European Journal of Cardiovascular Nursing最新文献_第8页

Psychosocial adjustment changes and related factors in young and middle-aged patients with first-episode acute myocardial infarction: a longitudinal study 首次急性心肌梗死中青年患者的社会心理适应变化及相关因素：一项纵向研究

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-05-02 DOI: 10.1093/eurjcn/zvae065

Xin-yi Zhou, Qi-qi Ke, Wei-yu Qiu, Yao-xia Li, Qin-yang Wu, Qiu-yun Ye, Qiao-hong Yang

{"title":"Psychosocial adjustment changes and related factors in young and middle-aged patients with first-episode acute myocardial infarction: a longitudinal study","authors":"Xin-yi Zhou, Qi-qi Ke, Wei-yu Qiu, Yao-xia Li, Qin-yang Wu, Qiu-yun Ye, Qiao-hong Yang","doi":"10.1093/eurjcn/zvae065","DOIUrl":"https://doi.org/10.1093/eurjcn/zvae065","url":null,"abstract":"Aims This study aimed to explore the change trend and group heterogeneity of psychosocial adjustment level and to determine its influencing factors among young and middle-aged patients with first-episode acute myocardial infarction (AMI). Methods and results The Psychosocial Adjustment Scale of Illness was used to assess the psychosocial adjustment level of the patients at 1, 3, and 6 months after discharge, respectively. Data were analyzed using Pearson correlation analysis, generalized estimating equations, and growth mixed models. A total of 233 patients were included, and their psychosocial adjustment scores at the three-time points were 57.18 ± 15.50, 36.17 ± 15.02, and 24.22 ± 12.98, respectively. The trajectories of changes in patients’ psychosocial adjustment levels were divided into three latent categories: moderate adjustment improvement group (72.5%), low adjustment improvement group (16.3%), and persistent maladjustment group (11.2%). Among them, predictors of the persistent maladjustment group included no spouse, low monthly family income per capita, normal body mass index, never smoking, never exercising, combined with hyperlipidemia, low social support, submission coping, and high perceived stress. Conclusions The psychosocial adjustment level of young and middle-aged patients with first-episode AMI showed an upward trend within 6 months after discharge, and there was group heterogeneity in the change trajectory of psychosocial adjustment level. It is suggested that a multi-center, large-sample longitudinal study should be carried out in the future, and the time of follow-up investigation should be extended to further clarify the change trajectory and influencing factors of psychosocial adjustment of patients with different subtypes, to provide the theoretical basis for formulating targeted intervention programs.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":"18 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140835651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Device-specific quality of life: Results from the ATLAS trial—Avoid Transvenous Leads in Appropriate Subjects 设备特异性生活质量：ATLAS 试验--在适当受试者中避免使用经静脉导联--的结果

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-29 DOI: 10.1093/eurjcn/zvae067

Sandra L Carroll, Blandine Mondésert, Andrew D Krahn, Jamil G Bashir, Kathryn Fisher, Kalpana Nair, Jeff S Healey

