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Shin, Nah-Mee,Choi, JiWon,Cho, InHae,Park, Byung-Jun ASPEN PUBLISHERS INC 2017 JOURNAL OF CARDIOVASCULAR NURSING Vol.32 No.6
<P>Background: The prevalence of metabolic syndrome (MetS) has been increasing among Koreans, and middle-aged and older women are at risk of metabolic syndrome. Effective strategies to promote lifestyle modification need to be developed. Objective: We examined the effects of a self-management program on improving the cardiovascular health status and promoting healthy behaviors among overweight or obese Korean women at risk of metabolic syndrome. Methods: A pretest and posttest intervention design was used. Sixty women participated in a group teaching session. They also received a pedometer and a diary for self-monitoring. On the basis of blood test results, women's metabolic syndrome status was identified. Thirty women with metabolic syndrome received additional tailored counseling and weekly follow-up calls for 4 weeks, whereas 30 women without metabolic syndrome did not receive any tailored counseling or follow-up calls. Twenty-three women in the MetS group and 22 women in the non-MetS group completed the posttest. Results: Overall, women significantly improved their cardiovascular health status including systolic blood pressure, diastolic blood pressure, body mass index, low-density lipoprotein, triglycerides, number of metabolic syndrome risk factors, and 10-year risk estimates from pretest to posttest. Seventy-eight percent of the MetS group (n = 18) no longer had metabolic syndrome, whereas 5% of the non-MetS group (n = 1) became to have metabolic syndrome. Women significantly increased frequency and duration of walking per week and significantly decreased the time spent sitting. Conclusions: Promoting self-management for healthy behaviors might be effective for obese or overweight women to prevent metabolic syndrome and cardiovascular diseases, if it is tailored to their health needs.</P>
The link of unintentional weight loss to cardiac event-free survival in patients with heart failure.
Song, Eun Kyeung,Lee, Yongjik,Moser, Debra K,Dekker, Rebecca L,Kang, Seok-Min,Lennie, Terry A ASPEN PUBLISHERS INC 2014 JOURNAL OF CARDIOVASCULAR NURSING Vol.29 No.5
<P>Patients with heart failure (HF) commonly have unintentional weight loss, depressive symptoms, and elevated levels of high-sensitivity C-reactive protein (hsCRP). Each of these variables has been independently associated with shorter cardiac event-free survival. However, little data exist on the relationships of unintentional weight loss, hsCRP level, and depressive symptoms to cardiac event-free survival.</P>
Self-reported Adherence to a Low-Sodium Diet and Health Outcomes in Patients With Heart Failure :
Song, Eun Kyeung,Moser, Debra K.,Kang, Seok-Min,Lennie, Terry A. ASPEN PUBLISHERS INC 2016 JOURNAL OF CARDIOVASCULAR NURSING Vol.31 No.6
<P>Background: Most clinicians rely on patients' self-report of following a low-sodium diet to determine adherence of patients with heart failure (HF). Whether self-reported adherence to a low-sodium diet is associated with cardiac eventYfree survival is unclear. Purposes: To determine (1) whether self-reported is concordant with adherence to a low-sodium diet measured by food diaries and 24-hour urinary sodium excretion and (2) whether self-reported adherence to a low-sodium diet predicts cardiac eventYfree survival. Methods: Adherence to a low-sodium diet was measured using 3 measures in 119 HF patients: (1) self-reported adherence, 1 item from the Self-care of Heart Failure Index scale; (2) a 3-day food diary; (3) 24-hour urinary sodium excretion. Patients were followed up for a median of 297 days to determine cardiac hospitalization or emergency department visit. One-way analysis of variance and Cox regression were used to address our purposes. Results: Self-reported adherence was concordant with adherence to a low-sodium diet measured by food diaries and 24-hour urinary sodium excretion. Thirty-one patients who reported they always follow a low-sodium diet had an average sodium intake less than 3 g/d (F = 5.07, P =.002) and 3.3 g of a mean 24-hour urinary sodium excretion (F = 3.393, P =.020). Patients who reported they never or rarely follow a low-sodium diet had 4.7 times greater risk of having cardiac events than did those who always followed a low-sodium diet (P =.017). Conclusion: Self-reported adherence to a low-sodium diet predicted cardiac eventYfree survival demonstrating clinicians can use this as an indicator of adherence.</P>
Factors Associated With the Hospital Arrival Time in Patients With Ischemic Stroke in Korea
Sim, Jeongha,Shin, Cha-Nam,An, Kyungeh,Todd, Michael ASPEN PUBLISHERS INC 2016 JOURNAL OF CARDIOVASCULAR NURSING Vol.31 No.5
<P>Background: 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. Objective: 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. Methods: A cross-sectional, descriptive study was conducted using a structured survey in a convenience sample of 229 ischemic stroke patients in Korea. Results: Individuals who resided in rural areas were more likely to be female, older, less educated; had lower incomes; contacted adult children at the onset of stroke; and took a longer time to be transported to a hospital than did those who resided in urban areas (P < .05). Patients who visited an emergency room, transferred via an ambulance, contacted emergency medical services, perceived symptoms as serious, had a family history of stroke, or experienced hemiparesis as the primary stroke symptom arrived at the hospital relatively sooner, whereas patients who experienced unclear symptoms took relatively more time to arrive at the hospital following symptom onset (P < .05). Conclusions: Nationwide efforts are needed to promote public awareness of stroke and to develop strategies to reduce prehospital delay time for ischemic stroke patients, particularly those who reside in rural areas in Korea.</P>
Lee, Kyoung Suk,Lennie, Terry A.,Yoon, Ju Young,Wu, Jia-Rong,Moser, Debra K. ASPEN PUBLISHERS INC 2017 JOURNAL OF CARDIOVASCULAR NURSING Vol.32 No.2
<P>Background: Depressive symptoms hinder heart failure patients' engagement in self-care. As social support helps improve self-care and decrease depressive symptoms, it is possible that social support buffers the negative impact of depressive symptoms on self-care. Objective: The purpose of this study is to examine the effect of living arrangements as an indicator of social support on the relationship between depressive symptoms and self-care in heart failure patients. Methods: Stable heart failure patients (N = 206) completed the Patient Health Questionnaire-9 to measure depressive symptoms. Self-care (maintenance, management, and confidence) was measured with the Self-Care of Heart Failure Index. Path analyses were used to examine associations among depressive symptoms and the self-care constructs by living arrangements. Results: Depressive symptoms had a direct effect on self-care maintenance and management (standardized beta = -0.362 and -0.351, respectively), but not on self-care confidence in patients living alone. Depressive symptoms had no direct or indirect effect on any of the 3 self-care constructs in patients living with someone. Conclusions: Depressive symptoms had negative effects on self-care in patients living alone, but were not related to self-care in patients living with someone. Our results suggest that negative effects of depressive symptoms on self-care are buffered by social support.</P>
Ahn, Jeong-Ah,Lee, Sunhee,Choi, Jae Young ASPEN PUBLISHERS INC 2014 JOURNAL OF CARDIOVASCULAR NURSING Vol.29 No.6
<P>Adolescents with congenital heart disease adopt their illness as a part of their lives using their own knowledge and coping strategies. Those who use task-oriented coping strategies, such as relying on education to obtain sufficient disease-related knowledge, demonstrate much higher resilience. However, most health providers tend to provide information about congenital heart disease mainly to the parents instead of the child, and many parents tend to be uncomfortable talking about the disease with their child.</P>