Interventions Promoting Physical Activity in African American Women: An Integrative Review.
CONCLUSIONS: Future studies should include long-term follow-up, larger sample sizes, and objective measures of PA. Additional research promoting PA in African American women is warranted, particularly in studies that focus on increasing PA in older African American women. PMID: 26544170 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - November 5, 2015 Category: Nursing Authors: Jenkins F, Jenkins C, Gregoski MJ, Magwood GS Tags: J Cardiovasc Nurs Source Type: research

Systematic Review and Meta-analyses Investigating Whether Risk Stratification Explains Lower Rates of Coronary Angiography Among Women With Non-ST-Segment Elevation Acute Coronary Syndrome.
CONCLUSIONS: Contrary to our hypothesis, this review showed that women with NSTEACS are more likely than men to be considered high-risk when stratified using a range of risk assessment methods. Lower rates of angiography in women form part of a broader treatment-risk paradox, which may involve gender bias in the selection of patients for invasive therapy. PMID: 26544171 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - November 5, 2015 Category: Nursing Authors: Worrall-Carter L, McEvedy S, Kuhn L, Scruth E, MacIsaac A, Rahman MA Tags: J Cardiovasc Nurs Source Type: research

Socioeconomic and Behavioral Characteristics Associated With Metabolic Syndrome Among Overweight/Obese School-age Children.
Abstract BACKGROUND: Obesity in children comprises a significant public health concern in Korea. As with increased prevalence of overweight and obesity among children, risk factors for metabolic syndrome (MetS) have also increased in this population. OBJECTIVE: The purpose was to examine behavioral and socioeconomic factors that were associated with biomarkers of MetS among overweight/obese school-age children. METHODS: A cross-sectional study was conducted, and a convenience sample of 75 overweight/obese school-age children participated. Socioeconomic and behavioral characteristics, anthropometric measu...
Source: The Journal of Cardiovascular Nursing - November 5, 2015 Category: Nursing Authors: Ham OK Tags: J Cardiovasc Nurs Source Type: research

Effects of a Structured Discharge Planning Program on Perceived Functional Status, Cardiac Self-efficacy, Patient Satisfaction, and Unexpected Hospital Revisits Among Filipino Cardiac Patients: A Randomized Controlled Study.
CONCLUSION: The results demonstrate that a nurse-led structured discharge planning program is an effective intervention in improving perceived functional health status, cardiac self-efficacy, and patient satisfaction, while reducing the number of unexpected hospital revisits, among Filipino patients with AMI. It is recommended that this intervention be incorporated in the optimal care of patients being discharged with an AMI. PMID: 26544173 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - November 5, 2015 Category: Nursing Authors: Cajanding RJ Tags: J Cardiovasc Nurs Source Type: research

Micronutrient Deficiency Independently Predicts Adverse Health Outcomes in Patients With Heart Failure.
CONCLUSIONS: These findings show that micronutrient deficiency independently predicted poor HRQoL and earlier cardiac event-free survival in patients with HF. Further research is needed to provide for specific dietary guidelines for better health outcomes in HF patients. PMID: 26544174 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - November 5, 2015 Category: Nursing Authors: Song EK, Kang SM Tags: J Cardiovasc Nurs Source Type: research

A Systematic Review of mHealth-Based Heart Failure Interventions.
CONCLUSIONS: Ten articles, representing 9 studies, were included in this review. The majority of the studies utilized mobile health technology as part of an HF monitoring system, which typically included a blood pressure-measuring device, weighing scale, and an electrocardiogram recorder. The impact of the mHealth interventions on all-cause mortality, cardiovascular mortality, HF-related hospitalizations, length of stay, New York Heart Association functional class, left ventricular ejection fraction, quality of life, and self-care were inconsistent at best. IMPLICATIONS: Further research is needed to conclusively dete...
Source: The Journal of Cardiovascular Nursing - November 5, 2015 Category: Nursing Authors: Cajita MI, Gleason KT, Han HR Tags: J Cardiovasc Nurs Source Type: research

PCNA News.
Authors: PMID: 26447766 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - October 9, 2015 Category: Nursing Tags: J Cardiovasc Nurs Source Type: research

