European journal of cardiovascular nursing最新文献

{"title":"Is transitional care intervention effective in improving health outcomes for post-percutaneous coronary intervention patients? A systematic review and meta-analysis of randomized controlled trials.","authors":"Li Qiao, Sijia Li, Haoming Ma, Wenchao Zhou, Jianping Zhang, Xingyi Tang, Rongrong Huang, Aoqi Wang, Meihua Piao","doi":"10.1093/eurjcn/zvaf192","DOIUrl":"10.1093/eurjcn/zvaf192","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to systematically synthesize the currently available body of literature on the impact of transitional care intervention on health outcomes in patients after percutaneous coronary intervention (PCI), focusing on clinical outcomes such as readmission rates, major adverse cardiovascular events (MACE), left ventricular ejection fraction (LVEF), and patient-reported outcomes such as 6 min walk test (6-MWT), quality of life (QoL), and symptoms of anxiety and depression. Furthermore, the study examined the relationship between intervention dosage (including duration, components, and intensity) and improvement in patient health outcomes.</p><p><strong>Methods and results: </strong>A comprehensive search was conducted across multiple databases from their inception to November 2024, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This search included randomized controlled trials (RCTs) aimed at assessing the effects of transitional care on postoperative outcomes in patients undergoing PCI. Softer R was used to perform meta-analysis. Twenty-seven studies involving 3345 participants were included. The meta-analysis results showed that transitional care interventions significantly reduced the readmission risk (RR = 0.56, 95% CI: [0.32, 0.98], I2 = 51.7%) and MACE (RR = 0.32, 95% CI: [0.19, 0.53], I2 = 0%). The QoL was significantly improved (SMD = 0.66, 95% CI: [0.31, 1.00], I2 = 89.5%). Furthermore, these interventions had a positive effect on LVEF (SMD = 0.62, 95% CI: [0.24, 1.00], I2 = 65.5%) and 6-MWT (SMD = 0.67, 95% CI: [0.26, 1.08], I2 = 83.0%). Also, they contributed to the reduction of anxiety (SMD = -0.59, 95% CI: [-0.97, -0.22], I2 = 85.6%) and depression (SMD = -0.82, 95% CI: [-1.53, -0.12], I2 = 95.4%) symptoms in patients.</p><p><strong>Conclusion: </strong>Transitional care has been shown to have a positive impact on both clinical (e.g. readmissions, MACE, LVEF) and patient-reported (e.g. 6-MWT, QoL, anxiety, depression) outcomes post-PCI. It would be beneficial for future research to prioritize personalized plans based on patient and contextual factors to optimize effects.</p><p><strong>Registration: </strong>PROSPERO: CRD42024606447.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"258-285"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897148","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":"Education and behavioural change as part of exercise programmes for patients with peripheral arterial disease.","authors":"Marie-José Vleugels, Laura Marcellis, Henry Davies, Jeroen M Hendriks","doi":"10.1093/eurjcn/zvag081","DOIUrl":"https://doi.org/10.1093/eurjcn/zvag081","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147792964","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":"Embedding sustainability in organizational process-a critical step to addressing greenhouse gas emissions.","authors":"Tracey Lynn Moroney","doi":"10.1093/eurjcn/zvaf215","DOIUrl":"10.1093/eurjcn/zvaf215","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"410-411"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145986158","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":"Effects of a multimodal support intervention (the NICE-Support programme) on frailty and quality of life in patients with heart failure: a randomized controlled trial.","authors":"Tzu-Chieh Wang, Yu-Cheng Hsieh, Chiu-Yueh Yang, Chii-Ming Lee, Chieh-Yu Liu, Ai-Fu Chiou","doi":"10.1093/eurjcn/zvaf187","DOIUrl":"10.1093/eurjcn/zvaf187","url":null,"abstract":"<p><strong>Aims: </strong>This randomized controlled trial examined the effectiveness of the 12-week NICE-Support programme-combining nutrition, nursing instruction, exercise, and support-on frailty and quality of life in patients with heart failure.