Journal of Cardiovascular Nursing最新文献

{"title":"Self-Care Levels and Related Factors in Patients With Coronary Artery Disease: A Cross-Sectional Study in the Southeast of Iran.","authors":"Mohammad Esmaeelzadeh, Simin Sharafi, Zahra Zamaninasab, Mobin Soleimanian Asl, Amirhossein Boostani, Amirmohamad Momeni, Mozhgan Moshtagh","doi":"10.1097/JCN.0000000000001195","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001195","url":null,"abstract":"<p><strong>Background: </strong>Coronary artery disease (CAD) is a major cause of death worldwide. Uptake of self-care behaviors by patients with CAD could reduce hospital costs and negative social effects. Self-care among patients with CAD has not been studied in Iran.</p><p><strong>Objective: </strong>In the present study, we assessed self-care levels and related factors in patients with CAD in Iran.</p><p><strong>Methods: </strong>In this cross-sectional study, 250 patients hospitalized in Razi hospital in Birjand city between 2023 and 2024 were selected. Data were collected by demographic questionnaire and the Inventory of Self-care in Coronary Heart Disease. Bivariate analyses and multiple linear regression were used to analyze the data.</p><p><strong>Results: </strong>Study participants were mostly male (62%), with elementary education (43.6%). The highest and the lowest scores were related to self-care maintenance (62.26 ± 15.14) and monitoring (45.66 ± 23.46), respectively. Smoking (P < .001), employment status (P = .020), hospitalization frequency, once (P = .003) or twice (P = .015), and emergency visits (P = .008) were predictors of self-care maintenance. Gender (P = .010), emergency visits (P = .016), and comorbidities (diabetes, hyperlipidemia, and high blood pressure) or risk factors (2: P = .016; and 3: P = .003) were strong predictors of better self-care monitoring. Employment status (P = .007), disease duration (P = .011), and hospitalization frequency (P = .033) were significant determinants of better self-care management.</p><p><strong>Conclusions: </strong>Demographic characteristics and social context influence self-care levels of patients with CAD living in Iran. Therefore, person-oriented and gender-focused interventions may empower these patients to engage in self-care. We recommend development and testing of such interventions in Iran.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Home-Based Exercise on Depression, Anxiety, Functional Capacity, and Quality of Life in Patients With Heart Failure With Reduced Ejection Fraction: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Yi-Ching Wang, Renny Wulan Apriliyasari, Chii Jeng, Ming-Hsiung Hsieh, Pei-Shan Tsai","doi":"10.1097/JCN.0000000000001201","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001201","url":null,"abstract":"<p><strong>Background: </strong>Structured exercise programs have been shown to improve functional capacity and mitigate depressive symptoms in various populations. However, no review has examined the effects of home-based exercise on depression in patients with heart failure with reduced ejection fraction (HFrEF).</p><p><strong>Purpose: </strong>The objective of this study is to evaluate the effects of home-based exercise in patients with HFrEF.</p><p><strong>Methods: </strong>Seven databases were searched from inception until August 2024. The Cochrane Risk of Bias Tool was used to assess study quality. Data were analyzed using Comprehensive Meta-Analysis software. The treatment effect was quantified using Hedges g and 95% confidence interval (CI) using a random-effects model. Heterogeneity was examined using Q values and I2 statistics. Moderator analysis was performed to identify sources of heterogeneity. The certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluations system.</p><p><strong>Results: </strong>Thirteen randomized controlled trials were included. Home-based exercise had a significant effect on depression (g = -0.298; 95% CI, -0.470 to -0.125; P = .001; I2 = 0%), anxiety (g = -0.217; 95% CI, -0.414 to -0.020; P = .031; I2 = 0%), peak oxygen consumption (g = 0.551; 95% CI, 0.160-0.941; P = .006; I2 = 74.29%), 6-minute walking distance (g = 0.692; 95% CI, 0.272-1.112; P = .001; I2 = 81.12%), and quality of life (g = -0.778; 95% CI, -1.206 to -0.350; P < .001; I2 = 84.62%).</p><p><strong>Conclusion: </strong>Home-based exercise may be effective in mitigating depression and anxiety in patients with HFrEF.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Older Adults With Cardiovascular Disease and Their Care Partners: An Analysis of Care Needs, Care Activities, and Care Partner Stress and Mental Health.","authors":"Julie T Bidwell, Alex J Fauer, Rebecca J Howe, Martha Abshire Saylor, Christopher S Lee, Javier E López, Monica Godden, Ladson Hinton","doi":"10.1097/JCN.0000000000001210","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001210","url":null,"abstract":"<p><strong>Background: </strong>Comparatively less research has been done on caregiving for persons with cardiovascular disease (CVD) than in other chronic conditions, leaving gaps in guidance for clinical care and interventions.