Optimizing Cardiovascular Health Across the Life Course.
PMID: 26447767 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - October 9, 2015 Category: Nursing Authors: Hayman LL, Worel JN Tags: J Cardiovasc Nurs Source Type: research

Profile and Determinants of Neurocognitive Dysfunction in a Sample of Adult Nigerians With Heart Failure.
Abstract BACKGROUND: Heart failure (HF) in Africans is peculiar because subjects are younger than whites and have lower socioeconomic and educational level in addition to the high prevalence of hypertension-related etiology and increased mortality. Whereas cognitive dysfunction have been demonstrated among whites with HF, the prevalence and pattern of cognitive dysfunction among sub-Saharan African patients with HF have not been evaluated against this background. OBJECTIVES: The aim of this study is to determine the 1-year prevalence and the factors contributing to cognitive dysfunction in a cohort of Nigeria...
Source: The Journal of Cardiovascular Nursing - September 29, 2015 Category: Nursing Authors: Adebayo PB, Akintunde AA, Audu MB, Ayodele OE, Akinyemi RO, Opadijo OG Tags: J Cardiovasc Nurs Source Type: research

Is Knowledge Level of Coronary Heart Disease and Risk Factors Among Post-Percutaneous Coronary Intervention Patients Adequate?
CONCLUSIONS: As expected, the risk factor profile of post-PCI patients was high. However, their knowledge levels and awareness were unrelated to risk factor profile and poor in comparison with studies in other cardiac patients. This, in addition to the short stay in hospital and the low attendance of this cohort at cardiac rehabilitation, identifies this group of patients as a priority for further targeted education. Innovations are needed to increase knowledge and begin behavioral change predischarge after PCI. This should include target and goal setting for lifestyle change to avail of this critical education opportunity...
Source: The Journal of Cardiovascular Nursing - September 29, 2015 Category: Nursing Authors: Nolan MT, McKee G Tags: J Cardiovasc Nurs Source Type: research

Falls in Patients With Heart Failure: A Systematic Review.
CONCLUSIONS: Future studies are needed to determine factors associated with falls, characterize injuries resulting from falls, and most importantly design testable interventions to prevent falls in heart failure patients. PMID: 26422636 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - September 29, 2015 Category: Nursing Authors: Lee K, Pressler SJ, Titler M Tags: J Cardiovasc Nurs Source Type: research

A Ventricular Assist Device Recipient and Suicidality: Multidisciplinary Collaboration With a Psychiatrically Distressed Patient.
CONCLUSIONS: This case underscores the importance of pre-VAD as well and ongoing psychosocial evaluation and management for this unique patient population. CLINICAL IMPLICATIONS: Medical teams who are treating patients with cardiovascular disease who are under consideration for VAD or heart transplantation need to be aware of the multitude of ways in which patients can express depressed and suicidal mood and work with a multidisciplinary team to treat such symptoms to optimize patients' success with VAD/heart transplantation. PMID: 26422637 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - September 29, 2015 Category: Nursing Authors: Balliet WE, Madan A, Craig ML, Serber ER, Borckardt JJ, Pelic C, Barth K, Hale A, van Bakel AB, Peura JL Tags: J Cardiovasc Nurs Source Type: research

Cardiac Rehabilitation Online Pilot: Extending Reach of Cardiac Rehabilitation.
CONCLUSIONS: Broader implications of the data include the acceptability of the intervention, timing of intervention delivery, and patients' desire for additional online community support. PMID: 26422638 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - September 29, 2015 Category: Nursing Authors: Higgins RO, Rogerson M, Murphy BM, Navaratnam H, Butler MV, Barker L, Turner A, Lefkovits J, Jackson AC Tags: J Cardiovasc Nurs Source Type: research

