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Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease

BACKGROUND: Peripheral arterial disease (PAD) has a significant negative impact on the quality of life of individuals. Understanding the experiences of people living with PAD will be useful in developing comprehensive patient-centred secondary prevention therapies for this population. AIM: The aim o...

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Autores principales: Abaraogu, Ukachukwu Okoroafor, Ezenwankwo, Elochukwu Fortune, Dall, Philippa Margaret, Seenan, Chris Andrew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237376/
https://www.ncbi.nlm.nih.gov/pubmed/30440040
http://dx.doi.org/10.1371/journal.pone.0207456
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author Abaraogu, Ukachukwu Okoroafor
Ezenwankwo, Elochukwu Fortune
Dall, Philippa Margaret
Seenan, Chris Andrew
author_facet Abaraogu, Ukachukwu Okoroafor
Ezenwankwo, Elochukwu Fortune
Dall, Philippa Margaret
Seenan, Chris Andrew
author_sort Abaraogu, Ukachukwu Okoroafor
collection PubMed
description BACKGROUND: Peripheral arterial disease (PAD) has a significant negative impact on the quality of life of individuals. Understanding the experiences of people living with PAD will be useful in developing comprehensive patient-centred secondary prevention therapies for this population. AIM: The aim of this study is to identify first-hand accounts of patients’ experiences of living with PAD. METHODS: Six databases (CINALH, PsyclNFO, MEDLINE, AMED, EMBASE, Social citation index/Science citation index via Web of Science (WOS)) and reference lists of identified studies were searched until September 2017 (updated February 2018). Qualitative studies reporting patients’ account of living with PAD were eligible for inclusion. A framework thematic synthesis was implemented. RESULTS: Fourteen studies with 360 participants were included. Pain and walking limitation were recurrent among the varied symptom descriptions. Patients’ ignorance and trivialisation of symptoms contributed to delays in diagnosis. Inadequate engagement in disease understanding and treatment decisions meant patients had poor attitudes towards walking treatments and unrealistic expectations about surgery. Depending on symptom progression, patients battle with walking impairment, powerlessness, and loss of independence which were a source of burden to them. Lack of disease understanding is central through patients’ journey with PAD and, although they subsequently began adaptation to long term living with PAD, many worried about their future. CONCLUSIONS: Disease understanding is vital across the illness trajectory in patients with PAD. Although certain experiences are common throughout patient journey, some might be unique to a particular stage (e.g. unrealistic expectation about surgery, or rationale of walking in spite of pain in a supervised exercise program). Given that PAD is an overarching construct ranging from the mildest form of intermittent claudication to severe critical limb ischemia with ulceration and gangrene, consideration of important patient constructs specific to each stage of the disease may enhance treatment success. Systematic review registration CRD42017070417.
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spelling pubmed-62373762018-12-01 Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease Abaraogu, Ukachukwu Okoroafor Ezenwankwo, Elochukwu Fortune Dall, Philippa Margaret Seenan, Chris Andrew PLoS One Research Article BACKGROUND: Peripheral arterial disease (PAD) has a significant negative impact on the quality of life of individuals. Understanding the experiences of people living with PAD will be useful in developing comprehensive patient-centred secondary prevention therapies for this population. AIM: The aim of this study is to identify first-hand accounts of patients’ experiences of living with PAD. METHODS: Six databases (CINALH, PsyclNFO, MEDLINE, AMED, EMBASE, Social citation index/Science citation index via Web of Science (WOS)) and reference lists of identified studies were searched until September 2017 (updated February 2018). Qualitative studies reporting patients’ account of living with PAD were eligible for inclusion. A framework thematic synthesis was implemented. RESULTS: Fourteen studies with 360 participants were included. Pain and walking limitation were recurrent among the varied symptom descriptions. Patients’ ignorance and trivialisation of symptoms contributed to delays in diagnosis. Inadequate engagement in disease understanding and treatment decisions meant patients had poor attitudes towards walking treatments and unrealistic expectations about surgery. Depending on symptom progression, patients battle with walking impairment, powerlessness, and loss of independence which were a source of burden to them. Lack of disease understanding is central through patients’ journey with PAD and, although they subsequently began adaptation to long term living with PAD, many worried about their future. CONCLUSIONS: Disease understanding is vital across the illness trajectory in patients with PAD. Although certain experiences are common throughout patient journey, some might be unique to a particular stage (e.g. unrealistic expectation about surgery, or rationale of walking in spite of pain in a supervised exercise program). Given that PAD is an overarching construct ranging from the mildest form of intermittent claudication to severe critical limb ischemia with ulceration and gangrene, consideration of important patient constructs specific to each stage of the disease may enhance treatment success. Systematic review registration CRD42017070417. Public Library of Science 2018-11-15 /pmc/articles/PMC6237376/ /pubmed/30440040 http://dx.doi.org/10.1371/journal.pone.0207456 Text en © 2018 Abaraogu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Abaraogu, Ukachukwu Okoroafor
Ezenwankwo, Elochukwu Fortune
Dall, Philippa Margaret
Seenan, Chris Andrew
Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease
title Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease
title_full Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease
title_fullStr Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease
title_full_unstemmed Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease
title_short Living a burdensome and demanding life: A qualitative systematic review of the patients experiences of peripheral arterial disease
title_sort living a burdensome and demanding life: a qualitative systematic review of the patients experiences of peripheral arterial disease
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237376/
https://www.ncbi.nlm.nih.gov/pubmed/30440040
http://dx.doi.org/10.1371/journal.pone.0207456
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