European journal of cardiovascular nursing最新文献

Aim: To evaluate the effects of a nurse-led, person-centred outpatient clinic on patient-reported outcomes in patients with atrial fibrillation (AF).

Methods and results: In this open-label, parallel randomised controlled trial, 140 patients with AF were randomly assigned. The intervention group met experienced cardiac nurses, trained in person-centred care and AF. The control group met a physician in accordance with usual care. At baseline, and after 6 months, patients completed questionnaires: The EuroQol five-dimension three-level questionnaire (EQ-5D-3L), the EuroQol Visual Analogue Scale, the Arrhythmia-Specific questionnaire in Tachycardia and Arrhythmia (ASTA), the Brief Illness Perception Questionnaire (B-IPQ), and the Hospital Anxiety and Depression Scale. Over time, health-related quality of life (HRQoL), as measured by the EQ-5D index and the ASTA mental subscale, improved in the intervention group (P = 0.035 and P = 0.014, respectively) and the control group (P = 0.031 and P = 0.026, respectively). Illness coherence (B-IPQ) also improved in both groups (P < 0.001 and P = 0.012, respectively). In the nurse-led group, HRQoL as measured by the ASTA total scale (P = 0.035) and personal control (B-IPQ) (P = 0.005) improved, while illness-related concerns (P = 0.008) and emotional representations (B-IPQ) (P = 0.001) decreased. There were no significant between-group differences on any of the analysed measurement instruments.

Conclusion: No significant differences were observed between groups. However, improvements in HRQoL and illness coherence in both groups suggest that receiving support from nurses and physicians may improve these outcomes. Furthermore, the results suggest that a nurse-led, person-centred outpatient clinic may reduce patients' emotional responses and concerns related to the illness, while strengthening their sense of personal control.

Registration: ClinicalTrials.gov ID:NCT04609202.

Aim: This study aims to evaluate the quality, reliability, and content of YouTube videos on cholesterol management, analyze their impact on viewers through comment assessment, and contribute to understanding the influence of digital media on health-related decision-making.

Methods and results: A descriptive analysis was conducted on YouTube videos obtained using four search queries: "high cholesterol treatment, " "high cholesterol drugs, " "high cholesterol medications, " and "high cholesterol pills." 105 videos meeting the inclusion criteria were analyzed. The videos were scored using the Global Quality Scale (GQS), Modified DISCERN, and JAMA benchmark criteria. Sentiment analysis of comments was conducted, and the presence of misinformation, marketing content, and alternative therapy emphasis was evaluated.The analyzed videos amassed 32,565,336 views, with over 50,000 comments. Notably, 18% of the videos rejected cholesterol-lowering medications, and 21% contained misinformation. Videos emphasizing alternative therapies were more likely to include marketing content (70%) and misinformation (43%). Most videos had low to moderate quality and reliability. Independent doctors were the most frequent publishers (55.2%), but their videos exhibited the highest rate of misinformation (29%).

Conclusion: YouTube serves as a widely used yet unreliable source of health information on cholesterol treatments. The prevalence of misinformation, particularly in videos by healthcare professionals, is remarkable. Proactive efforts by credible institutions to disseminate accurate content on this platform are critical.

Resistance training (RT) in post-operative cardiac rehabilitation (CR) complements aerobic exercise, enhancing physical capacity, independence, and quality of life. Traditionally, RT is delayed 6-8 weeks to reduce risks such as sternal instability and impaired healing after median sternotomy. However, emerging evidence suggests early RT (≤4 weeks) may be safe and beneficial for selected patients, improving recovery and functional outcomes. This paper explores the debate between traditional delay and early initiation, weighing potential benefits against risks to safety and healing. With growing support for early RT, should conventional timelines be reconsidered to optimize rehabilitation and long-term health?