Comorbidities and Psychosocial Characteristics as Determinants of Dropout in Outpatient Cardiac Rehabilitation.
Abstract BACKGROUND: Despite the clear benefits of cardiac rehabilitation (CR), a considerable number of patients drop out early. OBJECTIVE: Therefore, we wanted to evaluate dropout in CR with a special focus on comorbidities and psychosocial background. METHODS: Patients who attended CR after acute coronary syndrome, cardiac surgery, or heart failure (N = 489) were prospectively included. Dropout was defined as attending 50% of the training sessions or less (n = 96 [20%]). Demographic and clinical characteristics, exercise parameters, and psychosocial factors were analyzed according to dropout, and thos...
Source: The Journal of Cardiovascular Nursing - September 29, 2015 Category: Nursing Authors: Pardaens S, De Smedt D, De Bacquer D, Willems AM, Verstreken S, De Sutter J Tags: J Cardiovasc Nurs Source Type: research

A Randomized Feasibility Trial of a New Lifestyle Referral Assessment Versus Usual Assessment in an Acute Cardiology Setting.
CONCLUSIONS: We demonstrated that a full-scale trial is feasible and that an individualized approach increased the number of patients accepting referral to a formal program and initiating lifestyle change. However, we should consider the aim of the assessment and ways in which the process of change can be optimized in order to produce long-term benefit for patients. TRIAL REGISTRATION: current controlled trials ISRCTN41781196. PMID: 26422640 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - September 29, 2015 Category: Nursing Authors: Hill K, Walwyn R, Camidge D, Murray J, Meads D, Reynolds G, Farrin A, House A Tags: J Cardiovasc Nurs Source Type: research

PCNA News.
Authors: PMID: 26262914 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - August 12, 2015 Category: Nursing Tags: J Cardiovasc Nurs Source Type: research

Proposed Dietary Guidelines 2015 and Implications for Cardiovascular Disease and Diabetes.
PMID: 26262915 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - August 12, 2015 Category: Nursing Authors: Christie C Tags: J Cardiovasc Nurs Source Type: research

Successful Mentoring Relationships: American Heart Association Council on Cardiovascular and Stroke Nursing.
PMID: 26262916 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - August 12, 2015 Category: Nursing Authors: Lee CS, Kitko L, Biddle M, Riegel BJ Tags: J Cardiovasc Nurs Source Type: research

Questionnaires Designed to Assess Knowledge of Heart Failure Patients: A Systematic Review.
CONCLUSION: Psychometric properties of questionnaires assessing HF patients' knowledge are poorly described in the literature. Although we identified the Atlanta HF Knowledge Test as the most promising instrument, it has methodological limitations. We recommend the researchers to use the questionnaire that best serves their research question and context. PMID: 26208265 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - July 23, 2015 Category: Nursing Authors: Vieira AM, Costa IZ, Oh P, Lima de Melo Ghisi G Tags: J Cardiovasc Nurs Source Type: research

Diagnostic Accuracy of Cognitive Screening Instruments in Heart Failure: A Systematic Review.
CONCLUSIONS: Screening for cognitive impairment in HF is recommended; however, future studies need to establish the diagnostic accuracy of screening instruments of MCI in this population. PMID: 26164322 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - July 7, 2015 Category: Nursing Authors: Cameron J, Kure CE, Pressler SJ, Ski CF, Clark AM, Thompson DR Tags: J Cardiovasc Nurs Source Type: research

Cognitive Function Does Not Impact Self-reported Health-Related Quality of Life in Heart Failure Patients.
Abstract BACKGROUND: Adults with heart failure (HF) often demonstrate impairment across multiple domains of cognitive functioning and report poor health-related quality of life (HRQoL). Previous researchers have found that cognitive deficits were generally not associated with HRQoL in a carefully evaluated sample. The exception was memory, which was only weakly associated with HRQoL. However, cognitive deficits interfere with self-care and disease self-management, which could be expected to affect HRQoL. OBJECTIVE: We sought to verify this counterintuitive finding in a large well-characterized sample of HF pa...
Source: The Journal of Cardiovascular Nursing - July 1, 2015 Category: Nursing Authors: Gathright EC, Fulcher MJ, Dolansky MA, Gunstad J, Redle JD, Josephson R, Moore SM, Hughes JW Tags: J Cardiovasc Nurs Source Type: research

