European journal of cardiovascular nursing最新文献

{"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":"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: (i) Appreciation of personal environment, routines, and autonomy. (ii) Quality of care. (iii) Commitment to the treatment. (iv) Influence of personal characteristics. (v) 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":"569-577"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","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}

{"title":"Dyadic effects of family resilience and mutuality on self-care in chronic heart failure patients and caregivers: an Actor-Partner Interdependence Mediation Model.","authors":"Yingtong Meng, Tingting Zhang, Siyu Lu, Yan Zhang, Yunwen Mao, Xiaohua Ge","doi":"10.1093/eurjcn/zvaf027","DOIUrl":"10.1093/eurjcn/zvaf027","url":null,"abstract":"<p><strong>Aims: </strong>Self-care and caregivers' contribution to self-care are vital for chronic heart failure (CHF) patients. Family resilience and mutuality are known protective factors for self-care. However, little is known about how family resilience and mutuality contribute to self-care among heart failure patient-caregiver dyads. This study aims to examine actor and partner effects of family resilience on self-care through mutuality among CHF patients and caregiver dyads.</p><p><strong>Methods and results: </strong>In the cross-sectional study, 220 CHF patient-caregiver dyads (n = 440 participants) were enrolled. Family resilience, mutuality, self-care, and self-care contribution to CHF were assessed by self-report questionnaires. The Actor-Partner Interdependence Mediation Model analysis was used to identify the direct and indirect effects of family resilience on self-care through mutuality in CHF patient-caregiver dyads. Actor effects showed that caregivers' family resilience had a direct effect on their own self-care contribution [direct actor effect, B = 0.385; 95% confidence interval (CI), 0.263-0.506]. Caregivers' mutuality (indirect actor effect, B = 0.057; 95% CI, 0.004-0.111) and CHF patients' mutuality (indirect actor effect, B = 0.04; 95% CI, 0.010-0.103) mediated caregivers' family resilience and self-care contribution. Partner effect showed that caregivers' family resilience predicted CHF patients' self-care behaviour (direct partner effect, B = -0.334; 95% CI, -0.406 to -0.251). Chronic heart failure patients' family resilience had indirect effects on caregivers' contribution to self-care via patients' mutuality (indirect partner effect, B = 0.019; 95% CI, 0.001-0.066) and caregivers' mutuality (indirect partner effect, B = 0.025, 95% CI, 0.001-0.058).</p><p><strong>Conclusion: </strong>The results demonstrated a reciprocal influence on self-care between CHF patients and their caregivers. Family resilience within these dyads has impacted not only their own self-care but also those of their caregivers, with mutuality playing a mediating role. These results provided empirical support for improving the patients' self-care behaviour and caregivers' contribution at the dyadic level.</p><p><strong>Registration: </strong>Chinese Clinical Trial Registry: ChiCTR2200064561.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"618-628"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671947","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":"Exploring dyadic mechanisms of self-care outcomes in persons living with heart failure and their family caregivers: a commentary.","authors":"Julie T Bidwell","doi":"10.1093/eurjcn/zvaf045","DOIUrl":"10.1093/eurjcn/zvaf045","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"629-630"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782327","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":"Hospitalizations for heart failure decline during the COVID-19 pandemic.","authors":"Marilyn A Prasun","doi":"10.1093/eurjcn/zvaf065","DOIUrl":"10.1093/eurjcn/zvaf065","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"557"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058958","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 potential and implications of objective delirium screening after cardiac surgery in older adults: commentary on the Brain Pro-TCT study.","authors":"Nadja Buch Petersson, Britt Borregaard","doi":"10.1093/eurjcn/zvaf071","DOIUrl":"10.1093/eurjcn/zvaf071","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"616-617"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082956","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 Role of Cardiovascular Disease Journals in Reporting Sex and Gender in Research.","authors":"C Noel Bairey Merz, Robert O Bonow, Mercedes Carnethon, Filippo Crea, Joseph A Hill, Harlan M Krumholz, Roxana Mehran, Erica S Spatz","doi":"10.1093/eurjcn/zvaf040","DOIUrl":"10.1093/eurjcn/zvaf040","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"495-496"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744590","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 potential of home-based multicomponent exercise programmes in managing frailty in cardiac surgery recovery.","authors":"Gabriela Lima de Melo