This study examined whether health literacy of patients hospitalized with acute stroke is associated with physical activity and sedentary behavior three months after discharge.
Methods
A prospective cohort study of 61 patients was conducted. Health literacy was assessed using the HLS-EU-Q16 questionnaire, and physical activity and sedentary behavior were measured three months post-discharge using a triaxial accelerometer. Multiple linear regression analyses examined associations between health literacy and step count, sedentary behavior, light-intensity physical activity, and moderate-to-vigorous physical activity, adjusting for age, sex, stroke severity, walking speed, and modified Rankin Scale score.
Results
Health literacy was significantly associated with post-discharge step count (B = 93.07, p = 0.025) but not with sedentary behavior, light-intensity physical activity, or moderate-to-vigorous physical activity.
Conclusions/Implications
Health literacy at the acute stroke phase was associated with post-discharge step count. These findings emphasize the need for multidisciplinary collaboration, including nurses, to enhance health literacy from the acute care stage.
目的探讨急性脑卒中住院患者健康素养与出院后3个月的身体活动和久坐行为是否相关。方法对61例患者进行前瞻性队列研究。使用HLS-EU-Q16问卷评估健康素养，使用三轴加速度计测量出院后三个月的身体活动和久坐行为。多元线性回归分析检验了健康素养与步数、久坐行为、轻强度体力活动和中高强度体力活动之间的关系，并对年龄、性别、中风严重程度、步行速度和修正兰金量表评分进行了调整。结果健康素养与出院后步数显著相关（B = 93.07, p = 0.025），而与久坐行为、低强度体力活动或中高强度体力活动无关。结论/意义急性脑卒中期健康素养与出院后步数相关。这些发现强调需要多学科合作，包括护士，以提高从急性护理阶段的卫生素养。
{"title":"Association between health literacy at discharge and post-discharge step count in stroke survivors: A prospective cohort study","authors":"Ryota Ashizawa , Keisuke Ikeda , Hiroya Honda , Yuto Kameyama , Yoshinobu Yoshimoto","doi":"10.1016/j.jvn.2026.01.004","DOIUrl":"10.1016/j.jvn.2026.01.004","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined whether health literacy of patients hospitalized with acute stroke is associated with physical activity and sedentary behavior three months after discharge.</div></div><div><h3>Methods</h3><div>A prospective cohort study of 61 patients was conducted. Health literacy was assessed using the HLS-EU-Q16 questionnaire, and physical activity and sedentary behavior were measured three months post-discharge using a triaxial accelerometer. Multiple linear regression analyses examined associations between health literacy and step count, sedentary behavior, light-intensity physical activity, and moderate-to-vigorous physical activity, adjusting for age, sex, stroke severity, walking speed, and modified Rankin Scale score.</div></div><div><h3>Results</h3><div>Health literacy was significantly associated with post-discharge step count (<em>B</em> = 93.07, <em>p</em> = 0.025) but not with sedentary behavior, light-intensity physical activity, or moderate-to-vigorous physical activity.</div></div><div><h3>Conclusions/Implications</h3><div>Health literacy at the acute stroke phase was associated with post-discharge step count. These findings emphasize the need for multidisciplinary collaboration, including nurses, to enhance health literacy from the acute care stage.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 84-89"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420144","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}
To investigate the perceived sexual function of patients with abdominal aortic aneurysm before elective endovascular treatment, and to compare it with the perceived sexual function one year after treatment.
Design and Methods
Descriptive quantitative study. Data were collected as part of a sub-study within a prospective open-label single-centre randomized clinical trial, using the Male Sexual Function-4 questionnaire and three additional items specific to contextual aspects. For female participants, two of the items in the Male Sexual Function-4 questionnaire specifically related to male sexual anatomy and physiology were replaced by two items specifically related to female sexual anatomy and physiology. Descriptive statistics and Friedmans test were used, results were reported according to the CONSORT guidelines.
