Journal of Cardiovascular Nursing最新文献

{"title":"Correctness of Cardiovascular Risk Perception in Primary Prevention Care: A Multicenter Cross-sectional Italian Study.","authors":"Niccolò Simonelli, Mariangela Alberti, Miriana D'andrea, Alessia Martina Trenta, Elisabetta Bagnato, Andrea Faini, José Pablo Werba, Enrico Gianfranceschi, Debora Rosa","doi":"10.1097/JCN.0000000000001240","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001240","url":null,"abstract":"<p><strong>Background: </strong>The assessment of individual risk for cardiovascular disease is recommended in primary prevention; however, people may not have a correct perception of their personal cardiovascular risk.</p><p><strong>Objective: </strong>The aim of this study was to compare cardiovascular risk perception with cardiovascular real risk among participants in Italian population screening events.</p><p><strong>Methods: </strong>This is a cross-sectional multicenter study. Men and women without cardiovascular events aged 40 and 69 years were included. For each participant, sociodemographic and clinical data were collected, cardiovascular risk perception was measured by one 5-point Likert question, and cardiovascular real risk was calculated using the SCORE2 algorithm.</p><p><strong>Results: </strong>A total sample of 286 participants was analyzed. The mean age was 53 years, and 69% were female; the larger part of participants demonstrated a low/moderate cardiovascular real risk (67.8%) and perceived the same level of cardiovascular risk perception (91.2%) as well. Most participants with a \"high\" or \"very high\" cardiovascular real risk (32.2% of the sample) reported an incorrect cardiovascular risk perception (91% and 94%, respectively). Incorrectness in cardiovascular risk perception was significantly (P < .001) associated with sociodemographic characteristics (sex, age, education, employment status) and clinical features of participants (smoking habit, arterial pressure, or lipid abnormalities).</p><p><strong>Conclusions: </strong>In a sample of the Italian general population, an incorrect cardiovascular risk perception is associated with sociodemographic characteristics or clinical features that increase cardiovascular real risk. Community cardiovascular screening should comprise the evaluation of cardiovascular risk perception; future research might be directed to explore more in depth its determinants and consequences.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700408","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":"PCNA News and Resources.","authors":"","doi":"10.1097/JCN.0000000000001244","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001244","url":null,"abstract":"","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692396","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":"Association Between Dietary Inflammatory Index and Obesity-Related Hypertension: A Cross-sectional Study.","authors":"Yunfeng Li, Yulong Ma, Xunjie Zhou, Lei Yao, Jianhua Li, Mingtai Gui, Mingzhu Wang, Xiaozhe Chen, Bo Lu, Deyu Fu","doi":"10.1097/JCN.0000000000001245","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001245","url":null,"abstract":"<p><strong>Background: </strong>Inflammation plays a significant role in the development of hypertension and obesity, and specific dietary patterns can influence systemic inflammation. However, the link between dietary inflammatory potential and obesity-related hypertension (ORH) remains unclear.</p><p><strong>Objective: </strong>In this study, our aim was to evaluate the association between the Dietary Inflammatory Index (DII) and ORH using data from the National Health and Nutrition Examination Survey 1999 to 2020.</p><p><strong>Methods: </strong>The DII, calculated from a 24-hour dietary recall questionnaire, was used to assess dietary inflammatory potential. Blood pressure was measured by trained examiners, and obesity was defined as a body mass index of 30 kg/m2 or higher. Weighted logistic regression analysis was used to explore the association between DII and ORH.</p><p><strong>Results: </strong>Individuals with ORH exhibited a higher DII (1.58 ± 0.03) compared with hypertensive (1.41 ± 0.03) and nonhypertensive (1.34 ± 0.03) individuals. Weighted logistic regression indicated a significant positive correlation between DII and ORH. In the fully adjusted model, higher DII scores were associated with increased odds of ORH (Q2, 1.12 [0.99-1.27]; Q3, 1.34 [1.19-1.51]; Q4, 1.42 [1.26-1.61]). In addition, all-cause mortality risk significantly increased with higher DII levels in the population with ORH. Notably, the association between DII and ORH was more pronounced among non-Hispanic White individuals (p for interaction < .05).</p><p><strong>Conclusions: </strong>Higher DII is associated with increased prevalence of ORH, as well as all-cause mortality, with non-Hispanic White individuals being more susceptible to the influence of proinflammatory diets.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692395","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":"An Examination of Geographic Proximity to Outpatient Cardiac Rehabilitation in Rural Versus Urban Tennessee Counties.","authors":"Phoebe M Tran, Benjamin Fogelson, Andrew B Sorey, R Eric Heidel, Raj Baljepally","doi":"10.1097/JCN.0000000000001236","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001236","url":null,"abstract":"<p><strong>Background: </strong>Although outpatient cardiac rehabilitation (OCR) is associated with improved outcomes post myocardial infarction (MI), authors of limited US studies report OCR travel distance/time estimates with fewer providing rural-urban comparisons.