European journal of cardiovascular nursing最新文献

{"title":"Maximizing the potential of digital technologies for shared decision-making in cardiovascular care.","authors":"Dion Candelaria, Trond Røed Pettersen, Mei Sin Chong, Linda G Park","doi":"10.1093/eurjcn/zvaf050","DOIUrl":"10.1093/eurjcn/zvaf050","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"544-546"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047266","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":"Older adults with acute coronary syndrome: the impact of frailty and nutritional status on in-hospital complications.","authors":"María Jiménez-Salva, Ada Carmona-Segovia, Ana Isabel Molina-Ramos, Luis García-Rodríguez, Fernando Puyol-Ruiz, Victoria Doncel-Abad, Miguel Romero-Cuevas, Antonia Serrano, Antonio Muñoz-García, María Flores-López, Almudena Ortega-Gómez, Mario Gutiérrez-Bedmar, Jorge Rodríguez-Capitán, Manuel Jiménez-Navarro, Francisco Javier Pavón-Morón","doi":"10.1093/eurjcn/zvaf006","DOIUrl":"10.1093/eurjcn/zvaf006","url":null,"abstract":"<p><strong>Aims: </strong>The optimal management of older patients with acute coronary syndrome (ACS) remains unclear. The most effective evaluation methods for frailty and malnutrition are yet to be delineated, despite being proposed as predictors of adverse outcomes. Consequently, this study aims to assess the significance of these factors in predicting in-hospital complications within this population.</p><p><strong>Methods and results: </strong>In this single-centre, intrahospital case-control study, 217 older patients (aged >70 years) with ACS were categorized into two groups based on the occurrence of net adverse clinical events (NACE) during hospitalization: the NACE (n = 59) and non-NACE (n = 158) groups. Demographic and clinical variables, including assessments of frailty using the FRAIL scale (FS), dependency using the Barthel index, and nutritional status using both the prognostic nutritional index (PNI) and geriatric nutritional risk index, were collected. Regression models and receiver operating characteristics curves were constructed to predict NACE. Patients in the NACE group exhibited higher frailty (P < 0.001), increased dependency (P < 0.001), and poorer nutritional status (P < 0.05) compared with those in the non-NACE group. The FS [odds ratios (OR) 95% confidence interval (CI) = 2.03 (1.39-2.95), P < 0.001] and PNI [OR (95% CI) = 0.64 (0.41-0.99), P < 0.05] scores emerged as independent predictors of NACE in a multivariable model including age, sex, and traditional cardiovascular risk factors. This model demonstrated a high discriminatory power [area under the curve (95% CI) = 0.834 (0.768-0.899), P < 0.001] for NACE.</p><p><strong>Conclusion: </strong>Frailty and nutritional status could significantly contribute to the stratification and identification of older adults with ACS who are at risk of developing in-hospital complications.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"595-605"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960527","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":"Bridging hospital and home: insights into patients, caregivers, and nurse experiences in home-based care for decompensated heart failure.","authors":"Angela Massouh, Angela Durante","doi":"10.1093/eurjcn/zvaf055","DOIUrl":"10.1093/eurjcn/zvaf055","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"578-579"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047203","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":"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":"10.1093/eurjcn/zvaf029","url":null,"abstract":"<p><strong>Aims: </strong>To (i) identify characteristics of digital technologies (DTs) used to facilitate shared decision-making (SDM) within the field of cardiovascular care, (ii) examine conceptualizations of SDM underpinning these DTs, and (iii) 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), time point and mode of use, purpose, decision topic, underlying SDM model, and designs and outcomes of evaluation studies. Data were analysed descriptively in a narrative synthesis. From 4432 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. Shared decision-making 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 time points, 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":"522-543"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","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":"Enhancing culturally and linguistically diverse population engagement in cardiac research.","authors":"Wenru Wang","doi":"10.1093/eurjcn/zvaf015","DOIUrl":"10.1093/eurjcn/zvaf015","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"520-521"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061794","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":"Educational needs of informal caregivers in cardiac rehabilitation: a mixed-methods study.","authors":"Ana Paula Delgado Bomtempo, Gabriela Lima de Melo Ghisi","doi":"10.1093/eurjcn/zvaf001","DOIUrl":"10.1093/eurjcn/zvaf001","url":null,"abstract":"<p><strong>Aims: </strong>Informal caregivers play a crucial role in supporting individuals with cardiovascular disease (CVD) during cardiac rehabilitation (CR), yet their specific educational needs are often overlooked. Understanding these needs is essential for developing targeted interventions that enhance informal caregiver support and improve patient outcomes in CR. This study aimed to explore the educational needs of informal caregivers supporting individuals with CVD attending CR.