Journal of Vascular Nursing最新文献

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IF 1.2 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2025-01-01

引用次数: 0

IF 1.2 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2025-01-01

引用次数: 0

IF 1.2 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2025-01-01

引用次数: 0

IF 1.2 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2025-01-01

引用次数: 0

Early identification of vascular access site complications and frequent heart rate and blood pressure monitoring after cardiac catheterization: A scoping review 心导管置入术后血管通路并发症的早期识别和频繁的心率和血压监测：范围综述。

IF 1.1 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2024-12-01 DOI: 10.1016/j.jvn.2024.08.001

Janelle Beaudry Clark BSN, RN-BC , Kristiina Hyrkas PhD, RN

Background

Nurses perform frequent heart rate (HR) and blood pressure (BP) monitoring, a widespread and longstanding practice, after cardiac catheterization (CC) to identify vascular access site complications for femoral and radial arterial approach in adult patients.

Objective

The objective of this scoping review was to answer two questions: (1) how does the available evidence support frequent HR and BP monitoring after CC via femoral and radial approach in adult patients and (2) how does this practice prompt bedside nurses in identifying the procedure's major vascular access site complications, including bleeding, hematoma, and pseudoanurysm?

Method

Following the scoping review approach, literature search was conducted (PubMed, CINAHL, Google Scholar) by two co-authors and medical librarian. We reviewed, evaluated, and analyzed the evidence from twenty articles.

Results

The reviewed medical and nursing literature revealed findings challenging the present practice. Out of fifteen research studies, five found frequent HR and BP monitoring after CC to be uninformative while the remaining ten did not report frequent vital signs. Two research articles reported that vascular complications after CC were discovered by RNs directly assessing the access site or by the patients themselves, unrelated to HR and BP. Five non-research articles were included, which all recommended frequent HR and BP monitoring.

Conclusions

Frequent HR and BP assessment during the recovery period is not supported by empirical research despite being consistently recommended by nursing guidelines and expert opinion articles. Current evidence supports frequent vascular access site assessments and patient education.

背景：护士在心导管置入术（CC）后进行频繁的心率（HR）和血压（BP）监测，以确定成年患者股骨和桡动脉入路的血管通路部位并发症，这是一种广泛和长期的做法。目的：本综述的目的是回答两个问题：(1)现有证据如何支持成年患者经股骨和桡骨入路行CC后频繁监测心率和血压；(2)这种做法如何提示床边护士识别该手术的主要血管通路并发症，包括出血、血肿和假性动脉瘤？方法：采用范围综述的方法，由两位共同作者和医学图书管理员进行文献检索（PubMed， CINAHL，谷歌Scholar）。我们回顾、评估和分析了来自20篇文章的证据。结果：回顾了医学和护理文献，发现挑战目前的做法。在15项研究中，5项发现CC后频繁的HR和BP监测没有提供信息，而其余10项没有报告频繁的生命体征。两篇研究报道，CC后血管并发症是由RNs直接评估通路部位或患者自己发现的，与HR和BP无关。纳入5篇非研究文章，均建议频繁监测心率和血压。结论：尽管护理指南和专家意见文章一致建议在康复期间频繁进行HR和BP评估，但实证研究并不支持。目前的证据支持频繁的血管通路评估和患者教育。

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引用次数: 0

Patients with chronic limb-threatening ischemia: Experiences of their disease, treatment, and care in a cross-sectoral setting. A scoping review 慢性肢体缺血患者：在跨部门环境下的疾病、治疗和护理经验。范围审查。

IF 1.1 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2024-12-01 DOI: 10.1016/j.jvn.2024.08.002

Susanne Friis Soendergaard RN. Ph.D. Post.doc. , Ane Simony MD, PhD., Associate professor , Johanne Louise Christiansen PhD, Associate Professor , Henrik Sehested Laursen Cand.Scient.bibl , Marie Dahl RN. PhD. Associate Professor

Introduction

Patients facing chronic limb-threatening ischemia (CLTI) experience significant burdens, impacting their physical, emotional, and social well-being. They require extensive care from multidisciplinary healthcare professionals across primary and secondary settings. Managing CLTI necessitates strict patient adherence to treatment protocols to prevent severe complications. Surprisingly, previous studies have overlooked these patients' unique perspectives, highlighting the need to explore their experiences and challenges.