</p><p><strong>Objective: </strong>We examined travel distance/time to the closest OCR facility for each Tennessee county.</p><p><strong>Methods: </strong>We identified n = 61 Tennessee OCR facilities through a Tennessee Association of Cardiovascular and Pulmonary Rehabilitation list and a data scraping process using cardiac rehabilitation-related keywords. County-level mean travel distance/time to the closest OCR facility was determined using geospatial analysis. We conducted Kruskal-Wallis tests to examine whether mean travel distance/time varied by rural/urban county status and also by MI hospitalization rate status (low, 0 to <33.33 percentile; medium, 33.33 to <66.66 percentile; high, ≥66.66 percentile).</p><p><strong>Results: </strong>Of Tennessee's 95 counties, 62.3% of facilities were in its 42 urban counties. Mean (SD) county-level travel distance to the closest OCR was 16.6 (10.0) miles, and mean (SD) county-level travel time was 27.9 (13.6) minutes. Travel distance/time did not significantly differ by rural/urban county status (rural: 15.4 miles, 28.9 minutes; urban: 12.9 miles, 23.2 minutes) or by MI hospitalization rate status (low: 10.4 miles, 19.6 minutes; medium: 14.5 miles, 24.1 minutes; high: 18.8 miles, 30.7 minutes).</p><p><strong>Conclusions: </strong>Our findings indicate that overall mean travel distance was around half an hour, but lack of OCR facilities in rural Tennessee counties did not correspond with significantly greater travel distance/time to OCR in rural versus urban counties. Additional efforts are warranted to help patients post-MI with actual or perceived high travel burden navigate personal and structural factors precluding OCR receipt.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676628","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":"Cardiothoracic Wound Management in Pediatrics: A Scoping Review.","authors":"Jacqueline Cunninghame, Mari Takashima, Jennifer Orchard, Harshita Grewel, Prem Venugopal, Amanda Ullman","doi":"10.1097/JCN.0000000000001233","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001233","url":null,"abstract":"<p><strong>Background: </strong>Congenital heart defects represent the most prominent cause of mortality in a child's first year of life. Management of cardiothoracic wounds in pediatric populations is complex, attributed to the fragility of soft tissue, with healing progressing differently in adults. Understanding the breadth of wound care management is essential in establishing its applicability to clinical practice, especially in the prevention of complications.</p><p><strong>Objective: </strong>The aim of this study was to expansively explore preoperative, intraoperative, and postoperative cardiothoracic wound care in pediatrics.</p><p><strong>Methods: </strong>In this scoping review, a systematic search of MEDLINE, EMBASE, and Cumulative Index to Nursing and Allied Health Literature was conducted to retrieve interventional studies on pediatric cardiothoracic surgical patients (younger than 21 years) with wounds requiring intervention published in the preceding 10 years.</p><p><strong>Results: </strong>A total of 2379 studies were retrieved, with 23 studies included. This review predominantly consisted of observational studies (n = 13, 57%), with 2 randomized clinical trials (8.7%). Most studies focused on procedural interventions (n = 14, 41.2%), with an equal distribution of management-focused (n = 10, 29.4%) and bundle-focused (n = 10, 29.4%) interventions. Interventions were most used in the postoperative period (n = 68, 49.6%). Study authors typically assessed the association of pharmaceutical, dressing, mechanical, and decontamination interventions with the incidence of sternal wound infections, healing, other infections, nutrition, parental outcomes, and postoperative complications. Frequency of wound surveillance and dressing changes were heterogeneous and rarely reported among studies.</p><p><strong>Conclusions: </strong>This review demonstrated the limited availability of high-level evidence evaluating the effectiveness of wound care interventions associated with pediatric cardiothoracic surgery. It is paramount that researchers leverage existing clinical networks to establish clinical trials.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638738","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 Clusters With Distinct Social Determinants by a Two-Step Cluster Analysis on Cardiovascular Health.","authors":"Seok Hee Lee, Minsu Ock, Seongmi Moon, Eun Kyeung Song","doi":"10.1097/JCN.0000000000001238","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001238","url":null,"abstract":"<p><strong>Background: </strong>The prevalence and mortality rates of cardiovascular diseases have been consistently high over the past 10 years in Ulsan, South Korea. Given the importance of social determinants in cardiovascular health, it is imperative to determine clusters with social determinants by a cluster analysis and their relationships with cardiovascular health.</p><p><strong>Objective: </strong>The aims of this study were to identity clusters with distinct social determinants and to compare cardiovascular health among the identified clusters.