Şahan Dilara, Akyüz Yakup, Güneyi Fatma, Coşar Damla
Aydın Adnan Menderes University Nursing Faculty, Department of Surgical Nursing, Aydin, Turkey.
İstanbul University Nursing Faculty, Department of Surgical Nursing, İstanbul, Turkey.
Ann Vasc Surg. 2025 Jun;115:117-128. doi: 10.1016/j.avsg.2025.01.040. Epub 2025 Mar 7.
Peripheral Artery Disease (PAD) is a chronic condition that requires prolonged and consistent management. Failure to recognize the necessity for prolonged treatment and care may result in a lack of acceptance of the disease, feelings of hopelessness, and a lack of emphasis on healthy living, which can lead to an unmanageable disease, serious complications, increased care costs, elevated mortality, and morbidity rates. The objective of this study is to examine the relationships between healthy lifestyle behaviors (HLBs), hopelessness, and illness acceptance levels among individuals diagnosed with lower extremity PAD and related factors.
This analytical cross-sectional study was conducted with 87 patients diagnosed with lower extremity PAD who were hospitalized for a surgical procedure in the cardiovascular surgery clinic of a university hospital. The data were collected using the Patient Information Form, the Healthy Lifestyle Behaviors Scale (HLBS)-II, the Beck Hopelessness Scale (BHS), and the Illness Acceptance Scale (IAS). The analysis was conducted using the IBM SPSS Statistics software (version 25; IBM Corp., New York, NY).
The mean total scores from HLBS, BHS, and IAS for the patients were found to be 124.17, 12.57, and 24.40, respectively. Patients with a secondary or higher education level who also had a family history of cardiovascular disease exhibited higher scores on the HLBS. Conversely, patients whose family situations and social lives were affected by the disease demonstrated lower scores on the IAS. Patients who evaluated their physical and mental health as good exhibited higher scores on the IAS. Patients with a primary school or lower education who also lacked social support related to the disease processes demonstrated higher scores on the BHS. A weak negative correlation was identified between hopelessness and the level of illness acceptance.
This study highlights that the adoption of HLBs and the acceptance of the disease among patients diagnosed with PAD remain suboptimal. In addition, the study reveals that the level of hopelessness among these patients is significantly elevated. It can be inferred that there is a strong correlation between the level of hopelessness and the acceptance of the disease. The findings of this study may inform the design of awareness training programs for the management of the disease, the development of HLBs, and the enhancement of illness acceptance and hopelessness levels among individuals diagnosed with PAD in Turkey.
外周动脉疾病（PAD）是一种慢性病，需要长期持续的管理。未能认识到长期治疗和护理的必要性可能导致对疾病的接受度不足、绝望感以及对健康生活的不重视，进而可能导致疾病难以控制、出现严重并发症、护理成本增加、死亡率和发病率上升。本研究的目的是探讨被诊断为下肢PAD的个体的健康生活方式行为（HLBs）、绝望感和疾病接受水平之间的关系以及相关因素。
本分析性横断面研究对87例被诊断为下肢PAD且在大学医院心血管外科门诊因外科手术住院的患者进行。数据通过患者信息表、健康生活方式行为量表（HLBS）-II、贝克绝望量表（BHS）和疾病接受量表（IAS）收集。分析使用IBM SPSS Statistics软件（版本25；IBM公司，纽约州纽约市）进行。
患者的HLBS、BHS和IAS的平均总分分别为124.17、12.57和24.40。具有心血管疾病家族史的中等或高等教育水平患者在HLBS上得分较高。相反，家庭状况和社会生活受疾病影响的患者在IAS上得分较低。将自身身心健康评价为良好的患者在IAS上得分较高。小学及以下教育水平且缺乏与疾病进程相关社会支持的患者在BHS上得分较高。绝望感与疾病接受水平之间存在微弱的负相关。
本研究强调，被诊断为PAD的患者对HLBs的采纳和对疾病的接受程度仍不理想。此外，研究表明这些患者的绝望感水平显著升高。可以推断，绝望感水平与疾病接受程度之间存在很强的相关性。本研究结果可能为土耳其针对被诊断为PAD的个体设计疾病管理意识培训项目、发展HLBs以及提高疾病接受度和降低绝望感水平提供参考。
