Journal of Cardiovascular Nursing最新文献

{"title":"Psychometric Evaluation of the Turkish Version of the Heart Failure Somatic Perception Scale.","authors":"Esra Türker, Eda Özge Yazgan, Corrine Y Jurgens","doi":"10.1097/JCN.0000000000001198","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001198","url":null,"abstract":"<p><strong>Background: </strong>The Heart Failure Somatic Perception Scale (HFSPS) is an 18-item scale used to evaluate the severity of common signs and symptoms of heart failure (HF) in patients. To date, psychometric properties of the HFSPS have been tested in samples of Japanese, Spanish, Farsi, Italian, and Arabic speakers.</p><p><strong>Objective: </strong>In this study, our aim was to determine the validity and reliability of the HFSPS in a Turkish population of patients with HF.</p><p><strong>Methods: </strong>This study was a cross-cultural adaptation of the HFSPS to evaluate its psychometric properties in a Turkish population diagnosed with HF, in accordance with the methodology and recommendations of the International Commission on Testing.</p><p><strong>Results: </strong>A total of 228 patients were included. The mean age of patients was 67.08 ± 8.53 years, and the mean duration of disease was 4.3 ± 2.9 years. Confirmatory factor analysis testing of the 4-factor (dyspnea, chest discomfort, early and subtle, edema) structure of the original HFSPS resulted in supportive fit indices. Confirmatory factor analysis findings showed that the factor loadings of the model indicated that the items had strong and significant relationships with relevant factors (P < .001 for all items). Cronbach's α reliability coefficients of the scale were calculated as 0.92. A positive moderate correlation of r = 0.887 (P < .001) was found between the HFSPS and the Minnesota Living With Heart Failure Questionnaire.</p><p><strong>Conclusion: </strong>The findings of this study indicate that the scale is valid and reliable for use in Turkish patients with HF.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652052","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":"Preventive Cardiovascular Nurses Association News and Resources.","authors":"","doi":"10.1097/JCN.0000000000001191","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001191","url":null,"abstract":"","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625976","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 Care Needs, Preferences, and Coping Strategies of Young Stroke Survivors: A Qualitative Study.","authors":"Wen-Yu Kuo, Kuan-Ling Chen, Su-Mei Tseng, Chen-Yin Chen","doi":"10.1097/JCN.0000000000001193","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001193","url":null,"abstract":"<p><strong>Background: </strong>Stroke incidence is rising among younger populations, who often face long-term disabilities. Understanding their care needs, preferences, and coping strategies is essential for recovery.</p><p><strong>Objective: </strong>The objective of this study -was to explore young stroke survivors' care needs, preferences, and coping strategies within 6 months poststroke.</p><p><strong>Methods: </strong>A qualitative study involving 25 participants at a Taiwanese medical hospital was conducted, where data were gathered through in-depth, semistructured in-person or telephone interviews from August 2022 to January 2023. Inductive content analysis was performed.</p><p><strong>Results: </strong>The participants had an average age of 53 years and were primarily married men. Three categories emerged: medical-related, social and economic, and self-reconstruction needs. (1) Medical-related needs included personalized rehabilitation and clear communication about prognosis. When unmet, survivors engaged in self-directed rehabilitation or sought peer advice. (2) Social and economic needs included family or peer support and financial assistance. Survivors preferred family presence during recovery and an early return to work to ease financial burdens. When needs were unmet, they relied on peer support, reducing expenses, or returning to work early despite physical limitations. (3) Self-reconstruction needs involved regaining prestroke abilities and adapting to life changes. Survivors preferred rehabilitation for independence and made lifestyle and work adjustments; they coped by accepting the possibility of partial recovery.</p><p><strong>Conclusions: </strong>We highlighted the medical, socioeconomic, and self-reconstruction needs of young stroke survivors. Tailored rehabilitation, clear communication with clinicians, and support from family and peers are crucial. However, financial pressures often compel early reintegration into the workforce. Personalized recovery strategies addressing physical, emotional, and financial challenges are vital for improving poststroke recovery.