{"title":"Device-specific quality of life: Results from the ATLAS trial—Avoid Transvenous Leads in Appropriate Subjects","authors":"Sandra L Carroll, Blandine Mondésert, Andrew D Krahn, Jamil G Bashir, Kathryn Fisher, Kalpana Nair, Jeff S Healey","doi":"10.1093/eurjcn/zvae067","DOIUrl":"https://doi.org/10.1093/eurjcn/zvae067","url":null,"abstract":"Aim Patient reported outcomes (PROs) provide important insights into patients’ acceptance of their medical devices. ATLAS, a randomized, multi-center, open-label clinical trial, recently reported fewer perioperative complications in S-ICD compared to TV-ICD patients. This study reports PROs, including device-specific and generic quality of life (QOL) from the ATLAS trial. Methods and results Device-specific QOL was the primary PRO using the Florida Patient Acceptance Survey (FPAS) at 1-and 6-months post-implantation. Secondary outcomes included generic QOL using the Medical Outcomes Survey (SF-36) pre-implant and 6-months post-implantation. FPAS and SF-36 were analyzed using ANCOVA. Pain measured using a Numeric Rating Scale, at 1-and 6-months, anesthetic, BMI and within/between differences were analyzed using descriptive statistics and mixed-effects linear models (MLM). Of the 503 patients randomized in ATLAS, 404 had complete FPAS data to include in this analysis. Participant characteristics were balanced. There were no significant differences between S-ICD and TV-ICD for FPAS or SF-36, across timepoints. Mean total FPAS scores increased from 73.73 (16.09) to 77.05 (16.13) and 74.43 (15.35) to 78.25 (15.88) for S-ICD and TV-ICD, respectively, (p &lt;0.001). PROs suggested that both devices were associated with good QOL. Conclusion Device-specific and generic QOL were similar between S-ICD and TV-ICD groups up to 6-months post-implantation indicating that regardless of device type, both groups reported good device specific QOL in ATLAS patients. S-ICD patients reported higher pain scores at implant, but pain decreased by 6 months. The findings offer evidence that can be included during shared decision-making. The inclusion of patient partners in ATLAS provided opportunity to measure PROs that were deemed important to patients. Registration ClinialTrials.gov # NCT02881255","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":"10 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140835663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence and assessment of delirium following open cardiac surgery; A systematic review and meta-analysis 开胸心脏手术后谵妄的发生率和评估；系统回顾和荟萃分析

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-29 DOI: 10.1093/eurjcn/zvae066

Nadja Buch Petersson, Malene Haugaard Hansen, Jacob V B Hjelmborg, Irene Instenes, Anne Sofie Christoffersen, Katrine Lawaetz Larsen, Henrik Schmidt, Lars Peter Schødt Riber, Tone Merete Norekvål, Britt Borregaard

{"title":"Incidence and assessment of delirium following open cardiac surgery; A systematic review and meta-analysis","authors":"Nadja Buch Petersson, Malene Haugaard Hansen, Jacob V B Hjelmborg, Irene Instenes, Anne Sofie Christoffersen, Katrine Lawaetz Larsen, Henrik Schmidt, Lars Peter Schødt Riber, Tone Merete Norekvål, Britt Borregaard","doi":"10.1093/eurjcn/zvae066","DOIUrl":"https://doi.org/10.1093/eurjcn/zvae066","url":null,"abstract":"Aim This systematic review and meta-analysis sought i) to provide an overview of the incidence of delirium following open cardiac surgery and ii) to investigate how incidences of delirium are associated with different assessment tools. Methods and results A systematic search of studies investigating delirium following open cardiac surgery were conducted in Medline (Ovid), EMBASE, PsycINFO, CiNAHL and the Cochrane Database. Only studies with patients diagnosed or screened with a validated tool were included. Studies published from 2005 to 2021 were included in the meta-analysis. Of 7,126 individual studies retrieved, 106 met the inclusion criteria for the meta-analysis, hereof 31% of high quality. The weighted pooled incidence of delirium following open cardiac surgery across all studies was 23% (95% CI 20-26%), however we found a considerable heterogeneity (I2 = 99%), which could not be explained by subgroups or further sensitivity analyses. The most commonly applied screening tool for delirium is CAM/CAM-ICU. The lowest estimates of delirium were found by applying the Delirium Observation Scale (incidence 14%, 95% CI 8-20%), and the highest estimates in studies using “other” screening tools (Organic Brain Symptom Scale, Delirium Symptom Interview) pooled incidence of 43%, (95% CI 19 - 66%), however, only two studies applied these. Conclusion Delirium following open cardiac surgery remains a complication with a high incidence of overall 23%, when applying a validated tool for screening or diagnosis. Nevertheless, this systematic review and meta-analyses highlight the significant inconsistency in current evidence regarding assessment tools and regimens. Registration Prospero CRD42020215519","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":"45 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140835743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The patient experience of in-hospital telemetry monitoring: a qualitative analysis. 院内遥测监护的患者体验：定性分析。

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI: 10.1093/eurjcn/zvad082

Marianne Sætrang Holm, Nina Fålun, Bjørn Bendz, Bengt Fridlund, Jørund Langørgen, Trond R Pettersen, Kristin E Sandau, Tone M Norekvål

