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European Journal of Cardiovascular Nursing

Iwona Korzeniowska-Kubacka, Maria Bilińska, Dorota Piotrowska, Monika Stepnowska, Ryszard Piotrowicz
AIM: The aim of the study was to assess the effectiveness of exercise training on depression, anxiety, physical capacity and sympatho-vagal balance in patients after myocardial infarction and compare differences between men and women. METHODS: Thirty-two men aged 56.3±7.6 years and 30 women aged 59.2±8.1 years following myocardial infarction underwent an 8-week training programme consisting of 24 interval trainings on cycloergometer, three times a week. Before and after completing the training programme, patients underwent: depression intensity assessment with the Beck depression inventory; anxiety assessment with the state-trait anxiety inventory; a symptom-limited exercise test during which were analysed: maximal workload, duration, double product...
November 29, 2016: European Journal of Cardiovascular Nursing
Eduarda Ribeiro Dos Santos, Camila Takao Lopes, Vera Lucia Regina Maria, Alba Lucia Bottura Leite de Barros
BACKGROUND: No previous study has investigated the predictive risk factors of the nursing diagnosis of risk for decreased cardiac output after coronary artery bypass grafting (CABG). AIMS: This study aimed to identify the predictive risk factors of the nursing diagnosis of risk for decreased cardiac output after CABG. METHODS: This was a prospective cohort study performed at a cardiac university hospital in São Paulo, Brazil and 257 adult patients undergoing CABG were included...
November 25, 2016: European Journal of Cardiovascular Nursing
J Han Deuling, Robert P Vermeulen, Ad Fm van den Heuvel, Remco Aj Schurer, Pim van der Harst
BACKGROUND: Radial access is the preferential access route in patients undergoing diagnostic coronary angiography. We hypothesised that we could reduce hospital stay and improve patient comfort by accelerated deflation of the radial compression device (Terumo radial band). AIMS: The aim of this study was to compare accelerated pressure reduction with a standard Terumo radial band protocol with regard to local bleeding complications and reported pain scores after cardiac catheterisation...
October 3, 2016: European Journal of Cardiovascular Nursing
Diane L Carroll, Alison Malecki-Ketchell, Felicity Astin
BACKGROUND: Cardiac catheterization is the standard procedure for the diagnosis of coronary heart disease. The threat physically and emotionally from this procedure can affect the patient's perception of their health. The heightened psychological distress associated with this diagnostic procedure can cause adverse patient outcomes. Non-pharmacologic interventions have been implemented to reduce psychological distress associated with cardiac catheterization. AIMS: The objective of this rapid review is to assess the efficacy of non-pharmacologic interventions (procedural education, relaxation techniques, psychological preparation) on psychological distress experienced by patients as they undergo a cardiac catheterization...
September 16, 2016: European Journal of Cardiovascular Nursing
Barbro Kjellström, Geraldine Lee, Rani Khatib, Romy Mahrer-Imhof, Philip Moons, Samar Noureddine, Sharon O'Donnell, Anna Strömberg, Margrét H Svavarsdóttir, Tiny Jaarsma
No abstract text is available yet for this article.
December 2016: European Journal of Cardiovascular Nursing
Jeffrey Vongmany, Louise D Hickman, Joanne Lewis, Phillip J Newton, Jane L Phillips
BACKGROUND: Anxiety is a serious affective mood disorder that affects many chronic heart failure patients. While there is ample evidence that depression increases hospitalisations and mortality in chronic heart failure patients, it is unclear whether this association also exists for anxiety. OBJECTIVES: The purpose of this study was to report on prospective cohort studies investigating anxiety in chronic heart failure patients and its association with hospitalisations and mortality rates...
December 2016: European Journal of Cardiovascular Nursing
Manuel Romero-Saldaña, Francisco J Fuentes-Jiménez, Manuel Vaquero-Abellán, Carlos Álvarez-Fernández, Guillermo Molina-Recio, José López-Miranda
BACKGROUND: We propose a new method for the early detection of metabolic syndrome in the working population, which was free of biomarkers (non-invasive) and based on anthropometric variables, and to validate it in a new working population. METHODS: Prevalence studies and diagnostic test accuracy to determine the anthropometric variables associated with metabolic syndrome, as well as the screening validity of the new method proposed, were carried out between 2013 and 2015 on 636 and 550 workers, respectively...
