European journal of cardiovascular nursing最新文献

{"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}

{"title":"Feasibility of alcohol interventions in cardiology: a mixed methods study of clinician perspectives in Sweden.","authors":"Paul Welfordsson, Anna-Karin Danielsson, Caroline Björck, Bartosz Grzymala-Lubanski, Kristina Hambraeus, Ida Haugen Löfman, Olga Nilsson, Frieder Braunschweig, Matthias Lidin, Sara Wallhed Finn","doi":"10.1093/eurjcn/zvaf109","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf109","url":null,"abstract":"<p><strong>Aim: </strong>This study aimed to explore clinicians' perspectives on the feasibility of implementing alcohol screening and brief interventions (SBI) in cardiology services.</p><p><strong>Methods and results: </strong>We conducted a multi-site, exploratory-sequential mixed methods study. Themes from qualitative interviews were integrated with the Capability, Opportunity, Motivation (COM-B) framework during the design and analysis of a cross-sectional survey of cardiology clinicians across Sweden. We assessed perceived capability, opportunities, motivation, and overall perceived feasibility for SBI, and explored associations using ordinal logistic regression. Among 638 participants (mean age=43 years, 75% women), median perceived feasibility was 66.7%; Motivation for SBI was highest (68.8%), followed by perceived opportunities (66.6%) and capability (62.5%). Perceived feasibility was higher among doctors (OR=2.67, 95%CI=1.38-5.13) compared to assistant nurses and among outpatient clinicians (OR=1.75, 95%CI=1.14-2.70) compared to inpatient staff. Participants with specialist experience in arrhythmia (OR=1.82, 95%CI=1.01-3.28) and heart failure (OR=1.95, 95%CI=1.14-3.33) perceived SBI as particularly feasible. Integrated analysis indicated that clinicians perceive universal alcohol screening as important, and that opportunities for SBI exist in cardiology. Implementation barriers may include low competence with brief interventions and doubts about the reliability of self-reported alcohol use.</p><p><strong>Conclusion: </strong>Findings suggest that the perceived feasibility of SBI varies according to clinicians' professional backgrounds and the clinical context. Doctors, outpatient staff, and those with specialist experience tended to perceive SBI as feasible and may be important stakeholders for implementation in cardiology. Effective strategies may include task sharing with assistant nurses and adapting training to clinical competencies and professional independence.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287647","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":"From frailty to function after cardiac surgery: a call for nurse-led holistic innovation.","authors":"Teofila Bueser, Ruofei Trophy Chen","doi":"10.1093/eurjcn/zvaf090","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf090","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277134","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":"Frailty changes after cardiac surgery: better or worse?","authors":"Chiao-Hsin Teng, Ssu-Yuan Chen, Yu-Chung Wei, Ron-Bin Hsu, Nai-Hsin Chi, Shoei-Shen Wang, Yih-Sharng Chen, Cheryl Chia-Hui Chen","doi":"10.1093/eurjcn/zvaf089","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf089","url":null,"abstract":"<p><strong>Aims: </strong>Cardiac surgery, as an intervention to repair cardiac pathology, may improve frailty, but the evidence is limited. This secondary analysis explored changes in frailty before and 6 months after cardiac surgery.</p><p><strong>Methods and results: </strong>The study included 273 adults with pre-surgery frailty phenotypes. Frailty was measured using the Fried frailty scale before and 6 months after surgery. Frailty after cardiac surgery was classified as 'better', 'similar', or 'worse' compared to baseline. Odds of frailty change at 6 months postoperatively ('better or similar' vs. 'worse') were calculated. After excluding 12 deaths and 49 losses to follow-up, 212 participants were analysed. At 6 months post-surgery, 92.5% either maintained or improved their frailty status, while 7.5% experienced worsening. Notably, 79.4% of the frail participants improved their status. All participants were more likely to have a 'better or similar' frailty status compared to a 'worse' status [odds: 12.25 (95% CI: 7.36-20.39)]. In a worst-case scenario analysis (n = 273), where deaths and missing frailty status were reclassified as 'worse' status, 71.8% showed 'better or similar' frailty status, whereas 28.2% had a 'worse' status. All participants remained more likely to have a 'better or similar' frailty status [odds: 2.55 (95% CI: 1.96-3.31)].