Results
Of the enrolled male patients, 88% did not receive any information from their caregiver at baseline regarding the potential risk of experiencing procedure-related changes in their sexual function and desired more information from their caregiver. On average, male patients reported a significant decrease in both their sexual interest and in achieving ejaculation during sexual activities (p = .036) while simultaneously reporting significant improvement in global sexual health 12 months postoperatively compared with baseline (p = .003). After surgery, the proportion of female patients reporting an interest in sex was low (12.5%), and a low proportion (12.5%) of female patients also reported a preserved ability to achieve orgasm compared to baseline (37.5%).
Conclusions
The results indicated a procedure-related impact on sexual health and function among patients undergoing elective endovascular aortic repair for abdominal aortic aneurysm, a risk most patients reported not being informed of. The results suggest a lack of patient education that should be addressed, and a need for better clinician communication to ensure informed consent.
{"title":"Sexual function following elective endovascular surgery for abdominal aortic aneurysm","authors":"Johan Nilsson MSN, CCRN, PHRN , Joakim Nordanstig MD, PhD (Professor) , Per Skoog MD, PhD (Associate Professor) , Mona Ringdal PhD, CCRN (Professor Emeritus) , Monica E Pettersson PhD, RN, RNT (Associate Professor)","doi":"10.1016/j.jvn.2025.12.001","DOIUrl":"10.1016/j.jvn.2025.12.001","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the perceived sexual function of patients with abdominal aortic aneurysm before elective endovascular treatment, and to compare it with the perceived sexual function one year after treatment.</div></div><div><h3>Design and Methods</h3><div>Descriptive quantitative study. Data were collected as part of a sub-study within a prospective open-label single-centre randomized clinical trial, using the Male Sexual Function-4 questionnaire and three additional items specific to contextual aspects. For female participants, two of the items in the Male Sexual Function-4 questionnaire specifically related to male sexual anatomy and physiology were replaced by two items specifically related to female sexual anatomy and physiology. Descriptive statistics and Friedmans test were used, results were reported according to the CONSORT guidelines.</div></div><div><h3>Results</h3><div>Of the enrolled male patients, 88% did not receive any information from their caregiver at baseline regarding the potential risk of experiencing procedure-related changes in their sexual function and desired more information from their caregiver. On average, male patients reported a significant decrease in both their sexual interest and in achieving ejaculation during sexual activities (<em>p</em> = .036) while simultaneously reporting significant improvement in global sexual health 12 months postoperatively compared with baseline (<em>p</em> = .003). After surgery, the proportion of female patients reporting an interest in sex was low (12.5%), and a low proportion (12.5%) of female patients also reported a preserved ability to achieve orgasm compared to baseline (37.5%).</div></div><div><h3>Conclusions</h3><div>The results indicated a procedure-related impact on sexual health and function among patients undergoing elective endovascular aortic repair for abdominal aortic aneurysm, a risk most patients reported not being informed of. The results suggest a lack of patient education that should be addressed, and a need for better clinician communication to ensure informed consent.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 43-48"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420149","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}
Pub Date : 2026-03-01Epub Date: 2025-11-25DOI: 10.1016/j.jvn.2025.11.001
Ali Bahari , Neda Gilani , Elyar Sadeghi-Hokmabadi , Arezoo Fathalizadeh , Mehdi Farhoudi M.D.
Background and objectives
Cigarette smoking is a significant risk factor for stroke. However, there is no consistent association between baseline smoking and post-stroke mortality. The aim of this investigation was to identify the effect of cigarette smoking on short-term outcomes of stroke survivors registered in the Tabriz Stroke Registry.
Material and methods
A prospective cohort study was performed on patients with stroke registered at the Tabriz Stroke Registry (TSR) over seven years, from 2014 to 2021. Two groups were compared: current cigarette smokers (≥1 cigarette/day) and non-smokers. The World Health Organization (WHO) criteria were used to define stroke. Data were collected on demographic information, clinical features, imaging and lab findings, exposure to risk factors, indicators of stroke severity, drug history, complication, and medications. In-hospital mortality was the primary outcome of the current study. Patients were categorized based on their smoking status.