December 2016: European Journal of Cardiovascular Nursing
Beata Jankowska-Polańska, Katarzyna Blicharska, Izabella Uchmanowicz, Donald E Morisky
BACKGROUND: The available publications show that 50% of patients with hypertension discontinue their medications within the first 12 months after the beginning of treatment. AIM: The aim of the study was to analyse the relationship between the acceptance of illness and the adherence to pharmacological and non-pharmacological therapy in patients with hypertension. METHODS: The study included 102 patients with hypertension examined with validated instruments: Acceptance of Illness Scale (AIS), Health Behavior Inventory (HBI) and Morisky Medication Adherence Scale (MMAS-8)...
December 2016: European Journal of Cardiovascular Nursing
Catarina Nahlén Bose, Hans Persson, Gunilla Björling, Gunnar Ljunggren, Magnus L Elfström, Fredrik Saboonchi
BACKGROUND: Impaired emotional well-being has detrimental effects on health outcomes in patients with chronic heart failure (CHF). AIMS: To evaluate a nurse-led Coping Effectiveness Training (CET) group intervention for patients with CHF. It was hypothesized that CET would increase emotional well-being (primary outcome) and health-related quality (HRQoL) of life and improve clinical outcomes. Furthermore, changes in appraisal and coping as mediators of the intervention effect were examined...
December 2016: European Journal of Cardiovascular Nursing
Silke Apers, Lien Sevenants, Werner Budts, Koen Luyckx, Philip Moons
BACKGROUND: Adults with congenital heart disease seem to be more distressed than their healthy counterparts, which might render them even more susceptible to developing detrimental health outcomes. Previous research has confirmed the relationship between the perceived impact of stress on health and self-rated health. However, it remains unknown whether sense of coherence, a person's capacity to cope with stressors, moderates this relationship. AIM: This cross-sectional study aims to explore: the relationship between demographic and clinical characteristics, sense of coherence, and the perceived impact of stress on health; the relationship between the perceived impact of stress on health and self-rated health; and the moderating effect of sense of coherence in a sample of adults with congenital heart disease...
December 2016: European Journal of Cardiovascular Nursing
Margrét H Svavarsdóttir, Arun K Sigurdardottir, Aslak Steinsbekk
BACKGROUND: Patient views are especially important in patient education, as patient involvement is essential. However, no empirical research clarifies what knowledge, skills and competencies are needed for health professionals to competently serve as a good educator according to the patients themselves. AIM: To explore what qualities patients with coronary heart disease perceive in a good educator. METHODS: A qualitative research method, with semi-structured individual interviews, was used in this study...
December 2016: European Journal of Cardiovascular Nursing
Sara Wallström, Kerstin Ulin, Sylvia Määttä, Elmir Omerovic, Inger Ekman
BACKGROUND: The connection between stress and disease has been part of folk wisdom for a long time and has even made its way into our language with phrases such as 'scared to death' and 'a broken heart'. Takotsubo syndrome is a form of acute, reversible heart failure characterized by ballooning of the left ventricle. Post-menopausal women are primarily affected, but cases have been described in both sexes and at all ages. The complete pathophysiology is unknown, but the disease has been connected to psychological or physical stress and a surge in catecholamines...
December 2016: European Journal of Cardiovascular Nursing
Simone Inkrot, Mitja Lainscak, Frank Edelmann, Goran Loncar, Ivan Stankovic, Vera Celic, Svetlana Apostolovic, Elvis Tahirovic, Tobias Trippel, Christoph Herrmann-Lingen, Götz Gelbrich, Hans-Dirk Düngen
AIMS: In heart failure, a holistic approach incorporating the patient's perspective is vital for prognosis and treatment. Self-rated health has strong associations with adverse events and short-term mortality risk, but long-term data are limited. We investigated the predictive value of two consecutive self-rated health assessments with regard to long-term mortality in a large, well characterised sample of elderly patients with stable chronic heart failure. METHODS AND RESULTS: We measured self-rated health by asking 'In general, would you say your health is: 1, excellent; 2, very good; 3, good; 4, fair; 5, poor?' twice: at baseline and the end of a 12-week beta-blocker up-titration period in the CIBIS-ELD trial...
December 2016: European Journal of Cardiovascular Nursing
Nina Fålun, Bengt Fridlund, Margrethe A Schaufel, Edvin Schei, Tone M Norekvål
BACKGROUND: Myocardial infarction (MI) patients may find it challenging to adhere to lifestyle advice and medications. Understanding motivational factors and barriers to change is crucial. However, empirical evidence on patients' ability to effect lifestyle changes at the time of discharge is limited. AIM: The aim of this study was to identify at the time of hospital discharge the goals, resources, and barriers to future change in MI patients. METHODS: We conducted a qualitative interview study with a purposive sample of 20 MI patients (eight women) in a cardiac department at a university hospital in Norway...
