Journal of Cardiovascular Nursing最新文献

{"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}

{"title":"Association Between Adverse Childhood Experiences and Sleep Duration in US Children: Analysis of 2020-2021 National Survey of Children's Health.","authors":"MinKyoung Song, Andrew W McHill, Nathan F Dieckmann, Carol M Musil, Laura L Hayman","doi":"10.1097/JCN.0000000000001128","DOIUrl":"10.1097/JCN.0000000000001128","url":null,"abstract":"<p><strong>Background: </strong>Adverse childhood experiences (ACEs) and suboptimal sleep both negatively associate with cardiovascular health. Although an association between ACEs and suboptimal sleep in youth has been reported, there has been no investigation for differential effects among ACE subdomains.</p><p><strong>Objective: </strong>We examined associations between total and subdomain ACEs and sleep duration, and age as a moderator.</p><p><strong>Methods: </strong>Using the 2020-2021 National Survey of Children's Health and the American Heart Association Life's Essential 8 scoring algorithm, we created 3 sleep subgroups: (1) optimal, (2) suboptimal (≥1 to <2 hours below or ≥1 hour above optimal), and (3) very suboptimal (≥2 hours below optimal). We assessed association between ACEs (total and subdomains) and sleep duration using multinomial logistic regression, controlling for sex, age, race/ethnicity, caregiver's education, household income, habitual bedtime, and physical activity. We tested the interactions between ACEs and child's age.</p><p><strong>Results: </strong>In children aged 6 to 17 years (N = 58 964), mean sleep duration score was 77.2 (95% confidence interval, 76.6-77.9). The mean number of ACEs was 0.89 (95% confidence interval, 0.87-0.91). Adjusting for covariates, each additional ACE increased the likelihood of falling into the suboptimal subgroup by 8% and the very suboptimal subgroup by 26%. There was an association between each subdomain of ACE and suboptimal sleep duration, with no significant interaction with age.</p><p><strong>Conclusions: </strong>Our findings show a dose-response relationship between ACEs and suboptimal sleep duration-a new cardiovascular health indicator in Life's Essential 8. Healthcare providers should screen for ACEs and suboptimal sleep in children to reduce future cardiovascular disease risk.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"364-372"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908399","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":"Atrial Fibrillation and Older Age Predict Serum Brain-Derived Neurotrophic Factor Levels Among Patients With Heart Failure.","authors":"Susan J Pressler, Miyeon Jung, Susan G Dorsey, Bruno Giordani, Marita G Titler, Kelly L Wierenga, David G Clark, Dean G Smith, Asa B Smith, Irmina Gradus-Pizlo, Milton L Pressler","doi":"10.1097/JCN.0000000000001110","DOIUrl":"10.1097/JCN.0000000000001110","url":null,"abstract":"<p><strong>Background: </strong>Predictors have not been determined of serum brain-derived neurotrophic factor (BDNF) levels among patients with heart failure (HF).</p><p><strong>Objective: </strong>The primary purpose was to evaluate history of atrial fibrillation, age, gender, and left ventricular ejection fraction as predictors of serum BDNF levels at baseline, 10 weeks, and 4 and 8 months after baseline among patients with HF.</p><p><strong>Methods: </strong>This study was a retrospective cohort analyses of 241 patients with HF. Data were retrieved from the patients' health records (coded history of atrial fibrillation, left ventricular ejection fraction), self-report (age, gender), and serum BDNF. Linear multiple regression analyses were conducted.</p><p><strong>Results: </strong>One hundred three patients (42.7%) had a history of atrial fibrillation. History of atrial fibrillation was a significant predictor of serum BDNF levels at baseline (β = -0.16, P = .016), 4 months (β = -0.21, P = .005), and 8 months (β = -0.19, P = .015). Older age was a significant predictor at 10 weeks (β = -0.17, P = .017) and 4 months (β = -0.15, P = .046).</p><p><strong>Conclusions: </strong>Prospective studies are needed to validate these results. Clinicians need to assess patients with HF for atrial fibrillation and include treatment of it in management plans.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"E167-E173"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11717985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Global Cardiovascular Nursing Leadership Forum: Enhancing Cardiovascular Health Worldwide.","authors":"Laura L Hayman, Nancy Houston Miller, Susan Halli Demeter, Lisa Maher, Erin P Ferranti, Sue Koob","doi":"10.1097/JCN.0000000000001220","DOIUrl":"10.1097/JCN.0000000000001220","url":null,"abstract":"","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"293-295"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063398","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":"A Pilot Randomized Controlled Trial of a Produce Prescription Program for Adults With Food Insecurity and Obesity.","authors":"Ariana M Chao, Alexandra Paul, Nainika Vaidya, Aleena Ghanta","doi":"10.1097/JCN.0000000000001215","DOIUrl":"10.1097/JCN.0000000000001215","url":null,"abstract":"<p><strong>Background: </strong>Produce prescription programs may improve dietary quality and health but have not been well tested among adults with food insecurity and obesity.