Objective

The objective of this review was to systematically identify, examine, and conceptually map extant literature on patients with CLTI in the context of living with the condition, and explore their experiences of receiving treatment and care within a cross-sectoral setting.

Methods

A systematic search was completed on 18 September 2023 with no methodological or format restrictions. We identified the population, concept, and context to pinpoint the delineate the focus of this review process. The JBI methodology for scoping reviews and the PRISMA-ScR checklist were followed.

Results

Based on our search, we found ten relevant scientific qualitative and/or quantitative sources and one non-scientific source. We identified four main maps: 1) Dependency on others is my new life condition, 2) I'm more than the sum of my conditions, 3) I'm lost in chaos, be alert to all of me, and 4) Give me more time, my body and mind are under attack.

Conclusion

This scoping review describes how patients’ lives are affected by CLTI and provides insights into their perception of shared decision-making, treatment, and care. The review reveals the need for a more person-centered approach to care. To nuance person-centred care further, it is necessary to consider the impact of patients’ cultural values and preferences. However, this area is marked by a notable research gap.

面临慢性肢体威胁缺血（CLTI）的患者会经历巨大的负担，影响他们的身体、情感和社会福祉。他们需要来自初级和二级机构的多学科卫生保健专业人员的广泛护理。管理CLTI需要患者严格遵守治疗方案，以防止严重的并发症。令人惊讶的是，以前的研究忽略了这些患者的独特观点，强调了探索他们的经历和挑战的必要性。目的：本综述的目的是系统地识别、检查和概念化绘制关于CLTI患者在生活条件下的现有文献，并探索他们在跨部门环境下接受治疗和护理的经历。方法：系统检索于2023年9月18日完成，无方法或格式限制。我们确定了人群、概念和背景，以精确描述该审查过程的重点。遵循JBI的范围审查方法和PRISMA-ScR检查表。结果：根据我们的搜索，我们找到了10个相关的科学定性和/或定量来源和1个非科学来源。我们确定了四个主要的地图：1)依赖他人是我的新生活状态，2)我不是所有状态的总和，3)我迷失在混乱中，警惕所有的我，4)给我更多的时间，我的身体和精神都在受到攻击。结论：本综述描述了CLTI如何影响患者的生活，并提供了他们对共同决策、治疗和护理的看法。审查表明，需要采取更加以人为本的护理方法。为了进一步细化以人为本的护理，有必要考虑患者的文化价值观和偏好的影响。然而，这一领域的研究存在显著的空白。

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引用次数: 0

Ambulatory care of patients with arteriopathies: Overview for vascular medicine advanced practice providers 动脉病变患者的门诊护理：血管医学高级实践提供者概述。

IF 1.1 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2024-12-01 DOI: 10.1016/j.jvn.2024.05.001

Alexandra Moran Baird DNP, AGACNP-BC , Aaron W. Aday MD, MSc , Esther S.H. Kim MD, MPH

Arteriopathies are a group of vascular disorders that encompass arterial dissection, aneurysm, and tortuosity that may or may not have an identifiable cause. Given the varied clinical presentations and underlying disorders of patients with arteriopathies, clinicians must develop a wide range of tools to care for these patients, including a focused history, physical examination, diagnostic imaging, medical and surgical therapies, genetic testing, and education. The vascular medicine clinic is one setting that can provide comprehensive care for this patient population, and vascular medicine advanced practice providers (APPs) are essential in this setting. In this article, we summarize a clinical framework for vascular medicine APPs caring for this patient population and provide clinical pearls for a variety of arteriopathies.

