“Intermittent claudication a real pain in the calf”—Patient experience of diagnosis and treatment with a supervised exercise program

Harwood, Amy; Broadbent, Edward; Totty, Joshua Phillip; Smith, George Edward; Chetter, Ian Clifford

Abstract

© 2017 Society for Vascular Nursing, Inc. Intermittent claudication (IC) is a common condition which has severe impacts on quality of life, physical function, and mental health. Supervised exercise is the recommended first-line treatment for patients with this condition; however, these are not always feasible or accessible to patients. As the proportion of patients who have this treatment remains suboptimal, it is important to better understand the perception of exercise in this population. A gap in the literature exists about the barriers and facilitators to exercise in patients completing, dropping out of, or declining an exercise program. A qualitative analysis was undertaken to understand this further. Twenty-five patients were interviewed face to face, 10 who had completed exercise, 10 who had declined, and 5 who had dropped out of an exercise program. Three major themes emerged from the data, IC, and perception to exercise and experience or beliefs of the exercise program.Addressing the barriers and facilitators to exercise in patients with IC is crucial in optimizing the delivery and uptake of exercise programs. More education or time investment is needed with these patients during initial diagnostic to help overcome perceived barriers and emphasis healthy behavioral changes.

Citation

Harwood, A., Broadbent, E., Totty, J. P., Smith, G. E., & Chetter, I. C. (2017). “Intermittent claudication a real pain in the calf”—Patient experience of diagnosis and treatment with a supervised exercise program. Journal of Vascular Nursing, 35(3), 131-135. https://doi.org/10.1016/j.jvn.2017.03.001

• Journal Article Type: Article
• Acceptance Date: Mar 14, 2017
• Online Publication Date: Aug 25, 2017
• Publication Date: 2017-09
• Deposit Date: Jun 14, 2017
• Publicly Available Date: Aug 28, 2018
• Journal: Journal of vascular nursing
• Print ISSN: 1062-0303
• Electronic ISSN: 1532-6578
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 35
• Issue: 3
• Pages: 131-135
• DOI: https://doi.org/10.1016/j.jvn.2017.03.001
• Keywords: Medical–Surgical
• Public URL: https://hull-repository.worktribe.com/output/452406
• Publisher URL: http://www.jvascnurs.net/article/S1062-0303(17)30032-8/fulltext
• Additional Information: This is the accepted manuscript of an article published in Journal of vascular nursing, 2017. The version of record is available at the DOI link in this record.