HEALTH NEEDS OF PATIENTS WITH CHRONIC LOWER LIMBS ISCHEMIA IN GENERAL PORT SAID HOSPITALS

Document Type : Original Article

Authors

1 ELMANSOURA

2 professor of Medical-Surgical Nursing, Port Said University

3 Lecturer of Medical-Surgical Nursing; Port Said University

Abstract

 Background:  Chronic limb-threatening ischemia (CLTI) is linked to a lower quality of life chronic limb ischemia represents the end stage of peripheral arterial disease and is associated with a high risk of limb amputation. Aim: To assess health needs of patients with chronic lower limbs ischemia in general Port Said hospitals. Subjects and method: Design: Descriptive research design was used in the study. Setting: The study was conducted at surgical, diabetic outpatient clinics at El Mabara hospital), Due to renovation on building in other hospitals. Subjects: A convenient sample of eighty male and female patients who diagnosed with chronic lower limbs ischemia were included. Tools: Data werecollectedusing three tools, Tool I patients assessment questionnaire Tool II Patients physical examination Tool III patients health needs questionnaire. Results: The result of study indicated that 64.5% had inadequate leg exercise, 67.5% had unsatisfactory foot care and 82.5% had unhealthy diet. Conclusion: most of studied patients had inadequate exercise, unsatisfactory foot care and unhealthy diet Recommendations: There are clear requirements for conducting health education about exercise, importance of foot care and having a healthy diet.
 