</p><p><strong>Objective: </strong>We aimed to describe the care needs of older adults with CVD in the United States and identify determinants of stress and mental health in their care partners.</p><p><strong>Methods: </strong>This was a cross-sectional analysis using the National Health and Aging Trends Study (n = 1011 persons with CVD) and the National Study of Caregiving (n = 510 CVD care partners). We compared differences in health and care needs of persons with and without CVD and described care partners' caregiving activities. Using multivariate regression, we examined determinants of care partner stress and anxiety/depression.</p><p><strong>Results: </strong>Persons with CVD had higher comorbid burden, worse health, and more care needs than those without CVD. Most care partners helped with activities of daily living in addition to disease-related care. Worse stress was associated with worse care partner health (β = 0.357; 95% confidence interval [CI], 0.192-0.522), more care activities (β = 0.388; CI, 0.070-0.705), greater care coordination (β = 0.367; CI, 0.012-0.722), more medical/nursing tasks (β = 0.489; CI, 0.145-0.834), and poorer relationship quality with the care recipient (β = -0.269; CI, -0.365 to -0.173). Care partners were more likely to have anxiety/depression if their care recipient had poorer mental health (odds ratio [OR], 1.137; CI, 1.017-1.270), whereas better relationship quality and higher educational attainment appeared protective (OR, 0.837 [CI, 0.719-0.975], and OR, 0.170 [CI, 0.076-0.380], respectively).</p><p><strong>Conclusions: </strong>Our findings suggest a need for broader examination of caregiving burden in CVD, well beyond CVD-specific aspects.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Atypical Symptoms on Admission Predict Progression to Heart Failure in Patients With First-Time Myocardial Infarction: Using Data From the Korean Multicenter Cohort Registry.","authors":"Seon Young Hwang, In Ae Uhm, Sun Hwa Kim, Jiyoung Kim, Myung Ho Jeong","doi":"10.1097/JCN.0000000000001212","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001212","url":null,"abstract":"<p><strong>Background: </strong>Identifying the initial factors predicting heart failure (HF) progression in patients with myocardial infarction (MI), a major cause of HF, is essential.</p><p><strong>Objectives: </strong>We aimed to examine predictors of rehospitalization due to HF in patients with first-time MI from the Korea Acute Myocardial Infarction Registry-National Institutes of Health (KAMIR-NIH) prospective cohort between 2011 and 2015.</p><p><strong>Methods: </strong>A secondary data analysis was conducted on a population of 8888 patients who completed 3 years of follow-up and had no history of MI, HF, or death. The HF group was defined as patients rehospitalized with an HF diagnosis due to worsening symptoms. A 1:4 propensity score matching analysis was performed on 11 baseline characteristics, and the clinical conditions and complications of the HF group (n = 252) were compared with the non-HF group (n = 991). Statistical analyses were performed using SAS version 9.4 and R version 4.2.3.</p><p><strong>Results: </strong>A Cox proportional hazards model showed that the factors predicting rehospitalization due to HF were dyspnea (HR, 1.54; 95% CI, 1.16-2.04; P = .003), left ventricular ejection fraction <50% (HR, 2.71; 95% CI, 2.06-3.58; P < .001), and new-onset HF confirmed during hospitalization (HR, 1.77; 95% CI, 1.18-2.66; P = .006). Atypical chest pain (no chest pain) was significant only in univariate analysis.</p><p><strong>Conclusions: </strong>This study highlights the importance of carefully monitoring symptoms and conditions during outpatient follow-up in post-MI patients, regardless of age, sex, or medical history. In particular, those who present with dyspnea at admission or develop new-onset HF during hospitalization should be considered high-risk for HF rehospitalization.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Leading the Charge in Obesity Management: A Call to Action for Cardiovascular Nursing.","authors":"Eryn Bryant, Karen Laing, Kristan D Langdon, Heidi Salisbury, Chloé Davidson Villavaso","doi":"10.1097/JCN.0000000000001192","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001192","url":null,"abstract":"","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Literacy Profiles of Caregivers of Acute Myocardial Infarction Patients.","authors":"Jehad A Rababah, Mohammed Munther Al-Hammouri, Ayat Radaideh","doi":"10.1097/JCN.0000000000001204","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001204","url":null,"abstract":"<p><strong>Background: </strong>Health literacy among caregivers of patients with myocardial infarction is a crucial area that is still not fully addressed in research.</p><p><strong>Objective: </strong>In this study, our aim was to explore the health literacy profiles of caregivers of patients with acute myocardial infarction (AMI).