Results
The mortality rate in cigarette smokers was 29.1 %, while it was only 10.1 % in non-smokers. Patients who were current smokers had an increased risk of post-stroke mortality in comparison to non-smokers (Hazard Ratio = 4.3, 95% CI = 3.6, 5.2) (P-value < 0.001). Hazard of post-stroke mortality in light smoker was 1.6 (95 % CI = 0.9, 2.8, P-value = 0.087) times higher than non-smokers, while it increased to 4.5 (95% CI = 3.6, 5.6, P-value < 0.001) and 21.6 (95 % CI = 15.9, 29.5, P-value < 0.001) in heavy (11–20 cigarettes smoke per day) and very smokers (>20 cigarette per day), respectively.
Conclusion
In this study, current cigarette smoking was found to be an independent risk factor for post-stroke mortality with a dose dependent pattern. By quantifying the dose‑related mortality risk among post‑stroke smokers, this study reinforces the importance of integrating targeted risk assessment, patient‑specific education, and structured smoking cessation interventions within vascular nursing practice to improve survival outcomes in this high‑risk population.
背景与目的吸烟是中风的重要危险因素。然而，在基线吸烟和中风后死亡率之间没有一致的联系。本研究的目的是确定吸烟对大不里士卒中登记处登记的中风幸存者短期预后的影响。材料和方法对2014年至2021年期间在大不里士卒中登记处（TSR）登记的中风患者进行了一项前瞻性队列研究。比较两组：当前吸烟者（≥1支/天）和不吸烟者。世界卫生组织（WHO）的标准被用来定义中风。收集的数据包括人口统计信息、临床特征、影像学和实验室结果、暴露于危险因素、中风严重程度指标、用药史、并发症和药物。住院死亡率是本研究的主要结果。根据患者的吸烟状况对其进行分类。结果吸烟者死亡率为29.1%，而非吸烟者死亡率仅为10.1%。与不吸烟者相比，目前吸烟的患者卒中后死亡风险增加（危险比= 4.3,95% CI = 3.6, 5.2） （p值<； 0.001）。轻度吸烟者中风后死亡风险是不吸烟者的1.6倍（95% CI = 0.9, 2.8， p值= 0.087），重度吸烟者（11-20支/天）和重度吸烟者（20支/天）中风后死亡风险分别增加到4.5倍（95% CI = 3.6, 5.6， p值<； 0.001）和21.6倍（95% CI = 15.9, 29.5， p值<； 0.001）。结论当前吸烟是脑卒中后死亡的独立危险因素，且具有剂量依赖性。通过量化卒中后吸烟者的剂量相关死亡风险，本研究强调了在血管护理实践中整合有针对性的风险评估、患者特异性教育和结构化戒烟干预的重要性，以改善高危人群的生存结果。
{"title":"Dose-dependent neurotoxic impact of cigarette smoking on post-stroke survival","authors":"Ali Bahari , Neda Gilani , Elyar Sadeghi-Hokmabadi , Arezoo Fathalizadeh , Mehdi Farhoudi M.D.","doi":"10.1016/j.jvn.2025.11.001","DOIUrl":"10.1016/j.jvn.2025.11.001","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Cigarette smoking is a significant risk factor for stroke. However, there is no consistent association between baseline smoking and post-stroke mortality. The aim of this investigation was to identify the effect of cigarette smoking on short-term outcomes of stroke survivors registered in the Tabriz Stroke Registry.</div></div><div><h3>Material and methods</h3><div>A prospective cohort study was performed on patients with stroke registered at the Tabriz Stroke Registry (TSR) over seven years, from 2014 to 2021. Two groups were compared: current cigarette smokers (≥1 cigarette/day) and non-smokers. The World Health Organization (WHO) criteria were used to define stroke. Data were collected on demographic information, clinical features, imaging and lab findings, exposure to risk factors, indicators of stroke severity, drug history, complication, and medications. In-hospital mortality was the primary outcome of the current study. Patients were categorized based on their smoking status.