Differences Between New Immigrants From the Former Soviet Union and Veteran Residents in Knowledge, Perception, and Risk Factors of Stroke.
Abstract BACKGROUND: Stroke is the fourth most common cause of death in developed countries and a leading cause of acquired disability in adults. Awareness of risk factors and warning signs for stroke has a considerable impact on early arrival at the hospital and early thrombolytic treatment. Delays in seeking medical treatment following the onset of stroke symptoms have been shown to be more common among ethnic minorities. OBJECTIVE: The aim of the current study was to examine stroke awareness and knowledge among new immigrants from the Former Soviet Union (IFSUs) compared with veteran residents (VRs). ...
Source: The Journal of Cardiovascular Nursing - July 1, 2015 Category: Nursing Authors: Melnikov S, Itzhaki M, Koton S Tags: J Cardiovasc Nurs Source Type: research

Experiences of Young Adults With Pacemakers and/or Implantable Cardioverter Defibrillators.
CONCLUSIONS: The lived experiences of young recipients often mirror that of older adults; however, it is clear that there are challenges and coping behaviors unique to young adults living with a PM and/or ICD. It is important to educate healthcare providers about the unique challenges that young adults may face so they can provide the appropriate support to this population. PMID: 26132281 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - July 1, 2015 Category: Nursing Authors: Larimer K, Durmus J, Florez E Tags: J Cardiovasc Nurs Source Type: research

Interventions for Adults With Heart Failure.
Authors: PMID: 26061245 [PubMed - in process] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - June 13, 2015 Category: Nursing Tags: J Cardiovasc Nurs Source Type: research

PCNA News.
Authors: PMID: 26057051 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - June 10, 2015 Category: Nursing Tags: J Cardiovasc Nurs Source Type: research

Risk Stratification: An Important Stroke Risk Reduction Strategy in Elderly Patients With Nonvalvular Atrial Fibrillation.
PMID: 26057052 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - June 10, 2015 Category: Nursing Authors: Haber DR, Stuart-Shor E Tags: J Cardiovasc Nurs Source Type: research

Development and Validation of a Heart Failure-Specific Health Literacy Scale.
CONCLUSIONS: Our new HL scale was demonstrated to be a reliable, valid instrument for measuring functional, communicative, and critical HL in patients with HF. Exploring a patient's HL level, including the ability to access, understand, and use health information as well as the ability to read and write, may provide better understanding of patients' potential barriers to self-care. PMID: 26049813 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - June 4, 2015 Category: Nursing Authors: Matsuoka S, Kato N, Kayane T, Yamada M, Koizumi M, Ikegame T, Tsuchihashi-Makaya M Tags: J Cardiovasc Nurs Source Type: research

A Case Study of the Environmental Experience of a Hospitalized Newborn Infant With Complex Congenital Heart Disease.
CONCLUSIONS: This study provides the first report of potential environmental stressors in newborn infants cared for in cardiac specialty units. Excessive levels of light and noise as well as frequent interruptions for medical and nursing care may contribute to disorganized sleep and increased patient distress and may impact subsequent neurodevelopment. Studies are needed to identify potentially adverse aspects of the intensive caregiving environment for newborn infants who have undergone cardiac surgery. PMID: 26035279 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - May 28, 2015 Category: Nursing Authors: Daniels JM, Harrison TM Tags: J Cardiovasc Nurs Source Type: research

Factors Associated With Clopidogrel Adherence in Community-Dwelling Patients.
CONCLUSIONS: Data from this cross-sectional study suggest that concerns about clopidogrel and feelings about its necessity play an important role in clopidogrel adherence. PMID: 26002785 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - May 21, 2015 Category: Nursing Authors: Momary KM, Kimble LP Tags: J Cardiovasc Nurs Source Type: research