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Aitken, S. J. (2020). Peripheral artery disease in the lower limbs: The importance of secondary risk prevention for improved long-term prognosis. Aust J Gen Pract, 49(5), 239-446.
Brotons, C., Drenthen, A. J., Durrer, D., & Moral, I. (2012). Beliefs and attitudes to lifestyle, nutrition and physical activity: the views of patients in Europe. Family practice29(suppl_1), 149-155.
Buso, G., Aboyans, V., & Mazzolai, L. (2019).Lower extremity artery disease in patients with type 2 diabetes. European journal of preventive cardiology26(2_suppl), 114-124.
Chan, E. Y. L. (2019). The Effect of Diabetic Foot Care Education on Self-Efficacy and Foot Care Behavior in People with Diabetes: A Randomized Control Trial (Doctoral dissertation, The Chinese University of Hong Kong (Hong Kong).
Delaney, C. L., Smale, M. K., & Miller, M. D. (2019). Nutritional Considerations for Peripheral Arterial Disease: A Narrative Review. Nutrients11(6), 1219 -1234.
Desoky, A. A., Mohamed, M. A. E., Khhalil, M. S., & Ahmed, A. M. (2014). Impact of a designed nursing teaching protocol on quality of life of patients with chronic lower limb ischemia at Assiut University Hospital. Pain, 5(31)45-63.
Duwayri, Y. M., Woo, K., Aiello, F. A., Adams, J. G., Ryan, P. C., Tracci, M. C., & Lum, Y. W. (2020). The Society for Vascular Surgery Alternative Payment Model Task Force Report on Opportunities for Value-Based Reimbursement in Care for Patients with Peripheral Artery Disease. Journal of vascular surgery 6(22), 28-36.
Fahey, V. A., & Schindler, N. (2016).Arterial reconstruction of the lower extremity. Vascular Nursing-E-Book, 6(44), 251-245.
Farah, B. Q., Ritti-Dias, R. M., Cucato, G. G., Montgomery, P. S., & Gardner, A. W. (2016). Factors associated with sedentary behavior in patients with intermittent claudication. European Journal of Vascular and Endovascular Surgery52(6), 809-814.
Farber, A., & Eberhardt, R. T. (2018). The current state of critical limb ischemia: a systematic review. JAMA surgery151(11), 1070-1077.
Graf, c. (2012). The Lawton instrumental activities of daily living scale. AJN THE American Journal of Nursing, 108(4), 52-62.
Iacopi, E., Coppelli, A., Riitano, N., Abbruzzese, L., Pieruzzi, L., Goretti, C., & Piaggesi, A. (2019).Adherence to guideline recommended medical therapies in type 2 diabetic patients with chronic critical limb ischemia. Diabetes Research and Clinical Practice158(12), 107898-107904.
Levin, S. R., Arinze, N., & Siracuse, J. J. (2020). Lower extremity critical limb ischemia: A review of clinical features and management. Trends in cardiovascular medicine30(3), 125-130.
Katzen, B. T. (2019).Clinical diagnosis and prognosis of acute limb ischemia. Reviews in Cardiovascular Medicine3(52), 2-6.
Kaushal, M., Schwartz, J., Gupta, N., Im, J., Leff, J., Jakobleff, W. A., & Leyvi, G. (2019). Patient demographics and extracorporeal membranous oxygenation (ECMO)-related complications associated with survival to discharge or 30-day survival in adult patients receiving Venoarterial (VA) and Venovenous (VV) ECMO in a quaternary care Urban Center. Journal of cardiothoracic and vascular anesthesia, 33(4), 910-917.
Krishnamoorthy, B. (2020).Care of patients requiring vascular surgery. Pudner's the Surgical Patient E-Book, 22(14) 443-501.
Madushan, J. C. V., & Jeewantha, M. (2019).A Study to Determine the Knowledge and Practice of Foot Care in Patients with Chronic Diabetic Ulcer. International Journal of Collaborative Research on Internal Medicine & Public Health. Diakses pada tanggal, 45(4) 290-295.
Monteiro, R. L., Sartor, C. D., Ferreira, J. S., Dantas, M. G., Bus, S. A., & Sacco, I. C. (2018). Protocol for evaluating the effects of a foot-ankle therapeutic exercise program on daily activity, foot-ankle functionality, and biomechanics in people with diabetic polyneuropathy: a randomized controlled trial. BMC musculoskeletal disorders19(1), 1-12.
Moulson, A. (2017). Examination of the foot and ankle. Musculoskeletal Examination and Assessment E-Book: A Handbook for Therapists.
Olinic, D. M., Stanek, A., Tătaru, D. A., Homorodean, C., & Olinic, M. (2019). Acute Limb Ischemia: An Update on Diagnosis and Management. Journal of clinical medicine8(8), 1215- 1235.
Rudofker, E. W., Hogan, S. E., & Armstrong, E. J. (2018). Preventing major amputations in patients with critical limb ischemia. Current Cardiology Reports20(9), 74-83.
Setacci, C., Mele, M. A., Galzerano, G., de Donato, G., Benevento, D., Guerrieri, M. W., & Amato, B. (2018). Cerebrovascular Disease and Critical Limb Ischaemia. In Surgical Management of Elderly Patients (pp. 257-270). Springer, Cham.
Shu, J., & Santulli, G. (2018). Update on peripheral artery disease: epidemiology and evidence-based facts. Atherosclerosis275(13), 379-381.
Uccioli, L., Meloni, M., Izzo, V., Giurato, L., Merolla, S., & Gandini, R. (2018). Critical limb ischemia: current challenges and future prospects. Vascular Health and Risk Management14(8), 63-75.
Van Haelst, S. T. W., Koopman, C., Den Ruijter, H. M., Moll, F. L., Visseren, F. L., Vaartjes, I., & de Borst, G. J. (2018). Cardiovascular and all‐cause mortality in patients with intermittent claudication and critical limb ischaemia. British Journal of Surgery, 105(3), 252-261.
Younas, F., & Rogers, R. K. (2019). Supervised Exercise in Critical Limb Ischemia. VASCULAR DISEASE MANAGEMENT16(5), 560-562.
Zettervall, S. L., Marshall, A. P., Fleser, P., & Guzman, R. J. (2018).Association of arterial calcification with chronic limb ischemia in patients with peripheral artery disease. Journal of vascular surgery67(2), 507-513.