</div></div><div><h3>Results</h3><div>The mortality rate in cigarette smokers was 29.1 %, while it was only 10.1 % in non-smokers. Patients who were current smokers had an increased risk of post-stroke mortality in comparison to non-smokers (Hazard Ratio = 4.3, 95% CI = 3.6, 5.2) (<em>P</em>-value < 0.001). Hazard of post-stroke mortality in light smoker was 1.6 (95 % CI = 0.9, 2.8, <em>P</em>-value = 0.087) times higher than non-smokers, while it increased to 4.5 (95% CI = 3.6, 5.6, <em>P</em>-value < 0.001) and 21.6 (95 % CI = 15.9, 29.5, <em>P</em>-value < 0.001) in heavy (11–20 cigarettes smoke per day) and very smokers (>20 cigarette per day), respectively.</div></div><div><h3>Conclusion</h3><div>In this study, current cigarette smoking was found to be an independent risk factor for post-stroke mortality with a dose dependent pattern. By quantifying the dose‑related mortality risk among post‑stroke smokers, this study reinforces the importance of integrating targeted risk assessment, patient‑specific education, and structured smoking cessation interventions within vascular nursing practice to improve survival outcomes in this high‑risk population.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 38-42"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420150","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}
Femoropopliteal bypass surgery is a standard treatment for peripheral arterial disease, designed to restore blood flow and prevent limb loss. Despite its clinical benefits, the procedure is associated with postoperative complications that may compromise short-term outcomes. Nursing care is critical for detecting and managing complications; however, research specifically addressing nursing interventions in this context remains limited.
Aim
To evaluate the short-term (30-day) outcomes and nursing interventions in patients who underwent femoropopliteal bypass surgery over a five-year period.
Methods
This retrospective study included patients who underwent femoropopliteal bypass surgery at a university hospital in Turkey between March 14, 2018, and March 14, 2023. Data were collected from medical records regarding primary patency, amputation-free survival, postoperative complications, length of hospital stay, emergency reoperation, unplanned 30-day readmission, and nursing interventions documented during the postoperative period.
Results
Primary patency was achieved in 80.9% of patients, and amputation-free survival in 95.6%. The most frequent complications were emergency reoperation (27.9%), surgical site infection (14.7%), occlusion (10.3%), and need for blood transfusion (10.3%). Patients without primary patency had significantly longer intensive care unit stays compared with those with primary patency (OR 0.38; 95% CI 0.21–0.67; p = 0.001).
Conclusions
Short-term outcomes following femoropopliteal bypass were adversely affected by complications such as occlusion, graft thrombosis, and emergency reoperation. Prolonged hospital and intensive care unit stays were also associated with these complications. While routine nursing assessments and interventions were consistently implemented, patient education on smoking cessation, home exercise programs, and dietary modification was less frequently provided. Strengthening nursing-led education in these areas may enhance postoperative recovery and long-term outcomes.