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626019","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":"Contemporary Perspectives on Preparing Nurse Leaders for Cardiovascular Disease Prevention.","authors":"Sandra B Dunbar, Lis Neubeck, Leonie Klompstra","doi":"10.1097/JCN.0000000000001188","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001188","url":null,"abstract":"<p><strong>Abstract: </strong>Cardiovascular nurses play a vital role in reducing the global burden of cardiovascular disease through their multiple leadership roles and focus on prevention. From serving as an informal or formal clinical leader, case manager, educator, mentor for emerging cardiovascular nurses or nurse leaders, champion for quality of care, or policy advocate, as examples, cardiovascular nurse leaders can have a profound impact on improving outcomes for individuals, families, and communities. As leaders, cardiovascular nurses must be prepared for their roles through development of leadership competencies to ultimately shape decisions in their settings, whether in clinical care, management, education, advanced practice, and research or through community and professional organizations. This article revisits the competencies required of nurse leaders to be effective in cardiovascular disease prevention and improving outcomes in a changing healthcare environment.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588331","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":"Digital Health Technologies to Promote Healthy Eating and Physical Activity and Reduce Risk Factors for Cardiovascular Disease in Older Adults: A Pilot Study.","authors":"Marysol Cacciata, Dion Candelaria, Andrew Thomas Reyes, Reimund Serafica, Janett A Hildebrand, Axel Santa Maria, Jung-Ah Lee, Anna Strömberg, Lorraine S Evangelista","doi":"10.1097/JCN.0000000000001184","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001184","url":null,"abstract":"<p><strong>Background: </strong>Digital health technologies can promote healthy aging, diagnosis, treatment, self-care, and prevention to reduce inequities. However, limited data exist on the feasibility and efficacy of these technologies for healthy lifestyle behaviors and clinical outcomes for older adults at risk for cardiovascular disease.</p><p><strong>Objectives: </strong>The purpose of this pilot study was to evaluate the feasibility of the study protocol for factors impacting process, resources, and safety and compared changes in eating patterns, physical activity, and clinical outcomes in participants randomized to Get FIT vs Get FIT+ at baseline and 12 weeks.</p><p><strong>Methods: </strong>Older adults (65.6 ± 5.8 years, 61% women, 61% married, 50% Asians, 6% Whites, 33% Hispanics, 11% Blacks) were randomized to Get FIT (n = 24) or Get Fit+ (n = 30) for 12 weeks. Get FIT included 1 in-person counseling session, a participant handbook, an activity tracker, and access to a nutrition app. Get Fit+ added weekly personalized motivational text messages.</p><p><strong>Results: </strong>All feasibility measures were excellent, with 100% consent and retention at 12 weeks. Both groups gradually increased moderate to vigorous exercise and lowered calorie intake. The Get Fit+ and Get Fit participants reported 6% and 1% weight loss, respectively. Blood pressure, lipid profiles, and HgbAa1C improved for all participants. However, improvements in high-density lipoprotein cholesterol and triglycerides were more significant in the Get FIT+ group.</p><p><strong>Conclusion: </strong>Our findings suggest that Get Fit+ can promote healthy lifestyle behaviors in older adults while lowering cardiovascular disease risk factors. A large Randomized Control Trial is needed to determine the efficacy of this intervention's personalized text-messaging feature in this population.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588333","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":"Psychometric Testing of the Nurses' Cardiac Triage Instrument in a Nationwide Sample.","authors":"John R Blakeman, MyoungJin Kim, Ann L Eckhardt, Holli A DeVon, Cynthia Arslanian-Engoren","doi":"10.1097/JCN.0000000000001182","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001182","url":null,"abstract":"<p><strong>Background: </strong>Triage nurses are responsible for determining the urgency with which patients are evaluated and treated. How triage nurses make decisions is critical to providing effective care.</p><p><strong>Objective: </strong>The aims were to (1) analyze the psychometric properties of the Nurses' Cardiac Triage Instrument in a large, national sample of emergency department nurses, and (2) make recommendations for refining the instrument.</p><p><strong>Methods: </strong>Data were obtained from a descriptive, survey study. Participants were recruited from the Emergency Nurses Association website using stratified random sampling. Participants completed the Nurses' Cardiac Triage Instrument. Confirmatory factor analysis (CFA) and exploratory factor analysis (EFA) were performed.