Journal of Vascular Nursing最新文献

{"title":"Characterizing patients and family decision-maker’s expectations of participation in decision-making on thromboprophylaxis: A latent profile analysis","authors":"Fangchenglin Xu ,&nbsp;Yongqin Yu ,&nbsp;Yajie Deng ,&nbsp;Yuling Ma ,&nbsp;Yingxue Mei","doi":"10.1016/j.jvn.2025.07.006","DOIUrl":"10.1016/j.jvn.2025.07.006","url":null,"abstract":"<div><h3>Background</h3><div>Shared decision-making (SDM) is a healthcare delivery model that advocates for patient-centered care in clinical practice. Examining patients and family decision-makers’ preferences on thromboprophylaxis is critical to achieving this goal.</div></div><div><h3>Objective</h3><div>This study aims to outline the expectations of family decision-makers regarding participation in decision-making on thromboprophylaxis.</div></div><div><h3>Methods</h3><div>This descriptive study examined a cross-section of a sample in the Ningxia Hui Autonomous Region People’s Hospital, a tertiary hospital in Yinchuan, China, from December 2023 to March 2024. All individuals aged ≥18 years who had undergone orthopedic surgery (total hip arthroplasty, total knee arthroplasty, or hip fracture surgery) and were at high risk for venous thromboembolism (VTE) were included in the study. They were invited to complete the four questionnaires, including the Socio-demographic List, the Control Preferences Scale (CPS, to assess patients’ role in medical decision-making), the Expectation of Participation in Medical Decision-Making Scale (to evaluate patients’ expectations for participation), and the Preparation for Decision-Making Scale (PrepDM, to assess patients’ readiness).</div></div><div><h3>Results</h3><div>The three profiles were designated as “High Expectation - Active Decision-Making Participation Group”(67.7%), “Medium Expectation - Neutral Decision-Making Participation Group”(26.4%), and “Low Expectation - Indifferent Decision-Making Participation Group”(5.9%). Latent influencing factors include the decision-makers employment status, kinship relationship, and level of preparedness for decision-making. In terms of employment status, the probability of employees (OR = 0.236, 95%CI = 0.062 - 0.898, p = .037) or self-employed individuals (OR = 0.213, 95%CI = 0.057 - 0.796, p = .023) belonging to the high-expectation group is the highest. Meanwhile, in relationships, the probability of spouses (OR = 0.031, 95%CI = 0.002 - 0.508, p = .012) or first-degree relatives (OR = 0.071, 95%CI = 0.008 - 0.673, p = .016) belonging to the high-expectation group is the highest. In PrepDM, the higher the total score of decision-makers, the greater the probability of belonging to the low-expectation group (OR = 1.070, 95%CI = 1.006 - 1.138, p = .031).</div></div><div><h3>Conclusion</h3><div>This study demonstrated heterogeneity in family decision-maker's expectations of participation in decision-making on thromboprophylaxis.</div></div><div><h3>Practice implications</h3><div>Stakeholders may use meaningful information to focus efforts on optimizing decisions and to develop customized bundles guided by category profiles.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 173-180"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712378","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}