股腘动脉搭桥手术是外周动脉疾病的标准治疗方法，旨在恢复血液流动和防止肢体丧失。尽管其临床益处，但该手术与术后并发症相关，可能影响短期结果。护理对于发现和处理并发症至关重要；然而，在这方面专门针对护理干预的研究仍然有限。目的评价5年内行股腘动脉搭桥手术患者的短期（30天）预后及护理干预措施。方法本回顾性研究包括2018年3月14日至2023年3月14日在土耳其一家大学医院接受股腘动脉搭桥手术的患者。从医疗记录中收集数据，包括原发性通畅、无截肢生存、术后并发症、住院时间、紧急再手术、计划外30天再入院以及术后记录的护理干预措施。结果80.9%的患者获得原发性通畅，95.6%的患者无截肢生存率。最常见的并发症是急诊再手术（27.9%）、手术部位感染（14.7%）、闭塞（10.3%）和需要输血（10.3%）。与原发性通畅患者相比，无原发性通畅患者的重症监护时间明显更长（OR 0.38; 95% CI 0.21-0.67; p = 0.001）。结论股腘动脉搭桥术后的短期预后受到阻塞、移植物血栓形成和紧急再手术等并发症的不利影响。延长住院和重症监护病房的时间也与这些并发症有关。虽然常规护理评估和干预措施一直得到实施，但对患者进行戒烟、家庭锻炼计划和饮食调整的教育却很少。在这些领域加强护理主导的教育可以提高术后恢复和长期效果。
{"title":"Short-term outcomes and nursing interventions in patients undergoing femoropopliteal bypass: A five-year retrospective study","authors":"Sevcan Avcı Işık PhD, RN , Elif Budak Ertürk PhD, RN , Hakkı Tankut Akay MD , Aysel Abbasoğlu MSN, RN , Ecem Tuğba Yamaç MD , Elshad Mansımzada MD","doi":"10.1016/j.jvn.2025.10.002","DOIUrl":"10.1016/j.jvn.2025.10.002","url":null,"abstract":"<div><h3>Background</h3><div>Femoropopliteal bypass surgery is a standard treatment for peripheral arterial disease, designed to restore blood flow and prevent limb loss. Despite its clinical benefits, the procedure is associated with postoperative complications that may compromise short-term outcomes. Nursing care is critical for detecting and managing complications; however, research specifically addressing nursing interventions in this context remains limited.</div></div><div><h3>Aim</h3><div>To evaluate the short-term (30-day) outcomes and nursing interventions in patients who underwent femoropopliteal bypass surgery over a five-year period.</div></div><div><h3>Methods</h3><div>This retrospective study included patients who underwent femoropopliteal bypass surgery at a university hospital in Turkey between March 14, 2018, and March 14, 2023. Data were collected from medical records regarding primary patency, amputation-free survival, postoperative complications, length of hospital stay, emergency reoperation, unplanned 30-day readmission, and nursing interventions documented during the postoperative period.</div></div><div><h3>Results</h3><div>Primary patency was achieved in 80.9% of patients, and amputation-free survival in 95.6%. The most frequent complications were emergency reoperation (27.9%), surgical site infection (14.7%), occlusion (10.3%), and need for blood transfusion (10.3%). Patients without primary patency had significantly longer intensive care unit stays compared with those with primary patency (OR 0.38; 95% CI 0.21–0.67; p = 0.001).</div></div><div><h3>Conclusions</h3><div>Short-term outcomes following femoropopliteal bypass were adversely affected by complications such as occlusion, graft thrombosis, and emergency reoperation. Prolonged hospital and intensive care unit stays were also associated with these complications. While routine nursing assessments and interventions were consistently implemented, patient education on smoking cessation, home exercise programs, and dietary modification was less frequently provided. Strengthening nursing-led education in these areas may enhance postoperative recovery and long-term outcomes.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 22-29"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420599","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}
Pub Date : 2026-03-01Epub Date: 2026-03-10DOI: 10.1016/S1062-0303(26)00012-9
{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(26)00012-9","DOIUrl":"10.1016/S1062-0303(26)00012-9","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Page A3"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420151","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}
Pub Date : 2026-03-01Epub Date: 2026-01-28DOI: 10.1016/j.jvn.2026.01.001
Gabriell N. Grayson DNP, APRN, ACNP-BC, CV-BC
Nutcracker Syndrome (NCS), the symptomatic manifestation of left renal vein (LRV) compression—commonly between the abdominal aorta and the superior mesenteric artery (SMA)—presents with a range of nonspecific symptoms including hematuria and flank or abdominal pain. Due to the vague clinical presentation, diagnosis is often delayed.
