European journal of cardiovascular nursing最新文献

{"title":"Community-Based and Public Health Initiatives Drive Cardiovascular Disease Prevention.","authors":"Barbara Fletcher, Yuling Chen, Cheryl Dennison Himmelfarb, Maria Teresa Lira, Li Loriz, Monica Parry","doi":"10.1093/eurjcn/zvaf244","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf244","url":null,"abstract":"<p><strong>Background: </strong>Because of the massive global healthcare burden that cardiovascular diseases (CVD) present, it is critical that effective, highly scalable prevention strategies be identified and implemented to meet this unique health challenge.</p><p><strong>Purpose: </strong>The purpose of this review is to analyze and synthesize current research initiatives for CVD prevention at both community-based and practice-based levels.</p><p><strong>Conclusions: </strong>This state-of-the-art review article highlights successful intervention strategies and their outcomes, explores the implications for population-based practice, and discusses the importance of long-term behavior change in achieving sustained CVD prevention. The article also discusses the need for building community capacity through engagement and collaboration and advocates for culturally appropriate dissemination strategies to ensure equitable access to new technologies and interventions in CVD prevention.</p><p><strong>Clinical implications: </strong>This review suggests that clinicians and researchers should integrate evidence-based, community-engaged, and culturally tailored strategies into practice and future research to promote long-term behavior change and equitable CVD prevention.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":"25 1","pages":"49-57"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619299","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 accidental falls on 1-year prognosis or rehospitalization in elderly hospitalized patients with heart failure undergoing cardiac rehabilitation.","authors":"Masakazu Miura, Shinichi Okuda, Yutaka Ohno, Yusaku Kadokami, Mikie Shigetomi, Minako Yonehara, Fumiaki Nakao, Takeshi Ueyama, Yasuhiro Ikeda","doi":"10.1093/eurjcn/zvaf179","DOIUrl":"10.1093/eurjcn/zvaf179","url":null,"abstract":"<p><strong>Aims: </strong>Accidental falls (AFs) occasionally occur during hospitalization in older patients with heart failure (HF); however, limited evidence exists regarding their clinical significance. We aimed to evaluate the impact of AFs on prognosis, one-year HF readmission, and associated risk factors in hospitalized patients with HF.</p><p><strong>Methods and results: </strong>This single-centre, retrospective, observational study included 462 patients (mean age: 83.0 years; 47% female) hospitalized with acute decompensated HF and followed for one year post-discharge. Among patients who experienced AFs (n = 32; median days to onset: 10.0 days), the incidence of the primary outcome, composite of all-cause mortality or HF readmission, was significantly higher (hazard ratio = 2.583; P = 0.002, multivariate Cox proportional hazards analysis) than in those without AFs. Patients who experienced AFs were generally older and demonstrated poorer physical function, greater frailty, and signs of malnutrition using Geriatric Nutritional Risk Index (GNRI). Significant risk factors for AFs identified via multiple logistic regression included the Kihon Checklist score [odds ratio (OR) = 1.110; P = 0.036] and a diagnosis of schizophrenia (OR = 6.560; P = 0.049). Notably, GNRI-defined malnutrition was associated with adverse outcomes only in the non-falls group. Accidental falls did not significantly affect secondary outcomes, including major adverse cardiovascular and cerebrovascular events.</p><p><strong>Conclusion: </strong>Accidental falls were associated with poorer prognosis and higher HF readmission risk within one year among older patients. Malnutrition may increase the risk. Pre-admission frailty and psychiatric comorbidities are key fall risk factors, suggesting that frailty interventions may reduce fall incidence and improve outcomes.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"144-154"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852032","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":"Digital pulse self-measurement by a photoplethysmography smartphone application in the general population: the '#PulseDay in The Netherlands' awareness campaign.","authors":"Dominik Linz, Jolanda Gulpen, Madelon Engels, Jeroen M Hendriks, Fleur Tjong, Bart A Mulder, Bob Weijs, Ron Pisters, Martin Hemels, Rachel Ter Bekke, Rypko Beukema, Stijn Evens, Helmut Pürerfellner, Jose L Merino, Melanie Gunawardene, Kyoung-Ryul Julian Chun, Sing-Chien Yap","doi":"10.1093/eurjcn/zvaf142","DOIUrl":"10.1093/eurjcn/zvaf142","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"195-197"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144669141","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 accidental falls on 1-year prognosis or rehospitalization in elderly hospitalized patients with heart failure undergoing cardiac rehabilitation: a commentary.","authors":"Ada Del Mar Carmona-Segovia, Tiny Jaarsma","doi":"10.1093/eurjcn/zvaf231","DOIUrl":"10.1093/eurjcn/zvaf231","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"155-156"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147286632","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 