{"title":"The patient experience of in-hospital telemetry monitoring: a qualitative analysis.","authors":"Marianne Sætrang Holm, Nina Fålun, Bjørn Bendz, Bengt Fridlund, Jørund Langørgen, Trond R Pettersen, Kristin E Sandau, Tone M Norekvål","doi":"10.1093/eurjcn/zvad082","DOIUrl":"10.1093/eurjcn/zvad082","url":null,"abstract":"Aims: In-hospital telemetry monitoring has been an integrated part of arrhythmia monitoring for decades. A substantial proportion of patients require arrhythmia monitoring during stays in non-intensive care units. However, studies exploring patients' experiences of telemetry monitoring are scarce. Therefore, the aim was to explore and describe patients' experiences of in-hospital telemetry monitoring in a non-intensive care setting.Methods and results: Twenty face-to-face, semi-structured interviews were conducted. Interviews were conducted before discharge at two university hospitals in Norway. The patients were purposively sampled, resulting in a well-balanced population comprising 11 men and nine women, mean age 62 years (range 25-83). Average monitoring time was 9 days (range 3-14). Data were audiotaped, transcribed verbatim, and coded using NVivo software. Qualitative content analysis using an inductive approach was performed. Patients expressed a need for individualized information during telemetry monitoring. Their feelings of safety were related to responses from nurses from the central monitoring station when alarms from the telemetry were triggered. Despite perceived physical restrictions and psychological limitations associated with telemetry monitoring, they found monitoring to be beneficial because it facilitated the diagnosis of arrhythmia. Moreover, they expressed a need for improvements in wearable monitoring equipment. Patients expressed ambivalent feelings about discontinuing the telemetry and their readiness for discharge.Conclusion: Patients need individualized information about the results of their telemetry monitoring in order to better understand the arrhythmia management and to increase their experience of safety after discharge. The limitations patients experienced should be taken into consideration in further upgrades of telemetry monitoring equipment.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":" ","pages":"258-266"},"PeriodicalIF":2.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10023579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prognostic role of sarcopenia on major adverse cardiac events among patients who underwent successful percutaneous coronary intervention: a retrospective cohort study. 成功接受经皮冠状动脉介入治疗的患者中，肌肉疏松症对主要不良心脏事件的预后作用：一项回顾性队列研究。

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI: 10.1093/eurjcn/zvad080

Mi Hwa Won, Kyeong Ho Yun, Heeseon Kim, Youn-Jung Son

{"title":"Prognostic role of sarcopenia on major adverse cardiac events among patients who underwent successful percutaneous coronary intervention: a retrospective cohort study.","authors":"Mi Hwa Won, Kyeong Ho Yun, Heeseon Kim, Youn-Jung Son","doi":"10.1093/eurjcn/zvad080","DOIUrl":"10.1093/eurjcn/zvad080","url":null,"abstract":"Aims: We investigated the prevalence of sarcopenia and its influence on 1-year major adverse cardiac events (MACEs) in patients after successful percutaneous coronary intervention (PCI).Methods and results: This retrospective medical record review using purposive sampling was conducted at a tertiary care university hospital in Korea. Medical records of a total of 303 patients (≥40 years) who underwent successful PCI between January 2014 and December 2020 were analysed. We retrospectively assessed sarcopenia at initial admission. Sarcopenia was assessed by a sarcopenia index based on a ratio of serum creatinine to serum cystatin C. MACE rates were evaluated within l year after PCI. A Kaplan-Meier analysis with a log-rank test was performed to compare the time with 1-year MACE event-free survival between groups with and without sarcopenia. Cox proportional hazards regression was conducted to assess sarcopenia's influence on MACE. The prevalence of sarcopenia and 1-year MACE after PCI were 24.8 and 8.6%, respectively. We found that sarcopenia at admission (hazard ratio, 3.01; 95% confidence interval, 1.22-7.38, P = 0.017) was significantly associated with 1-year MACE among patients after PCI.Conclusion: Expanding knowledge of sarcopenia among cardiovascular nurses may aid in early recognition of patients at risk of sarcopenia. Our finding implies that the sarcopenia index based on serum creatinine and cystatin C may be available as a prognostic factor for MACE in patients undergoing PCI. Future studies should be conducted to prospectively validate the sarcopenia index with a multi-centre, large sample.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":" ","pages":"287-295"},"PeriodicalIF":2.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10353124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Are exercise prescriptions for patients with cardiovascular disease, made by physiotherapists, in agreement with European recommendations? 理疗师为心血管疾病患者开具的运动处方是否符合欧洲建议？

