Knowledge and self-care practice in patients with peripheral arterial occlusive disease
Keywords:
peripheral arterial occlusive disease, self-care practice, knowledgeAbstract
Uncontrolled Peripheral Arterial Occlusive Disease (PAOD) and risk factors could result in dismemberment and untimely death. This study aimed to explore PAOD knowledge and self-care practice in patients with PAOD. Orem theory of self-care was used as a framework of the study. The study participants were 78 patients with PAOD, who met the inclusion criteria, at one university hospital in Bangkok, Thailand. Data collection was conducted from July to December 2013 using 3 questionnaires: personal information, disease and treatment perceptions, PAOD knowledge, and self-care practice. The collected data were analyzed using descriptive statistics.
The findings indicated that most of the study participants were male, aged over 60 years, had PAOD for 1-5 years, quit smoking, and had co-morbid disease. Their co-morbidities were risk factors of PAOD. All of the participants received antiplatelet drug, 50% of them had bypass surgery, 43.6% had toe or leg amputation, and 51.3% got complete clinical lab test for risk factor monitoring. Most of participants knew their disease and risk factors and received treatment information but could not identify their medication name, lab results, and standard lab values to minimize their risk factors. The PAOD knowledge was at a moderate level. The least score was the knowledge of detection of cause and risk factor. The score of self-care practice was at a high level. The most inappropriate practice was disease surveillance.
Research results could be an evidence base to develop a guideline to educate and to improve self-care practice in patients with PAOD.
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