Professional nurses’ knowledge and practice for patients at risk of peripheral arterial occlusive disease

Authors

  • สุจินดา สวงโท Master student, Master of Nursing Science Program (Adult Nursing), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • อภิญญา ศิริพิทยาคุณกิจ Assistant Professor, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University
  • อรสา พันธ์ภักดี Associate Professor, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Keywords:

peripheral arterial disease (paod), nurses’ knowledge of PAOD, nursing care, patients at risk of PAOD

Abstract

         This descriptive study was conducted to assess professional nurses’ knowledge and practice for patients at risk of Peripheral Arterial Disease (PAOD). The nursing agency concept of Orem’s theory was used as the research framework. 136 registered nurses who provided care for patients with PAOD at a tertiary care hospital and a university affiliated hospital in Bangkok were purposively selected as the participants of this study. The following instruments were used to collect the data: the demographic data assessment form, the knowledge of nursing care for patients with PAOD, and the nursing care for patients with PAOD. Data were analyzed in terms of descriptive statistics, Spearman’s Rang correlation and Chi-square.

        The findings showed that professional nurses’ knowledge of PAOD was at a low level. They had a good level of knowledge of causes and risk factors of PAOD but a poor level of knowledge of its diagnosis, treatments, and signs and symptoms.  As regards nurses’ practice to prevent PAOD, it was found that they self-assessed that they had a moderate level of practice.  When considering each aspect, 60% of them perceived that they did the screening, but 50% of them disseminated knowledge or offered advice on self-care.  Furthermore, the basic conditioning factors of age, educational background, experience with care of PAOD, duration of work, and additional training were not associated with nurses’ practice, but knowledge of PAOD and the wards where the nurses were working were related to their practice with statistical significance. 

        Based on the finding that nurses had a low level of knowledge of PAOD, their knowledge should be promoted and their skills should be developed so as to enable them to more effectively do the screening, disseminate knowledge, and offer advice on self-care to patients with PAOD.

References

1. Cimminiello C. PAD epidemiology and pathophysiology. Thrombosis Research 2002; 106: v295-v301.

2. Mutirangura P. Emergency vascular surgery. Bangkok: Aksorn sampan press (1987); 2010.

3. The American College of Cardiology Foundation and the American Heart Association, Inc [internet]. Management of patients with peripheral artery disease; 2011[update 2011 Nov; cite 2014 Dec] Available from: https://www.my. americanheart.org/idc/groups/ahamah-public/@wcm/@sop/ @spub/documents/downloadable/ucm_436821.pdf

4. Chuengsamarn S, Sangpanich A, Laoopugsin N. Prevalence and risk factors of peripheral arterial disease in type 2 diabetic patients at HRH Princess Maha Chakri Sirindhorn Medical Center. J Med Assoc Thai. 2010; 93 (Suppl 2):S32-8.

5. Institute of Medical Research and Technology Assessment, Department of Medical services. Clinical Practice Guideline: Prevention and management of diabetic foot complications. Bangkok: The Agricultural Cooperation Federation of Thailand; 2013

6. Porntisan S, Jaratjarernvitaya N, Taravanij T. The study prevalence of peripheral arterial disease in type2 diabetes in Thammasat Hospital. Thammasat medical Journal. 2008; 8: 32-9.

7. Hirsch AT, Criqui MH, Treat-Jacobson D, Regensteiner JG, Creager MA, Olin JW, et al. Peripheral arterial disease detection, awereness, and treatment in primary care. JAMA. 2001 Sep 19;286(11):1317-24.

8. Hirsch AT, Timothy P, Murphy TP, Lovell MB, Twillman G, Jacobson DT, et al. Gaps in public knowledge of peripheral arterial disease the first national PAD public awareness survey. Circulation. 2007; 116: 2086-94.

9. Mutirangura P, Ruangsetakit C, Wongwanit C, Sermsathanasawadi N, Chinsakchai K. Atherosclerosis obliterans of the lower extremities in Thai patients. J Med Assoc Thai. 2006; 89(10): 1612-20.

10. Boonnak C, Noona R, Prasungsit C. Quality of life with factors related in patients with legs ischemia. J Nurs Sci. 2011; 29(2): 27-36. ( in Thai)

11. Planas A, Clara A, Marrugat J, Pou JM, Gasol A, Moner A, et al. Age at onset of smoking is an independent risk factor in peripheral arterial disease development. J Vasc Surg. 2002; 35(3): 506-9.

12. Poredos P, Jug B. The prevalence of peripheral arterial in high risk subjects and coronary or cerebrovascular patients. Angiology. 2007; 28(3), 309-15.

13. Brophy CM. Noninvasive vascular examination.In: Davies AH, Brophy CM, editors. Vascular surgery. New York: Springer Science; 2006. p. 19-23.

14. Eason SL, Peterson NJ, Almazor MS, Davis B, Collins TC. Diabetes mellitus, smoking, and the risk for asymptomatic peripheral arterial disease: whom should we screen. J Am Board Fam Pract. 2005; 18(5): 355-61.

15. Ouriel K. Peripheral arterial disease. Lancet. 2001; 358: 1257-64.

16. Piyayotai D, Pornthisarn S, Hutayanon P, Buakhamsri A. Prevalence study of renal artery stenosis and peripheral artery disease in high atherosclerotic risk patients. Thai Heart Journal. 2010; 23(1): 34-40.

17. Gregg EW, Sorlie P, Ram RP, Gu Q, Eberhardt MS, Wolz M, et al. Prevalence of lower-extremity disease in the US adult population 40 years of age with and without diabetes: 1999-2000 national health and nutrition examination survey. Diabetes Care. 2004; 27: 1591-7.

18. Eason SL, Peterson NJ, Almazor MS, Davis B, Collins TC. Diabetes mellitus, smoking, and the risk for asymptomatic peripheral arterial disease: whom should we screen. J Am Board Fam Pract 2005; 18(5): 355-61.

19. Sawangphong S. Factors related to first diagnosis time in patients with peripheral arterial occlusive disease. [Master Thesis of Nursing Science]. Bangkok: Mahidol University; 2009. (in Thai).

20. Senachai N, Panpakdee O, Siripitayakunkit A, Relationship among Nurses’ BasicConditioning Factors,Knowledge, and Competency for Providing Care of Patients at Risk of Peripheral Arterial Disease. Thai Journal of Cardio-Thoracic Nursing. 2014; 25(2): 1-14.

21. Orem DE. Nursing concepts of practice. 4th ed. Missouri: Mosby-Year book; 1991.

22. Apaiwong R. Nursing Agency of Professional Nurses for Providing Care of Chronically Ill Patient in The Eastern Regional Hospital and Medical Center of Thailand. [Master Thesis of Nursing Science]. Chonburi: Burapha University; 2001.

23. Jirojanakul P. Nursing research: Concept Principle and Method. 2nd ed. Bangkok: Tanapress; 2009.

24. Schwarcz AI, Quijano A, Olin JW, Ostfeld RJ. Internal medicine interns have a poor knowledge of peripheral artery disease. Angiology. 2012; 63(8): 597-602.

Downloads

Published

2018-12-31

How to Cite

1.
สวงโท ส, ศิริพิทยาคุณกิจ อ, พันธ์ภักดี อ. Professional nurses’ knowledge and practice for patients at risk of peripheral arterial occlusive disease. Thai J. Cardio-Thorac Nurs. [Internet]. 2018 Dec. 31 [cited 2024 Mar. 28];29(2):68-80. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/164285

Issue

Section

Research Articles