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI: 10.1093/eurjcn/zvad065

Nastasia Marinus, Véronique Cornelissen, Raf Meesen, Karin Coninx, Dominique Hansen

{"title":"Are exercise prescriptions for patients with cardiovascular disease, made by physiotherapists, in agreement with European recommendations?","authors":"Nastasia Marinus, Véronique Cornelissen, Raf Meesen, Karin Coninx, Dominique Hansen","doi":"10.1093/eurjcn/zvad065","DOIUrl":"10.1093/eurjcn/zvad065","url":null,"abstract":"Aims: Physiotherapists often treat patients with (elevated risk for) cardiovascular disease (CVD), and should thus be able to provide evidence-based exercise advice to these patients. This study, therefore, aims to examine whether exercise prescriptions by physiotherapists to patients with CVD are in accordance with European recommendations.Methods and results: This prospective observational survey included forty-seven Belgian physiotherapists. The participants agreed to prescribe exercise intensity, frequency, session duration, program duration, and exercise type (endurance or strength training) for the same three patient cases. Exercise prescriptions were compared between physiotherapists and relations with their characteristics were studied. The agreement between physiotherapists' exercise prescriptions and those from European recommendations ('agreement score': based on a maximal score of 60/per case) was assessed. A wide inter-clinician variability was noticed for all exercise modalities, leading to a large variance for total peak-effort training minutes (from 461 up to 9000 over the three cases). The exercise frequency was prescribed fully out of range of the recommendations and the prescription of additional exercise modes was generally flawed. Exercise intensity and program duration were prescribed partially correct. The addition of strength exercises and session duration was prescribed correctly. This led to physiotherapist agreement scores of 25.3 ± 9.6, 23.2 ± 9.9, and 27.1 ± 10.6 (all out of 60), for cases one, two, and three, respectively. A greater agreement score was found in younger colleagues and those holding a Ph.D.Conclusion: Exercise prescriptions for CVD patients vary widely among physiotherapists and often disagree with European recommendations.Registration: ClinicalTrials.gov NCT05449652.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":" ","pages":"230-240"},"PeriodicalIF":2.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9770738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kinesiophobia and associated variables in patients with heart failure. 心力衰竭患者的运动恐惧症及相关变量。

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI: 10.1093/eurjcn/zvad072

Trinidad Sentandreu-Mañó, Pallav Deka, Luis Almenar, José M Tomás, Francisco-José Ferrer-Sargues, Raquel López-Vilella, Leonie Klompstra, Elena Marques-Sule

{"title":"Kinesiophobia and associated variables in patients with heart failure.","authors":"Trinidad Sentandreu-Mañó, Pallav Deka, Luis Almenar, José M Tomás, Francisco-José Ferrer-Sargues, Raquel López-Vilella, Leonie Klompstra, Elena Marques-Sule","doi":"10.1093/eurjcn/zvad072","DOIUrl":"10.1093/eurjcn/zvad072","url":null,"abstract":"Aims: Patients with heart failure (HF) can exhibit kinesiophobia, an excessive, debilitating, and irrational fear of movement. This study aimed to enhance the understanding of kinesiophobia in patients with HF by analysing associations with the following variables: musculoskeletal pain, quality of life, quality of sleep, functional capacity, disability, frailty, sex, and age.Methods and results: In this cross-sectional study, 107 participants were included, with ages ranging from 28 to 97 years (57% men, mean age 73.18 ± 12.68 years). Multiple regression analyses were performed with all variables, including polynomial regressions for variables with a non-linear relationship. Kinesiophobia was significantly correlated (P < 0.01) with musculoskeletal pain, quality of life, quality of sleep, functional capacity, disability, and being at risk of frailty, while age and sex were not statistically significant. Frailty disability and musculoskeletal pain intensity were variables linearly associated with kinesiophobia, while quality of sleep and disability had a non-linear relationship with kinesiophobia.Conclusion: Kinesiophobia needs to be evaluated and better understood in patients with HF to improve physical activity and exercise adherence. This study found that musculoskeletal pain intensity, quality of sleep, disability, and frailty risk have a significant association with kinesiophobia in patients with HF. Our results suggest multi-dimensional associations of kinesiophobia in patients with HF, which require further examination and understanding.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":" ","pages":"221-229"},"PeriodicalIF":2.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9923966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric properties of the Japanese version of the Self-Care of Heart Failure Index version 7.2. 日文版心力衰竭自我护理指数 7.2 版的心理计量特性。