</p><p><strong>Methods and results: </strong>A total of 240 adults (≥20 years) with stable heart failure, cognitive and physical capacity for activity, and smartphone access were recruited from two Taiwanese medical centres and randomly allocated to either the intervention group or the control group. The 12-week intervention included nutritional counselling, three in-person nursing consultations (40-60 min each), a structured exercise regimen (three 30 min sessions per week), social media support, and biweekly follow-up calls. The control group received standard nursing care and routine discharge education. Frailty and quality of life were assessed at baseline and at 4, 12, and 24 weeks to evaluate short-term and sustained effects. Among the 240 participants, 192 (80%) completed the 24-week follow-up. An intention-to-treat analysis was conducted to evaluate the intervention effects. Both groups showed significant improvements over time. At 24 weeks, the control group demonstrated significant improvements in frailty scores (-8.11 points) and overall quality of life scores (-22.71 points). Compared with the control group, the intervention group exhibited significantly greater improvements in frailty (Cohen's d = 1.17) and overall quality of life (Cohen's d = 0.87) at Week 24.</p><p><strong>Conclusion: </strong>The NICE-Support programme significantly reduces frailty and improves quality of life in patients with heart failure. Its integration into routine care is recommended.</p><p><strong>Registration: </strong>ClinicalTrials.gov: NCT05366686.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"329-338"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893539","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":"Association between cumulative low-income status and cardiovascular event incidence and mediating effect of engagement in health behaviour: a retrospective cohort study.","authors":"Sun Young Shim, Hyeonkyeong Lee, Mona Choi, Hyeon Chang Kim, Chang Gi Park, Hyang Yuol Lee","doi":"10.1093/eurjcn/zvaf189","DOIUrl":"10.1093/eurjcn/zvaf189","url":null,"abstract":"<p><strong>Aims: </strong>Income influences individuals' engagement in health behaviours, which may mediate the relationship between income and cardiovascular event incidence. However, research on the association between cardiovascular event and cumulative low-income status remains limited, as most previous studies have assessed income at a single time point. This study aimed to investigate the association between cumulative low-income status and cardiovascular event incidence and to explore the mediating role of engagement in health behaviour.</p><p><strong>Methods and results: </strong>In this retrospective cohort study, we analysed national representative data from the Korea Health Panel Survey (2008-2018), including 9284 Korean adults. Cumulative low-income status was defined based on total number of years classified as low-income status during the 3 year baseline. Cardiovascular event incidence was defined as the first diagnosis of myocardial infarction, stroke, or cardiovascular disease-related death. Engagement in health behaviour was measured through smoking, alcohol consumption, and physical activity. After adjusting for covariates, Cox proportional hazard models showed an association between increased risk of cardiovascular event incidence and prolonged cumulative low-income status [1 or 2 years: hazard ratio (HR) = 1.27, 95% confidence interval (CI) = 0.97-1.67; 3 years: HR = 1.33, 95% CI = 1.01-1.77; P for trend = 0.045]. A generalized structural equation model revealed that engagement in negative health behaviour mediated the longitudinal relationship between 1 and 2 years of cumulative low-income status and cardiovascular event incidence (indirect effect estimate = 0.179, P-value = 0.004).</p><p><strong>Conclusion: </strong>These findings suggest that interventions targeting engagement in health behaviour among population with cumulative low-income status may help prevent cardiovascular events and promote cardiovascular health equity.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"343-351"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897157","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 pilot randomized controlled trial to test the feasibility of a mobile health (mHealth) self-help intervention for adults after cardiac surgery.","authors":"Rochelle Wynne, Joanne Nolte, Jennifer Angel, Andrew Moore, Tina Campbell, Caleb Ferguson","doi":"10.1093/eurjcn/zvaf190","DOIUrl":"10.1093/eurjcn/zvaf190","url":null,"abstract":"<p><strong>Aims: </strong>To determine feasibility, acceptability and test protocol integrity, for testing a mobile health (mHealth) intervention focused on enhancing self-management after adult cardiac surgery. Secondary aims were to assess the effect of the intervention on 30-day readmission, quality of life, and knowledge, skill and confidence for self-help.