Randomized Comparison of 3 Hemostasis Techniques After Transradial Coronary Intervention.
Abstract BACKGROUND: The transradial route for coronary intervention has proven to be a safe and feasible method, and several techniques have been shown to be effective in achieving hemostasis. OBJECTIVES: The aim of this study is to evaluate the efficacy of 3 hemostasis techniques on radial artery outcomes after transradial catheterization. METHODS: A total of 1650 patients were randomly assigned to 1 of the 3 hemostasis techniques after the procedure. The outcome measures were local vascular complications, tolerance to the device, and the time taken to achieve hemostasis. RESULTS: Time taken to ac...
Source: The Journal of Cardiovascular Nursing - May 21, 2015 Category: Nursing Authors: Cong X, Huang Z, Wu J, Wang J, Wen F, Fang L, Fan M, Liang C Tags: J Cardiovasc Nurs Source Type: research

The Impact of Relationship Quality on Health-Related Outcomes in Heart Failure Patients and Informal Family Caregivers: An Integrative Review.
CONCLUSIONS: Relationship quality and communication seem to matter in the health and well-being of both HF patients and their informal family caregivers. More research is needed to elucidate mechanisms and to design effective relationship-focused interventions. PMID: 25955196 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - May 7, 2015 Category: Nursing Authors: Hooker SA, Grigsby ME, Riegel B, Bekelman DB Tags: J Cardiovasc Nurs Source Type: research

PCNA News.
Authors: PMID: 25874667 [PubMed - in process] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - April 18, 2015 Category: Nursing Tags: J Cardiovasc Nurs Source Type: research

Effectiveness of popular weight loss diets on cardiovascular risk reduction.
PMID: 25874668 [PubMed - in process] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - April 18, 2015 Category: Nursing Authors: Worel JN, Hayman LL Tags: J Cardiovasc Nurs Source Type: research

A report from the american heart association council on cardiovascular and stroke nursing.
PMID: 25874669 [PubMed - in process] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - April 18, 2015 Category: Nursing Authors: Biddle M, Kitko L Tags: J Cardiovasc Nurs Source Type: research

"Mediterranean" dietary pattern for the primary prevention of cardiovascular disease: summaries of nursing care-related systematic reviews from the cochrane library.
"Mediterranean" dietary pattern for the primary prevention of cardiovascular disease: summaries of nursing care-related systematic reviews from the cochrane library. J Cardiovasc Nurs. 2015 May-Jun;30(3):188-9 Authors: Phillips P PMID: 25874670 [PubMed - in process] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - April 18, 2015 Category: Nursing Authors: Phillips P Tags: J Cardiovasc Nurs Source Type: research

20 Things You Didn't Know About Nutrition and Cardiovascular Disease.
PMID: 25874671 [PubMed - in process] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - April 18, 2015 Category: Nursing Authors: Lennie TA Tags: J Cardiovasc Nurs Source Type: research

The Cardiac Rehabilitation Inventory: A New Method of Tailoring Patient Support.
Abstract BACKGROUND: Uptake and adherence to cardiac rehabilitation (CR) are low, and a contributing factor to this may be the practical difficulties of providing a tailored CR environment suited to individual preferences and needs. OBJECTIVE: The aim of this study was to develop and test a short questionnaire that CR practitioners can use to understand individual patient need and tailor support accordingly. METHODS: A conceptual framework of engagement in CR was derived from a comprehensive literature review and the content analysis of semistructured interviews with 15 CR patients. The conceptual framew...
Source: The Journal of Cardiovascular Nursing - March 30, 2015 Category: Nursing Authors: Micklewright D, Northeast L, Parker P, Jermy M, Hardcastle J, Davison R, Sandercock G, Shearman J Tags: J Cardiovasc Nurs Source Type: research

The Prevalence and Associated Distress of Physical and Psychological Symptoms in Patients With Advanced Heart Failure Attending a South African Medical Center.
CONCLUSIONS: Patients with advanced heart failure attending a medical center in South Africa experience high prevalence of symptoms and report high levels of burden associated with these symptoms. Improved compliance with national and global treatment recommendations could contribute to reduced symptom burden. Healthcare professionals should consider incorporating palliative care into the care for these patients. PMID: 25829136 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - March 30, 2015 Category: Nursing Authors: Lokker ME, Gwyther L, Riley JP, van Zuylen L, van der Heide A, Harding R Tags: J Cardiovasc Nurs Source Type: research

