European journal of cardiovascular nursing最新文献

{"title":"Advocacy Spotlight Series : Jennifer Crow.","authors":"Sara Tavares, Jennifer Crow","doi":"10.1093/eurjcn/zvaf093","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf093","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512854","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":"Response to the letter to the editor-'Effectiveness of a home-based music-paced physical activity programme on exercise-related outcomes after cardiac rehabilitation: a randomized controlled trial' by B.N. Ata.","authors":"Sek Ying Chair, Ho Yu Cheng, Kai Chow Choi","doi":"10.1093/eurjcn/zvaf097","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf097","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512856","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":"Interconnected Challenges in Caregiving: A Multidimensional Analysis of Stroke Survivors' Caregivers During the Hospital-to-Home Transition.","authors":"Mariachiara Figura, Cristiana Rago, Mayra Veronese, Felice Curcio, Michele Virgolesi, Ercole Vellone, Rosaria Alvaro, Gianluca Pucciarelli","doi":"10.1093/eurjcn/zvaf114","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf114","url":null,"abstract":"<p><strong>Aim: </strong>Stroke survivors face significant challenges during their transition from hospital to home, impacting both their own well-being and that of their caregivers. Informal caregivers, often family members, assume substantial caregiving roles without professional training, leading to emotional strain and caregiver burden. Understanding the experiences of caregivers during this critical transitional period is essential for developing targeted interventions that alleviate burden and improve caregiving outcomes. This study aims to provide a comprehensive, multidimensional understanding of SS caregivers' experiences during the transitional care phase, using Automatic Analysis of Textual Data to uncover complex relationships and hidden patterns in caregivers' narratives.</p><p><strong>Methods and results: </strong>A qualitative design was employed, utilizing semi-structured interviews with 18 SS caregivers. Data were analyzed using Automatic Analysis of Textual Data, applying Exploratory Multidimensional Data Analysis to identify key themes and interconnections within caregivers' experiences.Findings revealed five central themes: the role of social support, the need for practical support, pre-discharge preparation, practical daily challenges, and emotional strain. Social support and practical assistance emerged as crucial factors in reducing emotional burden. Caregivers emphasized the importance of pre-discharge training and clear instructions to navigate the transition. The analysis revealed the interdependence between practical and emotional caregiving demands, highlighting the need for integrated, holistic support systems.</p><p><strong>Conclusions: </strong>This study underscores the complex, multidimensional nature of caregiving during the transition from hospital to home. Results suggest that effective caregiving interventions must address both practical and emotional aspects, integrating preparation, social support, and practical assistance to enhance caregiver resilience and reduce burden.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144510052","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":"Content Validation of an Heart Failure Self-Care Program for Hospitalized Patients: A Modified e-Delphi Study.","authors":"Ivo Lopes, Bruno Delgado, Soraia Pereira, Patrício Costa, José Miguel Padilha","doi":"10.1093/eurjcn/zvaf119","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf119","url":null,"abstract":"<p><strong>Aims: </strong>Effective management of heart failure requires both pharmacological and non-pharmacological strategies with an emphasis on self-care behaviours. Nurses play a crucial role in promoting self-care, especially during hospitalization, when early intervention can improve the outcomes. Despite the importance of effective self-care in heart failure, there is no clear consensus on which aspects of self-care should be prioritized for hospitalized individuals. The objective is to validate a self-care program tailored to hospitalized patients with heart failure.</p><p><strong>Methods and results: </strong>A modified e-Delphi method was used to achieve consensus on the objectives of the program and the interventions to achieve them. These items were submitted to a panel of 37 experts who were invited to participate in two Delphi rounds.29 Portuguese specialized rehabilitation nurses answered the questionnaire in the first round, and 27 in the second round. All participants worked in a Portuguese hospital setting. In the first round, consensus was reached on 23 objectives and 60 interventions, with two interventions eliminated, which were related to the physical exercise component of the program. The final program included 23 objectives and 60 interventions.