European journal of cardiovascular nursing最新文献

{"title":"The Role of Cardiovascular Disease Journals in Reporting Sex and Gender in Research.","authors":"C Noel Bairey Merz, Robert O Bonow, Mercedes Carnethon, Filippo Crea, Joseph A Hill, Harlan M Krumholz, Roxana Mehran, Erica S Spatz","doi":"10.1093/eurjcn/zvaf040","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf040","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744590","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":"A short educational video for improving awareness and confidence of healthcare professionals in managing lipoprotein(a): A pilot study based on LILAC-for-Lp(a).","authors":"Wann Jia Loh, Gerald F Watts, Elaine Lum","doi":"10.1093/eurjcn/zvaf052","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf052","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744574","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":"Dyadic symptom recognition in heart failure.","authors":"Giulia Locatelli, Diletta Fabrizi, Davide Ausili, Ercole Vellone","doi":"10.1093/eurjcn/zvaf051","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf051","url":null,"abstract":"<p><strong>Aim: </strong>Patients with heart failure experience several symptoms that can be addressed through self-care, which both patients and caregivers in the dyad can contribute to. However, studies on dyadic symptom recognition patterns in heart failure are scarce. We explored whether heart failure patients and their caregivers were concordant or discordant in their symptom recognition behaviors, what characteristics concordant and discordant dyads had, and which variables predicted membership in the concordant or discordant symptom recognition groups.</p><p><strong>Methods and results: </strong>This is a secondary analysis of an RCT on 500 dyads. Dyads were classified as concordant or discordant according to their response to the symptom recognition item of the Self-Care of Heart Failure Index and the Caregiver Contribution to Self-Care of Heart Failure Index. A multiple logistic regression model was adopted to identify predictors of membership in concordant or discordant dyads. Patients were typically male (58%), retired (77%, n=382), with a median age of 75 years, belonging to NYHA class II (62%); caregivers were typically female (76%), with a median age of 55 years, active workers (47%, n=235), living with the patient (61%), and being patient's child (39%) or spouse (38%). Patient self-care and caregiver contribution to patient self-care were poor (i.e., SCHFI and CC-SCHFI scores <70). Most dyads (87%) showed concordant symptom recognition, meaning that both members agreed on the presence or absence of symptoms. Higher caregiver self-efficacy in contributing to patient self-care predicted membership in the discordant dyadic symptom recognition group. Higher patient symptom burden and cognitive impairment, patient being retired, caregiver preparedness, and caregiver not being the patient's spouse predicted membership in the concordant dyadic symptom recognition group.</p><p><strong>Conclusion: </strong>Concordant dyadic symptom recognition was predominant and several variables differently predicted the membership to the dyadic symptom recognition groups. This can help to further characterize dyads' attitudes toward symptom recognition, to better understand how to address symptom recognition and awareness of body changes at a patient, caregiver, and dyadic level, and ultimately to allow personalized symptom management strategies.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744577","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":"Parental Influence on Adolescents' Cardiovascular Health: Insights from Household Data in the Korea National Health and Nutrition Examination Survey.","authors":"Yeo Jin Lee, Seon Young Hwang","doi":"10.1093/eurjcn/zvaf049","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf049","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to develop and validate a hypothetical model explaining the cardiovascular health of Korean adolescents, focusing on the pathways through which parental cardiovascular health and behaviors influence those of adolescents.