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI: 10.1093/eurjcn/zvad069

Akiko Okada, Kanako Hayashi, Kanako Ichikura, Naoko P Kato, Rumi Wakabayashi, Noriko Nagao, Miyuki Tsuchihashi-Makaya

{"title":"Psychometric properties of the Japanese version of the Self-Care of Heart Failure Index version 7.2.","authors":"Akiko Okada, Kanako Hayashi, Kanako Ichikura, Naoko P Kato, Rumi Wakabayashi, Noriko Nagao, Miyuki Tsuchihashi-Makaya","doi":"10.1093/eurjcn/zvad069","DOIUrl":"10.1093/eurjcn/zvad069","url":null,"abstract":"Aims: It is more important for patients with heart failure (HF) to objectively identify their self-care status. The Self-Care of Heart Failure Index (SCHFI) version 7.2 is a reliable and valid instrument comprising three scales: self-care maintenance, symptom perception, and self-care management. We aimed to translate the SCHFI v.7.2 into Japanese and test its validity and reliability.Methods and results: This was a cross-sectional study. Two translators performed forward and backward translations between English and Japanese. To assess structural validity, confirmatory factor analyses were performed using the structure of the original version. To assess convergent validity, the associations between each scale and self-care self-efficacy were evaluated. To assess internal consistency, model-based internal consistency coefficients were calculated. Participants were 314 Japanese outpatients with HF (mean age: 72.8 ± 12.8 years). Regarding structural validity, all scales showed adequate model fit indices, supporting a two-factor structure with items similar to those in the original version. However, to improve the model fit indices, it was necessary to add error correlations for the self-care maintenance and symptom perception scales. Regarding convergent validity, all scales showed significant associations with self-care self-efficacy. Regarding internal consistency, the model-based internal consistency coefficients were sufficient for all scales (0.739, 0.908, and 0.783 for the self-care maintenance, symptom perception, and self-care management scales, respectively).Conclusion: The Japanese version of the SCHFI v.7.2 had adequate validity and reliability. This instrument is useful for assessing self-care in Japanese HF patients. However, factors influencing self-care should be considered when interpreting results.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":" ","pages":"305-312"},"PeriodicalIF":2.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9846666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Implementation of patient education for patients with atrial fibrillation: nationwide cross-sectional survey and one-year follow-up. 对心房颤动患者实施患者教育：全国横断面调查和一年随访。

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI: 10.1093/eurjcn/zvad066

Ina Qvist, Deirdre A Lane, Signe Stelling Risom, Jeroen M Hendriks, Anette Arbjerg Højen, Søren Paaske Johnsen, Lars Frost

