{"title":"Oral health and cardiovascular disease in people living with human immunodeficiency virus: a need for continued assessment and clinical management","authors":"Joyal Miranda, S. Fredericks","doi":"10.12968/bjca.2023.0048","DOIUrl":"https://doi.org/10.12968/bjca.2023.0048","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"2166 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91379540","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}
Sarah Jane Palmer presents a selection of recently published articles of interest to nurses working in cardiovascular nursing, while Helen Cowan explores their application to practice. The aim of this roundup is to provide a brief overview of the research papers selected and highlight their relevance to cardiac nursing practice. A full reference is provided for those who wish to look at the research in further detail.
{"title":"Highlighting the latest research: July 2023","authors":"S. Palmer, Helen Cowan","doi":"10.12968/bjca.2023.0062","DOIUrl":"https://doi.org/10.12968/bjca.2023.0062","url":null,"abstract":"Sarah Jane Palmer presents a selection of recently published articles of interest to nurses working in cardiovascular nursing, while Helen Cowan explores their application to practice. The aim of this roundup is to provide a brief overview of the research papers selected and highlight their relevance to cardiac nursing practice. A full reference is provided for those who wish to look at the research in further detail.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87935343","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}
M. Mccallum, Fiona Campbell, Carlotta Schwertzel, Sophia Robertson
Living with obesity and being physically inactive increases the risk of several cardiovascular conditions, including hypertension. This study aimed to evaluate a psychology clinic, which was established in a tier 2 community adult weight management service in a real-world setting. The psychology clinic was delivered by an assistant psychologist, working jointly with community dieticians, and included approaches informed by acceptance and commitment therapy, cognitive behavioural therapy and mindfulness. Quantitative data were collected regarding patients' weight, body mass index, and anxiety and depression scores in their first and last session, as well as attendance and drop-out rates. Data were analysed using descriptive statistics and a one-sample t-test, with P<0.05 indicating significance. Qualitative feedback was collected by the assistant psychologist. A total of 31 patients were accepted for an initial assessment, of whom 27 were offered follow up and 17 completed the intervention. Patients' average weights and anxiety scores decreased significantly, but their average body masses indices and depression scores saw no significant difference. Qualitative feedback indicated that the clinic helped patients to increase their physical activity levels, improve their wellbeing, reduce emotional eating behaviours and develop strategies to cope with difficult emotions more effectively. Psychological input can add value to weight management services, emphasising the importance of a multidisciplinary team when addressing modifiable cardiovascular risk factors, with a holistic approach to heart health and weight management interventions.
{"title":"Evaluating a psychology clinic in a community weight management service","authors":"M. Mccallum, Fiona Campbell, Carlotta Schwertzel, Sophia Robertson","doi":"10.12968/bjca.2023.0025","DOIUrl":"https://doi.org/10.12968/bjca.2023.0025","url":null,"abstract":"Living with obesity and being physically inactive increases the risk of several cardiovascular conditions, including hypertension. This study aimed to evaluate a psychology clinic, which was established in a tier 2 community adult weight management service in a real-world setting. The psychology clinic was delivered by an assistant psychologist, working jointly with community dieticians, and included approaches informed by acceptance and commitment therapy, cognitive behavioural therapy and mindfulness. Quantitative data were collected regarding patients' weight, body mass index, and anxiety and depression scores in their first and last session, as well as attendance and drop-out rates. Data were analysed using descriptive statistics and a one-sample t-test, with P<0.05 indicating significance. Qualitative feedback was collected by the assistant psychologist. A total of 31 patients were accepted for an initial assessment, of whom 27 were offered follow up and 17 completed the intervention. Patients' average weights and anxiety scores decreased significantly, but their average body masses indices and depression scores saw no significant difference. Qualitative feedback indicated that the clinic helped patients to increase their physical activity levels, improve their wellbeing, reduce emotional eating behaviours and develop strategies to cope with difficult emotions more effectively. Psychological input can add value to weight management services, emphasising the importance of a multidisciplinary team when addressing modifiable cardiovascular risk factors, with a holistic approach to heart health and weight management interventions.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85909748","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":"Homelessness and the heart","authors":"S. Palmer","doi":"10.12968/bjca.2023.0054","DOIUrl":"https://doi.org/10.12968/bjca.2023.0054","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78271242","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}
