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Health Problems and Quality of Life in Patients with Chronic Lower Limb Ischemia-A Polish Population One-Centre-Based
Grażyna Bączyk1, Katarzyna Anna Kozłowska1, Katarzyna Kubiak2
1Department of Nursing Practices, Poznan University of Medical Sciences, 61-701 Poznan, Poland.
Insights
Patients with chronic lower limb ischemia experience pain and reduced mobility, but revascularization significantly improves their quality of life. Education on healthy behaviors is crucial for managing atherosclerosis risk factors.
Area of Science:
- Vascular Medicine
- Quality of Life Research
- Patient Outcomes
Background:
- Chronic lower limb ischemia is influenced by lifestyle and genetics.
- Identifying health issues and quality of life is essential for patient care.
Purpose of the Study:
- To identify health problems in patients with chronic lower limb ischemia.
- To assess the quality of life in these patients before and after revascularization.
Main Methods:
- Utilized the Polish Vascular Life Quality Questionnaire (VascuQol).
- Conducted a three-phase study with 122 patients (aged 41-88) undergoing revascularization.
- Assessed quality of life preoperatively and six months post-revascularization.
Main Results:
- Lower limb pain and limited physical activity were primary health concerns.
- Quality of life declined with age in the 'symptoms' domain.
- Revascularization significantly improved overall quality of life and specific domains.
Conclusions:
- Patient education on healthy behaviors is vital due to prevalent modifiable risk factors.
- A multidisciplinary and individualized approach is necessary for managing chronic lower limb ischemia.
- Revascularization offers significant improvements in quality of life for affected patients.
Background/Objectives:
Unhealthy lifestyle and genetic predisposition contribute to chronic lower limb ischemia. This study (conducted in phases I-III) aimed to identify health problems and assess patients' quality of life with chronic lower limb ischemia treated in one Polish clinical center.
Methods:
The Polish version of the Vascular Life Quality Questionnaire scale (consisting of five domains (subscales)) was used to assess quality of life. Phase I was conducted in the Outpatient Clinic and included 122 patients, 38 women and 84 men, aged 41 to 88 years, with chronic lower limb ischemia. Phase II was conducted only among those (n = 88) qualified for revascularization treatment (the study was conducted preoperatively), and phase III took place six months after the revascularization procedure.
Results:
The primary health problem was lower limb pain and limited physical activity. With the age of the patients, the quality of life in the "symptoms" subscale deteriorated. Independent variables such as gender, marital status, level of education, and place of residence did not significantly affect the quality of life of the patients studied. Moreover, statistically significant differences in the quality of life were observed between the patients before and after revascularization treatment in the overall assessment and each area of the VascuQol scale.
Conclusions:
Based on our results, we stated that there is still a need to educate these patients about proper health behaviors because a large group of patients still have modifiable risk factors for the development of atherosclerosis. They require a multidisciplinary and individual approach.
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