</p><p><strong>Methods: </strong>Social determinants (age, sex, job, education, monthly income, living location, medical institution usage, and experience of public resources), awareness and knowledge of stroke and myocardial infarction warning symptoms, health behaviors, and current history of hypertension, diabetes, and dyslipidemia were obtained from 1224 adults dwelling in Ulsan. A two-step cluster analysis, χ2 test, and logistic regressions were used for data analysis.</p><p><strong>Results: </strong>Three clusters were identified and named \"middle-aged male workers\" (n = 379, 31.0%), \"young professionals\" (n = 482, 39.4%), and \"older female dependents\" (n = 363, 29.7%). Among the 3 clusters, there were significant differences in self-reported awareness of stroke and myocardial infarction warning symptoms, smoking, alcohol consumption, and eating habits related to salt intake (all Ps ≤ .001). In logistic regressions, \"middle-aged male workers\" versus \"young professionals\" had an odds ratio of 6.41 (P < .001) for hypertension and a 6.30 for diabetes (P < .001), whereas odds ratios for \"older female dependents\" versus \"young professionals\" were 10.23 for hypertension (P < .001), 7.64 for diabetes (P < .001), and 5.04 for dyslipidemia (P < .001).</p><p><strong>Conclusions: </strong>Understanding subgroups vulnerable to cardiovascular health with distinct social determinants should be prioritized, and on the basis of this, a public health promotion program is warranted.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592978","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":"Impact of Nurse-Led Cardiovascular Risk Assessment and Management Program on 1-Year Outcomes in Patients on Hemodialysis Post Percutaneous Coronary Intervention.","authors":"Wanting Zhao, Weiqiu Zhao, Xiaodan Sun","doi":"10.1097/JCN.0000000000001234","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001234","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular complications are a major concern for hemodialysis patients with chronic kidney disease, especially post percutaneous coronary intervention (PCI). The authors of this study investigated the impact of a nurse-led cardiovascular risk assessment and management program on 1-year outcomes in these patients.</p><p><strong>Methods: </strong>A retrospective secondary analysis was conducted on the data of 267 patients receiving hemodialysis due to chronic kidney disease who underwent PCI. The data of patients were divided into a nurse-led care group (n = 129) receiving nurse-led care and a usual care group (n = 138) receiving usual care. The nurse-led group received personalized treatment, health education, psychological support, skill training, and regular follow-ups over 1 year. Assessments of cardiovascular risk, laboratory characteristics, psychological status, quality of life (Short Form 36 Health Survey Questionnaire), and major adverse cardiovascular events were conducted at discharge and after 1 year.</p><p><strong>Results: </strong>At 1 year, the nurse-led care group showed greater reductions in cardiovascular risk compared with the usual care group. The levels of serum creatinine, uric acid, and blood lipid in the nurse-led care group were significantly improved. Psychological assessments revealed reduced anxiety and depression scores in the nurse-led care group. Short Form 36 Health Survey Questionnaire quality of life scores were higher in the nurse-led care group in several domains. The incidence of major adverse cardiovascular events, particularly cardiogenic shock, was significantly reduced in the nurse-led care group.</p><p><strong>Conclusion: </strong>Nurse-led cardiovascular risk management significantly improves cardiovascular risk profiles, psychological health, and quality of life, while reducing major adverse cardiovascular event incidence in patients receiving hemodialysis due to chronic kidney disease post PCI.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577003","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":"Long-term Effects of Atrioventricular Junction Ablation on Symptom Burden, Functional Capacity, and Health-Related Quality of Life in Men and Women With Symptomatic Atrial Tachyarrhythmias: A Prospective Single Center Study.","authors":"Carina Carnlöf, Mats Jensen-Urstad, Fredrik Gadler, Per Insulander, Eline Wu","doi":"10.1097/JCN.0000000000001235","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001235","url":null,"abstract":"<p><strong>Background: </strong>Atrioventricular junction ablation can be used when maximal tolerable pharmacological therapy cannot relieve atrial tachyarrhythmia symptoms. However, this strategy requires lifelong pacemaker therapy.</p><p><strong>Objective: </strong>The aims in this study were to evaluate the long-term effects of atrioventricular junction ablation and explore the differences by sex on symptom burden, functional capacity, and health-related quality of life in patients with implanted pacemaker and symptomatic atrial tachyarrhythmia.</p><p><strong>Methods: </strong>In this prospective longitudinal study, 137 patients (mean age, 74 ± 8 years; 47 men) were included. Six-minute walk test, symptom-specific, and generic self-reported instruments for measuring symptom burden, functional status, and health-related quality of life were assessed at baseline, 6 and 12 months after ablation. Analysis was performed to explore the data in the total group and by sex.