Ghisi","doi":"10.1093/eurjcn/zvaf017","DOIUrl":"10.1093/eurjcn/zvaf017","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"593-594"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191632","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 heart health: should the physical activity recommendations be different?","authors":"Nicole Freene, Amanda Lönn, Maria Bäck, Jennifer Reed","doi":"10.1093/eurjcn/zvaf058","DOIUrl":"10.1093/eurjcn/zvaf058","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"497-499"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784655","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":"Strategies to optimize the engagement of culturally and linguistically diverse populations in cardiac research: a systematic review.","authors":"Melissa Abou Chakra, Rebecca L Jessup, Alison Beauchamp, Denise Azar, Laveena Sharma, Audrey Gumanti, Michael Šeman, Jason Talevski","doi":"10.1093/eurjcn/zvaf007","DOIUrl":"10.1093/eurjcn/zvaf007","url":null,"abstract":"<p><strong>Aims: </strong>Culturally and linguistically diverse (CALD) populations remain underrepresented in cardiovascular disease (CVD) research despite their higher disease burden compared with non-CALD populations. The purpose of this review is to synthesize the available literature on strategies to engage CALD participants in CVD research.</p><p><strong>Methods and results: </strong>Four electronic databases (MEDLINE, EMBASE, CINAHL, and PsycINFO) were searched for literature up until May 2024. Qualitative, quantitative, or mixed-methods studies were included if they focused on CVD research, included participants who identified as coming from a CALD background, and the study included a description of their recruitment strategies. The methodological quality of the included studies was assessed using the Mixed Methods Appraisal Tool, and findings were analysed through a narrative synthesis. A total of 34 studies were included in this review, with the largest proportion conducted in the USA. The African American population was the most common CALD group. The most commonly used strategies to recruit CALD participants were strategically undertaking recruitment from places frequented by CALD communities; using CALD-specific promotional and advertisement material; offering monetary incentives; creating translated and jargon-free material; and improving staff diversity and cultural competency. The success of recruitment strategies was assessed in seven studies showing mostly positive results.</p><p><strong>Conclusion: </strong>The findings of this review highlight cultural- and language-specific strategies that can be used to improve recruitment of CALD participants in CVD research. CALD communities must be included in CVD research to ensure cultural barriers are addressed when developing evidence-based CVD prevention guidelines.</p><p><strong>Registration: </strong>PROSPERO: CRD42023473688.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"500-519"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018733","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":"Effects of a home-based multicomponent exercise programme on frailty in post-cardiac surgery patients: a randomized controlled trial.","authors":"Wan-Ting Huang, Chieh-Yu Liu, Chun-Che Shih, Yih-Sharng Chen, Chen-Liang Chou, Jen-Ting Lee, Ai-Fu Chiou","doi":"10.1093/eurjcn/zvaf014","DOIUrl":"10.1093/eurjcn/zvaf014","url":null,"abstract":"<p><strong>Aims: </strong>A randomized controlled trial was conducted to examine the effects of a home-based multicomponent exercise programme on frailty in patients who underwent cardiac surgery.</p><p><strong>Methods and results: </strong>A convenience sample of 92 patients who underwent cardiac surgery at two medical centres in Taiwan were recruited and randomly allocated to the intervention (n = 46) and control (n = 46) groups. The intervention group underwent a 12-week home-based multicomponent exercise programme, including individual nursing consultation, home-based exercise intervention, nutritional assessment and guidance, and continuous support. The control group did not receive any interventions. Frailty was assessed with the Fried frailty phenotype at baseline, 6 weeks, and 12 weeks. The prevalence rates of prefrailty and frailty at baseline were 67 and 33%, respectively, and no statistically significant differences in frailty status were noted between the two groups at baseline. However, patients in the intervention group demonstrated significantly greater improvements in their frailty scores, handgrip strength, and physical activity than the control group at 6 and 12 weeks post-intervention, with no adverse events reported.</p><p><strong>Conclusion: </strong>A home-based multicomponent exercise programme is safe and effective in improving frailty outcomes among post-cardiac surgery patients and is suitable for application in clinical practice. Future studies with larger sample sizes and long-term follow-up are needed to verify the long-term effects of this home-based multicomponent exercise programme.</p><p><strong>Registration: </strong>ClinicalTrials.gov: NCT04332887.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"580-592"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018445","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}