European journal of cardiovascular nursing最新文献

{"title":"Understanding heart failure patients' beliefs and social representations of palliative care and advance directives.","authors":"Nathalie Vionnet Rouxbedat, Liesbet Van Bulck, Mathilde Giffard, Aline Chassagne","doi":"10.1093/eurjcn/zvag055","DOIUrl":"10.1093/eurjcn/zvag055","url":null,"abstract":"<p><strong>Aims: </strong>Currently, only a few heart failure (HF) patients receive palliative care (PC). This is partly because the point of view of HF patients on PC remains insufficiently understood. Understanding how these patients perceive PC may help identify the obstacles at play and improve PC provision. Therefore, the aim of this study was to explore representations and beliefs associated with PC in HF patients.</p><p><strong>Methods and results: </strong>We performed a qualitative study with chronic HF patients in a French university hospital. Participants were eligible if they met the following criteria: (i) age ≥18 years; (ii) confirmed diagnosis of HF with a New York Heart Association (NYHA) functional classification of Stage II, III, or IV; (iii) active follow-up for HF at the hospital. We conducted in-depth, face-to-face interviews with participants. The interviews were audio-recorded, anonymized, and transcribed verbatim. Data were analysed using a thematic approach. Participants reported a misconstrued understanding of PC and often associated it with imminent death. Most had not anticipated end-of-life issues, and some did not feel concerned. Many were unaware of advance directives (AD) or did not have written AD. Personal experiences with end-of-life accompaniment appeared to be associated with a more positive view of PC and a greater willingness to establish AD.</p><p><strong>Conclusion: </strong>The results of our study highlight the need to inform patients about the mission and scope of PC. Developing assessment and communication tools for healthcare workers may help improve early integration of PC.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"1022-1029"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of a nurse-led, person-centred outpatient clinic on patient-reported outcomes in patients with atrial fibrillation: a randomized controlled trial.","authors":"Lena Holmlund, Carl Hörnsten, Fredrik Valham, Karin Olsson, Åsa Hörnsten, Ioannis Katsoularis, Lauri Salonen, Karin Hellström Ängerud","doi":"10.1093/eurjcn/zvag028","DOIUrl":"10.1093/eurjcn/zvag028","url":null,"abstract":"<p><strong>Aims: </strong>To evaluate the effects of a nurse-led, person-centred outpatient clinic on patient-reported outcomes in patients with atrial fibrillation (AF).</p><p><strong>Methods and results: </strong>In this open-label, parallel randomized controlled trial, 140 patients with AF were randomly assigned. The intervention group met experienced cardiac nurses, trained in person-centred care and AF. The control group met a physician in accordance with usual care. At baseline, and after 6 months, patients completed questionnaires: The EuroQol five-dimension three-level questionnaire (EQ-5D-3L), the EuroQol Visual Analogue Scale, the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmia (ASTA), the Brief Illness Perception Questionnaire (B-IPQ), and the Hospital Anxiety and Depression Scale. Over time, health-related quality of life (HRQoL), as measured by the EQ-5D index and the ASTA mental subscale, improved in the intervention group (P = 0.035 and P = 0.014, respectively) and the control group (P = 0.031 and P = 0.026, respectively). Illness coherence (B-IPQ) also improved in both groups (P < 0.001 and P = 0.012, respectively). In the nurse-led group, HRQoL as measured by the ASTA total scale (P = 0.035) and personal control (B-IPQ) (P = 0.005) improved, while illness-related concerns (P = 0.008) and emotional representations (B-IPQ) (P = 0.001) decreased. There were no significant between-group differences on any of the analysed measurement instruments.</p><p><strong>Conclusion: </strong>No significant differences were observed between groups. However, improvements in HRQoL and illness coherence in both groups suggest that receiving support from nurses and physicians may improve these outcomes. Furthermore, the results suggest that a nurse-led, person-centred outpatient clinic may reduce patients' emotional responses and concerns related to the illness, while strengthening their sense of personal control.</p><p><strong>Registration: </strong>ClinicalTrials.gov ID: NCT04609202.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"954-964"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Categorization of chronic pain subtypes and contributing biomarkers in heart failure.","authors":"Asa B Smith, Jamie Rausch, Fletcher A White, Susan Perkins, Kelly L Wierenga, Miyeon Jung, Christele Vorhies, Sean Jessup, Susan J Pressler","doi":"10.1093/eurjcn/zvag040","DOIUrl":"10.1093/eurjcn/zvag040","url":null,"abstract":"<p><strong>Aims: </strong>Pain is common among adults with heart failure (HF), but pain subtypes and associated biomarkers are understudied. The aims were to (i) characterize chronic pain severity, neuropathic pain quality, locations, and subtypes and (ii) compare pain severity and levels of biomarkers among pain subtypes. An exploratory aim was to correlate levels of biomarkers with pain severity.