review and promise of digital health technologies to promote global cardiovascular health.","authors":"Linda G Park, Jacob K Kariuki, Jeroen M Hendriks, Robyn Gallagher, Lora E Burke","doi":"10.1093/eurjcn/zvaf242","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf242","url":null,"abstract":"<p><p>Digital health technologies include an array of mobile or digital devices and apps that may be used by patients to support lifestyle modification or medical apps that monitor vital parameters and provide data that may influence treatment decisions. The use of digital health technologies is a growing opportunity for disease prevention and management of cardiovascular disease (CVD) for both patients to engage in self-management as well as nurses to monitor patients remotely and facilitate clinical decision support. The aims of this review article are to provide an overview of pertinent digital health technologies in CVD care, address social determinants of health and other enablers/barriers to digital health implementation, and provide perspectives on novel models of care incorporating digital technologies. Based on the latest evidence, recommendations for special considerations and implementation of digital health technologies in low- and middle- vs high-income countries are presented. In addition, tables reviewing functionality of the digital tools and global examples of their use are provided. Extensive empirical evidence from diverse populations suggests adoption of these innovative tools has been low in clinical settings. We provide a table summarizing these barriers and include the facilitators that can improve the adoption of digital health tools to improve behavioral lifestyle modification. For learning purpose, implementation of an innovative model of care is illustrated graphically and in text. We include a call to action to achieve the maximum impact of digital technology to support nurses who work in almost all settings improving CVD prevention and management globally. The multiple roles of nurses using digital health for global CVD prevention and management are discussed in the settings of clinical practice, research, education, public health, health policy/leadership, and informatics.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":"25 1","pages":"31-39"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619306","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 life course approach to cardiovascular disease prevention.","authors":"Laura L Hayman, Lynne T Braun, James M Muchira","doi":"10.1093/eurjcn/zvaf241","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf241","url":null,"abstract":"<p><p>During the past 3 decades, life course socio-ecological frameworks have received substantial attention from clinical and public health professionals; developmental, social, and behavioral scientists; and scholars. Substantial evidence underscores the importance of a life course approach to prevention of cardiovascular (CV) disease and the promotion of optimal CV health. This article provides an overview of evidence on early origins and progression of CV disease (CVD) processes across the life course of individuals from diverse populations. Emphasis is placed on the evidence-based guidelines designed to prevent CVD and promote CV health with recommendations for implementation by CV health professionals and directions for future research in global CVD prevention.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":"25 1","pages":"10-17"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619321","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 home-based cardiac rehabilitation in people with heart failure with elevated depressive and anxiety symptoms: a secondary analysis of the REACH-HF randomized trials.","authors":"Jeffrey Lambert, Grace Dibben, Samantha B van Beurden, Jessica Bollen, Hasnain Dalal, Amy Blakemore, Rod S Taylor","doi":"10.1093/eurjcn/zvaf196","DOIUrl":"10.1093/eurjcn/zvaf196","url":null,"abstract":"<p><strong>Aims: </strong>This study examined whether elevated baseline depression and anxiety moderated the effects of the REACH-HF home-based cardiac rehabilitation (CR) programme on patient outcomes in individuals with heart failure.</p><p><strong>Methods and results: </strong>Individual patient data from 263 patients with HF from the REACH-HF HFrEF and HFpEF trials were analysed. At baseline, 62 (24%) had elevated depression [Hospital Anxiety and Depression Scale (HADS) D > 7], and 86 (33%) had elevated anxiety (HADS-A > 7). Patients were randomized to home-based CR plus usual care or usual care alone. Outcomes at 6-12 months included depression and anxiety (HADS), health-related quality of life (HRQoL) [Minnesota Living with Heart Failure Questionnaire (MLHFQ), HeartQoL], and accelerometer-measured physical activity (PA). Linear regression models, adjusting for baseline values, stratification variables, and confounders, included interaction terms (baseline depression/anxiety ×intervention group) to assess moderation effects. Those with elevated depression showed greater benefits from CR effects in depressive symptoms and HRQoL, with significant interactions for HADS-D (P = 0.004), MLHFQ (P = 0.007), HeartQoL (P = 0.001). No effects were found for PA. In participants with elevated anxiety, significant interactions were observed for HADS-D (P = 0.024), HeartQoL physical (P = 0.04), inactivity (P = 0.02), and light PA (P = 0.04). No effects were found for anxiety symptoms or HRQoL measures.