Clinicians, particularly vascular nurses and advanced practice providers (APPs) should include NCS in the differential when evaluating unexplained hematuria and atypical abdominal or flank pain. Enhancing familiarity with diagnostic criteria for vascular nurses and vascular APPs can improve the quality of care for the patient and decrease time to diagnosis.
{"title":"Diagnosis and management of nutcracker syndrome: Nursing considerations and a review of current practice","authors":"Gabriell N. Grayson DNP, APRN, ACNP-BC, CV-BC","doi":"10.1016/j.jvn.2026.01.001","DOIUrl":"10.1016/j.jvn.2026.01.001","url":null,"abstract":"<div><div>Nutcracker Syndrome (NCS), the symptomatic manifestation of left renal vein (LRV) compression—commonly between the abdominal aorta and the superior mesenteric artery (SMA)—presents with a range of nonspecific symptoms including hematuria and flank or abdominal pain. Due to the vague clinical presentation, diagnosis is often delayed.</div><div>Clinicians, particularly vascular nurses and advanced practice providers (APPs) should include NCS in the differential when evaluating unexplained hematuria and atypical abdominal or flank pain. Enhancing familiarity with diagnostic criteria for vascular nurses and vascular APPs can improve the quality of care for the patient and decrease time to diagnosis.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 68-71"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420148","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}
Pub Date : 2026-03-01Epub Date: 2026-02-12DOI: 10.1016/j.jvn.2026.01.005
Carolina Machado de Melo Felix , Gabriela Lima de Melo Ghisi , Lilian Pinto da Silva , Bárbara de Cássia Dias Fagundes , Camila Kümmel Duarte , Marcella Guimarães Assis , Danielle Aparecida Gomes Pereira
This cross-sectional study conducted an online survey with healthcare providers and students and focus groups with patients with peripheral arterial disease (PAD) to identify the information needs on PAD from the perspective of the three groups. Descriptive statistics were applied to closed-ended items in the survey, and open-ended responses were coded for analysis. Triangulation was conducted by comparing quantitative rankings with qualitative themes across the three participant groups to identify highlighting areas of agreement as well as distinct concerns patient education. Providers and students identified the following key topics as important for the understanding of patients: symptoms (84% of each group), complications (84% and 86%), risk factors (82% and 86%), treatments (78% and 83%), characteristics (72% and 77%), and definition of the disease (55% and 67%). Four themes emerged from the focus groups: understanding the disease, consequences and daily life impacts, treatment knowledge/uncertainty, and empowerment. These results may improve the strategies to address the information needs of patients with PAD, and future research should focus on the topics found.
{"title":"Information needs about peripheral arterial disease: Perspectives from healthcare providers, health students, and patients","authors":"Carolina Machado de Melo Felix , Gabriela Lima de Melo Ghisi , Lilian Pinto da Silva , Bárbara de Cássia Dias Fagundes , Camila Kümmel Duarte , Marcella Guimarães Assis , Danielle Aparecida Gomes Pereira","doi":"10.1016/j.jvn.2026.01.005","DOIUrl":"10.1016/j.jvn.2026.01.005","url":null,"abstract":"<div><div>This cross-sectional study conducted an online survey with healthcare providers and students and focus groups with patients with peripheral arterial disease (PAD) to identify the information needs on PAD from the perspective of the three groups. Descriptive statistics were applied to closed-ended items in the survey, and open-ended responses were coded for analysis. Triangulation was conducted by comparing quantitative rankings with qualitative themes across the three participant groups to identify highlighting areas of agreement as well as distinct concerns patient education. Providers and students identified the following key topics as important for the understanding of patients: symptoms (84% of each group), complications (84% and 86%), risk factors (82% and 86%), treatments (78% and 83%), characteristics (72% and 77%), and definition of the disease (55% and 67%). Four themes emerged from the focus groups: <strong>understanding the disease, consequences and daily life impacts, treatment knowledge/uncertainty, and empowerment</strong>. These results may improve the strategies to address the information needs of patients with PAD, and future research should focus on the topics found.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 90-94"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420145","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}
With the rapid development of peripheral endovascular interventions, nursing plays a pivotal role throughout the treatment process. However, the structural composition, hotspots, and evolutionary trends of nursing research in this field have not yet been systematically summarized.