</p><p><strong>Methods and results: </strong>This pilot descriptive study included cross-sectional data from 60 adults with HF and chronic pain. Pain was evaluated using the PainDETECT questionnaire. Blood biomarkers included interleukin (IL)-10, IL-18, IL-1β, IL-33, IL-6, IL-8, tumour necrosis factor (TNF)-α, brain-derived neurotrophic factor, leptin, adiponectin, and C-reactive protein. Descriptive statistics, chi-square test of homogeneity, one-way analysis of variance, and Spearman correlation were used for analyses. The mean age was 70.45 (SD 7.92) years. The sample consisted of 63.3% women and 65.0% White race. Participants primarily reported nociceptive pain only (73.3%) with fewer reporting neuropathic pain only (6.7%) and mixed pain (20.0%). Current and 4-week mean pain severity scores were highest in the mixed pain subtype (P both < 0.05). No biomarkers were significantly different across the pain subtypes, but lower lL-10 (P = 0.049), and IL-33 (P = 0.014), were associated with higher pain severity.</p><p><strong>Conclusion: </strong>In this study, chronic pain and its association with underlying biomarkers were characterized. Future research with a larger sample is needed to understand the unique contributions of biomarkers with targeted pain phenotypes.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"987-997"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146168587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcultural Nursing theoretical framework and its contemporary relevance to cardiovascular and stroke research: a discursive paper.","authors":"Shegaw Zeleke, Caleb Ferguson, Peta Drury, Sabine M Allida","doi":"10.1093/eurjcn/zvag017","DOIUrl":"10.1093/eurjcn/zvag017","url":null,"abstract":"<p><p>Cardiovascular disease (CVD) and stroke disproportionately affect people from culturally and linguistically diverse (CALD) backgrounds, with disparities driven by cultural, social, and systemic barriers. Despite these disparities, people of CALD backgrounds remain underrepresented throughout CVD research. The Transcultural Nursing theoretical framework provides a structure for culturally appropriate research by integrating patients' beliefs, values, and preferences. This discussion paper examines the Transcultural Nursing theoretical framework and its relevance in CVD and stroke research and demonstrates its application through exemplars. Despite critiques concerning complexity and potential stereotyping, the Transcultural Nursing theoretical framework remains a valuable framework for culturally responsive research.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"1061-1068"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hair-y results suggest a link between stress and physical activity in patients with heart failure.","authors":"Jenna L Taylor, Nicole Freene","doi":"10.1093/eurjcn/zvag099","DOIUrl":"10.1093/eurjcn/zvag099","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"1019-1021"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician perspectives on activity trackers for cardiac rehabilitation: a multinational study.","authors":"Trond Røed Pettersen, Dion Candelaria, Milada Hagen, Daniel Ferrel-Yui, Mayara Moura Alves da Cruz, Gabriela Lima de Melo Ghisi, Coral L Hanson, Tone M Norekvål, Robyn Gallagher","doi":"10.1093/eurjcn/zvag072","DOIUrl":"10.1093/eurjcn/zvag072","url":null,"abstract":"<p><strong>Aims: </strong>Activity trackers are not consistently or widely implemented in cardiac rehabilitation (CR) programmes despite physical activity promotion being crucial. Therefore, we aimed to (i) describe perceptions, attitudes, and behaviours of CR clinicians towards the use and usefulness of activity trackers in CR programmes, (ii) identify barriers and enablers associated with their personal and clinical use using a mediation analysis approach, and (iii) provide recommendations for implementation in clinical practice.</p><p><strong>Methods and results: </strong>Multinational cross-sectional study conducted in Australia, Brazil, Canada, Norway, and the United Kingdom. Multidisciplinary CR clinicians completed a purpose-built survey including sociodemographic details, personal and professional use of trackers, perspectives on the use of trackers for CR, and perceptions of factors affecting the use of trackers in CR (the outcome). The anticipated effect of usefulness and ease of use of activity trackers on the outcome was modelled using mediation analyses. Participants (n = 308) had a median age of 41 (range 22-71) years, 36% were physiotherapists, 67% personally used activity trackers, and 67% recommended their use in clinical practice. Activity trackers were perceived to be helpful for goal setting and exercise monitoring (86%), collecting accurate data (68%), and promoting patient engagement and autonomy (68%). Clinicians more motivated to use activity trackers were more than 55 times more likely to recommend these in practice (OR = 55.3, 95% CI 10.9-279.7), after adjusting for possible available confounders.</p><p><strong>Conclusion: </strong>Clinician motivation is a key driver in the use and recommendation of activity trackers in clinical practice.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"1043-1051"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One size does not fit all for psychological interventions in cardiovascular disease.","authors":"Geraldine Lee","doi":"10.1093/eurjcn/zvag073","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag073","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":"25 5","pages":"911-912"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148611400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associated factors of terminal decision making in hospitalized elderly patients with heart failure: a single-centre retrospective study.","authors":"Di Ma, Qi Zhang, Ying Xu, Zheng Ji, Qian Chen","doi":"10.1093/eurjcn/zvag038","DOIUrl":"10.1093/eurjcn/zvag038","url":null,"abstract":"<p><strong>Aims: </strong>This study aims to examine the associated factors of end-of-life decision-making in elderly patients with heart failure.