</p><p><strong>Methodsand results: </strong>This secondary analysis used data from the Korea National Health and Nutrition Examination Survey household unit (2015-2019). Participants were adolescents aged 12-18 years and their parents from two-parent households. Cardiovascular health was calculated by summing five risk factors-body mass index, cholesterol levels, smoking status, blood pressure, and fasting blood sugar-with each item categorized as \"poor,\" \"intermediate,\" or \"ideal\" according to the relevant criteria. To examine pathways influencing adolescent cardiovascular health, 1,290 adolescent-mother pairs and 936 adolescent-father pairs were analyzed using path analysis in Mplus statistical software, with models constructed for cardiovascular health, physical activity, and dietary habits. The model fit indices were good for both the hypothesized adolescent-mother and adolescent-father pair models. Both path analyses showed that mothers' and fathers' cardiovascular health were significantly associated with adolescent cardiovascular health (p < .001). Additionally, in each of the mother-adolescent and father-adolescent pair models, parental physical activity had a direct effect on adolescent physical activity (p < .05), and parental dietary habits had a direct effect on adolescents (p <.001).</p><p><strong>Conclusion: </strong>This study confirmed that adolescents' cardiovascular health, physical activity, and dietary habits are directly influenced by both parents' cardiovascular health and corresponding health behaviors. In school health, effective intervention strategies for high-risk groups for cardiovascular health should include parental involvement and family-based behavioral modifications.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733721","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":"Biological sex-dependent differences in postural orthostatic tachycardia syndrome (POTS).","authors":"Marie-Claire Seeley, Gemma Wilson, Eric Ong, Amy Langdon, Jonathan Chieng, Danielle Bailey, Kristina Comacchio, Amanda Page, Dennis Lau, Celine Gallagher","doi":"10.1093/eurjcn/zvaf048","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf048","url":null,"abstract":"<p><strong>Aims: </strong>This prospective, cross-sectional study aimed to identify sex-based differences in diagnostic and symptom experiences in postural orthostatic tachycardia syndrome (POTS).</p><p><strong>Methods and results: </strong>Data from participants ≥16 years with physician-confirmed POTS enrolled in the Australian POTS registry between 1st May 2021 and 30th April 2024 were analysed. Health-related quality of life was assessed using the EuroQol 5 Dimension tool. Composite autonomic symptom score (COMPASS-31) assessed autonomic symptom burden. Self-reported sociodemographic and diagnostic journey data informed diagnostic experiences. In total, 452 females (mean age 31.4 ± 11.4 years) and 48 males (mean age 31.1 ± 14.6 years) were included. Females experienced worse autonomic symptom burden (total COMPASS-31; 50.5 ± 13.7 vs 42.4 ± 16.4 for men; P < 0.001). Both sexes interacted with an equivocal number of doctors (P = 0.763) and emergency departments (P = 0.830) before diagnosis. Females had significantly longer diagnostic delays than men (7.0 ± 8.6 vs 3.8 ± 5.4 years; P = 0.010) and were 1.2.7 times more likely to experience ≥10 years of diagnostic delay (95% CI; 1.1-6.6). Despite the diagnostic latency and worse symptom burden, females reported similar, anxiety, depression and health-related quality of life to men (global health rating where '100' = full health; females, 46.2 ± 20.4 vs males, 43.7 ± 23.6; P = 0.485).</p><p><strong>Conclusion: </strong>Females and males with POTS experience significant differences in autonomic symptom burden and diagnostic delay. These differences do not seem to arise from sex-based variations in health-seeking behaviour or symptom reporting but rather indicate the influence of clinician-dependent factors. Further research is needed to explore how clinician attitudes may impact sex-dependent differences in diagnosis and treatment outcomes for those with POTS.</p><p><strong>Registration: </strong>ANZCTR:12621001034820.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733711","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":"Effect of nurse-led telephone follow-up to optimize adherence to preventive medication after screen-detected cardiovascular disease: A randomized controlled trial.","authors":"Helen Gräs Højgaard, Annette Langager Høgh, Jes S Lindholt, Kirsten Frederiksen, Marie Dahl","doi":"10.1093/eurjcn/zvaf047","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf047","url":null,"abstract":"<p><strong>Aims: </strong>To investigate the effect of nurse-led telephone follow-up (TFU) on medication adherence after screen-detected cardiovascular disease (CVD).</p><p><strong>Methods: </strong>We conducted a randomized controlled trial evaluating the effect on adherence of nurse-led TFU at 1, 3, and 6 months, compared to usual care. The primary outcome was medication adherence after one year. Secondary outcomes were quarterly point prevalence time after the recommendation. Participants, aged 67 years, were recruited from the Danish Viborg Screening Programme (VISP) cohort between May 2017 and April 2022. Participants (n = 406) with screen-detected abdominal aortic aneurysm, peripheral arterial disease, and/or carotid plaque and recommended anti-platelets and/or lipid-lowering therapy were randomized 1:1 to intervention (n = 202) or control group (n = 204). The intention-to-treat principle was applied. Pearson's χ² and logistic regression analysis were used.