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Mapping Memories: Enhancing Retrospective Data with the Life History Calendar.
Pub Date : 2025-03-07 DOI: 10.1093/eurjcn/zvaf035
Bo Daelman, Tijs K Tournoy, Davide Morselli, Koen Luyckx, Philip Moons

Retrospective data collection methods provide a practical and cost-effective alternative to traditional longitudinal studies, particularly when time and resource constraints hinder long-term follow-up. While conventional retrospective questionnaires are widely used, their susceptibility to recall errors often compromises data reliability and accuracy. The Life History Calendar (LHC) has emerged as a solution to these limitations by incorporating visual prompts and contextual cues to enhance recall and improve data quality. This article offers a comprehensive overview of the LHC approach, highlighting its flexible design and diverse administration methods. Additionally, key considerations for the effective management, analysis and visualisation of LHC data are discussed.

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引用次数: 0
The struggle is real! Measuring and managing heart failure congestion in the outpatient setting.
Pub Date : 2025-03-07 DOI: 10.1093/eurjcn/zvaf034
Mary Roberts Davis, Christopher V Chien, Jonathan Auld
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引用次数: 0
From invisible to visible: a new position for informal caregivers.
Pub Date : 2025-03-05 DOI: 10.1093/eurjcn/zvaf030
Ida Elisabeth Højskov
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引用次数: 0
Nurses and allied professionals' engagement in clinical research-in-practice: a statement of the Association of Cardiovascular Nursing & Allied Professions of the European Society of Cardiology.
Pub Date : 2025-03-03 DOI: 10.1093/eurjcn/zvae172
Suzanne Fredericks, Julie Sanders, Maria Back, Lien Desteghe, Ana Gomes, Elena Marques-Sule, Maggie Simpson, Jeroen M Hendriks

Many nurses and allied professionals (NAPs) lack the skills, knowledge and confidence to engage in conducting and implementing research. This statement describes the importance of NAPs' involvement in clinical research within the context of cardiovascular care. The existing gaps, barriers and enablers to NAPs involvement in research as a potential response to workforce issues in these professions as well as to contribute to excellence in patient care delivery and associated outcomes are identified. Specifically, career development pathways for NAPs are discussed. Finally, potential future directions for NAP research in clinical practice are provided.

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引用次数: 0
Enhancing patient activation in cardiovascular health through personalized mobile health interventions and social support. 通过个性化的流动卫生干预和社会支持,增强患者对心血管健康的积极性。
Pub Date : 2025-03-03 DOI: 10.1093/eurjcn/zvae161
Ladislav Batalik, Jing Jing Su, Chen Yang, Garyfallia Pepera
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引用次数: 0
Nurse led heart failure clinics: looking back and moving forward. 护士领导的心力衰竭诊所:回顾与前进。
Pub Date : 2025-03-03 DOI: 10.1093/eurjcn/zvaf005
Patricia M Davidson, Binu Koirala, Cheryl R Himmelfarb
{"title":"Nurse led heart failure clinics: looking back and moving forward.","authors":"Patricia M Davidson, Binu Koirala, Cheryl R Himmelfarb","doi":"10.1093/eurjcn/zvaf005","DOIUrl":"10.1093/eurjcn/zvaf005","url":null,"abstract":"","PeriodicalId":93997,"journal":{"name":"European journal of cardiovascular nursing","volume":" ","pages":"301-304"},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018605","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}
引用次数: 0
Effectiveness of the AF-EduCare and AF-EduApp approach to improve atrial fibrillation knowledge and risk factor awareness in patients with atrial fibrillation: a randomized controlled trial. AF-EduCare和AF-EduApp方法提高心房颤动患者房颤知识和危险因素认知的有效性:一项随机对照试验
Pub Date : 2025-03-03 DOI: 10.1093/eurjcn/zvae164
Lieselotte Knaepen, Lien Desteghe, Michiel Delesie, Rana Önder, Johan Vijgen, Paul Dendale, Joris Ector, Hein Heidbuchel

Aims: Developing an integrated care pathway for atrial fibrillation (AF) patients is of pivotal importance, given the different treatment strategies. Moreover, knowledge about the condition is an important factor in engaging patients in their care. Patient education formed the core of the integrated AF-EduCare/AF-EduApp approach. The main aim of this manuscript is to report the impact of this approach on AF and risk factor (RF)-related knowledge and self-care awareness.

