Main Article Content
Purpose: The study aimed to examine the relationships between self-management behavior, pain, postoperative period, length of stay, and quality of life among patients after revascularization of peripheral artery disease within 6 months.
Design: Correlational study.
Methods: The study sample included 82 patients aged 18 years or over after revascularization of peripheral artery disease within 6 months. Convenience sampling was used during their following-up at the out-patient department at a tertiary hospital. The questionnaires included personal information questionnaire, the SF36 health survey questionnaire, the self-management behavior questionnaire, the pain visual analog scale, the postoperative period record, and the length of stay record. Data were analyzed using descriptive statistics, and Spearman correlation.
Main finding: The study findings also showed that the self-management behavior and the postoperative period were positively related to the quality of life (rs = .64, p < .01; and rs = .39, p < .01, respectively). Pain and length of stay were negatively related to the quality of life (rs = - .80, p < .01; and rs = - .40, p < .01, respectively)
Conclusion and recommendations: To enhance quality of life of patients with peripheral artery disease after revascularization nurses should include pain management in their care, accelerate the recovery phase to reduce the length of stay, and promote self-care behaviors when returning home.
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
Fowkes FGR, Rudan D, Rudan J, Aboyans V, Denenberg JO, Mc Dermott MM, et al. Comparison of global estimates of prevalence and risk factors of prevalence and artery disease in 2000 and 2010: a systemic review and analysis. The Lancet. 2013;382(9901):1329-40. doi: 10.1016/S0140-6736(13)61249-0.
Mutirangura P, Ruangsetakit C, Wongwanit C, Sermsathanasawadi N, Chinsakchai K. Aterosclerosis obliterans of the lower extremities in Thai patient. J Med Assoc Thai. 2006;89(10):1612-20. (in Thai).
Cherr GS, Wang J, Zimmerman PM, Dosluoglu HH. Depression is associated with worse patency and recurrent leg symptoms after lower extremity revascularization. J Vasc Surg. 2007;45(4):744-50. doi: 10.1016/j.jvs.2006.11.057.
Jessadapattarakun S, Chadchavalpanichaya N. The prevalence of asymptomatic peripheralaterial disease in diabetic patients at Siriraj Hospital. Journal of Thai Rehabilitation Medicine. 2016;26(2):54-60. (in Thai).
Grochot-Przecze KA, Dulak J, Jozkowicz A. Therapeutic angiogenesis for revascularization in peripheral artery disease. Gene. 2013;525(2):220-8. doi: 10.1016/j.gene.2013.03.097.
Hinchliffe RJ, Brownrigg JR, Andros G, Apelqvist J, Boyko EJ, Fitridge R, et al. Effectiveness of revascularization of the ulcerated foot in patients with diabetes and peripheral arterial disease: a systematic review. Diabetes Metab Res Rev. 2016;32 Suppl 1:136-44. doi: 10.1002/dmrr.2705.
Liu J, Wu Y, Li Z, LiW, Wang S. Endovascular treatment for intermittent claudication in patients with peripheral arterial disease: a systematic review. Ann Vasc Surg. 2014;28(4):977-82. doi: 10.1016/j.avsg.2013.05.022.
Bosma J, Vahl A, Wisselink W. Systematic review on health-related quality of life after revascularization and primary amputation in patients with critical limb ischemia. Ann Vasc Surg. 2013;27(8):1105-14. doi: 10.1016/j.avsg.2013.01.010.
Lu L, Mackay DF, Pell JP. Meta-analysis of the association between cigarette smoking and peripheral arterial disease. Heart. 2014;100(5):414-23. doi: 10.1136/heartjnl-2013-304082.
Fosbol E, Subherwal S, Patel M, Kober L, Peterson E, Jones W, et al. Lower extremity peripheral artery disease is associated with greater long-term mortality risk than history of coronary artery disease: a nationwide study. J Am Coll Cardiol. 2012;59 Suppl 13:E1881. doi: 10.1016/S0735-1097(12)61882-8.
Maksimovic M, Vlajinac H, Marinkovic J, Kocev N, Voskresenski T, Radak D. Health-related quality of life among patients with peripheral arterial disease. Angiology. 2014;65(6):501-6. doi: 10.1177/0003319713488640.
Harwood AE, Totty JP, Broadbent E, Smith GE, Chetter IC. Quality of life in with intermittent claudication. Gefasschirurgie. 2017;22(3):159-64. doi: 10.1007/s00772-017-0269-4.
Tonklai S, Kimpee S, Danaidutsadeekul S, Wongkongkam K, Wongwanit C. Factor predicating self-management behaviors of patients with peripheral arterial occlusive disease post-endovascular therapy. Journal of Nursing Science. 2014;32(1):39-50. (in Thai).
Sol BG, van der Graaf Y, Brouwer B, Hickox SM, Visseren FL. The effect of a self-management intervention to reduce vascular risk factors in patients with manifestations of vascular diseases. Eur J Cardiovasc Nurs. 2010;9(2):132-9. doi: 10.1016/j.ejcnurse.2009.11.011.
Sol BG, van der Bijl JJ, Banga JD, Visseren FLJ. Vascular risk management through nurse-led self-management programs. J Vasc Nurs. 2005;23(1):20-4. doi: 10.1016/j.jvn.2004.12.003.
Ustundag H, Gul A, Findik UY. Quality of life and pain in patients with peripheral arterial disease. Journal of Caring Sciences. 2016;9(3):838.
Mustapha JA, Anose BM, Martinsen BJ, Pliagas G, Ricotta J, Boyes CW, et al. Lower extremity revascularization via endovascular and surgical approaches: a systematic review with emphasis on combined inflow and outflow revascularization. SAGE Open Med. 2020;8:2050312120929239. doi: 10.1177/2050312120929239.
Bunnag C, Noona R, Prasungsit C. Factors associated with quality of life for the patients with limb ischemia. Journal of Nursing Science. 2011;29(2):27-36. (in Thai).
Thangrod R, Kimpee S, Thosingha O, Ruangsetakit C. Factors predicting health status in patients after infrainguinal bypass. Journal of Nursing Science. 2010;28(4):46-54. (in Thai).
Egorova NN, Guillerme S, Gelijns A, Morrissey N, Dayal R, McKinsey JF, et al. Analysis of the outcomes of a decade of experience with lower extremity revascularization including limb salvage, lengths of stay, and safety. J Vasc Surg. 2010;51(4):878-85. doi: 10.1016/j.jvs.2009.10.102.
Hasvold P, Nordanstig J, Kragsterman B, Kristensen T, Falkenberg M, Johansson S, et al. Long-term cardiovascular outcome, use of resources, and healthcare costs in patients with peripheral artery disease: results from a nationwide Swedish study. Eur Heart J Qual Care Clin Outcomes. 2018;4(1):10-7. doi: 10.1093/ehjqcco/qcx028.
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-60. doi: 10.3758/BRM.41.4.1149.
Polit DF, Beck CT. Nursing research: generating and assessing evidence for nursing practice. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2008. 796 p.
Griffiths J, Putthinoi S, Pongsaksri M. The general practitioner assessment of cognition; GPCOG (Thai version): validity and reliability. Poster session presented at: Rewinding the Aging Clock. 9th Pan-Pacific Conference on Rehabilitation Cum, 21st Annual Congress of Gerontology; 2014 Nov 29-30; Jockey Club Auditorium, the Hong Kong Polytechnic University. Hong Kong, China.
Leurmarnkul W, Meetam P. Properteis testing the retranslated SF-36 (Thai version). Thai Journal of Pharmaceutical Sciences. 2005;29(1-2):69-88. (in Thai).