{"title":"A Prospective comparative study on analyzing the potency of mono antiplatelet therapy versus dual antiplatelet therapy in optimizing the recurrence of secondary vascular events","authors":"Chinmai Anugula PharmD ,&nbsp;Suhana Begum Shaik PharmD ,&nbsp;Rajavardhana Thamineni PharmD, Ph.D ,&nbsp;Sasidhar Reddy Gangarapu PharmD ,&nbsp;Shireesha Palle PharmD","doi":"10.1016/j.jvn.2025.07.008","DOIUrl":"10.1016/j.jvn.2025.07.008","url":null,"abstract":"<div><h3>Purpose</h3><div>According to Global Burden of Diseases [GBD], India bares the highest burden of stroke. About 25 % of people who recover from their first stroke will have recurrence within five years. The use of antiplatelet therapy has been proven to be the best strategy available and several large studies support its use. However, the type of antiplatelet therapy used in the treatment and prevention of vascular diseases remains controversial. The present study aimed to assess the efficacy of mono and dual antiplatelet therapies in the secondary prevention of both cerebrovascular and cardiovascular events. Additionally, the study sought to provide insights into adverse drug reactions (ADRs), complications associated with antiplatelet medications, and the importance of medication adherence to enhance the quality of life in patients with these vascular events.</div></div><div><h3>Methods</h3><div>A prospective comparative study was conducted at Government General Hospital, Ananthapuramu, Andhra Pradesh, India. A total of 144 patients were recruited into the study.</div></div><div><h3>Findings</h3><div>In our study, 40 out of 105 DAPT patients were found to have recurrence of both cerebrovascular and cardiovascular events while 16 out of the 39 MAPT patients were found to have a similar recurrence. There was no statistically significant difference (<em>p</em> &gt; 0.005) between DAPT and MAPT in secondary prevention of vascular events. Patient education and counseling helped in improving patient medication adherence from 17.3 % at baseline visit to 56.2 % during their second visit, which was measured by using medication adherence rating scale (MARS-10).</div></div><div><h3>Implications</h3><div>The findings of this study indicate that there was no statistically significant difference between DAPT and MAPT in secondary prevention of vascular events and both were considered to be equally effective in controlling incidence of recurrence of vascular events. Further research is needed to assess the long-term efficacy and safety of MAPT versus DAPT in various subgroups of patients with different vascular event profiles.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 181-185"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712382","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}

{"title":"Comparison of peripheral tissue perfusion and calf pump function in women with mild/moderate and severe chronic venous disease symptom intensity","authors":"Tiago da Silva Nogueira Pt ,&nbsp;Maria Luiza Vieira Carvalho PhD ,&nbsp;Rafaela Pedrosa PhD ,&nbsp;Danielle Aparecida Gomes Pereira PhD","doi":"10.1016/j.jvn.2025.08.004","DOIUrl":"10.1016/j.jvn.2025.08.004","url":null,"abstract":"<div><h3>Objective</h3><div>To compare calf muscle function and peripheral tissue perfusion in women with chronic venous disease (CVD) with mild/moderate and severe symptoms.</div></div><div><h3>Methods</h3><div>A cross-sectional study included women with CVD classified in stages C1, C2, and C3. The Visual Analog Scale (VAS) assessed symptomatology and divided participants into two groups. Group I reported mild/moderate symptoms (VAS of 1-6), and group II severe symptoms (VAS of 7-10). Near-infrared spectroscopy (NIRS) was used to assess peripheral tissue perfusion through in venous occlusion and movement plethysmography protocols. Total venous volume, venous filling index, calf ejection fraction, retention fraction (RF_HHB) and residual volume fraction (RVF_HHB) were measured. The assessment of calf muscle function was performed using the Heel Rise Test (HRT), considering the test time (HRT_T) and the number of repetitions (HRT_N). Fisher's exact test was used to analyze the categorical data and the Mann-Whitney U test was used to compare the variables.</div></div><div><h3>Results</h3><div>Fifty-five participants were included in this study. Thirty (55%) were in Group I while twenty-five (45%) were in Group II. Group I presented values of RVF_HHb of -25.42 and RF_HHb of -56.83, while group II of 56.28 and 21.50 in HHb (µmolL-1) (p=0.048 and p=0.035, respectively). Body mass index was significantly higher in group II (p=0.003). No significant difference in calf muscle function was observed between groups by HRT_T and HRT_RR.</div></div><div><h3>Conclusion</h3><div>Women with severe symptoms of CVD had less venous emptying and higher levels of reflux. The intensity of symptoms may be associated with high BMI levels.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 203-209"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712442","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}