</p><p><strong>Methods and results: </strong>A mixed-methods approach was used to explore the educational needs of informal caregivers. Quantitative data were collected through an online cross-sectional survey completed by 86 informal caregivers. The survey assessed sociodemographic characteristics, quality of life (WHOQOL-BREF), and educational needs. Most respondents had not received formal education or training related to caregiving, although their knowledge of CVD was rated as moderate to high. Many reported difficulties accessing reliable information and resources. Qualitative data were gathered through semi-structured interviews with 16 informal caregivers, and four key themes were determined: Helpful Resources, Empowerment, Lived Experience Network, and Psychological Support. Informal caregivers expressed a desire for practical resources, more direct access to healthcare professionals, and both emotional and peer support. They also highlighted the importance of managing stress and balancing their well-being alongside caregiving responsibilities.</p><p><strong>Conclusion: </strong>The findings suggest that educational interventions for informal caregivers should be comprehensive and flexible, incorporating practical caregiving strategies as well as social and emotional support. Such programmes could enhance the effectiveness of CR by better equipping informal caregivers to support patient recovery while maintaining their own health.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"558-566"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960540","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":"Sex differences in secondary prevention needs and recommendations among patients with spontaneous coronary artery dissection.","authors":"Elisa Stragapede, Karen Bouchard, Thais Coutinho, Sharon Mulvagh, Christine Pacheco, Shuangbo Liu, Jacqueline Saw, Derek So, Jennifer L Reed, Helen Robert, Nadia Lappa, Heather Tulloch","doi":"10.1093/eurjcn/zvaf022","DOIUrl":"10.1093/eurjcn/zvaf022","url":null,"abstract":"<p><p>Spontaneous coronary artery dissection (SCAD) is increasingly recognized as a cause of heart attacks, particularly for female patients; however, ∼10% of cases occur in male patients. While male and female differences pertaining to clinical outcomes and treatment protocols have been addressed in the literature, research is limited on sex differences in secondary prevention programming, such as cardiac rehabilitation. Cardiac rehabilitation is recommended for patients with SCAD to promote physical and mental recovery. This letter highlights sex-specific gaps in existing programming and reports patients' suggestions for enhancing the recovery of this unique patient population.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"642-646"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191631","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":"Experienced-based co-design for cardiovascular and chronic disease research.","authors":"Binu Koirala, Chitchanok Benjasirisan, Arum Lim, Robyn Moore, Cheryl R Dennison Himmelfarb, Patricia M Davidson","doi":"10.1093/eurjcn/zvae129","DOIUrl":"10.1093/eurjcn/zvae129","url":null,"abstract":"<p><p>The participatory co-design method has received significant attention recently. Experience-based co-design is an approach that enables patients (service users) and healthcare providers (service delivers) to co-design services and care pathways in partnership to improve health outcomes based on their experience. Traditionally, it was used as a quality improvement technique. Yet, it is a valuable participatory research design that can help improve health outcomes and be applied in nursing research. This paper will discuss its application in research among people living with cardiovascular multimorbidity and its practicalities, usability, and impact on cardiovascular and chronic disease research and models of care.</p>","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"652-658"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916685","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":"Brain Pro-TCT: a prospective, quasi-experimental study on early delirium detection with Delirium Observation Screening Scale vs. 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":"10.1093/eurjcn/zvaf024","url":null,"abstract":"<p><strong>Aims: </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 post-operative 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 post-operative 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 with DOSS group (14%), P = 0.016. A difference in length of stay for delirious patients was attributed to baseline differences as pneumonia and longer cardiopulmonary bypass time, 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 with 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":"608-615"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","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}

{"title":"Optimizing cardiac rehabilitation: structuring dietary support for improved post myocardial infarction outcomes.","authors":"Michał Czapla, Izabella Uchmanowicz","doi":"10.1093/eurjcn/zvaf019","DOIUrl":"10.1093/eurjcn/zvaf019","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"606-607"},"PeriodicalIF":0.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191630","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}