</p><p><strong>Conclusion: </strong>This study revealed that the majority of participants alive at 6 months experienced either better or similar frailty status postoperatively. The worst-case scenario analysis supported this trend. These findings suggest that cardiac surgery, when survived and tolerated, may contribute to frailty improvement.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277133","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":"Optimal skeletal muscle mass index and incident cardiovascular events: insights from a longitudinal analysis.","authors":"Tingting Hu, Yiting Xu, Xiaoya Li, Yunfeng Xiao, Yufei Wang, Xiaojing Ma, Yuqian Bao","doi":"10.1093/eurjcn/zvaf107","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf107","url":null,"abstract":"<p><strong>Aims: </strong>Although several body sizes have been used in the adjustment of skeletal muscle mass (SMM), their predictive ability for cardiovascular events remained unclear. We aimed to assess and compare the predictive performance of SMM indices for cardiovascular events in middle-aged and older population, and evaluate their association according to different body shape subgroups.</p><p><strong>Methods and results: </strong>This study included 1374 individuals (43.5% men) aged 50-80 years from four communities. The follow-up was conducted in 2021-2022 with a mean follow-up of 7.5 years. Cardiovascular events were recorded by phone calls and further validated using electronic medical records. Baseline SMM was estimated using a bioelectrical impedance analyzer and adjusted for weight (SMM/Wt), body mass index (SMM/BMI) and visceral fat area (SMM/VFA), respectively. Visceral fat area was measured using magnetic resonance imaging. During a median follow-up of 7.5 years, adjusted hazard ratios for the lowest tertile of SMM/Wt, SMM/BMI, and SMM/VFA were 1.80 (95%CI 1.17-2.77), 1.83 (95%CI 1.15-2.91), and 1.56 (95%CI 0.99-2.46) compared with the highest tertile, respectively. Regarding C-statistics, net reclassification improvement, and integrated discrimination improvement, the greatest improvement was observed when adding SMM/BMI to the model compared with SMM/Wt or SMM/VFA. Moreover, the association between SMM/BMI and cardiovascular events persisted regardless of age, sex, and different body shape subgroups (all P <0.05).</p><p><strong>Conclusions: </strong>SMM indices were significantly associated with the incidence of cardiovascular events in the middle-aged and older population. SMM/BMI appeared to be a better muscle-relevant risk factor for cardiovascular events.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277045","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 interoception and self-care in individuals with cardiovascular disease.","authors":"Giulia Locatelli, Davide Ausili, Christopher Sean Lee","doi":"10.1093/eurjcn/zvaf106","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf106","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to investigate the associations between interoceptive sensibility and self-care behaviors in individuals with cardiovascular disease.</p><p><strong>Methods and results: </strong>Adults with cardiovascular disease were recruited for this cross-sectional descriptive study. Interoceptive sensibility was measured with the Multidimensional Assessment of Interoceptive Awareness. Self-care was measured with the Self-Care of Chronic Illness Inventory. Linear regression was used to describe the relationships between interoceptive sensibility and self-care dimensions. Hierarchical linear regression modeling was used to quantify additional explained variance in self-care beyond that of demographic and clinical characteristics. For this study, 387 participants were recruited through an online platform in America. Overall, interoceptive sensibility mostly explained the variance of self-care management (R2 0.399) (compared to the other self-care dimensions). Higher trust was associated with better self-care maintenance (p<0.05) and higher self-care confidence (p=0.01). Higher body listening was associated with better self-care in all dimensions (maintenance p=0.025; monitoring and management p=0.000; confidence p=0.001). Higher noticing was associated with greater self-care monitoring, management and confidence (p=0.01, p<0.05, p=0.01 respectively). Higher distraction was associated with worse self-care maintenance (p=0.001) and lower self-care confidence (p<0.05). Higher self-regulation was associated with worse self-care monitoring (p=0.008). Higher worrying was associated with worse self-care management (p=0.002).