Harwood Amy-Elizabeth, Broadbent Edward, Totty Joshua Phillip, Smith George Edward, Chetter Ian Clifford
Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, United Kingdom.
Academic Vascular Surgical Unit, Hull Royal Infirmary, Hull, United Kingdom.
J Vasc Nurs. 2017 Sep;35(3):131-135. doi: 10.1016/j.jvn.2017.03.001.
Intermittent claudication (IC) is a common condition which has severe impacts on quality of life, physical function, and mental health. Supervised exercise is the recommended first-line treatment for patients with this condition; however, these are not always feasible or accessible to patients. As the proportion of patients who have this treatment remains suboptimal, it is important to better understand the perception of exercise in this population. A gap in the literature exists about the barriers and facilitators to exercise in patients completing, dropping out of, or declining an exercise program. A qualitative analysis was undertaken to understand this further. Twenty-five patients were interviewed face to face, 10 who had completed exercise, 10 who had declined, and 5 who had dropped out of an exercise program. Three major themes emerged from the data, IC, and perception to exercise and experience or beliefs of the exercise program.Addressing the barriers and facilitators to exercise in patients with IC is crucial in optimizing the delivery and uptake of exercise programs. More education or time investment is needed with these patients during initial diagnostic to help overcome perceived barriers and emphasis healthy behavioral changes.
间歇性跛行（IC）是一种常见病症，对生活质量、身体功能和心理健康有严重影响。监督下的运动是针对该病症患者推荐的一线治疗方法；然而，这些对患者来说并非总是可行或可及的。由于接受这种治疗的患者比例仍不理想，因此更好地了解这一人群对运动的看法很重要。关于完成、退出或拒绝运动计划的患者在运动方面的障碍和促进因素，文献中存在空白。为此进行了一项定性分析以进一步了解情况。对25名患者进行了面对面访谈，其中10名完成了运动，10名拒绝了运动，5名退出了运动计划。数据、IC以及对运动的看法和运动计划的体验或信念中出现了三个主要主题。解决IC患者运动的障碍和促进因素对于优化运动计划的实施和接受至关重要。在初次诊断期间，需要对这些患者进行更多的教育或投入更多时间，以帮助克服感知到的障碍并强调健康行为的改变。
