《心血管护理》2016年9/10月总第31卷第5期
Journal of Cardiovascular Nursing
September/October 2016 - Volume 31 -Issue 5
pp: 381-478,E1-E24
PCNA News
Preventive Cardiovascular Nurses Association News
预防心血管护士协会新闻
We invite healthcare professionals involved in innovation projects or original research related to cardiovascular risk reduction & disease management to submit an abstract for a poster presentation at the Preventive Cardiovascular Nurses Association 2017 Annual Symposium.
DEPARTMENTS
Progress in Prevention
Reducing Disparities in Heart Disease Treatment and Outcomes Among Women: A Call to Action
减少心脏病妇女的治疗和结果差异：行动呼吁
Marked reductions in coronary heart disease (CHD) mortality in women have been achieved over the past decade. These improvements have been driven by an increase in awareness, increased focus on women and their cardiovascular risk, and use of evidence-based primary and secondary CHD prevention therapies. Despite these advancements, CHD remains the leading cause of morbidity and mortality affecting millions of American women. It is disconcerting to say the least that CHD remains understudied, underdiagnosed, and undertreated in women. However, 2 recent scientific statements from the American Heart Association examined acute myocardial infarction (AMI) and ischemic heart disease in women.
20 Things You Didn't Know About Exercise
你不知道的有关运动的20件事
20 Things You Didn’t Know About Exercise
你不知道的有关运动的20件事
1. Exercise for your health is ancient history! 2. What’s in a name? 3. A way to stimulate your cellular oppetite? 4….
ARTICLES
Congenital Heart Disease
A Case Study of the Environmental Experience of a Hospitalized Newborn Infant With Complex Congenital Heart Disease
复杂先天性心脏病住院新生儿的环境经验病例
Infants with complex congenital heart disease are at high risk for developmental delays. Although the etiology of these delays is multifactorial, the physical environment may be a contributory factor. Extensive studies have been conducted in neonatal intensive care units measuring environmental influences on development, resulting in policy and practice changes. Cardiothoracic intensive care units and cardiac step-down units are new environments in which newborns with heart disease receive care. No environmental studies have been conducted in units caring for newborn infants recovering from cardiac surgery. The aim of this study is to examine the environmental experience of a newborn infant with heart disease after surgical intervention within the first month of life.
Adolescents With Congenital Heart Disease and Their Parents: Needs Before Transfer to Adult Care
先天性心脏病青少年及其父母：转移到成人护理前的需求
Patients with congenital heart disease (CHD) are in need of lifelong healthcare. For adolescents with CHD, this transfer to adult-care clinic can be difficult. The aim was to identify and describe the needs of adolescents with CHD and their parents during the transition before transfer to adult cardiologic healthcare.
Cognitive Function
Cognitive Function Does Not Impact Self-reported Health-Related Quality of Life in Heart Failure Patients
认知功能不影响心脏衰竭患者自我报告的健康相关生活质量
Adults with heart failure (HF) often demonstrate impairment across multiple domains of cognitive functioning and report poor health-related quality of life (HRQoL). Previous researchers have found that cognitive deficits were generally not associated with HRQoL in a carefully evaluated sample. The exception was memory, which was only weakly associated with HRQoL. However, cognitive deficits interfere with self-care and disease self-management, which could be expected to affect HRQoL. We sought to verify this counterintuitive finding in a large well-characterized sample of HF patients using a well-validated neuropsychological battery.
Diagnostic Accuracy of Cognitive Screening Instruments in Heart Failure: A Systematic Review
认知筛查仪器对心力衰竭诊断的准确性：系统综述
Cognitive impairment is prevalent in heart failure (HF) with severe consequences, including increased risk of mortality and reduced ability to self-manage HF symptoms. Identifying cognitive impairment through screening would assist clinicians in managing HF and comorbid cognitive impairment. However, the accuracy of cognitive screening instruments for HF has not been adequately determined. The aim of this study was to determine the diagnostic accuracy of cognitive screening instruments in screening for mild cognitive impairment (MCI) in HF patients.
Cardiac Care
Validation of the Critical-Care Pain Observation Tool and Vital Signs in Relation to the Sensory and Affective Components of Pain During Mediastinal Tube Removal in Postoperative...
与成人心脏手术后ICU纵隔管拔除时疼痛感觉和情感内容相关的危重症护理疼痛观察工具和生命的体征的验证
The Critical-Care Pain Observation Tool (CPOT) is a behavioral scale recommended in clinical practice guidelines for the assessment of pain in nonverbal intensive care unit (ICU) adults. Although the CPOT has been validated in various ICU patient groups, its association with the affective component of pain has not yet been explored, and in most studies, turning was the used nociceptive procedure. In this study, we aim to validate the use of the CPOT and vital signs in association with the sensory and affective components of pain during mediastinal tube removal (MTR) in postoperative cardiac surgery ICU adults.