N. Morrell-Scott, Joanna Lavery, Daniel Cooper, Misti Ollier, S. Baker, D. Deehan, Joanne Fisher, Sharon Flewitt, Jennifer Hughes, Ian Pierce-Hayes, Sarah Shardlow, Saiby Solomon, M. Dalton
{"title":"Where can advanced practice go next to support cardiac patients?","authors":"N. Morrell-Scott, Joanna Lavery, Daniel Cooper, Misti Ollier, S. Baker, D. Deehan, Joanne Fisher, Sharon Flewitt, Jennifer Hughes, Ian Pierce-Hayes, Sarah Shardlow, Saiby Solomon, M. Dalton","doi":"10.12968/bjca.2023.0047","DOIUrl":"https://doi.org/10.12968/bjca.2023.0047","url":null,"abstract":"","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89583998","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}
Heart failure is a major public health concern, with patients experiencing a high symptomatic burden and functional limitations, with repercussions for their mental and psychosocial wellbeing. Non-invasive telemonitoring has the potential to improve disease management by enabling rapid adjustment of medications, allowing detection of early signs and symptoms of disease deterioration, and promoting self-care behaviours. Part one of this series outlined a mixed-methods systematic review protocol for exploring the impact of telemonitoring on quality of life for patients with heart failure. The present systematic review explores the general experiences of patients with heart failure who had used telemonitoring systems in the community as part of follow up and self-care. Qualitative studies published between 2010 and 2022 were located from Medline (Ovid), CINHAL (Ebsco), Embase (Ovid), APA PsychInfo (Ebsco) and ProQuest Dissertations and Theses Global. A total of 11 qualitative studies involving 212 patients with heart failure were included. Overall, 123 findings were identified and extracted, with 14 categories generated from the aggregation of at least two similar findings. Four synthesised findings were identified regarding patients' experiences with telemonitoring: ease of use, education features, self-care prompts and patient empowerment. Ultimately, personal factors such as functional limitations and comorbidities were not found to prevent patients from engaging with this technology. When incorporated into a daily routine, telemonitoring has the potential to enhance self-care, promote autonomy, improve disease-specific knowledge and empower patients living with heart failure.
心力衰竭是一个主要的公共卫生问题，患者会经历严重的症状负担和功能限制，对他们的精神和社会心理健康产生影响。非侵入性远程监测有可能通过快速调整药物、发现疾病恶化的早期体征和症状以及促进自我保健行为来改善疾病管理。本系列的第一部分概述了一种混合方法的系统评价方案，用于探索远程监测对心力衰竭患者生活质量的影响。本系统综述探讨了在社区中使用远程监护系统作为随访和自我护理一部分的心力衰竭患者的一般经验。2010年至2022年间发表的定性研究来自Medline (Ovid)、CINHAL (Ebsco)、Embase (Ovid)、APA PsychInfo (Ebsco)和ProQuest Dissertations and Theses Global。共纳入11项定性研究，涉及212例心力衰竭患者。总的来说，识别和提取了123个发现，从至少两个相似的发现的汇总中产生了14个类别。关于远程监护的患者体验，确定了四项综合发现:易用性、教育功能、自我保健提示和患者授权。最终，没有发现功能限制和合并症等个人因素阻止患者参与这项技术。如果将远程监测纳入日常工作，就有可能加强自我保健，促进自主，改善疾病特异性知识，并增强心力衰竭患者的能力。
{"title":"Non-invasive telemonitoring and quality of life in heart failure: part two—a qualitative systematic review","authors":"S. Tavares, Smaragda Lampridou, Barbara Byrne","doi":"10.12968/bjca.2022.0135","DOIUrl":"https://doi.org/10.12968/bjca.2022.0135","url":null,"abstract":"Heart failure is a major public health concern, with patients experiencing a high symptomatic burden and functional limitations, with repercussions for their mental and psychosocial wellbeing. Non-invasive telemonitoring has the potential to improve disease management by enabling rapid adjustment of medications, allowing detection of early signs and symptoms of disease deterioration, and promoting self-care behaviours. Part one of this series outlined a mixed-methods systematic review protocol for exploring the impact of telemonitoring on quality of life for patients with heart failure. The present systematic review explores the general experiences of patients with heart failure who had used telemonitoring systems in the community as part of follow up and self-care. Qualitative studies published between 2010 and 2022 were located from Medline (Ovid), CINHAL (Ebsco), Embase (Ovid), APA PsychInfo (Ebsco) and ProQuest Dissertations and Theses Global. A total of 11 qualitative studies involving 212 patients with heart failure were included. Overall, 123 findings were identified and extracted, with 14 categories generated from the aggregation of at least two similar findings. Four synthesised findings were identified regarding patients' experiences with telemonitoring: ease of use, education features, self-care prompts and patient empowerment. Ultimately, personal factors such as functional limitations and comorbidities were not found to prevent patients from engaging with this technology. When incorporated into a daily routine, telemonitoring has the potential to enhance self-care, promote autonomy, improve disease-specific knowledge and empower patients living with heart failure.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80049150","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}
As the days become longer and warmer, people living with heart failure face certain challenges, for which they may require additional support. Mandie Welch and Maggie Simpson reflect on a pertinent webinar held by the British Society for Heart Failure, which provided a wealth of information to help nurses deliver this support.
