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Journal of Cardiovascular Nursing

Nittaya Caruana, Sharon McKinley, Rosalind Elliott, Leila Gholizadeh
BACKGROUND: Intensive care patients experience poor sleep quality. Psychological distress and diminished health-related quality of life (HRQOL) are also common among former intensive care unit (ICU) patients. Coronary artery bypass graft (CABG) surgery is a frequent reason adults require treatment in ICU. The effect of on- versus off-pump surgery on sleep and recovery has not been reported. OBJECTIVE: The aim of this study was to assess sleep quality of CABG patients during and after ICU, psychological well-being, HRQOL during recovery, and whether on- versus off-pump surgery affects sleep and recovery...
May 16, 2018: Journal of Cardiovascular Nursing
Tina R Sadarangani, Deborah Chyun, Chau Trinh-Shevrin, Gary Yu, Christine Kovner
BACKGROUND: In the United States, 16 million immigrants are 50 years and older, but little is known about their cardiometabolic health and how to best assess their cardiovascular disease (CVD) risk. Aging immigrants may therefore not be benefitting from advances in CVD prevention. OBJECTIVE: In this study, we estimate and compare CVD risk in a nationally representative sample of aging immigrants using 3 different measures. METHODS: This was a cross-sectional analysis using National Health and Nutrition Examination Survey data...
April 27, 2018: Journal of Cardiovascular Nursing
Cara Wrigley, Karla Straker, Erez Nusem, John F Fraser, Shaun D Gregory
BACKGROUND: Mechanical circulatory and respiratory support (MCRS) systems provide short- to long-term life support for patients with severe cardiac or respiratory failure. Whereas the challenges of patients with these lifesaving systems are well understood, the challenges faced by nurses of patients receiving MCRS remain relatively unidentified. OBJECTIVES: In this study, we investigated the challenges and experiences of MCRS nurses, with the aim of informing the design of future interventions...
April 27, 2018: Journal of Cardiovascular Nursing
Loreena Hill, Sonja McIlfatrick, Brian J Taylor, Tiny Jaarsma, Debra Moser, Paul Slater, Toni McAloon, Lana Dixon, Patrick Donnelly, Anna Stromberg, Donna Fitzsimons
BACKGROUND: Rate of implantable cardioverter defibrillator (ICD) implantations is increasing in patients with advanced heart failure. Despite clear guideline recommendations, discussions addressing deactivation occur infrequently. AIM: The aim of this article is to explore patient and professional factors that impact perceived likelihood and confidence of healthcare professionals to discuss ICD deactivation. METHODS AND RESULTS: Between 2015 and 2016, an international sample of 262 healthcare professionals (65% nursing, 24% medical) completed an online factorial survey, encompassing a demographic questionnaire and clinical vignettes...
April 26, 2018: Journal of Cardiovascular Nursing
Mariann R Piano, Nancy T Artinian, Holli A DeVon, Susan T Pressler, Kathleen T Hickey, Deborah A Chyun
BACKGROUND: The American Heart Association's (AHA) Council on Cardiovascular and Stroke Nursing (CVSN) plays a critical role in advancing the mission of the AHA in the discovery of new scientific knowledge. The aim was to identify priority research topics that would promote and improve cardiovascular (CV) health, provide direction for the education of future nurse scientists, and serve as a resource and catalyst for federal and organizational funding priorities. METHODS: A Qualtrics survey, which included 3 questions about priorities for CVSN nurse researchers, was sent to the CVSN Leadership Committee and all CVSN Fellows of the AHA (n = 208)...
April 26, 2018: Journal of Cardiovascular Nursing
Seongkum Heo, Debra K Moser, Terry A Lennie, Mary Fischer, JinShil Kim, Mikyoung Lee, Mary N Walsh, Songthip Ounpraseuth
PURPOSE: Patients with heart failure (HF) have notably poor health-related quality of life (HRQOL). A 5-point improvement in HRQOL is associated with reduction in hospitalization and mortality rates. Heart failure symptoms are associated with poor HRQOL, but little is known about whether changes in HF symptoms lead to changes in HRQOL over time. Therefore, we examined the association of changes in HF symptoms with changes in overall, physical, and emotional aspects of HRQOL over a 12-month period, controlling for typical covariates...