{"title":"Implementation of patient education for patients with atrial fibrillation: nationwide cross-sectional survey and one-year follow-up.","authors":"Ina Qvist, Deirdre A Lane, Signe Stelling Risom, Jeroen M Hendriks, Anette Arbjerg Højen, Søren Paaske Johnsen, Lars Frost","doi":"10.1093/eurjcn/zvad066","DOIUrl":"10.1093/eurjcn/zvad066","url":null,"abstract":"Aims: Clinical practice guidelines recommend patient education for patients with atrial fibrillation (AF) as a part of holistic care, however, clinical guidelines lack detailed specification on the content, structure, and delivery of AF education programmes. To examine the implementation of education for patients with AF in Denmark in relation to coverage, organization, and content.Methods and results: A cross-sectional survey was conducted from February to May 2021. The survey contained questions on the organization, delivery, and content of education for patients with AF from all 29 AF outpatient hospital sites in Denmark. The survey was conducted by email and telephone. One-year follow-up was done in May 2022 by email. Patient education was provided by healthcare professionals in 16 (55%) hospitals. Nurse workforce issues, management, non-prioritization, and lack of guidance for implementation were reasons for the absence of patient education in 13 (45%) hospitals. The structure of patient education differed in relation to group or individual teaching methods and six different education models were used. Content of the AF disease education was generally similar. At 1-year follow-up, another four hospitals reported offering patient education (69% in total).Conclusion: Initially, almost half of the hospitals did not provide patient education, but at 1-year follow-up, 69% of hospitals delivered patient education. Patient education was heterogeneous in relation to delivery, frequency, and duration. Future research should address individualized patient education that may demonstrate superiority in relation to quality of life, less hospital admissions, and increased longevity.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":" ","pages":"251-257"},"PeriodicalIF":2.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9870881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early mobilization after transcatheter aortic valve implantation: observational cohort study. 经导管主动脉瓣植入术后的早期动员：观察性队列研究。

IF 2.9 3区医学

European Journal of Cardiovascular Nursing Pub Date : 2024-04-12 DOI: 10.1093/eurjcn/zvad081

Sandra B Lauck, Maggie Yu, Carrie Bancroft, Britt Borregaard, Jopie Polderman, Anna L Stephenson, Eric Durand, Mariama Akodad, David Meier, Holly Andrews, Leslie Achtem, Erin Tang, David A Wood, Janarthanan Sathananthan, John G Webb

{"title":"Early mobilization after transcatheter aortic valve implantation: observational cohort study.","authors":"Sandra B Lauck, Maggie Yu, Carrie Bancroft, Britt Borregaard, Jopie Polderman, Anna L Stephenson, Eric Durand, Mariama Akodad, David Meier, Holly Andrews, Leslie Achtem, Erin Tang, David A Wood, Janarthanan Sathananthan, John G Webb","doi":"10.1093/eurjcn/zvad081","DOIUrl":"10.1093/eurjcn/zvad081","url":null,"abstract":"Aims: Early mobilization is associated with improved outcomes in hospitalized older patients. We sought to determine the effect of a nurse-led protocol on mobilization 4 h after transfemoral transcatheter aortic valve implantation (TAVI) across different units of care.Methods and results: We conducted a prospective observational cohort single-centre study of consecutive patients. We implemented a standardized protocol for safe early recovery and progressive mobilization in the critical care and cardiac telemetry units. We measured the time to first mobilization and conducted descriptive statistics to identify patient and system barriers to timely ambulation. We recruited 139 patients (82.5 years, SD = 6.7; 46% women). At baseline, patients who were mobilized early (≤4 h) and late (>4 h) did not differ, except for higher rates of diabetes (25.5% vs. 43.9%, P = 0.032) and peripheral arterial disease (8.2% vs. 26.8%, P = 0.003) in the late mobilization group. The median time to mobilization was 4 h [inter-quartile range (IQR) 3.25, 4]; 98 patients (70.5%) were mobilized successfully after 4 h of bedrest; 118 (84.9%) were walking by the evening of the procedure (<8 h bedrest); and 21 (15.1%) were on bedrest overnight and mobilized the following day. Primary reasons for overnight bedrest were arrhythmia monitoring (n = 10, 7.2%) and haemodynamic and/or neurological instability (n = 6, 4.3%); six patients (4.3%) experienced delayed ambulation due to system issues. Procedure location in the hybrid operating room and transfer to critical care were associated with longer bedrest times.Conclusion: Standardized nurse-led mobilization 4 h after TF TAVI is feasible in the absence of clinical complications and system barriers.","PeriodicalId":50493,"journal":{"name":"European Journal of Cardiovascular Nursing","volume":" ","pages":"296-304"},"PeriodicalIF":2.9,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10049263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0