</p><p><strong>Methods: </strong>A cross-sectional design was used, involving 121 caregivers of patients with AMI recruited through convenience sampling. Data were collected using a demographics questionnaire and the Health Literacy Questionnaire. Hierarchical cluster analysis was performed to determine health literacy profiles based on Health Literacy Questionnaire scores and sociodemographic characteristics.</p><p><strong>Results: </strong>Six distinct clusters of health literacy profiles emerged from the analysis. Caregivers in cluster 1 exhibited the highest health literacy levels, whereas those in cluster 6 had the lowest health literacy scores with significant difficulties in understanding and using health information. Caregivers' sociodemographic factors such as age, gender, smoking status, and education level played a significant role in determining health literacy profiles.</p><p><strong>Conclusion: </strong>The study highlights the diverse health literacy profiles among caregivers of patients with AMI, emphasizing the importance of designing tailored interventions to address these differences to improve the health outcomes of caregivers and patients.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse-Based Models for Cardiovascular Disease Prevention From Research to Clinical Practice.","authors":"Nancy Houston Miller, Catriona Jennings, David R Thompson, Suzanne Fredericks","doi":"10.1097/JCN.0000000000001209","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001209","url":null,"abstract":"<p><strong>Background: </strong>The past 2 decades have witnessed a number of studies and reviews reporting on the development, implementation, and evaluation of nurse-based models of cardiovascular disease (CVD) prevention, which are contributing to the growing evidence base of their effectiveness. Teams comprising healthcare professionals with expertise in nursing, dietetics, physical activity, and behavioral skills have shown high levels of success in preventive efforts, particularly in high-risk and vulnerable populations.</p><p><strong>Purpose: </strong>The purpose of this article is to highlight the research and successful models of nurse-based care in clinical practice including the main outcomes, challenges, and dissemination of these models. Highlights include the role of nurses in CVD prevention and the lessons learned from implementation.</p><p><strong>Conclusions: </strong>Used appropriately, collaborative, team-based, nurse-led models have the potential to effect positive change in both primary and secondary prevention of CVDs. Technology also has an increasingly important role to play. Considerations regarding the effectiveness of contemporary nurse-based models include their design features and content, and methods of implementation and dissemination, with the aim of organizing and delivering flexible CVD preventive healthcare, including training and administrative oversight, which is responsive to contemporary patient need, choice, and preferences.</p><p><strong>Clinical implications: </strong>The nurse's role in CVD prevention shows promise for enhancing both primary and secondary prevention of CVD worldwide. The research and dissemination of models shown to be effective in clinical practice will enhance the capability of individuals to ensure that appropriate methods are used to implement and extend these models in numerous settings from primary to tertiary care.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Cold Spray Use on Thirst Distress, Dry Mouth, and Fluid Intake in Heart Failure Patients: A Randomized Controlled Study.","authors":"Amir Ghasemi, Seyed Reza Mazloum, Tayebe Pourghaznein, Ali Eshraghi","doi":"10.1097/JCN.0000000000001183","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001183","url":null,"abstract":"<p><strong>Background: </strong>People with heart failure frequently experience dry mouth and thirst. More information is currently needed on the effectiveness of practical interventions in reducing these symptoms.</p><p><strong>Objective: </strong>This study was conducted to determine the effect of cold-water spray on thirst distress, dry mouth, and fluid intake in patients with heart failure.</p><p><strong>Methods: </strong>A randomized controlled trial was conducted involving 72 patients with a confirmed diagnosis of heart failure. The patients were randomly assigned to either an intervention group that received a cold-water spray-based program or a control group that received routine department care. The program of spraying cold water was implemented for 3 days. The level of thirst distress, dry mouth, and fluid intake was measured at the beginning and end of the 3-day intervention, and the data were analyzed using SPSS software version 21.</p><p><strong>Results: </strong>Before the intervention, the 2 groups showed no significant differences in demographic characteristics, such as age and gender (P > .05). The average scores for thirst and dry mouth distress were also identical. However, after the intervention, the group that received the intervention had significantly lower average scores for thirst distress (20.2 ± 6.9 vs 27.1 ± 8.5, P < .001) and dry mouth distress (3.5 ± 1 vs 5.2 ± 1.2, P < .001) compared with the control group. It is worth noting that there was no significant difference in the average fluid intake between the 2 groups.