Methods
Relevant nursing literature on peripheral endovascular diseases was retrieved from the Web of Science (WOS) Core Collection. A bibliometric analysis was conducted, using Citespace software, covering keyword co-occurrence, clustering, and burst detection to identify major research themes and emerging frontier.
Results
The research shows two main trends: (1) Core topics focus on ischemic stroke, abdominal aortic aneurysm, carotid endarterectomy, patient safety, and long-term follow-up.; (2) The literature highlights the critical roles of pre-procedural risk assessment, intra-procedural management, workflow optimization, standardized nursing interventions, and information-based follow-up in improving patient outcomes. Since 2019, “acute ischemic stroke” has become the most prominent emerging hotspot. The United States leads in research output (51.5%), with the Journal of Vascular Surgery being the most referenced source.
Conclusion
Nursing research in peripheral endovascular interventions is shifting from traditional postoperative management to comprehensive perioperative, technology-enhanced, and outcome-oriented models. Future studies should strengthen nurses’ roles in vascular access management, patient experience support, and digital health applications.
背景随着外周血管内介入治疗的迅速发展，护理在整个治疗过程中起着举足轻重的作用。然而，该领域护理研究的结构构成、热点和发展趋势尚未得到系统总结。方法从Web of Science （WOS）核心馆藏中检索外周血管内疾病的相关护理文献。利用Citespace软件进行文献计量分析，包括关键词共现、聚类和突发检测，以确定主要研究主题和新兴前沿。结果研究呈现出两个主要趋势：(1)核心主题集中于缺血性卒中、腹主动脉瘤、颈动脉内膜切除术、患者安全性和长期随访；(2)文献强调了术前风险评估、术中管理、工作流程优化、规范化护理干预和信息化随访对改善患者预后的关键作用。2019年以来，“急性缺血性脑卒中”成为最突出的新兴热点。美国在研究产出方面领先（51.5%），其中《血管外科杂志》（Journal of Vascular Surgery）是被引用最多的来源。结论外周血管内干预的护理研究正从传统的术后管理模式向围手术期综合、技术强化、结果导向模式转变。未来的研究应加强护士在血管通路管理、患者体验支持和数字健康应用方面的作用。
{"title":"Knowledge mapping of nursing research structures in peripheral endovascular interventions: A bibliometric analysis and scientific mapping","authors":"Huali Zhang, Dongyuan Chen, Minshu Zhou, Chenqiao Hua, Xin Xu","doi":"10.1016/j.jvn.2026.01.003","DOIUrl":"10.1016/j.jvn.2026.01.003","url":null,"abstract":"<div><h3>Background</h3><div>With the rapid development of peripheral endovascular interventions, nursing plays a pivotal role throughout the treatment process. However, the structural composition, hotspots, and evolutionary trends of nursing research in this field have not yet been systematically summarized.</div></div><div><h3>Methods</h3><div>Relevant nursing literature on peripheral endovascular diseases was retrieved from the Web of Science (WOS) Core Collection. A bibliometric analysis was conducted, using Citespace software, covering keyword co-occurrence, clustering, and burst detection to identify major research themes and emerging frontier.</div></div><div><h3>Results</h3><div>The research shows two main trends: (1) Core topics focus on ischemic stroke, abdominal aortic aneurysm, carotid endarterectomy, patient safety, and long-term follow-up.; (2) The literature highlights the critical roles of pre-procedural risk assessment, intra-procedural management, workflow optimization, standardized nursing interventions, and information-based follow-up in improving patient outcomes. Since 2019, “acute ischemic stroke” has become the most prominent emerging hotspot. The United States leads in research output (51.5%), with the <em>Journal of Vascular Surgery</em> being the most referenced source.</div></div><div><h3>Conclusion</h3><div>Nursing research in peripheral endovascular interventions is shifting from traditional postoperative management to comprehensive perioperative, technology-enhanced, and outcome-oriented models. Future studies should strengthen nurses’ roles in vascular access management, patient experience support, and digital health applications.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 78-83"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420142","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}
Pub Date : 2026-03-01Epub Date: 2026-01-20DOI: 10.1016/j.jvn.2025.12.005
Alba Vall-Vargas , M Angeles de Juan-Pardo , Mireia Constans , Marina Sala Ribas , Nuria Tora , Anna Arnau , Albert Altes
Objective
To determine the association of level of activation for self-management with the degree of anticoagulation control in a group of chronically anticoagulated patients.