Methods and results: Atrial fibrillation patients (n = 1232) were randomized to standard care (SC) or three educational interventions: in-person, online, or app-based education. Patients in the intervention groups received targeted education based on their responses to the Jessa Atrial fibrillation Knowledge Questionnaire (JAKQ) and a Self-Care Questionnaire (SCQ) presented at different time points. Patients who received educational follow-up reached a significantly higher knowledge score (in-person: 86.5 ± 13.2%; online: 82.5 ± 19.3%; app: 80.1 ± 15.0%) than the SC group (65.3 ± 16.6%) after 12/18 months (P < 0.001). The knowledge rapidly improved with the first sessions (i.e. 3 months) and remained sustained in all education groups. Patients with RF at baseline showed a slight but significant increase in awareness about their RF through education [e.g. no knowledge of last measured systolic blood pressure compared between education vs. SC: odds ratio of 0.45 (P = 0.012)], a change that was not seen in SC patients. Nevertheless, patients keep under-estimating the presence of their own RFs compared with objective documentation in their medical record (e.g. hypertension).

Conclusion: The JAKQ and SCQ are good instruments to provide targeted education to AF patients in daily clinical care. Knowledge level increases clinically significantly, but the impact on awareness about personal risk factors remains unsatisfactory.

Registration: ClinicalTrials/gov: NCT03707873NCT03788044.

目的:考虑到不同的治疗策略,开发心房颤动(AF)患者的综合护理途径至关重要。此外,对病情的了解是使患者参与其护理的重要因素。患者教育是AF-EduCare/AF-EduApp一体化方法的核心。本文的主要目的是报告这种方法对房颤和危险因素(RF)相关知识和自我保健意识的影响。方法和结果:房颤患者(n = 1232)随机接受标准治疗(SC)或三种教育干预:面对面、在线或基于app的教育。干预组患者根据不同时间点的洁莎心房颤动知识问卷(JAKQ)和自我保健问卷(SCQ)的回答进行针对性教育。接受教育随访的患者知识得分显著高于对照组(面对面:86.5±13.2%;在线:82.5%±19.3%;app组:80.1±15.0%)高于SC组(65.3±16.6%)(P < 0.001)。在第一阶段(即3个月),知识迅速提高,并在所有教育组中保持持续。基线时RF患者通过教育对其RF的认识略有但显著增加[例如,不知道教育与SC之间上次测量的收缩压的比较:比值比为0.45 (P = 0.012)], SC患者未见这种变化。然而,与病历中的客观记录(如高血压)相比,患者一直低估自己的RFs的存在。结论:JAKQ和SCQ是在日常临床护理中对房颤患者进行有针对性教育的良好工具。临床知识水平显著提高,但对个人危险因素认识的影响仍不理想。注册:ClinicalTrials/gov: NCT03707873NCT03788044。
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引用次数: 0
Exploring symptom clusters and core symptoms during the vulnerable phase in patients with chronic heart failure: a network-based analysis. 探索慢性心力衰竭患者易损期的症状群和核心症状:基于网络的分析
Pub Date : 2025-03-03 DOI: 10.1093/eurjcn/zvae152
Zekun Bian, Bin Shang, Caifeng Luo, Fei Lv, Weiyi Sun, Yijing Gong, Jun Liu

Aims: To construct a symptom network of chronic heart failure patients in the vulnerable period and identify core symptoms and bridge symptoms between different symptom clusters.

