Wann-Hansson Christine, Rahm Hallberg Ingalill, Klevsgård Rosemarie, Andersson Edith
School of Health and Society, Malmö University, SE-205 06 Malmö, Sweden.
Int J Nurs Stud. 2008 Apr;45(4):552-61. doi: 10.1016/j.ijnurstu.2006.11.006. Epub 2007 Feb 5.
The long-term experience of living with peripheral arterial disease (PAD) and the durability of improvements after revascularisation are sparsely described in the literature. The primary goals of medical treatment and nursing care for PAD are to provide relief of symptoms, improve quality of life, and prevent the progression of arterial disease and cardiovascular complications. The majority of patients are elderly with a significantly increased risk of myocardial infarction, stroke, and cardiovascular death. Which can limit mobility and functional status even in the absence of ischaemic claudication, rest pain, or ulceration after a successful revascularisation.
To illuminate the long-term experience of living with PAD and the recovery following revascularisation.
Fourteen patients were interviewed 6 months and 212 years after revascularisation. The transcribed texts were analysed using manifest and latent content analysis.
The long-term experience of living with PAD meant gradually becoming aware of having a chronic disease. This was interpreted through the following themes, representing the transition from being in an acute phase of PAD to the recovery after revascularisation and entering a chronic phase of PAD: (I) 'becoming better but not cured'; (II) 'recapturing control over life'; (III) 'reappraising meaning in life'.
Becoming aware of having a chronic disease results in a need to adapt to and accept permanent restrictions in daily life. The findings showed that revascularisations offer several benefits. However, when PAD symptoms were relieved, other ailments became discernable, which reflects the complex course of PAD and atherosclerotic disease. Moreover, several critical points and events such as other concurrent diseases, unrealistic hopes for recovery, and the complex course of PAD and atherosclerotic disease complicated the transition process towards health and well-being.
关于外周动脉疾病（PAD）患者的长期生活体验以及血运重建术后改善效果的持久性，文献中鲜有描述。PAD的药物治疗和护理的主要目标是缓解症状、提高生活质量，并预防动脉疾病进展和心血管并发症。大多数患者为老年人，心肌梗死、中风和心血管死亡风险显著增加。即使在成功进行血运重建后没有缺血性跛行、静息痛或溃疡的情况下，这些风险也会限制患者的活动能力和功能状态。
阐明PAD患者的长期生活体验以及血运重建后的恢复情况。
对14例患者在血运重建术后6个月和212年进行了访谈。使用显性和隐性内容分析法对转录文本进行分析。
PAD患者的长期生活体验意味着逐渐意识到自己患有慢性病。这可以通过以下主题来解释，这些主题代表了从PAD急性期到血运重建术后恢复并进入PAD慢性期的转变：（I）“病情好转但未治愈”；（II）“重新掌控生活”；（III）“重新审视生活意义”。
意识到患有慢性病会导致需要适应和接受日常生活中的永久性限制。研究结果表明，血运重建有诸多益处。然而，当PAD症状缓解后，其他疾病变得明显，这反映了PAD和动脉粥样硬化疾病的复杂病程。此外，一些关键点和事件，如其他并发疾病、对康复的不切实际期望以及PAD和动脉粥样硬化疾病的复杂病程，使向健康和幸福的转变过程变得复杂。
