Schorr Erica N, Peden-McAlpine Cynthia, Treat-Jacobson Diane, Lindquist Ruth
University of Minnesota School of Nursing, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
University of Minnesota School of Nursing, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA.
Geriatr Nurs. 2015 Jul-Aug;36(4):293-300. doi: 10.1016/j.gerinurse.2015.03.004. Epub 2015 Apr 29.
Claudication is the most commonly recognized peripheral artery disease (PAD) symptom, but not the most prevalent. Only 7.5%-33% of patients report claudication as being part of their symptom experience. However, there is little evidence supporting atypical symptom reporting. The study purpose was to describe the full spectrum of symptoms experienced by older and younger individuals with PAD. Semistructured interviews were conducted with a purposive sample of 38 community-dwelling adults aged 49-83 years; transcripts were analyzed using content analysis. Six themes emerged: symptom descriptors (claudication and atypical), maintaining equilibrium, temporal fluctuations, the role of exercise, perceived impact on quality of life, and disease presence and treatment. Results suggest heavy reliance on claudication can result in mis- or under-diagnosis of PAD. Further research is needed to validate the correspondence of atypical symptoms with ischemic changes during exercise to broaden currently accepted symptom locations and descriptors associated with PAD.
间歇性跛行是最常被认可的外周动脉疾病（PAD）症状，但并非最普遍的症状。只有7.5%-33%的患者报告间歇性跛行是其症状体验的一部分。然而，几乎没有证据支持非典型症状报告。该研究的目的是描述患有PAD的老年人和年轻人所经历的全部症状范围。对38名年龄在49-83岁的社区居住成年人进行了有目的抽样的半结构化访谈；使用内容分析法对访谈记录进行了分析。出现了六个主题：症状描述（间歇性跛行和非典型症状）、保持平衡、时间波动、运动的作用、对生活质量的感知影响以及疾病存在和治疗情况。结果表明，严重依赖间歇性跛行可能导致PAD的误诊或漏诊。需要进一步研究来验证非典型症状与运动期间缺血性变化的对应关系，以拓宽目前公认的与PAD相关的症状部位和描述。
