Haile Sara, Lööf Helena, Johansson Unn-Britt, Linné Anneli, Joelsson-Alm Eva
Karolinska Institutet, Department of Clinical Science and Education and Department of Surgery, Södersjukhuset, SE-118 83, Stockholm, Sweden.
Mälardalen University, Division of Caring Sciences, School of Healthcare and Social Welfare, Box 883, SE-721 23, Västerås, Sweden; Sophiahemmet University, Department of Health Promoting Science, PO Box 5605, SE-114 86, Stockholm, Sweden.
J Vasc Nurs. 2022 Mar;40(1):47-53. doi: 10.1016/j.jvn.2021.11.004. Epub 2021 Dec 21.
Claudication is the most usual symptom of peripheral artery disease, it is described as painful contractions in the leg when walking and alleviated upon resting. People with claudication have an added risk of cardiocerebrovascular events, amputation, and death. Adherence to medical treatment and changes in lifestyles can lower this risk, but this secondary prevention therapy requires engagement, participation, and adherence from the patient.
To explore patients' experiences of participating in a 1-year multicentre clinical trial with two follow-up programs evaluating a nurse-led, patient-centered health-promoting programme after surgical treatment for claudication, the FASTIC study.
A descriptive design with qualitative semi-structured interviews was used among participants in the FASTIC study. The study was conducted at two centres for vascular surgery in the city of Stockholm, Sweden. In all, 17 patients (nine men and eight women) who had completed the FASTIC study participated. Data was analysed using qualitative content analysis with an inductive approach.
Two main categories were identified, 'Patient-Professional collaboration' and 'Experience of one´s health', which were associated with four subcategories: facing opportunities and obstacles, cooperating based on the illness experience, increasing awareness of one's own health, and maintaining a healthy lifestyle.
Patients' participation in follow-up programs after surgical treatment for claudication is highly valuable for an increased awareness of one's own health. A person-centered care with patient-professional collaboration is experienced as important for maintaining a health-promoting lifestyle.
间歇性跛行是外周动脉疾病最常见的症状，表现为行走时腿部疼痛性痉挛，休息时缓解。患有间歇性跛行的人发生心脑血管事件、截肢和死亡的风险更高。坚持药物治疗和改变生活方式可以降低这种风险，但这种二级预防治疗需要患者的参与、配合和坚持。
探讨患者参与一项为期1年的多中心临床试验的体验，该试验有两个随访项目，评估一项由护士主导、以患者为中心的促进健康项目，该项目用于间歇性跛行手术治疗后的患者，即FASTIC研究。
对FASTIC研究的参与者采用定性半结构式访谈的描述性设计。该研究在瑞典斯德哥尔摩市的两个血管外科中心进行。共有17名完成FASTIC研究的患者（9名男性和8名女性）参与。采用归纳法进行定性内容分析来分析数据。
确定了两个主要类别，即“患者-专业人员合作”和“个人健康体验”，它们与四个子类别相关：面对机遇和障碍、基于疾病体验进行合作、提高对自身健康的认识以及保持健康的生活方式。
患者参与间歇性跛行手术治疗后的随访项目对于提高自身健康意识非常有价值。以患者为中心、患者与专业人员合作的护理对于维持促进健康的生活方式很重要。