</p><p><strong>Conclusion: </strong>People with HF participating in REACH-HF with elevated depression and anxiety experienced greater improvements in their mental health and HRQoL than individuals without elevated symptoms. Diagnostic clinical interviews in future studies would allow for stronger conclusions regarding the impact of home-based CR on patients with confirmed depression or anxiety.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"186-192"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145305007","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":"Understanding implementation outcomes of cardiovascular rehabilitation for transient ischaemic attack and mild stroke: a process evaluation.","authors":"Lucy Walton, Allyson Flynn, Elisabeth Preston, Rachel Davey, Nicole Freene","doi":"10.1093/eurjcn/zvaf181","DOIUrl":"10.1093/eurjcn/zvaf181","url":null,"abstract":"<p><strong>Aims: </strong>Despite evidence supporting the inclusion of people with transient ischaemic attack (TIA) or mild stroke in cardiac rehabilitation, no process evaluations have investigated the implementation of integrated [TIA, mild stroke, coronary heart disease (CHD)] cardiovascular rehabilitation (CVR). We aimed to identify factors influencing CVR implementation success or failure, and evaluate CVR implementation outcomes, considering reach, effectiveness, adoption, implementation, and maintenance, from clinician perspectives.</p><p><strong>Methods and results: </strong>This mixed-methods process evaluation was guided by the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. Quantitative patient process-level data were collected throughout CVR implementation. Qualitative data (semi-structured interviews, field notes, observations) were collected and deductively coded to the Consolidated Framework for Implementation Research. Quantitative and qualitative data were mapped to the RE-AIM dimensions. Reach was 44% (140/315) of the eligible patient population, with referral adoption highest at site 1 (74%), influenced by larger referral teams and greater programme awareness. Clinicians viewed CVR as effective based on international recommendations, but more evidence is needed. Cardiovascular rehabilitation was delivered as intended, with fidelity linked to adequate staffing and clinician confidence in delivery. Sixty-six per cent (46/70) of patients completed ≥5 of 6 CVR sessions. Clear referral pathways and access to resources are necessary for CVR maintenance.</p><p><strong>Conclusion: </strong>Cardiovascular rehabilitation was delivered as intended, and clinicians reported people with TIA, mild stroke, and CHD demonstrate similar needs. However, greater programme awareness and aligning referral pathways with existing services are indicated. Access to CVR programme resources and clinicians' confidence in CVR delivery enabled implementation and are essential for maintenance.</p><p><strong>Registration: </strong>Australian New Zealand Clinical Trials Registry (ANZCTR), ACTRN 12621 00158 6808.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"157-169"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145893559","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":"Perceptions on lipoprotein(a) testing and treatment in patients from the INTERASPIRE study: a commentary.","authors":"Donna Fitzsimons, Gareth Thompson, Gemma Caughers","doi":"10.1093/eurjcn/zvaf199","DOIUrl":"10.1093/eurjcn/zvaf199","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"129-130"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145566733","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":"Nurse-based models for cardiovascular disease prevention from research to clinical practice.","authors":"Nancy Houston Miller, Catriona Jennings, David R Thompson, Suzanne Fredericks","doi":"10.1093/eurjcn/zvaf245","DOIUrl":"https://doi.org/10.1093/eurjcn/zvaf245","url":null,"abstract":"<p><p>The past 2 decades have witnessed several studies and reviews reporting on the development, implementation, and evaluation of nurse-based models of cardiovascular disease (CVD) prevention, which are contributing to the growing evidence base of their effectiveness. Teams comprising healthcare professionals with expertise in nursing, dietetics, physical activity, and behavior skills have shown high levels of success in preventive efforts, particularly in high-risk and vulnerable populations. Used appropriately, collaborative, team-based, nurse-led models have the potential to effect positive change in both primary and secondary prevention of CVDs. Technology also has an increasingly important role to play. Considerations regarding the effectiveness of contemporary nurse-based models include their design features and content, and methods of implementation and dissemination, with the aim of organizing and delivering flexible CVD preventive healthcare, including training and administrative oversight, which is responsive to contemporary patient need, choice, and preferences.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":"25 1","pages":"40-48"},"PeriodicalIF":3.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147619274","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}