Patients with chronic limb-threatening ischemia: Experiences of their disease, treatment, and care in a cross-sectoral setting. A scoping review

IF 1.1 Q3 NURSING

Journal of Vascular Nursing Pub Date : 2024-12-01 DOI:10.1016/j.jvn.2024.08.002

Susanne Friis Soendergaard RN. Ph.D. Post.doc. , Ane Simony MD, PhD., Associate professor , Johanne Louise Christiansen PhD, Associate Professor , Henrik Sehested Laursen Cand.Scient.bibl , Marie Dahl RN. PhD. Associate Professor

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引用次数: 0

Abstract

Introduction

Patients facing chronic limb-threatening ischemia (CLTI) experience significant burdens, impacting their physical, emotional, and social well-being. They require extensive care from multidisciplinary healthcare professionals across primary and secondary settings. Managing CLTI necessitates strict patient adherence to treatment protocols to prevent severe complications. Surprisingly, previous studies have overlooked these patients' unique perspectives, highlighting the need to explore their experiences and challenges.

Objective

The objective of this review was to systematically identify, examine, and conceptually map extant literature on patients with CLTI in the context of living with the condition, and explore their experiences of receiving treatment and care within a cross-sectoral setting.

Methods

A systematic search was completed on 18 September 2023 with no methodological or format restrictions. We identified the population, concept, and context to pinpoint the delineate the focus of this review process. The JBI methodology for scoping reviews and the PRISMA-ScR checklist were followed.

Results

Based on our search, we found ten relevant scientific qualitative and/or quantitative sources and one non-scientific source. We identified four main maps: 1) Dependency on others is my new life condition, 2) I'm more than the sum of my conditions, 3) I'm lost in chaos, be alert to all of me, and 4) Give me more time, my body and mind are under attack.

Conclusion

This scoping review describes how patients’ lives are affected by CLTI and provides insights into their perception of shared decision-making, treatment, and care. The review reveals the need for a more person-centered approach to care. To nuance person-centred care further, it is necessary to consider the impact of patients’ cultural values and preferences. However, this area is marked by a notable research gap.

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慢性肢体缺血患者：在跨部门环境下的疾病、治疗和护理经验。范围审查。

面临慢性肢体威胁缺血（CLTI）的患者会经历巨大的负担，影响他们的身体、情感和社会福祉。他们需要来自初级和二级机构的多学科卫生保健专业人员的广泛护理。管理CLTI需要患者严格遵守治疗方案，以防止严重的并发症。令人惊讶的是，以前的研究忽略了这些患者的独特观点，强调了探索他们的经历和挑战的必要性。目的：本综述的目的是系统地识别、检查和概念化绘制关于CLTI患者在生活条件下的现有文献，并探索他们在跨部门环境下接受治疗和护理的经历。方法：系统检索于2023年9月18日完成，无方法或格式限制。我们确定了人群、概念和背景，以精确描述该审查过程的重点。遵循JBI的范围审查方法和PRISMA-ScR检查表。结果：根据我们的搜索，我们找到了10个相关的科学定性和/或定量来源和1个非科学来源。我们确定了四个主要的地图：1)依赖他人是我的新生活状态，2)我不是所有状态的总和，3)我迷失在混乱中，警惕所有的我，4)给我更多的时间，我的身体和精神都在受到攻击。结论：本综述描述了CLTI如何影响患者的生活，并提供了他们对共同决策、治疗和护理的看法。审查表明，需要采取更加以人为本的护理方法。为了进一步细化以人为本的护理，有必要考虑患者的文化价值观和偏好的影响。然而，这一领域的研究存在显著的空白。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Vascular Nursing NURSING-

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Journal of Vascular Nursing provides clinical information regarding aortic and peripheral aneurysms, upper and lower extremity arterial disease, acute and chronic venous disease, and more. Original, peer-reviewed articles present descriptions, etiologies, diagnostic procedures, medical and surgical treatment and nursing implications of vascular system disorders.