{"title":"Retrospective descriptive study of individuals with chronic limb-threatening ischemia (CLTI) admitted to the academic vascular surgery unit for a major lower limb amputation","authors":"Catherine R. Ratliff PhD, GNP-BC, CWOCN, CFCN, WOCNF, FAAN ,&nbsp;Virginia Rovnyak PhD","doi":"10.1016/j.jvn.2025.08.005","DOIUrl":"10.1016/j.jvn.2025.08.005","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe individual characteristics of those admitted in 2023 to the academic vascular surgery unit with chronic limb-threatening ischemia (CLTI) who underwent a major lower limb amputation.</div></div><div><h3>Methods</h3><div>A descriptive, cross-sectional retrospective chart review was conducted of major limb amputations (BKA, AKA) performed in 2023 by vascular surgery at a major academic medical center in the Southeastern United States. Variables extracted included age, sex, and comorbid conditions. Descriptive statistics (frequencies, percentages, and means) were used to describe the sample.</div></div><div><h3>Results</h3><div>There were 48 patients. Thirty-three were males. The mean age was 65. Thirty-seven individuals had a prior history of smoking. Other comorbidities included Coronary Artery Disease (CAD) (<em>n</em> = 31), Diabetes Mellitus (<em>n</em> = 31), Hyperlipidemia (<em>n</em> = 36), and Hypertension (<em>n</em> = 39). Those with CAD tended to have longer hospitalizations than those without CAD. The length of stay for those without CAD ranged from 4 to 19 days (median=12), while those with CAD the length of stay ranged from 3 to 65 days (median=15). Twenty-one of the 48 had a prior amputation (TMA, BKA, AKA). Forty-two patients were discharged from the hospital. The discharge destinations varied significantly with one of the patient characteristics: female sex (<em>p</em> = 0.005) None of the women were discharged home, while 27.6 % of the men went home. Thirty-two patients were referred to the prosthetics and orthotics department with 29 patients being fitted for a prosthetic limb. Twenty-three of the 29 (79.3 %) who underwent a BKA were fitted for a prosthesis, while 6 of the 19 (31.6 %) who underwent an AKA were fitted for a prosthesis.</div></div><div><h3>Conclusion</h3><div>Forty-eight patients had major lower extremity amputations on the vascular surgery unit. When the characteristics were compared between BKAs and AKAs only age was close to significance (<em>p</em> = 0.081), with AKAs occurring in older individuals on average, compared with BKAs. There was also evidence (<em>p</em> = 0.053) that the severity of the amputation was related to discharge destination, with those with an AKA discharged more often to a skilled nursing facility and less often to rehabilitation than those with a BKA. Many factors affect the ability to walk with a prosthesis such as the severity of amputation, co-morbid conditions and living situation. Multidisciplinary teams are critical to ensure improved outcomes especially for the older amputee undergoing major limb amputation.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 210-215"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712443","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}

{"title":"Venous leg ulcer services in the United Kingdom: A freedom of information request and national survey of clinicians","authors":"Mrs Layla Bolton Saghdaoui BSc ,&nbsp;Mary Wells BSc, MSc, PhD (Professor) ,&nbsp;Mrs Sarah Onida BSc, PhD, FRCS(Vasc) ,&nbsp;Alun Huw Davies MA, DM, DSc, FRCS, FHEA, FEBVS, FACPh (Professor)","doi":"10.1016/j.jvn.2025.08.008","DOIUrl":"10.1016/j.jvn.2025.08.008","url":null,"abstract":"<div><h3>Background</h3><div>Venous leg ulceration (VLU) guidance recommends early assessment, compression, and treatment of venous hypertension. However, it is widely perceived that many patients do not receive timely clinical management, and across the country, there are variations in services commissioned to deliver care.</div></div><div><h3>Methods</h3><div>A survey of clinicians and Freedom of Information Request (FOIR) explored services available to treat patients with VLU. Using Burns and Kho's guidance, a questionnaire was developed and distributed via professional networks and social media. Additionally, a simplified version of the survey was submitted to 42 Integrated Care Boards (ICBs) across England as a FOIR. Descriptive statistics and subgroup analyses were used to interpret results, and common themes categorised free-text responses.</div></div><div><h3>Results</h3><div>Of 39 FOIR responses, 89 % report that they have a dedicated service for lower limb wounds. Services are largely nurse-led (68 %); however, 29 % are co-led by vascular surgeons and nurses. Compression therapy is routinely provided by 94 % of services, and 79 % provide care for house-bound patients. Of those specifying ulcer duration as part of the eligibility criteria to access services, 45 % required the wound to be present for four weeks or more.</div><div>95 % of respondents reported having a dedicated vascular service, and 92 % were described as a specialist service offering surgical intervention. Most (86 %) reported having a dedicated service for venous disease, of which 39 % were multi-disciplinary led as opposed to being led by vascular surgeons alone.</div><div>In contrast to the FOIR results, of 211 clinician survey responses, only 54 % reported having access to a lower limb wound service and 57 % do not routinely refer to a leg ulcer service. While the number of VLU patients treated each month varies, 54 % of primary care services report seeing over 41 patients per month. Lower limb services are predominantly nurse-led (87 %), and compression therapy is routinely provided by 95 % of services.</div><div>Considering vascular referrals, while 68 % reported having a vascular service, only 53 % routinely referred patients with VLU. The most common indication for a referral was to rule out arterial disease. Of those not routinely referring patients, 46 % reported they were unable to make direct referrals.</div></div><div><h3>Conclusion</h3><div>Findings indicate that services treating VLU are available throughout England, and lower limb clinics are primarily nurse-led. However, the eligibility criteria and high demand for such services mean they are not always accessible to patients in a timely manner. Further work is needed to establish strategies to improve access to VLU services.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 223-231"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712445","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}

