European journal of cardiovascular nursing最新文献

{"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":"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}

{"title":"Psychological screening in cardiovascular care.","authors":"Chantal F Ski, David R Thompson, Alun C Jackson, Susanne S Pedersen","doi":"10.1093/eurjcn/zvaf057","DOIUrl":"10.1093/eurjcn/zvaf057","url":null,"abstract":"<p><p>Approximately one in three patients with cardiovascular disease experience psychological distress, often with an associated poor prognosis. Early detection and intervention can improve patients' heart and mental health, yet minimal guidance on psychological screening is offered for clinicians working in cardiovascular care. This paper describes a pragmatic approach to conducting psychological screening during routine clinical care, including when and how to screen and what to do in the case of a positive screen. A psychological screening protocol is proposed to enable clinicians to assess and, where necessary, intervene or refer for further evaluation.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"647-651"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784650","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 invisible to visible: a new position for informal caregivers.","authors":"Ida Elisabeth Højskov","doi":"10.1093/eurjcn/zvaf030","DOIUrl":"10.1093/eurjcn/zvaf030","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"567-568"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560375","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":"10.1093/eurjcn/zvaf028","url":null,"abstract":"<p><strong>Aims: </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>Methods 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, 2 years, 5 years, and 10 years later. The questionnaire package included the Sense of Coherence Scale (SOC-13), 12-item Short Form Health Survey, and Seattle Angina Questionnaire. 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 with men. An interaction effect between gender and time was shown in comprehensibility (P = 0.007), as the differences between genders decreased over time. The SOC-13 was significantly associated with all dimensions of QoL; three significant interaction effects showed that the associations were true for women but not for men.</p><p><strong>Conclusion: </strong>The 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":"631-639"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","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}

{"title":"Women's experiences after myocardial infarction: sense of coherence and quality of life.","authors":"Kristen R Fox","doi":"10.1093/eurjcn/zvaf072","DOIUrl":"10.1093/eurjcn/zvaf072","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"640-641"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083019","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":"Advocacy spotlight series.","authors":"Faye Forsyth, Françoise Steinbach","doi":"10.1093/eurjcn/zvaf063","DOIUrl":"10.1093/eurjcn/zvaf063","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"659-660"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012084","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":"Impact of COVID-19 on hospitalization for heart failure: a perspective from Victoria, Australia.","authors":"Dieu Nguyen, Shane Kavanagh, Steve Bowe, Elise Tan, Marj Moodie, Lan Gao","doi":"10.1093/eurjcn/zvae180","DOIUrl":"10.1093/eurjcn/zvae180","url":null,"abstract":"<p><strong>Aims: </strong>The COVID-19 pandemic disrupted healthcare systems and possibly impacted the management of heart failure (HF). This study examined the impact of the pandemic on HF hospitalization activities, outcomes, and costs in Victoria, Australia.</p><p><strong>Methods and results: </strong>Data on HF hospitalizations were acquired from the Victorian Admitted Episodes Dataset. All consecutive patients hospitalized for HF in both public and private hospitals in Victoria between February 2019 and March 2021 were extracted using the International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Australian Modification. Data were analysed using descriptive analysis and interrupted time series analysis. A total of 85 564 completed admissions were identified, of which 45 080 were hospitalized in the pre-COVID-19 period and 40 484 were hospitalized in the COVID-19 impacted period. A higher average cost per completed admission in the COVID-19 impacted period was observed, while average length of stay (LOS) was not different between the two periods. It was revealed that monthly total LOS and hospitalization activity cost across all HF admissions dropped at the beginning of the pandemic and continued to decrease until the end of the observation period. However, these changes were not statistically significant.</p><p><strong>Conclusion: </strong>The impacts of COVID-19 on HF hospitalization activities and associated outcomes at the beginning of the pandemic appeared relatively small and were not sustained. Further studies using other data (i.e. linkage data) are required to understand if, or how, the pandemic impacted on HF management in Australia, especially in the long COVID-19 era.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"547-556"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025411","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}