The long-term experience of living with peripheral arterial disease and the recovery following revascularization: a qualitative study

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The long-term experience of living with peripheral arterial disease and the recovery following revascularization: a qualitative study

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Publication Article, peer reviewed scientific
Title The long-term experience of living with peripheral arterial disease and the recovery following revascularization: a qualitative study
Author(s) Wann-Hansson, Christine ; Rahm Hallberg, Ingalill ; Klevsgård, Rosemarie ; Andersson, Edith
Date 2006-11-28
English abstract
ABSTRACT Background: The long-term experience of living with peripheral arterial disease (PAD) and the durability of improvements after revascularization are sparsely described in the literature. The primary goal of medical treatment and nursing care for PAD is to provide relief of symptoms, improve quality of life and prevent the progression of arterial disease and cardiovascular complications. A majority 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 revascularization. Objectives: To illuminate the long-term experience of living with peripheral arterial disease and the recovery following revascularizations. Methods: Fourteen patients were interviewed 6 months and 2½ years after revascularization. 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 in the following themes, representing the transition from being in an acute phase of PAD to the recovery after revascularization 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 revascularizations 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 hope for recovery, the complex course of PAD and atherosclerotic disease complicated the transition process towards health and well-being.
Publisher Elsvier Ldt
Host/Issue International Journal of Nursing Studies;Feb 3
Language eng (iso)
Subject(s) Nursing
Peripheral vascular disease
Chronic illness
Transition
Content analysis
Medicine
Research Subject Categories::MEDICINE
Handle http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T7T-4N08X56-1&_user=2864935&_coverDate=02%2F05%2F2007&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000059005&_version=1&_urlVersion=0&_userid=2864935&md5=88f4242eaf82f57fc1c438e97a7794ae (link to this page)
http://hdl.handle.net/2043/4520 (link to this page)

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