Subclinical Carotid Atherosclerosis in Asymptomatic Subjects With Type 2 Diabetes Mellitus.
CONCLUSION: The current nurse-led study shows that subjects with type 2 diabetes mellitus have a high prevalence of subclinical atherosclerosis that is associated with cardiovascular risk factors. PMID: 25829137 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - March 30, 2015 Category: Nursing Authors: Rubinat E, Marsal JR, Vidal T, Cebrian C, Falguera M, Vilanova MB, Betriu À, Fernández E, Franch J, Mauricio D Tags: J Cardiovasc Nurs Source Type: research

Mechanisms of Cardiovascular Injury in Type 2 Diabetes and Potential Effects of Dipeptidyl Peptidase-4 Inhibition.
CONCLUSIONS: Dipeptidyl peptidase-4 inhibitors are relatively new antihyperglycemic agents. Their main mechanism of action is to inhibit the degradation of the incretin hormones glucagon-like peptide-1 and glucose-dependent insulinotropic peptide by DPP-4. By increasing levels of glucagon-like peptide-1, glucose-dependent insulin secretion is enhanced, glucagon secretion is suppressed, and the rate of gastric emptying is decreased. Dipeptidyl peptidase-4 also degrades other substances that are important in the regulation of CV function and inflammation. Animal studies, small observational studies in humans, and analyses of...
Source: The Journal of Cardiovascular Nursing - March 30, 2015 Category: Nursing Authors: Dokken B Tags: J Cardiovasc Nurs Source Type: research

Validation of the Critical-Care Pain Observation Tool and Vital Signs in Relation to the Sensory and Affective Components of Pain During Mediastinal Tube Removal in Postoperative Cardiac Surgery Intensive Care Unit Adults.
In this study, we aim to validate the use of the CPOT and vital signs in association with the sensory and affective components of pain during mediastinal tube removal (MTR) in postoperative cardiac surgery ICU adults. METHODS: A sample of 125 patients participated in this prospective repeated-measures, within-subject study. A total of 6 assessments of the main study variables (CPOT scores and patients' self-reports of pain intensity and unpleasantness) were completed by trained research assistants while patients were in the ICU. Assessments were done before, during, and 15 minutes after the nonnociceptive procedure (i...
Source: The Journal of Cardiovascular Nursing - March 30, 2015 Category: Nursing Authors: Boitor M, Fiola JL, Gélinas C Tags: J Cardiovasc Nurs Source Type: research

Nurse-Led Multidisciplinary Heart Failure Group Clinic Appointments: Methods, Materials, and Outcomes Used in the Clinical Trial.
CONCLUSION: The intervention was associated with improvements in HF self-care knowledge and home care behavior skills and managing their for HF care. In turn, better self-care was associated with reductions in HF-related hospitalizations. PMID: 25774836 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Smith CE, Piamjariyakul U, Dalton KM, Russell C, Wick J, Ellerbeck EF Tags: J Cardiovasc Nurs Source Type: research

Examining the Feasibility of a Simple Intervention to Improve Blood Pressure Control for Primary Care Patients.
CONCLUSION: In this pilot study, we established the feasibility of a brief, simple intervention to improve blood pressure control implemented by existing primary care practice clinical support staff, and preliminary data show that it can be effective in improving blood pressure control. PMID: 25774837 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Nguyen GT, Klusaritz HA, O'Donnell A, Kaye EM, de Vries McClintock HF, Hussain Z, Bogner HR Tags: J Cardiovasc Nurs Source Type: research

Effect of Feedback Signal on Blood Pressure Self-regulation Capability in Individuals With Prehypertension or Stage I Hypertension: A Randomized Controlled Study.
CONCLUSIONS: The equivalent magnitude of BP reduction between the 2 study groups suggests that repeated practice in BP self-regulation was more likely responsible for the efficacy of direct BP biofeedback training than was the type of feedback signals. PMID: 25774838 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Wang MY, Chang NC, Hsieh MH, Su CT, Liu JC, Shyu YK, Tsai PS Tags: J Cardiovasc Nurs Source Type: research

