{"title":"Advancing cardiovascular health: photoplethysmography as a tool for electrocardiogram signal acquisition.","authors":"Cathal Breen, Jeroen Hendriks","doi":"10.1093/eurjcn/zvae176","DOIUrl":"10.1093/eurjcn/zvae176","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"314-315"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960530","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}
Ekaterini Lambrinou, Andreas Protopapas, Lefkios Paikousis, Nicos Middleton, Elizabeth D E Papathanassoglou, Panayota Sourtzi, Fotini Kaloyirou
{"title":"Effectiveness of a multicentre randomized controlled trial with three different nurse-led intervention management programmes for patients with heart failure: the main results of the MEETinCY study.","authors":"Ekaterini Lambrinou, Andreas Protopapas, Lefkios Paikousis, Nicos Middleton, Elizabeth D E Papathanassoglou, Panayota Sourtzi, Fotini Kaloyirou","doi":"10.1093/eurjcn/zvae169","DOIUrl":"10.1093/eurjcn/zvae169","url":null,"abstract":"<p><strong>Aims: </strong>A single-blinded, multicentred randomized controlled trial (RCT) was employed to examine the effectiveness of a 3-month telephone follow-up, a telephone follow-up with education before discharge, or education only before discharge on the heart failure (HF) knowledge, HF self-care management, and health-related quality of life (HR-QoL) in patients with HF by a nurse specialist.</p><p><strong>Methods and results: </strong>This is a multicentre RCT with three different intervention groups (IGs) and one control group. Participants in the first IG received education on HF self-management principles before discharge. The second IGs were enrolled to a 3-month telephone follow-up educational programme in addition to the pre-discharge educational session. The third IG received the telephone follow-up intervention only for 3 months. A total of 357 patients with HF were enrolled to the study of whom 262 participants completed the intervention. Outcome measures included HF-related QoL, HF self-care, and HF-related knowledge. Intervention effects were analysed using the Cohen d (rm) coefficient for repeated measurements and ANCOVA. There was a significant improvement in the physical dimension of the HR-QoL (F = 2.7, df = 3, P = 0.046) between the control group and in-person education group. In HF-related self-care, the telephone component alone or in combination with in-person education led to greater improvement than the control group (F = 3, df = 3, P = 0.034). Self-care practices were improved in the education and telephone arms as compared to the control group (P = 0.002).</p><p><strong>Conclusion: </strong>Education and telephone support on self-care management may improve the physical dimension of HR-QoL.</p><p><strong>Registration: </strong>ClinicalTrials.gov: NCT01905176.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"290-300"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054464","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":"Commentary on 'Factors associated with patient activation in people with heart failure based on the individual and family self-management theory: a cross-sectional study'.","authors":"Valentina Micheluzzi, Ercole Vellone","doi":"10.1093/eurjcn/zvaf009","DOIUrl":"10.1093/eurjcn/zvaf009","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"240-241"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054304","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}
Katarina Heimburg, Erik Blennow Nordström, Hans Friberg, Lisa G Oestergaard, Anders M Grejs, Thomas R Keeble, Hans Kirkegaard, Marco Mion, Niklas Nielsen, Christian Rylander, Magnus Segerström, Åsa B Tornberg, Susann Ullén, Johan Undén, Matt P Wise, Tobias Cronberg, Gisela Lilja
{"title":"Comparison of Self-Reported Physical Activity between Survivors of Out-of-Hospital Cardiac Arrest and Patients with Myocardial Infarction without cardiac arrest: a case-control study.","authors":"Katarina Heimburg, Erik Blennow Nordström, Hans Friberg, Lisa G Oestergaard, Anders M Grejs, Thomas R Keeble, Hans Kirkegaard, Marco Mion, Niklas Nielsen, Christian Rylander, Magnus Segerström, Åsa B Tornberg, Susann Ullén, Johan Undén, Matt P Wise, Tobias Cronberg, Gisela Lilja","doi":"10.1093/eurjcn/zvaf032","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf032","url":null,"abstract":"<p><strong>Aims: </strong>To investigate whether out-of-hospital cardiac arrest (OHCA) survivors had lower levels of self-reported physical activity compared to a non-cardiac arrest control group with myocardial infarction (MI), and to explore if symptoms of anxiety, depression, kinesiophobia (fear of movement) and fatigue were associated with a low level of physical activity.</p><p><strong>Methods: </strong>Predefined case-control sub-study within the international Targeted Hypothermia versus Targeted Normothermia after Out-of-Hospital Cardiac Arrest (TTM2) trial. OHCA survivors at 8 of 61 TTM2 sites in Sweden, Denmark and the United Kingdom were invited. Participants were matched 1:1 to MI controls. Both OHCA survivors and MI controls answered two questions on self-reported physical activity, categorized as a low, moderate, or high level of physical activity, and questionnaires on anxiety and depression symptoms, kinesiophobia, and fatigue 7 months after the cardiac event.