</p><p><strong>Objective: </strong>Our aim in this pilot randomized controlled trial was to examine the feasibility and preliminary effects of ProduceRx, a produce program combined with behavioral weight loss counseling, compared with wait-list control (WLC).</p><p><strong>Methods: </strong>Adults with obesity and food insecurity (N = 32) were randomly assigned to ProduceRx or WLC. ProduceRx had weekly counseling sessions and received $20 of produce vouchers weekly, whereas WLC had a 12-week wait period before enrolling in the program. All participants completed assessments at baseline and 12 weeks.</p><p><strong>Results: </strong>The retention rate was 90.6%. Groups did not differ significantly in changes in dietary quality, food security, mood, and stress. ProduceRx lost 2.4% ± 0.7% of initial body weight, which was more than WLC who gained 0.4% ± 0.7% ( P = .01). Compared with WLC, ProduceRx had significantly greater improvements in eating self-efficacy ( P = .04).</p><p><strong>Conclusions: </strong>Produce prescriptions combined with behavioral weight loss demonstrated preliminary feasibility and efficacy in helping adults with food insecurity and obesity.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"E182-E187"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812939","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.0000000000001221","DOIUrl":"https://doi.org/10.1097/JCN.0000000000001221","url":null,"abstract":"","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":"40 4","pages":"292"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267942","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 Lived Experience of Cardiac Arrest Survivors: A Scoping Review.","authors":"Mohamed Toufic El Hussein, Simreen Dhaliwal, Jonah Hakkola","doi":"10.1097/JCN.0000000000001119","DOIUrl":"10.1097/JCN.0000000000001119","url":null,"abstract":"<p><strong>Background: </strong>Survival rates after cardiac arrest have steadily increased over the past few decades because of the adoption of cardiopulmonary resuscitation, public access to automated external defibrillators, and an increase in public education on how to perform cardiopulmonary resuscitation. The lived experiences of post-cardiac arrest survival have been underexplored. The themes that resulted from the analysis in this scoping review can inform clinical practice and propose strategies to improve the patients' quality of life.</p><p><strong>Objective: </strong>The objective of this scoping review was to map out qualitative literature that explores the lived experience of individuals who have survived cardiac arrest.</p><p><strong>Method: </strong>In this scoping review, the authors examined peer-reviewed qualitative studies identified in the PubMed, CINAHL, and MEDLINE databases. Arksey and O'Malley's methodological framework for conducting a scoping study was followed.</p><p><strong>Results: </strong>The search yielded 174 articles, with 16 meeting inclusion criteria for this scoping review. Initially, 14 articles were selected, and 2 additional articles were identified through references. Themes extracted from these 16 articles include the need for support and information, emotional challenges, and acceptance of a new reality.</p><p><strong>Conclusion: </strong>Cardiac arrest survivors often experience loss of control, vulnerability, and insecurity. These emotional changes can be significant and may include physical challenges, cognitive impairments, and psychological distress, which can cause individuals to reevaluate their perspectives on life and accept a new reality, potentially leading to changes in their future outlook.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"373-385"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621839","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":"Comparative Analysis of Quality of Life of Family Caregivers of Patients With Heart Failure and Cancer Who Receive Palliative Care.","authors":"Mauricio Arias-Rojas, Edith Arredondo Holgín, Sonia Carreño-Moreno","doi":"10.1097/JCN.0000000000001097","DOIUrl":"10.1097/JCN.0000000000001097","url":null,"abstract":"<p><strong>Background: </strong>Quality of life (QoL) is the criterion-standard outcome in palliative care for patients with various illnesses and their family caregivers. There is a need to determine the factors affecting caregivers' QoL in each population and the differences between groups to design differentiated intervention strategies.</p><p><strong>Purpose: </strong>The aims of this study were to compare the role adoption, social support, and QoL of family caregivers of patients with heart failure and cancer in palliative care and to examine the determinants of QoL.</p><p><strong>Methods: </strong>A comparative study was conducted with the family caregivers of patients with cancer (n = 81) and heart failure (n = 80) in palliative care. Quality of life in life-limiting situations, role adoption, and social support questionnaires were also administered. A χ 2 test, Student t test, and Mann-Whitney U test were used for between-group comparisons. Multiple linear regression was used to examine the effects of the correlated variables on caregivers' QoL.