</p><p><strong>Results: </strong>Baseline characteristics such as mean age, type of arrhythmia, ejection fraction, and cardiac resynchronization therapy differed statistically between the sexes (P < .05-.001). At the 12-month follow-up, the patients improved their mean walking distance by 56 m (P < .001). At the 12-month follow-up, both sexes showed significant improvement in symptom frequency and severity (P < .001), functional capacity (P < .05-.001), and health-related quality of life (P < .001).</p><p><strong>Conclusions: </strong>Both sexes benefited from this treatment. Specifically, their symptoms and physical and functional capacities improved, resulting in increased engagement in daily activities. In addition, these patients improved their health-related quality of life. The women experienced greater psychosocial effects than the men. If medical therapy fails to achieve adequate rate and symptom control for symptomatic atrial tachyarrhythmia, atrioventricular junction ablation combined with pacemaker is a safe and well-tolerated option.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555879","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":"Longitudinal Changes in Cardiovascular Health Among Young Adults With Overweight and Obesity.","authors":"Alison F Cuccia, Loretta DiPietro, Laura L Hayman, Jessica A Whiteley, Melissa A Napolitano","doi":"10.1097/JCN.0000000000001142","DOIUrl":"10.1097/JCN.0000000000001142","url":null,"abstract":"<p><strong>Background: </strong>It is essential to understand factors influencing young adult cardiovascular health (CVH) to reduce morbidity and mortality.</p><p><strong>Objective: </strong>Evaluate longitudinal changes in CVH among young adults in a weight management intervention.</p><p><strong>Methods: </strong>Life's Essential 8 (LE8) metrics were calculated for young adults with overweight and obesity enrolled in a randomized controlled trial (n = 459). Outcomes included LE8 total, LE8 behavior, LE8 health, and each LE8 metric. Linear mixed effects models evaluated associations between LE8 and intervention group and demographics and assessed longitudinal changes for 18 months.</p><p><strong>Results: </strong>Although no composite LE8 scores changed over time, LE8 diet and blood glucose improved. Low socioeconomic status and non-White participants had lower scores for many LE8 metrics when controlling for time. A significant positive intervention effect on LE8 total was observed among those with baseline body mass index <27.5.</p><p><strong>Conclusion: </strong>Identifying factors associated with LE8 in young adulthood can support CVH, prevent future disease, and minimize health disparities.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"E174-E181"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907748","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":"Perceived Control, Functional Status, Depressive Symptoms, and Anxiety: Mediating and Moderating Influences on Health-Related Quality of Life in Patients With Heart Failure.","authors":"Ashmita Thapa, JungHee Kang, Misook L Chung, Jia-Rong Wu, Abigail Latimer, Terry A Lennie, Chin-Yen Lin, Jessica Harman Thompson, Geunyeong Cha, Debra K Moser","doi":"10.1097/JCN.0000000000001100","DOIUrl":"10.1097/JCN.0000000000001100","url":null,"abstract":"<p><strong>Background: </strong>Health-related quality of life (HRQoL) is poor in patients with heart failure. Psychological (ie, depressive symptoms [DS], anxiety, and perceived control) and physical (ie, functional status) factors are associated with HRQoL. The dynamic relationships among these variables and their impact on HRQoL remain unclear, limiting the ability to design effective interventions.</p><p><strong>Purpose: </strong>Our aim was to evaluate a moderated mediation model, in which the association between perceived control and HRQoL was hypothesized to be mediated by DS and anxiety in the presence of a moderator, functional status.</p><p><strong>Methods: </strong>Patients (N = 426) with heart failure completed the Control Attitudes Scale-Revised to measure perceived control, Duke Activity Status Index for functional status, Patient Health Questionnaire-9 for DS, Brief Symptom Inventory for anxiety, and Minnesota Living with Heart Failure Questionnaire for HRQoL. We performed a moderated parallel mediation analysis.</p><p><strong>Results: </strong>Higher levels of perceived control were associated with better HRQoL through lower levels of anxiety and DS in the presence of functional status (index of moderated mediation for DS, b = 0.029; 95% confidence interval, 0.016-0.045; for anxiety: b = 0.009, 95% confidence interval, 0.002-0.018). The effect of perceived control on psychological symptoms was stronger at low and moderate functional statuses; however, this effect diminished with increasing functional status.</p><p><strong>Conclusion: </strong>Functional status moderated the indirect effects of perceived control on HRQoL through DS and anxiety in patients with heart failure. Efforts to improve HRQoL by targeting perceived control may be more effective when considering DS and anxiety in patients with low to moderate levels of functional status.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"323-333"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874247","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}