Methods
Cross-sectional study of patients treated with oral antivitamin-k drugs attended at a specialized outpatient anticoagulation unit between November 2021 and June 2022. International normalized ratio (INR) values over the past 6 months were recorded. The degree of INR control was defined as the time the patient had remained within the therapeutic range (TTR) and was determined by the Rosendaal method. A TTR value >60% was taken as representing adequate control. Simple and multiple logistic regression models were conducted, with degree of INR control as dependent variable.
Results
One hundred and thirty-seven patients were included. The mean age was 59.6 years (SD 13.8; range 22 - 86) and 60.6% were males. A total of 67.9% of patients (95%CI: 60.0 to 75.8) had adequate INR control. Factors independently associated with adequate INR control were high levels of activation according to the PAM-13 scale (OR: 1.05; 95%CI: 1.02–1.09) and self-management monitoring mode (OR: 7.12; 95%CI: 2.10–24.06).
Conclusion
The level of activation and the control mode were associated with a better degree of INR control. Knowing the factors associated with the degree of control allows us to identify the subgroups of chronic anticoagulated patients who require more individualized educational interventions. Self-management monitoring programs and patient activation appear to be useful tools in improving the INR control of anticoagulated patients.
{"title":"Association of level of activation for self-management with the degree of anticoagulation control in patients undergoing oral anticoagulant treatment","authors":"Alba Vall-Vargas , M Angeles de Juan-Pardo , Mireia Constans , Marina Sala Ribas , Nuria Tora , Anna Arnau , Albert Altes","doi":"10.1016/j.jvn.2025.12.005","DOIUrl":"10.1016/j.jvn.2025.12.005","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the association of level of activation for self-management with the degree of anticoagulation control in a group of chronically anticoagulated patients.</div></div><div><h3>Methods</h3><div>Cross-sectional study of patients treated with oral antivitamin-k drugs attended at a specialized outpatient anticoagulation unit between November 2021 and June 2022. International normalized ratio (INR) values over the past 6 months were recorded. The degree of INR control was defined as the time the patient had remained within the therapeutic range (TTR) and was determined by the Rosendaal method. A TTR value >60% was taken as representing adequate control. Simple and multiple logistic regression models were conducted, with degree of INR control as dependent variable.</div></div><div><h3>Results</h3><div>One hundred and thirty-seven patients were included. The mean age was 59.6 years (SD 13.8; range 22 - 86) and 60.6% were males. A total of 67.9% of patients (95%CI: 60.0 to 75.8) had adequate INR control. Factors independently associated with adequate INR control were high levels of activation according to the PAM-13 scale (OR: 1.05; 95%CI: 1.02–1.09) and self-management monitoring mode (OR: 7.12; 95%CI: 2.10–24.06).</div></div><div><h3>Conclusion</h3><div>The level of activation and the control mode were associated with a better degree of INR control. Knowing the factors associated with the degree of control allows us to identify the subgroups of chronic anticoagulated patients who require more individualized educational interventions. Self-management monitoring programs and patient activation appear to be useful tools in improving the INR control of anticoagulated patients.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"44 1","pages":"Pages 58-67"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147420147","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}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号