{"title":"Sun, sea, sex and return to work: supporting people to live with heart failure","authors":"Mandie Welch, M. Simpson","doi":"10.12968/bjca.2023.0041","DOIUrl":"https://doi.org/10.12968/bjca.2023.0041","url":null,"abstract":"As the days become longer and warmer, people living with heart failure face certain challenges, for which they may require additional support. Mandie Welch and Maggie Simpson reflect on a pertinent webinar held by the British Society for Heart Failure, which provided a wealth of information to help nurses deliver this support.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87687093","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}
In this month's patient story, Beth Greenaway discusses the nuances of patient choice, explaining how and why the patient–clinician relationship should be a dialogue, built on a mutual trust, rather than a dictatorship.
{"title":"Choice is good, but what should I do with it?","authors":"B. Greenaway","doi":"10.12968/bjca.2023.0056","DOIUrl":"https://doi.org/10.12968/bjca.2023.0056","url":null,"abstract":"In this month's patient story, Beth Greenaway discusses the nuances of patient choice, explaining how and why the patient–clinician relationship should be a dialogue, built on a mutual trust, rather than a dictatorship.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81662351","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}
Fortunate Mamombe, Catherine E Renwick, A. Potterton, Elizabeth Wilson, C. Romer, Rachana Kalathiparambil, Anita Banerjee, Rosalie Magboo
This article is the fifth instalment of a wider series on genetic concepts in cardiovascular medicine. While the previous instalment gave an overview of inherited aortopathies, this article discusses specific considerations for children and pregnant patients with these genetic conditions. This includes pharmacology for children and issues related to surgical intervention in paediatric care. The process of transitioning from paediatric to adult services will also be considered, as this is a key stage for the growing number of patients with inherited aortopathy who reach adulthood, with many opportunities for optimising wellbeing and quality of life. The discussion of pregnancy for patients with inherited aortopathies will include key physiological changes that occur in each trimester, with emphasis on pre-conception counselling and careful management. A case study is provided to further illustrate these points and the key role of the nurse throughout the lifespan of patients with inherited aortopathies.
{"title":"Inherited aortopathy: considerations for pregnancy and paediatric patients","authors":"Fortunate Mamombe, Catherine E Renwick, A. Potterton, Elizabeth Wilson, C. Romer, Rachana Kalathiparambil, Anita Banerjee, Rosalie Magboo","doi":"10.12968/bjca.2023.0059","DOIUrl":"https://doi.org/10.12968/bjca.2023.0059","url":null,"abstract":"This article is the fifth instalment of a wider series on genetic concepts in cardiovascular medicine. While the previous instalment gave an overview of inherited aortopathies, this article discusses specific considerations for children and pregnant patients with these genetic conditions. This includes pharmacology for children and issues related to surgical intervention in paediatric care. The process of transitioning from paediatric to adult services will also be considered, as this is a key stage for the growing number of patients with inherited aortopathy who reach adulthood, with many opportunities for optimising wellbeing and quality of life. The discussion of pregnancy for patients with inherited aortopathies will include key physiological changes that occur in each trimester, with emphasis on pre-conception counselling and careful management. A case study is provided to further illustrate these points and the key role of the nurse throughout the lifespan of patients with inherited aortopathies.","PeriodicalId":72463,"journal":{"name":"British journal of cardiac nursing","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85381607","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}
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