</p><p><strong>Conclusions: </strong>The validated self-care program offers a comprehensive framework for managing heart failure during hospitalization with a focus on early intervention. The components that should integrate it and enhance self-care skills are awareness, engagement, hope, knowledge about the disease and treatment, self-care maintenance, self-care monitoring, and self-care management. It equips nurses with effective tools to promote self-care and further studies are planned to test its clinical effectiveness.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512855","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":"Affective Symptoms, Cognitive Function and Self-Care Behaviors in Adults with Heart Failure according to Ejection Fraction Phenotype.","authors":"Maria Jędrzejczyk, Christopher S Lee, Quin E Denfeld, Remigiusz Szczepanowski, Bernadetta Żółkowska, Michał Czapla, Ercole Vellone, Marta Wleklik, Magdalena Lisiak, Izabella Uchmanowicz","doi":"10.1093/eurjcn/zvaf112","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf112","url":null,"abstract":"<p><strong>Aims: </strong>The aim of this study was to compare affective symptoms, cognitive dysfunction, and self-care behaviors among different heart failure (HF) phenotypes and to explore their interrelationships, particularly examining how cognitive and affective factors influence self-care practices.</p><p><strong>Methods and results: </strong>This cross-sectional study involved 250 older adults hospitalized for acute decompensated HF, categorized into three groups based on left ventricular ejection fraction (EF): HF with reduced EF (HFrEF), mildly reduced EF (HFmrEF), and preserved EF (HFpEF). Affective symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS) and Patient Health Questionnaire-9 (PHQ-9), while cognitive function was evaluated with the Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE). Self-care behaviors were measured using the European Heart Failure Self-Care Behavior Scale. Among participants, 42% had HFrEF, 18.4% had HFmrEF, and 39.6% had HFpEF. Cognitive dysfunction was more pronounced in HFpEF patients (MMSE median = 28.0, IQR = 26.0-29.0) compared to those with HFrEF (median = 28.0, IQR = 27.0-29.0) or HFmrEF (median = 29.0, IQR = 27.3-29.0, p = 0.008). Higher MMSE scores were significantly associated with better self-care behaviors in HFpEF patients (Spearman's r = -0.299, p = 0.003), but not in the other groups. Significant differences were found in specific self-care behaviors, including contacting healthcare providers and adherence to a low-sodium diet.</p><p><strong>Conclusion: </strong>Although variations in cognitive function and self-care behaviors were observed across heart failure phenotypes, these differences were not statistically significant after adjusting for demographic and clinical factors. Tailored interventions should be based on a comprehensive assessment of cognitive and emotional health, rather than heart failure phenotype alone.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144311078","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":"Adding psychological risk exposure to improve cardiovascular risk prediction: a commentary.","authors":"Michael R Le Grande, Barbara M Murphy, Alun C Jackson","doi":"10.1093/eurjcn/zvaf098","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf098","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304091","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":"Artificial intelligence-generated podcasts open new doors to make science accessible: a mixed-method evaluation of quality and the potential for science communication.","authors":"Chloé P Desmedt, Werner Budts, Maarten De Vos, Philip Moons","doi":"10.1093/eurjcn/zvaf074","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf074","url":null,"abstract":"<p><strong>Aims: </strong>Science podcasts have proved to be valuable mediums for medical education and science dissemination. Tools adopting rapidly evolving technologies such as generative artificial intelligence (GenAI) now enable us to create podcasts in a matter of minutes (e.g. NotebookLM, Jellypod). However, GenAI entails challenges, such as hallucinations, which could compromise the trustworthiness of generated content. Therefore, this study aimed to explore the quality of AI-generated podcasts and their potential for science communication.