</p><p><strong>Conclusion: </strong>The study concluded that cold-water spray effectively reduces thirst distress and dry mouth in patients with heart failure.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arabic Version of the Caregiver Contribution to Self-Care of Heart Failure Index v2: A Psychometric Evaluation.","authors":"Khitam Alsaqer, Mariam Kawafha, Duaa Al-Maghaireh, Heidar Sheyab, Abedelkader Al Kofahi, Mayyada Saleh","doi":"10.1097/JCN.0000000000001199","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001199","url":null,"abstract":"<p><strong>Background: </strong>Accurate assessment of caregivers' roles in self-care for heart failure (HF) is essential for effectively managing the condition. This evaluation helps identify areas needing additional support, allowing healthcare providers to create tailored and effective patient care strategies.</p><p><strong>Objective: </strong>The objective of this study is to test the validity and reliability of the Arabic version of The Caregiver Contribution to Self-Care of Heart Failure Index Version 2 (CC-SCHFI v2) among the caregivers of patients with HF in Jordan.</p><p><strong>Methods: </strong>A cross-sectional design was used to test the validity and reliability of the Arabic version of CC-SCHFI v2. A translation process and psychometric evaluation were performed. Three hundred caregivers and 300 patients with HF were statistically analyzed.</p><p><strong>Results: </strong>Caregivers had a mean age of 42 years (females were dominant), whereas patients had a mean age of 66 years. Statistical analysis showed significant results: content validity showed high content validity index (0.92), construct validity showed that Bartlett test (P < .001) confirmed factorability, and the Kaiser-Meyer-Olkin index was 0.74. Confirmatory factor analysis indicated a good fit (χ2 = 150.23, df = 90, P < .001; comparative fit index = 0.95, TLI = 0.94, root mean square error of approximation = 0.045), revealing a 3-factor solution that accounted for 75% of the total variance, 50% for self-care maintenance, 15% for symptom perception, and 10% for self-care management. Concurrent validity showed a strong correlation (r = 0.68, P < .001) between the CC-SCHFI v2 and SCHFI scales. Reliability was good internal consistency, with Cronbach α between 0.78 and 0.84, and the test-retest showed intraclass correlation coefficients from 0.85 to 0.90.</p><p><strong>Conclusion: </strong>This study provides valuable evidence supporting the reliability and validity of the Arabic version of the CC-SCHFI v2 among the caregivers of patients with HF in Jordan.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Reported Physical Activity in Chinese American Immigrants With a History of Gestational Diabetes Mellitus.","authors":"Shuyuan Huang, Garrett I Ash, Jiepin Cao, Gail D'Eramo Melkus, Soohyun Nam, Sangchoon Jeon, Erin McMahon, Robin Whittemore","doi":"10.1097/JCN.0000000000001197","DOIUrl":"10.1097/JCN.0000000000001197","url":null,"abstract":"<p><strong>Background: </strong>Women with a history of gestational diabetes mellitus (GDM) have an elevated risk for cardiometabolic diseases. Chinese American immigrants are disproportionately affected by GDM, yet their cardiometabolic risk factors are understudied. Little is known about physical activity (PA) of this understudied high-risk minority group.</p><p><strong>Objective: </strong>The purpose of this study was to describe self-reported PA and the facilitators of and barriers to PA in Chinese American immigrants with a history of GDM.</p><p><strong>Methods: </strong>We conducted an exploratory multimethod study between 2020 and 2021 among 106 Chinese American immigrant women. PA was self-reported using the International Physical Activity Questionnaire-Long form. Four domains of PA (work, transportation, housework, and leisure time) and daily sitting time were recorded. Open-ended questions were asked about the facilitators of and barriers to PA.</p><p><strong>Results: </strong>Participants' mean age was 34.3 ± 3.7 years, and body mass index was 21.7 ± 2.6 kg/m 2 . Approximately 25% had low PA. Over half (N = 56, 53%) reported no leisure-time moderate-to-vigorous PA. Walking and housework were the most common types of PA. Barriers to PA included being busy with life, physical health issues (eg, sleep and postpartum health issues), low motivation or not enjoying PA, COVID-related barriers, and an unfavorable environment for PA.</p><p><strong>Conclusions: </strong>Strategies are needed to increase leisure-time moderate-to-vigorous PA in this population. Modifiable factors include providing convenient PA programs (eg, technology or home-based) and addressing postpartum health issues (eg, sleep). Increasing providers' awareness of barriers to PA and cardiometabolic disease risk in this hard-to-reach, high-risk group may improve assessment and referral for high-risk women. Future research is needed to further explore opportunities for PA that Chinese American immigrant women would be open to at this stage in their life.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}