISTH–Overt DIC versions of 28–day mortality in ICUs compared to SOFA as a gold standard assessment tool of sepsis.</p></div><div><h3>Methods</h3><p>A retrospective design (2015–2017) included 220 adult patients enrolled from medical and surgical ICUs in two major hospitals in Jordan. We calculated ISTH–Overt DIC scores and SOFA score on time of DIC diagnosis. Overt DIC was categorized based on a score of ≥ five for ISTH DIC 2001; and ≥ 4 for ISTH DIC 2018. Provided, a score &gt; 12 was categorized as Multiple–Organ– Dysfunction–Syndrome (MODS) for Sequential Organ Failure Assessment (SOFA) score. Then, 28–day mortality follow-up was performed.</p></div><div><h3>Results</h3><p>More than half of sample died before 28–days of follow–up. The analysis of Receiver Operating Characteristic (<em>ROC</em>) showed that higher scores of ISTH DIC 2001(≥ 5), ISTH DIC 2018 (≥ 4), and SOFA score (&gt;12) were highly associated with 28–day mortality. The ISTH DIC 2001 and SOFA score were superior on the modified ISTH 2018 in predicting 28–day mortality, with an Area Under the Curve (<em>AUC)</em> of (0.724 vs. 0.822 vs. 0.507, respectively). Yet, the accuracy of the SOFA score was better than the ISTH DIC 2001. Conclusion: This study suggests that ISTH DIC 2001 score is helpful when applied on medical and surgical ICU Jordanian populations. It showed better results compared to the Modified ISTH DIC 2018 in mortality prediction, regardless of the underlying diseases.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"41 4","pages":"Pages 158-163"},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42197076","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}