</p><p><strong>Results: </strong>Overall, 106 of 184 (58%) eligible OHCA survivors were included and matched to 91 MI controls. In total, 25% of OHCA survivors and 20% of MI controls reported a low level of physical activity, with no significant difference (p=0.13). Symptoms of kinesiophobia and fatigue were significantly associated with a low level of physical activity in both groups. OHCA survivors had significantly more kinesiophobia compared to MI controls (18% versus 9%, p=0.04), while levels of anxiety and depression symptoms and fatigue were similar.</p><p><strong>Conclusion: </strong>OHCA survivors had similar levels of physical activity compared to matched MI controls. High level of kinesiophobia and fatigue were associated with a low level of physical activity in both groups.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506644","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":"Ring a digital bell in nursing.","authors":"Benoit Mores","doi":"10.1093/eurjcn/zvaf031","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf031","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485161","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}
Dirk Leysen, Eva Propst, Hannah McGowan, Franziska Pfannerstill, Rik Crutzen, Stefan Tino Kulnik
{"title":"How is digital technology used to facilitate shared decision-making between healthcare professionals and patients in cardiovascular care? A scoping review.","authors":"Dirk Leysen, Eva Propst, Hannah McGowan, Franziska Pfannerstill, Rik Crutzen, Stefan Tino Kulnik","doi":"10.1093/eurjcn/zvaf029","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf029","url":null,"abstract":"<p><strong>Aims: </strong>To (1) identify characteristics of digital technologies (DTs) used to facilitate shared decision-making (SDM) within the field of cardiovascular care, (2) examine conceptualizations of SDM underpinning these DTs, and (3) summarize designs and outcomes of evaluation studies concerning these DTs.</p><p><strong>Methods and results: </strong>We conducted a scoping review following methodological guidelines by the Joanna Briggs Institute. Ten scientific databases were searched. We selected peer-reviewed articles in cardiovascular care, with SDM and DT in the title and/or abstract published between January 2000 and March 2023. We extracted data on the type of DT, intended user(s), timepoint and mode of use, purpose, decision topic, underlying SDM model, and designs and outcomes of evaluation studies. Data were analyzed descriptively in a narrative synthesis.From 4,432 search results, 48 articles reporting on 31 DTs were included. Half of the articles were published after 2018, with most published in 2022. Most DTs are web-based applications for interactive use before and during the encounter between patient and healthcare professional, to convey information on cardiovascular care, calculate personal risk and/or recommend treatment options. SDM conceptualizations refer to the International Patient Decision Aid Standards and authors in the field. Thirty-seven evaluation studies report on 31 DTs, with heterogeneous results related to variation in intervention designs, measurement timepoints, and outcome measures.</p><p><strong>Conclusion: </strong>A recent increase in the reporting of DTs to facilitate SDM in cardiovascular care indicates their potential. This scoping review offers researchers, developers, and clinicians a comprehensive overview of this literature.</p><p><strong>Registration: </strong>Open Science Framework, https://doi.org/10.17605/OSF.IO/TRGQ5.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143485160","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":"Psychological interventions in reducing post-traumatic stress disorder in post-myocardial infarction patients as an understudied yet critical intersection of physical and mental health for patients at a period of high vulnerability and risk of developing comorbidities: a commentary.","authors":"Wendan Shi, Anastasia Serafimovska, Emma Zhao","doi":"10.1093/eurjcn/zvaf013","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf013","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461104","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":"Sense of coherence and quality of life in the recovery of women and men with myocardial infarction: A 10-year follow-up study.","authors":"Dan Malm, Jan Mårtensson, Kristofer Årestedt","doi":"10.1093/eurjcn/zvaf028","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf028","url":null,"abstract":"<p><strong>Aim: </strong>Sense of coherence (SOC) allows individuals to be more resilient to adverse life events and it is associated with quality of life (QoL), but its long-term effects are unknown in patients with myocardial infarction. This study aimed to examine longitudinal variations of SOC and associations between SOC at baseline and QoL at a 10-year follow-up in relation to gender.</p><p><strong>Method and results: </strong>This longitudinal study included 61 patients, 16 women and 45 men with a mean age of 57.1 ± 6.5 years, who completed a questionnaire package in relation to hospital discharge, two years, five years, and 10 years later. The questionnaire package included the Sense of Coherence Scale (SOC-13), 12-item Short Form Health Survey (SF-12), and Seattle Angina Questionnaire (SAQ). Data were analysed with repeated measure ANOVA and linear regression. Overall, SOC was stable over the 10-year follow-up, but Comprehensibility improved significantly (p = 0.003). A significant main effect for gender was shown regarding SOC total (p = 0.032) and Comprehensibility (p = 0.034); women reported lower SOC compared to men. An interaction effect between gender and time was shown in Comprehensibility (p = 0.007), as the differences between genders decreased over time. SOC-13 was significantly associated with all dimensions of QoL; three significant interaction effects showed that the associations was true for women but not men.</p><p><strong>Conclusion: </strong>SOC is an important aspect to consider in the care of patients with myocardial infarction, as it is associated with long-term QoL, particularly for women. This means that SOC can also be used to identify patients who are at risk for poor QoL after a myocardial infarction.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143451253","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}
