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Increasing patients’ awareness of their own health: Experiences of participating in follow-up programs after surgical treatment for intermittent claudication
Karolinska Institutet, Department of Clinical Science and Education and Department of Surgery, Södersjukhuset, SE-118 83, Stockholm, Sweden.ORCID iD: 0000-0001-7592-2585
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Sophiahemmet University, Department of Health Promoting Science, PO Box 5605, SE-114 86, Stockholm, Sweden.ORCID iD: 0000-0002-7018-2706
Karolinska Institutet, Department of Clinical Science and Education, Södersjukhuset, SE-118 83, Stockholm, Sweden.ORCID iD: 0000-0003-3309-136X
Karolinska Institutet, Department of Clinical Science and Education and Department of Surgery, Södersjukhuset, SE-118 83, Stockholm, Sweden.ORCID iD: 0000-0001-8671-8336
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2022 (English)In: Journal of Vascular Nursing, ISSN 1062-0303, E-ISSN 1532-6578, Vol. 40, no 1, p. 47-53Article in journal (Refereed) Published
Abstract [en]

Introduction

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.

Objective

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.

Methods

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.

Results

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.

Conclusions

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.

Place, publisher, year, edition, pages
2022. Vol. 40, no 1, p. 47-53
National Category
Nursing
Identifiers
URN: urn:nbn:se:mdh:diva-56809DOI: 10.1016/j.jvn.2021.11.004ISI: 000778633000008Scopus ID: 2-s2.0-85121748634OAI: oai:DiVA.org:mdh-56809DiVA, id: diva2:1622315
Available from: 2021-12-22 Created: 2021-12-22 Last updated: 2022-05-04Bibliographically approved

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Lööf, Helena

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