April 24, 2018: Journal of Cardiovascular Nursing
Martha Abshire, Stuart D Russell, Patricia M Davidson, Chakra Budhathoki, Hae-Ra Han, Kathleen L Grady, Shashank Desai, Cheryl Dennison Himmelfarb
BACKGROUND: Living with a left ventricular assist device has significant psychosocial sequelae that affect health-related quality of life (HRQOL). OBJECTIVE: The purpose of this study was to (1) describe psychosocial indicators of stress including perceived stress, depression, fatigue, and coping; (2) examine relationships among stress indicators by level of perceived stress; (3) examine relationships among indicators of stress and clinical outcomes; and (4) test the moderation of social support on the relationship between stress and clinical outcomes...
April 20, 2018: Journal of Cardiovascular Nursing
Chung-Ying Lin, Huang-Tz Ou, Mehdi Nikoobakht, Anders Broström, Kristofer Årestedt, Amir H Pakpour
BACKGROUND: There is a lack of feasible and validated measures to self-assess medication adherence for older patients with stroke. In addition, the potential determinants of medication adherence for older patients with stroke remain unclear. OBJECTIVES: The aims of this study were to (1) examine the psychometric properties of a 5-item questionnaire on medication adherence, specifically the 5-item Medication Adherence Report Scale (MARS-5), and (2) explore the determinants of medication adherence...
April 11, 2018: Journal of Cardiovascular Nursing
Sarah S Farabi, Laurie Quinn, Shane Phillips, Dan Mihailescu, Chang Park, Mohammed Ali, Pamela Martyn-Nemeth
BACKGROUND: Elevated cardiovascular disease risk in people with type 1 diabetes (T1DM) is incompletely understood. Glycemic control, glycemic variability, and sleep quality and duration may relate to cardiovascular disease risk in this population via endothelial dysfunction. OBJECTIVE: The aim of this study was to examine relationships among glycemic control, glycemic variability, sleep quality and duration, and endothelial function in adults with T1DM. METHODS: Endothelial function was measured using flow-mediated dilation...
April 7, 2018: Journal of Cardiovascular Nursing
Marilyn A Prasun, Nancy M Albert
BACKGROUND: Heart failure with reduced ejection fraction (HFrEF) is a progressive, chronic, and burdensome cardiovascular condition. It is associated with limiting symptoms, such as dyspnea and fatigue; a decline in functional capacity; and premature mortality and hospitalization. In heart failure (HF) management, heart rate is commonly assessed yet frequently overlooked as a modifiable risk factor and a predictor of mortality. An elevated heart rate increases myocardial demand and decreases diastolic filling time...
April 4, 2018: Journal of Cardiovascular Nursing
Tracy DeWald, Bradi Granger, Margaret Bowers
Hypertension is a leading risk factor for heart disease, stroke, kidney failure, and diabetes and is a predisposing risk factor for most cardiovascular chronic illnesses. The risk for major cardiovascular events drops significantly when guideline-based blood pressure targets are achieved. Several different societies and organizations have released guidelines during the past 6 years, and significant clinical trial data have been recently released. Here, we summarize existing guidelines and recent pertinent clinical trial data to assist practitioners in identifying optimal treatment strategies for the successful management of hypertension...
April 4, 2018: Journal of Cardiovascular Nursing
Paula S Schulz, Lani Zimmerman, Patrik Johansson
BACKGROUND: Cardiovascular disease is the leading cause of death and hospitalization in the rural United States. Midwestern farmers are integral to rural communities, but little is known about the effect of occupational variability of seasonal work and technology use on their cardiovascular disease risk. AIMS: This study describes the relationships of health behaviors and cardiovascular disease risk in 40 Midwestern farmers during peak and off-peak farming seasons...
March 29, 2018: Journal of Cardiovascular Nursing
Amy Miner Ross, Christopher S Lee, Helmi Lutsep, Wayne M Clark
BACKGROUND: Immunodeficiency in acute ischemic stroke (AIS) is thought to be a result of norepinephrine suppression of the lymphoid tissue. The possible differences in the distribution of lymphocytes after stroke may be due to differences in responsiveness of lymphocyte β-adrenergic receptors to their kinase (BARK-1). OBJECTIVE: The objective was to quantify the influence of lymphocyte BARK-1 on stroke-induced immunodeficiency in AIS patients. METHODS: A prospective clinical cohort study was conducted (N = 44)...