Influence of Gender and Age on the Peripheral Immune Response in Stroke.
Abstract BACKGROUND: Women and men have unique stroke risk factors and can experience different poststroke infections. OBJECTIVE: The aim of this study is to determine the influence of gender, age, and risk factors on the peripheral immune response in stroke/transient ischemic attack (TIA). METHOD: A total of 192 adult acute stroke/TIA cases were analyzed for age, gender, risk factors for stroke/TIA, and white blood cell with differential count. χ Test and analysis of variance were conducted to test for differences between genders and age groups related to stroke risk factors and the immune response....
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Ross AM, Lee CS, Lutsep H Tags: J Cardiovasc Nurs Source Type: research

Multimedia Exercise Training Program Improves Distance Walked, Heart Rate Recovery, and Self-efficacy in Cardiac Surgery Patients.
Abstract BACKGROUND: Patient education has been shown to be more effective when delivered using multimedia than written materials. However, the effects of using multimedia to assist patients in cardiac rehabilitation have not been investigated. OBJECTIVE: The purpose of this study is to examine the effect of an inpatient multimedia exercise training program on distance walked in the 6-minute walking test (6MWT), heart rate recovery, and walking self-efficacy of patients who had undergone heart surgery. METHODS: For this longitudinal quasi-experimental study, 60 consecutive patients were assigned to an ex...
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Wang LW, Ou SH, Tsai CS, Chang YC, Kao CW Tags: J Cardiovasc Nurs Source Type: research

Health-Related Quality of Life, Functional Status, and Cardiac Event-Free Survival in Patients With Heart Failure.
Abstract BACKGROUND: Health-related quality of life (HRQOL), functional status, and cardiac event-free survival are outcomes used to assess the effectiveness of interventions in patients with heart failure (HF). However, the nature of the relationships among HRQOL, functional status, and cardiac event-free survival remains unclear. OBJECTIVE: The purpose of this study is to examine the nature of the relationships among HRQOL, functional status, and cardiac event-free survival in patients with HF. METHODS: This was a prospective, observational study of 313 patients with HF that was a secondary analysis fr...
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Wu JR, Lennie TA, Frazier SK, Moser DK Tags: J Cardiovasc Nurs Source Type: research

Facilitators and Barriers of Heart Surgery Discharge: Patients' and Nurses' Narrative Accounts.
CONCLUSIONS: Study recommendations include group and scenario-based education in which patients and nurses brainstorm about how to apply the discharge information to the particularities of patients' lives and homes. Provision of support needs to be bolstered during the home period, where patients have timely opportunities to discuss their concerns and questions with practitioners or possibly peers. PMID: 25774842 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Lapum JL, Fredericks S, Liu L, Yau TM, Retta B, Jones VM, Hume S Tags: J Cardiovasc Nurs Source Type: research

Low-Dose Alteplase Infusion for the Treatment of Mechanical Aortic Valve Thrombosis: A Spotlight on the Importance of Medication Adherence.
Abstract A rare, yet serious, complication of mechanical heart valves is symptomatic obstructive prosthetic valve thrombosis. The risk of valve thrombosis is magnified in patients who are nonadherent to prescribed anticoagulation. In this case report, we describe a 48-year-old male patient with a history of mechanical aortic valve replacement surgery, who stopped taking prescribed warfarin therapy 2 years before presentation and subsequently developed acute decompensated heart failure secondary to valvular dysfunction. Low-dose alteplase therapy was administered successfully with no bleeding complications and a co...
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Isherwood M, Serra M, Safirstein J, Shah N, Rosenthal M Tags: J Cardiovasc Nurs Source Type: research

The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated.
CONCLUSION: Prior research illustrates that all 3 self-care processes (ie, maintenance, symptom perception, and management) are integral to self-care. Further research is greatly needed to identify how best to help patients become experts in HF self-care. PMID: 25774844 [PubMed - as supplied by publisher] (Source: The Journal of Cardiovascular Nursing)
Source: The Journal of Cardiovascular Nursing - March 13, 2015 Category: Nursing Authors: Riegel B, Dickson VV, Faulkner KM Tags: J Cardiovasc Nurs Source Type: research