European journal of cardiovascular nursing最新文献

{"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}

{"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}