{"title":"Thrombosis incidence in dialysis patients: A systematic review and meta-analysis","authors":"Parisa Shiri ,&nbsp;Shahab Rezaeian ,&nbsp;Alireza Abdi ,&nbsp;Alireza Khatony","doi":"10.1016/j.jvn.2025.09.001","DOIUrl":"10.1016/j.jvn.2025.09.001","url":null,"abstract":"<div><h3>Aim</h3><div>To determine the incidence of thrombosis in dialysis patients and to investigate potential associated factors.</div></div><div><h3>Background</h3><div>Thrombosis is a common complication and a major contributor to vascular access dysfunction in dialysis patients. However, reported thrombosis incidences vary considerably across studies, and a comprehensive overview is lacking.</div></div><div><h3>Methods</h3><div>This systematic review and meta-analysis was conducted following PRISMA guidelines. A comprehensive search was performed in Web of Science, PubMed, Scopus, ProQuest, Ovid, Science Direct, Clinical Key, EMBASE, CINAHL, SID, and MagIran databases up to December 2023. Keywords used included \"Thrombosis,\" \"end-stage renal disease,\" \"end-stage kidney disease,\" \"hemodialysis,\" \"dialysis,\" and their Persian equivalents. After duplicate removal and title/abstract screening, eligible articles underwent full-text review for inclusion. Data on thrombosis incidence, type, location, and study population characteristics were extracted. Heterogeneity was assessed using Cochran's Q test and <em>I</em>² statistics. Methodological quality was evaluated using the STROBE checklist. Meta-analysis was performed using CMA version 2 and STATA version 14 software.</div></div><div><h3>Results</h3><div>Out of 12,604 identified articles, 58 studies (including 87,150 patients) met the inclusion criteria. The pooled incidence of thrombosis in dialysis patients was 14.7 % (95 % CI: 11.9–17.6). Late thrombosis incidence (7.2 %, 95 % CI: 0.4–20.3) was significantly higher than early thrombosis (2.8 %, 95 % CI: 0.6–7.9). Additionally, thrombosis incidence was significantly higher in patients older than 50 years (15.7 %, 95 % CI: 12.4–19.3) and those using arteriovenous grafts (28.7 %, 95 % CI: 22.9–34.8).</div></div><div><h3>Conclusion</h3><div>This meta-analysis demonstrates a high incidence of thrombosis among dialysis patients, particularly in older adults and those with arteriovenous grafts. Given the potential for serious complications, implementing preventative measures such as functional exercises, self-care education, and anticoagulation therapy in these high-risk patient populations is crucial.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 4","pages":"Pages 232-245"},"PeriodicalIF":1.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712446","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}

{"title":"Information for authors","authors":"","doi":"10.1016/S1062-0303(25)00082-2","DOIUrl":"10.1016/S1062-0303(25)00082-2","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 3","pages":"Page A2"},"PeriodicalIF":1.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864992","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}

{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(25)00083-4","DOIUrl":"10.1016/S1062-0303(25)00083-4","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 3","pages":"Page A3"},"PeriodicalIF":1.2,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864993","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}