</p><p><strong>Results: </strong>We found no significant inter-group differences concerning medication adherence after one year. Anti-platelet adherence was 59% in the intervention group; 62%, in the control group. Lipid-lowering medication adherence was 70% in both groups. Adjusted analysis showed no intervention effect for lipid-lowering medication (OR: 1.06, 95% CI: 0.69-1.63, p = 0.800) or anti-platelets (OR: 0.93, 95% CI: 0.62-1.39, p = 0.732). No group differences were observed at point prevalence time. We found no association between sex, marital status, occupation, education, smoking, comorbidities, medication use, and adherence after one year.</p><p><strong>Conclusion: </strong>Nurse-led TFU did not improve CVD preventive medication adherence compared with usual care; facilitating adherence may require more than phone calls. Further research is needed to tailor interventions to individual adherence barriers.</p><p><strong>Registration: </strong>The study is nested within the VISP study in ClinicalTrials.gov (NCT03395509).</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702553","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":"Resistance-based exercise intervention for patients with coronary artery disease and sarcopenia: A pilot randomized controlled trial.","authors":"Polly W C Li, Doris S F Yu, N Y Chan, S H Chiu, Joshua Y H Leung, Eva Q H Ye, Matthew H K Cheng","doi":"10.1093/eurjcn/zvaf041","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf041","url":null,"abstract":"<p><strong>Aim: </strong>Sarcopenia is a prominent prognostic indicator in patients with coronary artery disease (CAD). This study aimed to examine the feasibility and preliminary effects of a resistance-based exercise intervention in CAD patients with sarcopenia.</p><p><strong>Methods and results: </strong>This pilot assessor-blinded two-arm randomized controlled trial recruited 40 CAD patients aged ≥60 years with sarcopenia (mean age: 69.1 ± 5.03 years; 52.5% male), assigning them in a 1:1 ratio to either usual care or a 12-week exercise intervention (60 minutes/session, 2 sessions/week). The intervention followed an individualized, progressive, resistance-based exercise protocol using easily accessible exercise equipment. A blended approach, including center-based, home-based and online sessions, was adopted to improve compliance and sustain training effects. No serious adverse events were reported, and the overall attendance rate was 94%. Compared with the control group, the intervention group showed significantly better physical performance measured by the Short Physical Performance Battery (β = 0.522, 95% CI = -2.712 to -0.665, p = 0.001, Hedges' g = 0.637) and muscle strength measured by handgrip strength (β = -2.435, 95% CI = -4.618 to -0.252, p = 0.029, Hedges' g = 0.552) at immediate post-intervention. However, these effects were not sustained at 3 months post-intervention. No significant between-group differences were detected in muscle mass, cardiac-related functional status, health-related quality of life or psychological outcomes. The effect sizes for these outcomes at the two timepoints ranged from 0.155 to 0.750.</p><p><strong>Conclusion: </strong>The resistance-based exercise intervention was feasible and acceptable for CAD patients with sarcopenia, improving their short-term physical performance and muscle strength. A full-scale trial with longer-term follow-up is warranted to evaluate its effects on functional, muscle and cardiac-related clinical outcomes.</p><p><strong>Registration: </strong>ClincialTrials.gov (NCT05497687).</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143672051","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":"Identifying Barriers and Enablers to Cardiac Rehabilitation Participation and Completion Unique to South Asian Individuals: A Qualitative Systematic Review.","authors":"Joanne McAllister, Mary Harrison, Claire A Lawson, Sally J Singh","doi":"10.1093/eurjcn/zvaf044","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf044","url":null,"abstract":"<p><strong>Aim: </strong>South Asian individuals living outside the Indian subcontinent are under-represented in cardiac rehabilitation (CR), despite facing higher rates of cardiac-related mortality and hospitalisations compared to White ethnic groups. Understanding how cultural differences affect CR participation and completion after referral requires the examination of barriers and enablers specific to South Asian populations. This review aims to summarise evidence on barriers and enablers to CR for South Asian minorities outside the Indian subcontinent.