</p><p><strong>Methods and results: </strong>We conducted a mixed-method evaluation of 10 AI-generated podcasts for articles published in the European Journal of Cardiovascular Nursing. Participants were asked to complete a questionnaire and were invited for a video interview. They were not informed of the AI-nature of the podcast prior to evaluation. Only half of them were able to identify this aspect. The fact that the podcast was able to summarize key findings in an easily understandable and engaging manner was found to be a great asset. However, participants also indicated that the American style of the podcast took away from its credibility. Moreover, some podcasts contained inaccuracies, incorrect use of medical terms and mispronunciations, thereby compromising trustworthiness. Podcasts were found to be most appropriate for patients and the public but could be useful for researchers and healthcare professionals as well if they were tailored accordingly. Rigorous evaluation and transparency about the AI-generated nature of the podcast, referencing the original article and author acknowledgement were recommended.</p><p><strong>Conclusion: </strong>AI-generated podcasts could be relevant additions to scientific journal articles and valuable alternatives for traditional science podcasts.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295528","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":"Reaching ears, not just eyes: how artificial intelligence-generated podcasts can bridge the scientific communication gap.","authors":"Meghan Reading Turchioe, Afra Shamnath","doi":"10.1093/eurjcn/zvaf102","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf102","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295529","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":"Clinical service organisation for adults with atrial fibrillation: Cochrane systematic review and meta-analysis.","authors":"C Ferguson, F Shaikh, S M Allida, J Hendriks, C Gallagher, B V Bajorek, A Donkor, S C Inglis","doi":"10.1093/eurjcn/zvaf113","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf113","url":null,"abstract":"<p><strong>Aim: </strong>To assess the effects of organised clinical service delivery models for AF on all-cause mortality and hospitalisation, as well as cardiovascular outcomes, thromboembolic events, bleeding complications, quality of life, symptom burden, healthcare costs, and length of hospital stay.</p><p><strong>Methods and results: </strong>A systematic search was conducted across several databases, including Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, and CINAHL, and clinical trial registries. Randomised controlled trials involving adults (≥ 18 years) with any type of AF were included. Primary outcomes were all-cause mortality and all-cause hospitalisation. Secondary outcomes included cardiovascular mortality and hospitalisation, AF-related emergency department visits, thromboembolic and bleeding events, quality of life, symptom burden, cost of intervention, and length of hospital stay. Eight studies (8205 participants) investigating collaborative, multidisciplinary, or virtual care models for AF were included. The mean age of participants ranged from 60 to 73 years. Organised AF clinical services likely resulted in a substantial reduction in all-cause mortality (RR 0.64, 95% CI 0.46 to 0.89; moderate certainty) and cardiovascular hospitalisation (RR 0.83, 95% CI 0.71 to 0.96; high certainty) compared to usual care. However, these services probably made little to no difference to all-cause hospitalisation (RR 0.94, 95% CI 0.88 to 1.02; moderate certainty) and may not reduce cardiovascular mortality (RR 0.64, 95% CI 0.35 to 1.19; low certainty). The effect on thromboembolic complications and major cerebrovascular events appeared minimal. Minor cerebrovascular events were not reported in any of the included studies.</p><p><strong>Conclusion: </strong>Moderate certainty evidence suggests that organised clinical services for AF likely lead to a large decrease in all-cause mortality but probably have minimal impact on all-cause hospitalisation. While cardiovascular hospitalisations were reduced, the effect on cardiovascular mortality remains uncertain. Further research is needed to compare different care organisation models and to confirm findings for inconclusive outcomes, particularly regarding the role of mHealth in AF management. The findings highlight the importance of coordinated care through collaborative, multidisciplinary, and virtual approaches.</p><p><strong>Registration: </strong>Cochrane Database for Systematic Reviews (2019). https://doi.org/10.1002/14651858.CD013408.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289775","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":"Trajectory prediction in percutaneous coronary intervention recovery.","authors":"Aaron Conway, Katina Corones-Watkins","doi":"10.1093/eurjcn/zvaf094","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf094","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289776","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}