Rinske Lubbers-Wolterink, Harmieke van Os-Medendorp, Wouter Jansen Klomp, Kim Kamphorst
{"title":"Exploring patient, informal caregiver and nurse experiences with home-based hospital-level care for decompensated heart failure: a mixed-methods study.","authors":"Rinske Lubbers-Wolterink, Harmieke van Os-Medendorp, Wouter Jansen Klomp, Kim Kamphorst","doi":"10.1093/eurjcn/zvaf025","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf025","url":null,"abstract":"<p><strong>Aims: </strong>Hospitals are encouraged to provide care closer to patients' homes. This study investigates how patients, informal caregivers and nurses experience home-based hospital-level care for decompensated heart failure.</p><p><strong>Methods and results: </strong>This mixed-methods study employed semi-structured interviews with 11 patients and 4 informal caregivers, a questionnaire administrated to 16 nurses from the Intensive Care, Cardiac Care and general cardiology ward, and interviews with 4 nurses, supplemented by two group discussions.A convenience sample was utilized, member checks were performed, and two researchers analysed the patient interviews using thematic analysis based on the Normalization Process Theory. Five overarching themes emerged: 1) Appreciation of personal environment, routines, and autonomy. 2) Quality of care. 3) Commitment to the treatment. 4) Influence of personal characteristics. 5) Changing role of informal caregivers.Regarding nurse satisfaction, findings were mapped according to Proctor et al.'s implementation outcomes: Acceptability: hospital-at-home care increases job satisfaction, through increased autonomy, personalized care, and patient satisfaction; Appropriateness: hospital-at-home was perceived positively, although safety and adherence needed attention; Adoption: hospital-at-home was not particularly challenging but offered a refreshing change; Feasibility: On-call duty impacted personal commitments for some nurses; Fidelity: information folders with clear protocols were deemed helpful.</p><p><strong>Conclusion: </strong>Patients, caregivers, and nurses generally favour home-based heart failure treatment over hospital-based treatment. Key conditions include comprehensive education on home treatment, adherence support like dietary restriction maintenance, prioritizing patient autonomy, recognizing caregiver burden, and exploring cost-effective strategies such as collaboration with home care organizations.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434778","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}
Miarca Ten Broeke, Wim P R Henckens, Anna Weierink, Ron G H Speekenbrink, Job van der Palen, Frank R Halfwerk
{"title":"Brain Pro-TCT: a prospective, quasi-experimental study on early delirium detection with Delirium Observation Screening Scale versus single-channel EEG after cardiac surgery in patients aged over 70 years.","authors":"Miarca Ten Broeke, Wim P R Henckens, Anna Weierink, Ron G H Speekenbrink, Job van der Palen, Frank R Halfwerk","doi":"10.1093/eurjcn/zvaf024","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf024","url":null,"abstract":"<p><strong>Aim: </strong>Delirium is common in patients aged over 70 years after cardiac surgery. Screening to detect delirium in high-risk patients is important, yet hypoactive delirium is often missed in nurse-reported screening. Polymorphic delta waves are associated with delirium, and can be detected with single-channel electroencephalography (SC-EEG). The aim of the study is to assess whether SC-EEG as a screening instrument for delirium will increase the detection rate of postoperative delirium and reduce hospital stay of delirious patients.</p><p><strong>Methods and results: </strong>A prospective quasi-experimental study compared Delirium Observation Screening Scale (DOSS) screening (442 patients) to SC-EEG screening (462 patients) to detect postoperative delirium in cardiac surgery patients aged over 70 years. Delirium was diagnosed using the Diagnostic and Statistical Manual of Mental Disorders 5th edition.Detection of delirium was higher in the SC-EEG group (20%) compared to DOSS group (14%), p = 0.016. A difference in length of stay for delirious patients was attributed to baseline differences as pneumonia and EuroSCORE II, but not delirium screening method. Length of stay for all patients was -0.11 (95% CI -0.18 to -0.04) night shorter for SC-EEG cohort patients compared to DOSS cohort patients, p = 0.002.</p><p><strong>Conclusion: </strong>Screening with SC-EEG increased delirium detection after cardiac surgery. Only length of stay for all patients was significantly reduced in the SC-EEG cohort. This reduction in hospital stay is small, yet relevant for high volume cardiac surgery centres and should be further studied in other centres.</p><p><strong>Registration: </strong>International Clinical Trials Registry Platform: NL-OMON27069.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434776","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}