</p><p><strong>Methods and results: </strong>Retrospective data from 2320 inpatients aged ≥60 years with heart failure at a tertiary hospital in Sichuan, China were analysed using chi-square tests, Mann-Whitney U tests, and logistic regression. Results showed that 60.9% (1413 cases) chose active treatment, while 39.1% (907 cases) opted for non-active treatment. Key factors associated with non-active treatment included: critical illness notice signed by non-spousal/non-offspring relatives [P = 0.006, odds ratio (OR) = 1.444], low medical reimbursement ratio (≤50% vs. >50%; P = 0.001, OR = 1.412), absence of a caregiver (P < 0.001, OR = 1.476), and moderate pain (P = 0.012, OR = 1.446). Severe pain tended to be associated with non-active treatment, though the association did not reach statistical significance (P = 0.062, OR = 1.573). In contrast, factors associated with a reduced probability of non-active treatment were a greater number of indwelling tubes (3-4 tubes vs. 0-2 tubes: P = 0.001, OR = 0.677; >4 tubes vs. 0-2 tubes: P < 0.001, OR = 0.481) and an earlier admission period (2008-2017 vs. 2018-2024; P = 0.017, OR = 0.808).</p><p><strong>Conclusion: </strong>End-of-life clinical decisions in elderly patients with heart failure are shaped by multiple associated factors, including critical illness notice signatory, pain severity, reimbursement ratio, caregiver presence, admission year, and the number of indwelling tubes. Clarifying these factors may help to understand decision-making preferences and optimize end-of-life care plans.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"977-984"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The long-term effects of aerobic exercise training in patients with peripheral arterial disease: a systematic review.","authors":"Aynur Demirel, Gamze Nur Ahiskali, Hidaye Yamikan, Ebru Calik","doi":"10.1093/eurjcn/zvag037","DOIUrl":"10.1093/eurjcn/zvag037","url":null,"abstract":"<p><strong>Aims: </strong>Aerobic exercise (AE) is a cornerstone of management for patients with peripheral arterial disease (PAD) due to its benefits for functional capacity and quality of life. While the short-term effects of AE therapy are well documented, the long-term effects remain unclear. Therefore, this study aimed to investigate the long-term effects of AE training in patients with PAD.</p><p><strong>Methods and results: </strong>A search of six electronic databases from inception to December 2024 was conducted, and studies were screened using the Rayyan AI tool. Randomized controlled trials involving AE interventions lasting more than 8 weeks with a follow-up period of any length were included. Risk of bias and methodological quality were assessed using the Cochrane Collaboration's risk of bias tool and the PEDro scale, respectively. Six randomized controlled trials involving a total of 2233 participants were included. Strong evidence indicates that improvements in physical activity levels achieved with lower extremity AE training are not maintained in the long term. However, there is conflicting evidence regarding the long-term maintenance of walking ability, functional status, mobility, and quality of life, as well as weak evidence for improvements in anxiety, depression, and self-efficacy. A meta-analysis could not be conducted due to substantial variation in outcome measures among the included studies.</p><p><strong>Conclusion: </strong>This systematic review indicates that the benefits of lower extremity AE training are not maintained at expected levels over the long term. Therefore, it is crucial to promote exercise as a lifelong habit and implement community-based exercise strategies for patients with PAD.</p><p><strong>Registration: </strong>PROSPERO: CRD42024603996.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"913-924"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Data saturation and information power: sample size in qualitative research-when is enough and how to assess?","authors":"Sara-Jane Roberts, Martha Abshire Saylor, Serra Ivynian, Michelle DiGiacomo","doi":"10.1093/eurjcn/zvag046","DOIUrl":"10.1093/eurjcn/zvag046","url":null,"abstract":"<p><p>Qualitative inquiry plays an essential role in optimizing cardiovascular care and facilitating person-centred approaches through understanding in-depth experiences that quantitative data are unable to capture. In quantitative research, rigorous power calculations are used to determine the minimum sample size required to support a finding. In qualitative research, power calculations do not apply, but rather, determination of adequate sample size relies on the concept of data saturation. Operational definitions of data saturation simplify its definition to 'no new information emerging', which can be problematic, particularly if researchers do not provide adequate methodological support to ensure transparency. Information power is a useful concept that provides guidance on estimating sample size prior to the research being conducted (i.e. helpful for grant applications) and during data collection and analysis to determine final sample size. Five considerations to determine the information power of the sample include (i) narrow study aim/objectives, (ii) specific/homogeneous sample, (iii) use of theory, (iv) quality of dialogue, and (v) analysis strategy. This article explores the concept of data saturation, information redundancy, and the alternative concept of information power to determine when there are 'enough' data to support findings. Considerations for each are described. This approach is helpful for researchers conducting qualitative research in determining which approach may be best suited to determine adequate sample size.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"1069-1074"},"PeriodicalIF":3.9,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146204454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}