Experiences of living with intermittent claudication
Experiences of living with intermittent claudication
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DOI：
10.1016/j.jvn.2011.11.001
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发表时间：
2012-03-01
影响因子：
1
通讯作者：
Mattiasson, Anne-Cathrine
中科院分区：
文献类型：
--
作者：
Egberg, Louise;Andreassen, Sissel;Mattiasson, Anne-Cathrine
间歇性跛行是由外周动脉疾病（PAD）引起的症状，与疼痛、活动能力受损和失控有关。由于疼痛，行走能力降低，身体和社会功能往往受到负面影响，这可能导致患者感觉自己是他人的负担。在2009/2010年冬季和春季进行了一项访谈研究，采用定性描述性设计来描述PAD引起的间歇性跛行的生活经历。研究对象为15名间歇性跛行患者，访谈内容以质性主题分析法进行分析。间歇性跛行严重影响日常生活。确定了六个主题：“腿部不适”，“以新的方式移动”，“被迫停止时感到不方便”，“怀念以前的生活”，“在日常生活中出现间歇性跛行”，“过着艰苦的生活。主题是“适应受限制的生活”。研究结果表明间歇性跛行对日常生活有重大影响。除了症状的严重程度外，患者对疾病的感受也各不相同，这取决于患者的活动程度或想要的活动程度。这些研究结果表明，增加对间歇性跛行生活的了解对于了解对患者生活的影响很重要，作为计划个体治疗时体格检查的补充。（J Vasc Nurs 2012;30：5-10）
Intermittent claudication is a symptom caused by peripheral arterial disease (PAD) and is associated with pain, impaired mobility and loss of control. Walking ability is reduced due to the pain, and both physical and social functions are often negatively affected, which may lead to patients feeling they are a burden to others. An interview study using a qualitative descriptive design to describe experiences of living with intermittent claudication caused by PAD was carried out during Winter and Spring 2009/2010. Fifteen people suffering from intermittent claudication were interviewed, and the interviews were analyzed using qualitative thematic analysis. Intermittent claudication greatly affects daily living. Six themes were identified: "Experiencing discomfort in the legs,'' "Moving around in a new way,'' "Feeling inconvenient when forced to stop,'' "Missing previous life,'' "Incorporating intermittent claudication in daily life,'' and "To lead a strenuous life.'' The main theme was "Adjusting to a restricted life.'' The findings show that intermittent claudication has a major impact on daily life. Apart from the severity of symptoms, how the illness is experienced differs among patients, depending on how active the ill person is or wants to be. These findings suggest that increased knowledge about living with intermittent claudication is important to understand the effects on the ill person's life, as a complement to physical examinations when planning individual treatment. (J Vasc Nurs 2012;30:5-10)