Outcomes of a Pilot Intervention Study for Young Adults at Risk for Cardiovascular Disease Based on Their Family History
基于家族史而有心血管疾病危险青年的试验性干预研究结果
Lifestyle choices have a significant impact on cardiovascular disease (CVD) risk. Interventions to promote a heart-healthy lifestyle in young adults at long-term high risk for CVD are needed to decrease the burden of CVD. However, few interventions with this purpose have been developed. The objective of this study was to examine the effect of a pilot intervention on young adults with a family history of CVD that used 3-generation pedigrees, risk factor information, and counseling on heart disease knowledge, perceived CVD risk, and intention to engage in a heart-healthy lifestyle.
Discharge Planning After Myocardial Revascularization: Differences in Opinions From Patients and Health Experts
心肌血运重建术后的出院计划：患者和健康专家意见的差异
In-hospital education and discharge planning contribute to recovery after coronary artery bypass graft surgery (CABG). The objective of this study was to identify differences in perception of the importance of discharge instructions between a sample of adult patients after CABG and health experts responsible for their care.
Randomized Comparison of 3 Hemostasis Techniques After Transradial Coronary Intervention
对经桡动脉冠脉介入术后3 种止血技术的随机比较
The transradial route for coronary intervention has proven to be a safe and feasible method, and several techniques have been shown to be effective in achieving hemostasis. The aim of this study is to evaluate the efficacy of 3 hemostasis techniques on radial artery outcomes after transradial catheterization.
Factors Associated With Clopidogrel Adherence in Community-Dwelling Patients
与社区居住患者氯吡格雷坚持率相关的因素
The purpose of this study was to characterize predictors of adherence to clopidogrel therapy focusing on patients’ perceptions of clopidogrel and nuisance bleeding.
Systematic Reviews in Heart Failure
A Systematic Review of Relaxation, Meditation, and Guided Imagery Strategies for Symptom Management in Heart Failure
对心力衰竭症状管理中的放松、冥想和引导意象策略的系统综述
Pain, dyspnea, fatigue, and sleep disturbance are prevalent and distressing symptoms in persons with advanced heart failure. Although many lifestyle and self-care interventions have been developed to control heart failure progression, very few studies have explored treatments exclusively for symptom palliation. Cognitive-behavioral strategies may be effective treatment for these symptoms in advanced heart failure. A systemic review was conducted to describe the effect of cognitive-behavioral strategies on pain, dyspnea, fatigue, and sleep disturbance in patients with heart failure.
Questionnaires Designed to Assess Knowledge of Heart Failure Patients: A Systematic Review
设计用于评估心力衰竭患者知识的问卷调查：系统综述
The objectives of this systematic review were (1) to describe the psychometric properties of questionnaires designed to assess knowledge of heart failure (HF) patients and (2) to identify the most applicable questionnaire to assess knowledge of HF patients.
Feature Article/Online Only
Decision Making Among Persons Living With Heart Failure
心力衰竭患者的决策制订
Persons with heart failure (HF) are required to make decisions on a daily basis related to their declining health and make urgent decisions during acute illness exacerbations. However, little is known about the types of decisions patients make. The aims of this study were to critically evaluate the current quantitative literature related to decision making among persons with HF and identify research gaps in HF decision-making research.
Factors Associated With the Hospital Arrival Time in Patients With Ischemic Stroke in Korea
与韩国缺血性脑卒中患者医院到达时间相关的因素
Stroke is a leading cause of death and disability among the Korean population. Ischemic stroke patients tend to delay arrival at the hospital and often miss the “golden” 3-hour window, which is optimal for tissue plasminogen activator treatment. The purposes of this study were to compare demographic, clinical/behavioral, and sociocultural characteristics of ischemic stroke patients who reside in urban and rural areas of Korea and to identify factors contributing to the time taken from symptom onset to hospital arrival.
Changes in Thirst Intensity During Optimization of Heart Failure Medical Therapy by Nurses at the Outpatient Clinic
门诊护士心力衰竭医疗护理优化过程患者口渴强度的变化
Thirst can be aggravated in patients with heart failure (HF), and optimization of HF medication can have positive impact on thirst. The aims of this study were to describe changes in thirst intensity and to determine factors associated with high thirst intensity during optimization of HF medication.
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