</p><p><strong>Methods and results: </strong>A systematic review of six databases (MEDLINE, CINAHL, APA PsycINFO, Cochrane, Scopus, and Web of Science) was conducted in January 2024 (updated November 2024), with no language or date limitations. Studies from countries outside the Indian subcontinent were included. Barriers and enablers were identified, followed by thematic analysis. Thirteen studies (n=384 South Asian participants) from the UK (n=10) and Canada (n=3) were included. Five key themes were generated: 1. communication and knowledge, 2. motivation to attend CR or follow medical advice, 3. religion, 4. program delivery, and 5. practical considerations. Key factors influencing CR participation included language barriers, family support, fatalistic beliefs, and motivation. Each theme encapsulates barriers and enablers and shapes participation at both service and patient level. While some barriers were common across different ethnic groups, they had stronger impact on South Asians due to distinct social determinants of health.</p><p><strong>Conclusion: </strong>Barriers and enablers are closely linked to cultural and societal norms. Recognising these factors enables CR services to better address the needs of underserved populations, ensuring equitable healthcare provision and support.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674908","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":"Dyadic effects of family resilience and mutuality on self-care in chronic heart failure patients and caregivers: an Actor-Partner Interdependence Mediation Model.","authors":"Yingtong Meng, Tingting Zhang, Siyu Lu, Yan Zhang, Yunwen Mao, Xiaohua Ge","doi":"10.1093/eurjcn/zvaf027","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf027","url":null,"abstract":"<p><strong>Aims: </strong>Self-care and caregivers' contribution to self-care are vital for chronic heart failure (CHF) patients. Family resilience and mutuality are known protective factors for self-care. However, little is known about how family resilience and mutuality contribute to self-care among heart failure patient-caregiver dyads. This study aims to examine actor and partner effects of family resilience on self-care through mutuality among CHF patients and caregiver dyads.</p><p><strong>Methods and results: </strong>In the cross-sectional study, 220 CHF patient-caregiver dyads (n = 440 participants) were enrolled. Family resilience, mutuality, self-care, and self-care contribution to CHF were assessed by self-report questionnaires. The Actor-Partner Interdependence Mediation Model analysis was used to identify the direct and indirect effects of family resilience on self-care through mutuality in CHF patient-caregiver dyads. Actor effects showed that caregivers' family resilience had a direct effect on their own self-care contribution [direct actor effect, B = 0.385; 95% confidence interval (CI), 0.263-0.506]. Caregivers' mutuality (indirect actor effect, B = 0.057; 95% CI, 0.004-0.111) and CHF patients' mutuality (indirect actor effect, B = 0.04; 95% CI, 0.010-0.103) mediated caregivers' family resilience and self-care contribution. Partner effect showed that caregivers' family resilience predicted CHF patients' self-care behaviour (direct partner effect, B = -0.334; 95% CI, -0.406 to -0.251). Chronic heart failure patients' family resilience had indirect effects on caregivers' contribution to self-care via patients' mutuality (indirect partner effect, B = 0.019; 95% CI, 0.001-0.066) and caregivers' mutuality (indirect partner effect, B = 0.025, 95% CI, 0.001-0.058).</p><p><strong>Conclusion: </strong>The results demonstrated a reciprocal influence on self-care between CHF patients and their caregivers. Family resilience within these dyads has impacted not only their own self-care but also those of their caregivers, with mutuality playing a mediating role. These results provided empirical support for improving the patients' self-care behaviour and caregivers' contribution at the dyadic level.</p><p><strong>Registration: </strong>Chinese Clinical Trial Registry: ChiCTR2200064561.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671947","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":"Integrating social determinants of health into cardiovascular disease management and outcomes.","authors":"Maddi Olano-Lizarraga, Jesús Martín-Martín","doi":"10.1093/eurjcn/zvaf026","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf026","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652802","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}