December 2016: European Journal of Cardiovascular Nursing
Sandra B Lauck, Jennifer Baumbusch, Leslie Achtem, Jacqueline M Forman, Sandra L Carroll, Anson Cheung, Jian Ye, David A Wood, John G Webb
BACKGROUND: Transcatheter aortic valve implantation (TAVI) is the recommended therapy for patients with severe symptomatic aortic stenosis at increased surgical risk and likely to derive benefit. Multimodality and multidisciplinary assessment is required for the heart team to determine eligibility for TAVI in a primarily older population. Little is known about patients' motivation and perspectives on making the decision to undergo the complex assessment. AIMS: To explore factors influencing patients' decision making to undergo TAVI eligibility assessment to inform practice, programme development, health policy and future research...
December 2016: European Journal of Cardiovascular Nursing
Pamela J McCabe, Lori M Rhudy, Alanna M Chamberlain, Holli A DeVon
BACKGROUND: Delay in seeking treatment for symptoms of atrial fibrillation (AF) at onset results in a missed opportunity for vital early treatment of AF which is important for reducing stroke, tachycardia induced heart failure, and treatment-resistant AF. Little is known about factors that contribute to treatment-seeking delay for symptoms of AF. PURPOSE: The purpose of this study was to identify factors associated with treatment-seeking delay for symptoms of AF before diagnosis...
October 2016: European Journal of Cardiovascular Nursing
Antonia Kalogianni, Panagiota Almpani, Leonidas Vastardis, George Baltopoulos, Christos Charitos, Hero Brokalaki
BACKGROUND: The effect of preoperative education on anxiety and postoperative outcomes of cardiac surgery patients remains unclear. AIM: The aim of the study was to estimate the effectiveness of a nurse-led preoperative education on anxiety and postoperative outcomes. METHODS: A randomised controlled study was designed. All the patients who were admitted for elective cardiac surgery in a general hospital in Athens with knowledge of the Greek language were eligible to take part in the study...
October 2016: European Journal of Cardiovascular Nursing
Lynne Hinterbuchner, Bernhard Strohmer, Matthias Hammerer, Erika Prinz, Uta C Hoppe, Christiana Schernthaner
BACKGROUND: Transcatheter aortic valve replacement (TAVR) is a less invasive treatment option for patients that are deemed too high a risk for surgical aortic valve replacement (SAVR). The aim of this review is to evaluate the frailty tools currently being used in patients referred for TAVR. METHODS: Using a literature search involving database search engines from CINAHL, PubMed, SAGE publications and European Society of Cardiology conducted from 2010 to the present, a critical evaluation of studies dealing with frailty assessment in patients referred for TAVR/SAVR is discussed...
October 2016: European Journal of Cardiovascular Nursing
Erin W Tang, Jeremy Go, Andrea Kwok, Bonnie Leung, Sandra Lauck, Sabrina T Wong, Priscilla G Taipale, Pamela A Ratner
BACKGROUND: Anglophone nurses face the challenge of communicating health information to patients who do not speak or understand English. Limited English-proficient patients are at higher risk of misinterpreting health information teaching. Successful recovery after coronary artery bypass graft surgery requires patients' engagement with healthcare professionals and active participation in therapies and related undertakings. Determination of whether limited English-proficient patients undergoing coronary artery bypass graft surgery recover at the same pace as the general population is of interest...
October 2016: European Journal of Cardiovascular Nursing
Ida E Højskov, Philip Moons, Niels V Hansen, Helle Greve, Dorte Bæk Olsen, Søren La Cour, Christian Glud, Per Winkel, Jane Lindschou, Ingrid Egerod, Anne Vinggaard Christensen, Selina Kikkenborg Berg
BACKGROUND: Patients undergoing coronary artery bypass graft surgery often experience a range of problems and symptoms such as immobility, pain and insufficient sleep. Results from trials investigating testing in-hospital physical exercise or psychological intervention have been promising. However, no randomized clinical trials have tested a comprehensive rehabilitation programme consisting of both physical exercise and psycho-education in the early rehabilitation phase. AIMS: The aims of the present SheppHeart pilot randomized clinical trial were to evaluate the feasibility of patient recruitment, patient acceptance of the intervention, safety and tolerability of the intervention...
October 2016: European Journal of Cardiovascular Nursing
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