动脉病变是一组血管疾病，包括动脉夹层、动脉瘤和扭曲，可能有也可能没有明确的原因。鉴于动脉病变患者的不同临床表现和潜在疾病，临床医生必须开发广泛的工具来照顾这些患者，包括重点病史，体格检查，诊断成像，内科和外科治疗，基因检测和教育。血管医学诊所是一个可以为这类患者提供全面护理的场所，血管医学高级实践提供者（APPs）在这个场所是必不可少的。在本文中，我们总结了一个血管医学app的临床框架，并为各种动脉病变提供临床珍珠。

引用次数: 0

“It's put a routine and regimen in my life” – Participant experiences with a programme of community walking and home-based circuit training for intermittent claudication “这使我的生活成为一种常规和养生法”——参与者参加社区步行和家庭循环训练项目的经历，以治疗间歇性跛行。

IF 1.1 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2024-12-01 DOI: 10.1016/j.jvn.2024.09.003

Alexander Waddell , Francesca Denton , Richard Powell , David R. Broom , Stefan T. Birkett , Gordon McGregor , Amy E. Harwood

Introduction

The WALKSTRONG trial includes a programme of community walking and home-based circuit training which has been developed for people with intermittent claudication (IC). The aim of the present study was to determine the acceptability of the programme for those who took part, by gleaning their opinions and experiences.

Methods

All participants eligible for the WALKSTRONG trial were approached regarding completing a semi-structured interview, selected from three groups: A) programme completers, B) programme withdrawers and C) programme decliners. Interviewers were interested in participants’ views on the programme structure, willingness to participate, and the experiences of those who did take part. Interviews were audio recorded, transcribed verbatim and thematic analysis was undertaken.

Results

Five of the 14 participants in the intervention group and four of the 20 programme decliners agreed to an interview. The one who withdrew from the exercise programme did not consent to be interviewed. The three themes that emerged from the interviews were: 1) ‘overall positive experiences with the programme, 2) ‘importance of guidance and pain management’, and 3) ‘barriers are both similar to supervised exercise and unique to home-based programmes’. The programme was well received by programme completers, with some aspects preferred over others. Some participants reported improvements in both physical activity behaviour and IC symptoms, and would recommend the programme to others.

Conclusion

The home-based circuit programme received several recommendations for further improvement. Along with the feasibility findings, a fully powered, randomised controlled trial of this intervention is warranted.

Trial registration

NCT05059899.

WALKSTRONG试验包括为间歇性跛行（IC）患者开发的社区步行和家庭循环训练计划。本研究的目的是通过收集参与者的意见和经验，确定他们对该方案的接受程度。方法：所有符合WALKSTRONG试验条件的参与者进行了半结构化访谈，从三组中选择：a)计划完成者，B)计划退出者和C)计划退出者。面试官感兴趣的是参与者对课程结构、参与意愿以及参与者的经历的看法。采访录音，逐字抄录，并进行专题分析。结果：干预组的14名参与者中有5名和20名计划退步者中的4名同意接受采访。退出锻炼计划的那个人不同意接受采访。采访中出现的三个主题是：1)2)“总体积极体验”；“指导和疼痛管理的重要性”；3)“障碍既类似于有监督的锻炼，也独特于家庭项目。”方案完成者对该方案反响良好，其中有些方面比其他方面更受欢迎。一些参与者报告了身体活动行为和IC症状的改善，并将该方案推荐给其他人。结论：以家庭为基础的电路方案得到了进一步改进的建议。随着可行性研究结果，有必要对该干预措施进行完全有力的随机对照试验。试验注册：NCT05059899。

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Information for authors 作者信息

IF 1.1 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2024-12-01 DOI: 10.1016/S1062-0303(24)00077-3

引用次数: 0

Information for readers 读者资讯

IF 1.1 Q3 NURSING

Journal of Vascular Nursing

Pub Date : 2024-12-01 DOI: 10.1016/S1062-0303(24)00078-5

引用次数: 0

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