Methods and results: A convenience sampling method was used to select 402 patients with chronic heart failure within 3 months after discharge from the cardiology departments of two tertiary-level A hospitals in Zhenjiang City, and symptom-related entries of the Minnesota living with heart failure questionnaire (MLHFQ) were used to conduct the survey. Symptom networks were constructed using the R language. The constructed symptom network was structurally stable, and the correlation stability coefficient was 0.595. In the network, 'depression' (MLHFQ9), 'dyspnoea on exertion' (MLHFQ3), and 'worry' (MLHFQ7) are the core symptoms. 'Cognitive problems' (MLHFQ8), 'sleep difficulties' (MLHFQ4), and 'fatigue' (MLHFQ6) are bridge symptoms connecting the emotional-cognitive and somatic symptom clusters. In the network comparison test, there were no significant differences in symptom networks between patients of different genders and places of residence.

Conclusion: 'Depression' and 'increased need to rest' are the core and most severe symptoms, respectively, in the vulnerable phase of chronic heart failure, and 'cognitive problems' is the most important bridge symptom. Clinical caregivers can build a precise intervention programme based on the core and bridge symptoms and focus on the emotional and cognitive symptom clusters, in order to improve the efficacy of symptom management during the vulnerable period in patients with chronic heart failure.

目的:构建弱势期慢性心力衰竭患者的症状网络,识别不同症状群之间的核心症状和桥梁症状。方法与结果:采用方便抽样的方法,选取镇江市两家三级甲等医院心内科出院后3个月内的慢性心力衰竭患者402例,采用明尼苏达州心衰患者生活问卷(MLHFQ)症状相关条目进行调查。使用R语言构建症状网络。构建的症状网络结构稳定,相关稳定系数为0.595。在该网络中,“抑郁”(MLHFQ9)、“用力时呼吸困难”(MLHFQ3)和“担忧”(MLHFQ7)是核心症状。“认知问题”(MLHFQ8)、“睡眠困难”(MLHFQ4)和“疲劳”(MLHFQ6)是连接情绪-认知和躯体症状群的桥梁症状。在网络比较检验中,不同性别、不同居住地患者的症状网络无显著差异。结论:“抑郁”和“需要休息增加”分别是慢性心力衰竭易损期的核心症状和最严重症状,“认知问题”是最重要的桥梁症状。临床护理人员可以根据核心症状和桥梁症状,重点关注情绪和认知症状群,制定精准的干预方案,以提高慢性心力衰竭患者易危期症状管理的效果。
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引用次数: 0
Describing the use of remote dielectric sensing and handheld ultrasound in assessing lung congestion in heart failure patients within a primary care setting. 描述在初级保健环境中使用远程介质传感和手持式超声来评估心力衰竭患者的肺充血。
Pub Date : 2025-03-03 DOI: 10.1093/eurjcn/zvae157
Naoko P Kato, Marie Mattisson, Pernilla Grahn, Maria Liljeroos, Peter Johansson, Anna Strömberg, Tiny Jaarsma

Thorough consideration of user experiences and the weighing of advantages and disadvantages are essential when implementing new technology in clinical practice. This article describes a primary care nurse's experience using two technologies to monitor lung congestion in six patient cases: a remote dielectric sensing device for non-invasive lung fluid measurement and a portable handheld ultrasound device. Both can support decision-making when assessing lung congestion in heart failure patients. However, technical difficulties and interpretational complexities are inherent in their use. Balancing these advantages and disadvantages and finding effective strategies to address challenges is crucial for successful clinical implementation.

在临床实践中实施新技术时,全面考虑用户体验和权衡利弊是必不可少的。本文描述了一位初级保健护士在6例患者中使用两种技术监测肺充血的经验:用于非侵入性肺液测量的远程介电传感装置和便携式手持超声装置。两者都可以在评估心力衰竭患者的肺充血时支持决策。然而,技术上的困难和解释上的复杂性在使用中是固有的。平衡这些优势和劣势并找到应对挑战的有效策略对于成功的临床实施至关重要。
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引用次数: 0
Optimizing cardiac rehabilitation: structuring dietary support for improved post-myocardial infarction outcomes-a commentary. 优化心脏康复:结构饮食支持改善心肌梗死后的结果-评论。
Pub Date : 2025-03-03 DOI: 10.1093/eurjcn/zvae162
Małgorzata Słoma-Krześlak, Michał Czapla
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引用次数: 0
期刊
European journal of cardiovascular nursing
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