March 29, 2018: Journal of Cardiovascular Nursing
Joseph Perazzo
No abstract text is available yet for this article.
March 29, 2018: Journal of Cardiovascular Nursing
Krystina B Lewis, David Birnie, Sandra L Carroll, Lorraine Clark, Freya Kelly, Paul Gibson, Lloyd Rockburn, Louise Rockburn, Dawn Stacey
BACKGROUND: Because of battery depletion, an implantable cardioverter-defibrillator (ICD) generator requires surgical replacement every 5 to 7 years. Routine replacement is the norm without discussion with patients about whether or not to proceed. OBJECTIVE: The aim of this study was to develop a patient decision aid (PDA) for patients facing ICD replacement and plan for its implementation. METHODS: An embedded mixed-methods study was conducted using questionnaires and semistructured interviews focused on current ICD replacement practices; PDA acceptability, usability, and content; and PDA implementation...
March 29, 2018: Journal of Cardiovascular Nursing
Ivy Timmermans, Niels Jongejan, Mathias Meine, Pieter Doevendans, Anton Tuinenburg, Henneke Versteeg
BACKGROUND: Driving restrictions for patients with an implantable cardioverter defibrillator (ICD) may require significant lifestyle adjustment and affect patients' psychological well-being. This study explored the prevalence of, and factors associated with, patient-reported decrease in quality of life due to driving restrictions in the first 2 months postimplantation. METHODS: Dutch ICD patients (N = 334; median age, 64 [interquartile range, 55-70) years; 81% male) completed questionnaires at the time of implantation and 4 months postimplantation, assessing their sociodemographic, psychological, and driving-related characteristics...
March 29, 2018: Journal of Cardiovascular Nursing
Patricia Moreland, Sheila Judge Santacroce
BACKGROUND: Young adults with congenital heart disease (CHD) are at risk for chronic illness uncertainty in 4 domains: ambiguity about the state of their illness; lack of information about the disease, its treatment, and comorbidities; complexity of the healthcare system and relationship with healthcare providers; and unpredictability of the illness course and outcome. Chronic uncertainty has been associated with posttraumatic stress symptoms (PTSS) and posttraumatic stress disorder (PTSD)...
March 29, 2018: Journal of Cardiovascular Nursing
Raeda M Abu Ali, Mona A Abed, Amani A Khalil, Manal I Al-Kloub, Ala F Ashour, Intesar A Alnsour
BACKGROUND: Recovery among patients with cardiac disease also requires attention to their sexual health. However, cultural, religious, and social factors may make Arab Muslim patients reluctant to disclose their sexual concerns and nurses hesitant to discuss patients' sexuality matters. OBJECTIVE: The aim of this study was to explore sexual counseling (SC) among nurses in Jordan in terms of responsibility, confidence, and practice. METHOD: This was a descriptive, correlational study...
March 29, 2018: Journal of Cardiovascular Nursing
Eun Kyeung Song, Jia-Rong Wu
BACKGROUND: Low vitamin D intake and poor sleep quality are independently associated with cognitive dysfunction in healthy older adults. However, the relationships among vitamin D intake, sleep quality, and cognitive dysfunction are unknown in older adults with heart failure (HF). PURPOSE: The aim of this study was to determine the relationships of vitamin D intake and sleep quality with cognitive dysfunction in older adults with HF. METHODS: A total of 160 older adults with HF completed the Mini-Mental State Examination to assess cognitive function...
March 29, 2018: Journal of Cardiovascular Nursing
Mary R Becky Gregory, Paula M Prouhet, Cynthia L Russell, Brenda R Pfannenstiel
BACKGROUND: As survival rates for infants born with severe forms of cardiac defects (congenital heart defect [CHD]) improve, attention is directed to evaluating factors that affect the child's short- and long-term outcomes including parental quality of life (QOL). PURPOSE: The purpose of this review was to identify how parental QOL is affected when having a child with a CHD. Factors that influence parental QOL when having a child with a CHD will also be described...
March 29, 2018: Journal of Cardiovascular Nursing
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