</p><p><strong>Results: </strong>Emergency nurses (n = 414) had a mean age of 41.7 years (SD, 12.0 years) and had a median of 8.0 years (interquartile range, 11.0 years) of emergency department experience. The CFA demonstrated a poor fit with the original factor structure (χ2[402] = 1872.59, P = .000, root mean square error of approximation = .094, comparative fit index = .585, Tucker-Lewis Index = .551, standardized root mean square residual = .086). Therefore, the dataset was divided into 2; EFA and CFA were conducted. Factor 3 (nurse action) showed ceiling effects and was excluded from analysis. EFA and subsequent CFA resulted in 7 factors explaining 63.49% of the variance.</p><p><strong>Conclusions: </strong>Factors 1 and 2 (patient presentation and nurses' reasoning process) of the original Nurses' Cardiac Triage Instrument were validated by EFA and CFA. Factor 3 items could be used as outcome measures in the future. This study supports further testing to compare purported versus actual nurse actions.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607179","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 Discrimination, Trauma, Mental Health, and Blood Pressure Outcomes Among Young African American/Black Mothers in the InterGEN Study.","authors":"Alexandria Nyembwe, Yihong Zhao, Eugenia Millender, Kelli Hall, Billy A Caceres, Brittany Taylor, Morgan T Morrison, Laura Prescott, Stephanie Potts-Thompson, Arezo Aziz, Fisola Aruleba, Cindy Crusto, Jacquelyn Y Taylor","doi":"10.1097/JCN.0000000000001190","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001190","url":null,"abstract":"<p><strong>Background: </strong>African American (AA) women are disproportionately affected by hypertension. Discrimination, which can be traumatic, and depressive symptoms are independently associated with blood pressure (BP).</p><p><strong>Objective: </strong>We assessed whether the combined influence of discrimination and race-related trauma and depressive symptoms influenced BP over time.</p><p><strong>Methods: </strong>We conducted a secondary data analysis of data from a longitudinal cohort study examining factors associated with BP in 250 AA/Black mother-child dyads. Eligible participants were AA/Black mothers, 21 years and older, with a biological child aged 3-5 years. Clinical (BP, body mass index) and psychosocial measures (racial discrimination, major discrimination, race-related stress, depressive symptoms) were examined. Principal component analysis and linear regression were completed to assess the associations of discrimination, race-related trauma, and depressive symptoms with maternal BP.</p><p><strong>Results: </strong>Data from 183 participants were analyzed. Principal component analysis identified 2 key components: overall discrimination and race-related trauma (principal component 1) and depressive symptoms (principal component 2), which explained 83% of data variation. Linear regression analyses revealed principal component 1 was associated with changes in systolic BP (b = 0.92; P = .04), whereas principal component 2 was not (b = 0.31; P = .71).</p><p><strong>Conclusions: </strong>Our findings highlight the need to further explore experiences of discrimination and race-related trauma as a contributing factor for hypertension. In addition, building on existing efforts, future studies should further analyze the presentation of depressive symptoms among AA women to inform the development and validation of culturally sensitive screening tools that effectively capture these symptoms and enhance access to care.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574647","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":"Psychometric Testing of the Self-Care Self-Efficacy Scale Version 3.0 in Thai Patients With Heart Disease.","authors":"Chidchanog Mayurapak, Chonchanok Bunsuk, Jom Suwanno, Naruebeth Koson, Wanna Kumanjan, Chennet Phonphet, Ladda Thiamwong","doi":"10.1097/JCN.0000000000001189","DOIUrl":"10.1097/JCN.0000000000001189","url":null,"abstract":"<p><strong>Background: </strong>The Self-Care Self-Efficacy Scale version 3.0 (SCSES-v3.0) measures self-efficacy in various chronic conditions. However, its psychometric properties in specific conditions and non-Western contexts are not well understood.</p><p><strong>Objective: </strong>We evaluated the psychometric properties of the Thai version of the SCSES-v3.0 in patients with heart disease.</p><p><strong>Methods: </strong>In this cross-sectional methodological study, we recruited patients with heart disease from 2 hospitals and 15 primary care settings. We evaluated structural validity using exploratory and confirmatory factor analysis, and hypothesis testing against the Self-Care of Chronic Illness Inventory version 4.c (SC-CII-v4.c). Reliability was assessed using McDonald's ω , Cronbach α , intraclass correlation coefficients, and measurement errors were calculated for score precision.