</p><p><strong>Results: </strong>Caregivers of patients with heart failure had better QoL ( P = .006) and lower tangible social support ( P = .007) than caregivers of patients with heart failure. No differences were found in caregiver role adoption between the groups. Linear regression indicated that for caregivers of patients with cancer, social support, role adoption, caregiver age, and patient functional status affect caregiver QoL. For caregivers of patients with heart failure, role adoption and patient functional status are predictors of QoL.</p><p><strong>Conclusions: </strong>Overall, healthcare professionals should focus on improving social support and caregiver role adoption and provide greater attention to the QoL of caregivers of patients with cancer.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"E193-E201"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872024","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 Nurses' Role in the Cardiac Rehabilitation Team: Data From the Perfect-CR Study.","authors":"Matthias Lidin, Halldora Ögmundsdottir Michelsen, Emma Hag, Andreas Stomby, Mona Schlyter, Maria Bäck, Emil Hagström, Margret Leosdottir","doi":"10.1097/JCN.0000000000001113","DOIUrl":"10.1097/JCN.0000000000001113","url":null,"abstract":"<p><strong>Background: </strong>Nurses constitute a central profession in the cardiac rehabilitation (CR) team delivering comprehensive CR to individuals with cardiovascular disease. We aimed to identify specific components reflecting the nurses' role in the CR team associated with attainment of risk factor targets post myocardial infarction.</p><p><strong>Methods: </strong>Center-level data (n = 78) was used from the Perfect-CR study, in which structure and processes applied at CR centers in Sweden (including details on the nurses' role) were surveyed. Patient-level data (n = 6755) was retrieved from the SWEDEHEART registry. Associations between structure/processes and target achievement for systolic blood pressure (BP) (<140 mm Hg) and low-density lipoprotein cholesterol (LDL-C, <1.8 mmol/L) at 1 year post myocardial infarction were assessed using logistic regression.</p><p><strong>Results: </strong>Structure and processes reflecting nurses' autonomy and role in the CR team associated with patients achieving systolic BP and/or LDL-C targets included the following: nurses having treatment algorithms to adjust BP medication (odds ratio [95% confidence interval]: systolic BP, 1.22 [1.05-1.42]; LDL-C, 1.17 [1.03-1.34]) and lipid-lowering medication (systolic BP, 1.14 [1.00-1.29]; LDL-C, 1.17 [1.05-1.30]), patients having the same nurse throughout follow-up (systolic BP, 1.07 [1.03-1.11]; LDL-C, 1.10 [1.06-1.14]), number of follow-up hours with a nurse (systolic BP, 1.13 [1.07-1.19]), having regular case rounds to discuss patient cases during follow-up (LDL-C, 1.22 [1.09-1.35]), and nurses having training in counseling methods (systolic BP, 1.06 [1.03-1.10]).</p><p><strong>Conclusion: </strong>Components reflecting CR nurses' autonomy and role in the team are of importance for patients attaining risk factor targets post myocardial infarction. The results could provide guidance for optimizing nurses' competence and responsibilities within the CR team to improve patient care.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"386-394"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characteristics of Patients Hospitalized With Methamphetamine-Associated Heart Failure: A Comparative Study of Enrolled vs Nonenrolled Patients.","authors":"Shirin O Hiatt, S Albert Camacho, Christopher S Lee, Nathan F Dieckmann, Jayne Mitchell, Yasmine Robles, Evan F Shalen, Beth A Habecker, Quin E Denfeld","doi":"10.1097/JCN.0000000000001156","DOIUrl":"10.1097/JCN.0000000000001156","url":null,"abstract":"<p><strong>Background: </strong>Methamphetamine-associated heart failure (MethHF) carries devastating individual and societal consequences; however, our understanding of this condition is limited.</p><p><strong>Objective: </strong>The objective of this study is to compare the sociodemographic and clinical characteristics of patients hospitalized with MethHF with patients hospitalized with heart failure (HF) not associated with methamphetamine (non-MethHF).</p><p><strong>Methods: </strong>This was an analysis of screening data from MethHF patients who screened out of the Biological and Physiological Mechanisms of Symptom Clusters in Heart Failure study and a subset of non-MethHF patients enrolled in the study. Descriptive and comparative statistics were used.</p><p><strong>Results: </strong>Patients hospitalized with MethHF (n = 99), compared with non-MethHF (n = 87), were significantly younger, more often male, more likely from urban areas, and had higher rates of prior emergency room usage. Patients with MethHF also had more nonischemic etiologies and reduced ejection fraction. Nearly a third of patients with MethHF also had a new diagnosis of HF.</p><p><strong>Conclusions: </strong>There are a few notable differences in sociodemographic and clinical characteristics between patients hospitalized with MethHF versus non-MethHF.</p>","PeriodicalId":54868,"journal":{"name":"Journal of Cardiovascular Nursing","volume":" ","pages":"E188-E192"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866485","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}