</p><p><strong>Conclusion: </strong>Interoceptive sensibility is associated with all self-care dimensions, especially management. Future studies should further explore these preliminary associations to examine causal relationships using longitudinal study designs, to examine the relationships by adding more potential covariates, and to examine whether changes in interoceptive sensibility led to changes in self-care using other study designs (e.g., RCT).</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268216","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":"Enhancing medication adherence: who and how?","authors":"Franco Wing Tak Cheng","doi":"10.1093/eurjcn/zvaf092","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf092","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268217","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 impact of the COVID-19 pandemic on the well-being of vulnerable groups: call for methodological rigour and cautious interpretation of individual studies.","authors":"Melanie Ehrler, Beatrice Latal","doi":"10.1093/eurjcn/zvaf073","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf073","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251506","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":"Equality, Diversity, and Inclusion in AI-Driven Healthcare Chatbots: Addressing Challenges and Shaping Strategies.","authors":"Aycan Kucukkaya, Emine Aktas Bajalan, Philip Moons, Polat Goktas","doi":"10.1093/eurjcn/zvaf104","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf104","url":null,"abstract":"<p><p>Artificial intelligence (AI)-driven chatbots hold promise for improving patient care and healthcare efficiency, but integrating Equality, Diversity, and Inclusion (EDI) remains challenging. This discussion paper explores the potential for EDI-focused chatbots, emphasizing the need for ongoing assessment, diverse datasets, and collaboration among healthcare providers, technologists, and policymakers. While acknowledging current limitations such as algorithmic bias, the paper also emphasizes the potential of AI to support and extend human decision-making, particularly through real-time analytics and scalable patient support. Embedding EDI principles helps reduce bias, enhance fairness, and requires cross-disciplinary collaboration to ensure AI delivers equitable, inclusive healthcare for all.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210550","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":"Effectiveness of patient decision aids for cardiovascular decisions: Systematic review with sex/gender-based analysis.","authors":"Krystina B Lewis, Ian D Graham, Sandra B Lauck, Meg E Carley, Carol Bennett, Semhal Gessese, Dawn Stacey","doi":"10.1093/eurjcn/zvaf103","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf103","url":null,"abstract":"<p><strong>Aims: </strong>Determine effectiveness of cardiovascular patient decision aids (PtDAs), assess consideration for sex and/or gender in included trials, and report whether PtDAs included sex/gender information in personal cardiovascular risk calculations, benefits or harms.</p><p><strong>Methods and results: </strong>Systematic review with meta-analysis. Independent reviewers screened 209 trials in the 2024 Cochrane Review of PtDAs for eligible cardiovascular trials with updated search to February 2025. Primary outcomes: attributes of the decision quality and decision-making process. We conducted meta-analysis for similarly measured outcomes. We assessed sex/gender considerations according to International Committee of Medical Journal Editors' recommendations.Thirty-two trials evaluated PtDAs versus usual care on cardiovascular screening (n=3 trials; 9.4%), prevention (n=4; 12.5%), and treatment (25; 78.1%) decisions. There was no difference between groups on decision quality (2 trials). Patients exposed to PtDAs had significantly improved decision-making process outcomes: 12% greater knowledge (20 trials), 127% more accurate risk perceptions (7 trials), 10% feel less uninformed (12 trials), 8% less unclear values (12 trials), and 31% less clinician-controlled decision-making. There were no harms. All 32 trials reported sex or gender with 15 (47%) using appropriate terms. One trial reported outcomes separately by sex, but not by study arm. Six (19%) discussed influence of sex/gender on trial findings. Fourteen (43.8%) PtDAs included sex/gender personalized cardiovascular risk scores. supp.</p><p><strong>Conclusion: </strong>Cardiovascular PtDAs improve quality of the decision-making process. Less than half of trials used appropriate sex/gender terms and only one reported findings separately by sex/gender. Future PtDA research must improve sex and gender-based reporting and analysis.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180338","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}