</p><p><strong>Results: </strong>Of 300 patients, 287 were included in the analysis after excluding outliers. Exploratory factor analysis conducted with the first split-half subsample revealed a 2-factor structure: one factor represented self-efficacy in maintenance and monitoring behaviors (items 1-5), and the other represented self-efficacy in management behaviors (items 6-10). Confirmatory factor analysis conducted with the second split-half subsample and the overall sample confirmed the scale's bidimensional model with high factor loadings. The dimensions and overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c. Reliability was excellent for internal consistency (range, 0.91-0.94) and test-retest reliability (range, 0.95-0.97). The measurement error results were satisfactory.</p><p><strong>Conclusions: </strong>The SCSES-v3.0 demonstrated robust psychometric characteristics. Its validity and reliability make it a valuable instrument for clinical practice and research with the potential to enhance patient outcomes in heart disease management.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568869","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 Intersection of Rurality With Female Sex and Gender in Heart Failure: A Scoping Review Using the Social-Ecological Model.","authors":"Holly A Buchanan, Melanie T Turk, Denise Lucas, James Schreiber, Shelly Smith","doi":"10.1097/JCN.0000000000001185","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001185","url":null,"abstract":"<p><strong>Background: </strong>Despite the increasing recognition of heart failure (HF) as a critical public health issue for both rural populations and women, the intersection of rurality and female sex in HF remains underexplored.</p><p><strong>Objective: </strong>The objective of this scoping review was to synthesize the evidence on the intersection of rurality with female sex and gender in HF, examining how individual, interpersonal, organizational, or community factors influence the experience, management, and outcomes of HF in women.</p><p><strong>Methods: </strong>Using the PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature databases, a literature search was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. Findings were organized by level of the social-ecological model (SEM).</p><p><strong>Results: </strong>Among the 1119 articles reviewed, 11 original studies met inclusion criteria, and their results were synthesized. Rural women were found to be at higher risk of developing HF when compared with their male and urban counterparts and tended to have worse outcomes, including higher rates of hospitalizations and mortality. Rural women were also less likely to receive evidence-based care and used healthcare services less.</p><p><strong>Conclusions: </strong>Findings underscore the intricate interplay between SEM factors that influence HF outcomes in rural women. While highlighting the disparities this demographic group faces, the findings also emphasize the urgency for targeted interventions to address these multifaceted disparities. Future research should further explore the interactions between individual, interpersonal, organizational, and community factors to improve the care and outcomes of rural women living with HF.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568872","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":"Cardiovascular Disease as a Moderator Between Airflow Limitation and Health-Related Quality of Life Among Patients With Chronic Obstructive Pulmonary Disease.","authors":"Walter Wills, Pedro Reyes, Arch Amon, Luis Daniel Lugo, Anas Bizanti, Andrew Bugajski","doi":"10.1097/JCN.0000000000001181","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001181","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVDs) and chronic obstructive pulmonary disease (COPD) often occur comorbidly, sharing similar risk factors and symptom presentations. However, the influence of comorbid CVD on health-related quality of life (HRQoL) along the gradient of airflow limitation severity found within COPD is understudied.</p><p><strong>Objective: </strong>The objective of this study was to identify if comorbid CVD demonstrates a significant moderating influence on HRQoL at each distinct stage of airflow limitation presenting among a sample of individuals living with COPD.</p><p><strong>Methods: </strong>A cross-sectional secondary analysis of N = 1609 participants enrolled in the SubPopulations and InteRmediate Outcome Measures in COPD Study observational cohort study using a 4 × 2 factorial analysis of variance.</p><p><strong>Results: </strong>There were significant differences in HRQoL among those with and without comorbid CVD at Global Initiative for Chronic Lung Diseases Stages I (P < .001) and II (P < .001); however, there were no significant differences at Stages III (P = .182) or IV (P = .138).</p><p><strong>Conclusions: </strong>The moderating influence of comorbid CVD on HRQoL may be variable among the various stages of airflow limitation present within COPD. Future studies should further examine comorbid illness interactions within the context of their gradients of severity.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":""},"PeriodicalIF":1.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607178","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}