eISSN: 2084-9850
ISSN: 1897-3116
Pielęgniarstwo Chirurgiczne i Angiologiczne/Surgical and Vascular Nursing
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Original paper

Do the patients with chronic peripheral arterial disease know about the rules of walking traning?

Anna Spannbauer
Jolanta Jaworek
Piotr Mika
Maciej Chwała
Joanna Danek
Katarzyna Zając

Pielęgniarstwo Chirurgiczne i Angiologiczne 2011; 3: 159-164
Online publish date: 2011/11/07
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Introduction: Intermittent claudication, manifesting as a compulsion to stop walking severely limiting patient’s mobility is a frequent symptom of peripheral arterial occlusive disease. Walking training promotes elongation of walking distance and causes an increase of the quality of life. TransAtlantic Inter-Society Consensus implies that revascularisation should be considered only if patient does not respond to medical treatment, that is drug therapy and training.

Aim of the study: The study was performed to determine whether patients qualified for endovascular procedures were sufficiently informed as to possibilities of medical treatment, especially training.

Material and methods : 52 patients (46 man and 6 woman) with peripheral artery occlusive disease (Fontaine IIb/III) qualified to revascularization were examined. All patients were previously treated either in vascular ambulatory or by general practitioner from 3 to 10 years.

Results : Only 7.7% of the patients sufficiently knew the rules of walking training, 65.3% of patients did not follow the rules of walking training; 27% of patients followed indication “to walk more”, without knowing details about walking training; 100% of patients knew about detrimental influence of smoking on progression of their disease.

Conclusions : General practitioners, vascular surgeons and angiologists fail to inform patients about other treatment modalities, especially walking training. The rule of “walking a lot” seems to be insufficient without detailed information about training. Patients with claudication are educated as far as the influence of smoking on the disease is concerning.

intermittent claudication, walking training, peripheral arterial occlusive disease

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