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The long-term experience of living with peripheral arterial disease and the recovery following revascularisation: A qualitative study.

Wann-Hansson, Christine LU ; Rahm Hallberg, Ingalill LU ; Klefsgård, Rosemarie LU and Andersson, Edith LU (2008) In International Journal of Nursing Studies 45(4). p.552-561
Abstract (Swedish)
Abstract in Undetermined

Background: 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.



... (More)
Abstract in Undetermined

Background: 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.



Objectives: To illuminate the long-term experience of living with PAD and the recovery following revascularisation.



Methods: Fourteen patients were interviewed 6 months and 21/2 years after revascularisation. The transcribed texts were analysed using manifest and latent content analysis.



Results: 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'.



Conclusions: 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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
peripheral vascular disease, chronic illness, transition, contest analysis
in
International Journal of Nursing Studies
volume
45
issue
4
pages
552 - 561
publisher
Elsevier
external identifiers
  • wos:000255265900009
  • scopus:40149084481
ISSN
1873-491X
DOI
10.1016/j.ijnurstu.2006.11.006
language
English
LU publication?
yes
id
5d89166d-bcd7-433e-a1c9-6866e38ae8b9 (old id 165870)
date added to LUP
2007-07-23 12:13:54
date last changed
2017-10-22 03:38:54
@article{5d89166d-bcd7-433e-a1c9-6866e38ae8b9,
  abstract     = {<b>Abstract in Undetermined</b><br/><br>
Background: 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. <br/><br>
<br/><br>
Objectives: To illuminate the long-term experience of living with PAD and the recovery following revascularisation. <br/><br>
<br/><br>
Methods: Fourteen patients were interviewed 6 months and 21/2 years after revascularisation. The transcribed texts were analysed using manifest and latent content analysis. <br/><br>
<br/><br>
Results: 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'. <br/><br>
<br/><br>
Conclusions: 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.},
  author       = {Wann-Hansson, Christine and Rahm Hallberg, Ingalill and Klefsgård, Rosemarie and Andersson, Edith},
  issn         = {1873-491X},
  keyword      = {peripheral vascular disease,chronic illness,transition,contest analysis},
  language     = {eng},
  number       = {4},
  pages        = {552--561},
  publisher    = {Elsevier},
  series       = {International Journal of Nursing Studies},
  title        = {The long-term experience of living with peripheral arterial disease and the recovery following revascularisation: A qualitative study.},
  url          = {http://dx.doi.org/10.1016/j.ijnurstu.2006.11.006},
  volume       = {45},
  year         = {2008},
}