</p><p><strong>Methods and results: </strong>A parallel-group, pilot randomized controlled trial was conducted in a major metropolitan publicly funded health service. Adult elective cardiac surgery patients discharged home within 30-days, able to understand spoken English, and use a smartphone, tablet or computer were eligible for inclusion. The mHealth intervention comprised patient narrative videos, and on-line resources focused on diagnosis, preparing for surgery, and immediate, and ongoing recovery. From August 2021 until the 23rd of December 2022, there were 341/516 elective cardiac surgery cases. Of 70 (20.5%) eligible patients, 61 (87.1%) participated. The mHealth intervention was accessed by 27 (84.4%) participants. When accessed, the intervention was feasible and acceptable for patients, there were no protocol violations. There was high viewing of content related to diagnosis, surgery and looking forward, compared with programmes related to rehabilitation. Readmission rates did not differ between groups. Participants taking action to manage their health in the intervention group incrementally increased from baseline to 90-day follow-up.</p><p><strong>Conclusion: </strong>The effect of patient narratives on patient activation warrants testing in an adequately powered randomized controlled trial. While the uptake of the mHealth intervention was modest, trends in actions for self-help and rate of 30-day readmission imply the intervention is potentially effective in improving self-help management.</p><p><strong>Registration: </strong>The Australian and New Zealand Clinical Trials Registry: ACTRN12621000082808.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"354-363"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145897039","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":"Strengthening self-care after hospital discharge: how can caregivers support and be supported.","authors":"Magda Eriksson-Liebon, Tiny Jaarsma","doi":"10.1093/eurjcn/zvaf229","DOIUrl":"10.1093/eurjcn/zvaf229","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"377-378"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146032195","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 retrospective study of the application of front door score (FDS) in triaging patients with NSTEMI in Hong Kong.","authors":"Hiu Yi Nicole Lui, Yin Yan Lun, Ching Man Wong, Yuk Ying Emily Mak, King Ting Ng, Chun Ho Chan, Ka Wun Wong","doi":"10.1093/eurjcn/zvaf198","DOIUrl":"10.1093/eurjcn/zvaf198","url":null,"abstract":"<p><strong>Aims: </strong>To validate the FDS for predicting NSTEMI in Hong Kong EDs, assess score distribution, evaluate its accuracy in triaging NSTEMI cases and identify the optimal cutoff for clinical use.</p><p><strong>Methods and results: </strong>A multicentre retrospective cohort study was conducted in three Hong Kong EDs from August 1 to 31 October 2021. Patients aged ≥ 18 presenting with chest pain or discomfort were retrospectively scored using the FDS variables after excluding angina episodes. Data were abstracted from electronic patient records (EPRs) by trained nurses, blinded to final NSTEMI diagnosis. Angina data were excluded from FDS criteria due to inconsistent triage documentation. Predictive performance was evaluated with receiver operating characteristic (ROC) curve and Hosmer-Lemeshow test.Among 2251 patients analysed, 69 were diagnosed with NSTEMI. The FDS showed good discrimination with an AUC of 0.816 (95% CI: 0.765-0.867, P < 0.001). The optimal cutoff was 1 point, yielding a sensitivity of 99.8% and specificity of 14.5%, indicating NSTEMI detection but considerable over-triage. Significant predictors included age ≥65, ST-segment changes ≥0.5 mm, and recent aspirin use.</p><p><strong>Conclusion: </strong>FDS demonstrated good discriminatory ability in this cohort. It is a highly sensitive, rapid ED screening tool for NSTEMI without immediate Troponin results. Its low specificity risks over-triage. FDS is useful for initial screening but requires additional diagnostics to improve specificity.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"379-385"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596992","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":"Nurses in the lead: advancement of integrated palliative care and professional autonomy in peripheral arterial disease.","authors":"Marie-José Vleugels, Albine Moser, Marieke van den Beuken-van Everdingen, Barend Mees, Jeroen M Hendriks","doi":"10.1093/eurjcn/zvag005","DOIUrl":"10.1093/eurjcn/zvag005","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"217-218"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919499","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":"Tracing lived experience over time: understanding health-related quality-of-life trajectories to support more personalized care.","authors":"Martha Kyriakou","doi":"10.1093/eurjcn/zvaf239","DOIUrl":"10.1093/eurjcn/zvaf239","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"300-301"},"PeriodicalIF":3.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146069387","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}