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Experiences of living with intermittent claudication
Sophiahemmet University.
Sophiahemmet University.ORCID iD: 0000-0002-9929-4779
2012 (English)In: Journal of Vascular Nursing, ISSN 1062-0303, E-ISSN 1532-6578, Vol. 30, no 1, 5-10 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2012. Vol. 30, no 1, 5-10 p.
Keyword [en]
Intermittent claudication, Peripheral vascular disease, Experiences, Life situation
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-892DOI: 10.1016/j.jvn.2011.11.001PubMedID: 22321401OAI: oai:DiVA.org:shh-892DiVA: diva2:455908
Available from: 2011-11-11 Created: 2011-11-11 Last updated: 2014-09-29Bibliographically approved
In thesis
1. Life situation in people with peripheral arterial disease and their family members
Open this publication in new window or tab >>Life situation in people with peripheral arterial disease and their family members
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Life with peripheral arterial disease and the resulting impaired walking ability leads to major limitations in daily life and a decreased quality of life. The overall aim of this thesis was to generate understanding about the life situation among people living with peripheral arterial disease and their family members. The outcomes after percutaneous transluminal angioplasty interventions both proximal and distal to the inguinal ligament were assessed by collecting data by means of chart review using a study specific protocol. The results show a connection between proximal intervention and age as well as proximal intervention and smoking. Patients in the proximal group were younger and more frequent smokers or former smokers and hematomas/bruises as a complication were more common among non-diabetic patients (Paper I). Health related quality of life in patients with peripheral arterial disease undergoing percutaneous transluminal angioplasty intervention was investigated using a general questionnaire (EQ5D) as well as a disease-specific questionnaire (CLAU-S) translated into Swedish for this study. The health related quality of life was improved both one month and one year after the percutaneous transluminal angioplasty compared to before the intervention (Paper II). The experiences of living with intermittent claudication were studied through qualitative interviews with individuals suffering from peripheral arterial disease. The interviews were analyzed by thematic content analysis and six themes together founded a main theme concerning adjusting to a restricted life when living with intermittent claudication (Paper III). Spouses and cohabitants were interviewed about their experiences of living together with a person suffering from intermittent claudication. The overall theme was about living a demanding life when living together with someone with intermittent claudication. The findings of this study give insight into the complexities and the difficulties of ageing and living together with someone suffering from intermittent claudication (Paper IV). In conclusion, living with intermittent claudication has a major impact on daily life and demands adjustment to a restricted life. Percutaneous transluminal angioplasty improves health related quality of life among individuals suffering from peripheral arterial disease and the effect is sustainable over time up to one year after the intervention. People who had undergone percutaneous transluminal angioplasty were younger in the proximal group and hematomas/bruises were more common among nondiabetic patients. Ageing and intermittent claudication have great impact on both the spouse’s and the ill person’s life situation

Place, publisher, year, edition, pages
Stockholm: Karolinska Institutet, 2011. 45 p.
Keyword
Peripheral vascular disease, Experiences, Angioplasty, balloon, Health related quality of life, Life situation, Family members
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-894 (URN)978-91-7457-501-9 (ISBN)
Public defence
2011-12-02, Erforssalen, Sophiahemmet Högskola, Lindstedtsvägen 8, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2011-12-02 Created: 2011-11-11 Last updated: 2016-06-09Bibliographically approved

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