{"title":"Implementation and evaluation of a supervised exercise programme for people with claudication in York, England","authors":"Garry A. Tew ,&nbsp;Lisa Sharpe ,&nbsp;Asim Abbas ,&nbsp;Martin Bond ,&nbsp;Alastair Jordan ,&nbsp;Hannah Ross ,&nbsp;Nick Hex ,&nbsp;Rachael MacDonald ,&nbsp;Andrew Thompson","doi":"10.1016/j.jvn.2025.07.002","DOIUrl":"10.1016/j.jvn.2025.07.002","url":null,"abstract":"<div><h3>Background</h3><div>Supervised exercise therapy (SET) has been shown to improve claudication symptoms in patients with peripheral artery disease (PAD), and it is recommended as a first-line treatment in national and international guidelines. Despite this, supervised exercise programmes have not been widely implemented in many countries. This quality improvement project aimed to implement and evaluate an exercise service for people with claudication in York, England.</div></div><div><h3>Methods</h3><div>The York Claudication Exercise Service was launched in October 2023. Eligible patients were referred from vascular clinics at York Hospital. The service provided each participant with two, 1-hour exercise sessions per week over a 12-week programme. Standardised assessments were performed before and after the programme. Routinely assessed outcomes (e.g., recruitment, attendance, satisfaction, and treadmill walking distances) were used to evaluate the service over the first 12 months. Descriptive statistics were used to explore feasibility, acceptability, fidelity, and preliminary effects. A cost-comparison analysis was also conducted before and after the exercise service was implemented.</div></div><div><h3>Results</h3><div>By May 2024, 65 eligible patients had been referred, with 29 patients (44.6 %) commencing the exercise sessions. The exercise programme was delivered as intended and the median number of sessions attended was 19 (out of 24). At service exit, 13 (59.1 %) out of 22 participants reported an improvement in their claudication symptoms and were discharged to primary care. The mean (95 % CI) increase in pain-free walking distance was 110 m (39 to 182). All but one participant rated the service as ‘good’ or ‘excellent’. Economic modelling estimated that the programme would result in an annual cost-saving of £223.21 per person, or £366.40 per person using estimated costs for a future delivery model.</div></div><div><h3>Conclusions</h3><div>The service was successfully implemented within the existing care pathway. The evaluation indicated a high level of patient satisfaction, improvement in claudication symptoms and prevention of unnecessary referrals for vascular imaging and revascularisation. Agreements have been obtained to continue the service for at least 2 more years. During this period, sustainability funding will be sought, and the service will be adapted to improve access and uptake.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 3","pages":"Pages 148-156"},"PeriodicalIF":1.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864771","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}

{"title":"Effectiveness of nursing strategies to promote therapeutic adherence to vitamin K antagonists: A systematic review","authors":"Matheus Vinicius Barbosa da Silva,&nbsp;Natannael da Silva Pereira,&nbsp;Xênia Sheila Barbosa Aguiar Queiroz,&nbsp;Maria Mariana Barros Melo da Silveira,&nbsp;Simone Maria Muniz da Silva Bezerra","doi":"10.1016/j.jvn.2025.07.003","DOIUrl":"10.1016/j.jvn.2025.07.003","url":null,"abstract":"<div><h3>Background</h3><div>The incorporation of anticoagulant therapies into clinical practice has played a crucial role in reducing and preventing venous thromboembolic, cerebrovascular, and cardiopulmonary events, as well as their subsequent adverse outcomes in patients with prothrombotic conditions. Furthermore, the need for regular monitoring to maintain adequate anticoagulation levels presents a challenge in the use of vitamin K antagonists (VKAs). This study aimed to evaluate the effectiveness of strategies developed by nurses to promote therapeutic adherence to VKAs.</div></div><div><h3>Methods</h3><div>A comprehensive systematic review was conducted using the LILACS, BDENF, MEDLINE, ScienceDirect, and CINAHL databases. Study selection and sampling in the electronic databases were assisted by the Rayyan software. The review protocol was registered in the PROSPERO database (identifier CRD42024545808), and the report followed PRISMA guidelines.</div></div><div><h3>Results</h3><div>Evidence indicates that nurse-led interventions increase patients knowledge about the therapy, improve adherence to treatment and INR monitoring, extend the time within the therapeutic range, and reduce the risk of adverse outcomes related to the therapy.</div></div><div><h3>Conclusion</h3><div>Although more robust studies, such as multicenter randomized clinical trials, are needed, current evidence suggests that nurse-led interventions are effective and safe in promoting therapeutic adherence.</div></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":"43 3","pages":"Pages 157-165"},"PeriodicalIF":1.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144864772","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}