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Patients' feelings and experiences during and after peripheral percutaneous transluminal angioplasty

Journal article
Authors Maud Lundén
Solveig M Lundgren
Lars-Olof Persson
Margret Lepp
Published in Radiography
Volume 21
Pages e9-e15
ISSN 1078-8174
Publication year 2015
Published at Institute of Health and Care Sciences
Pages e9-e15
Language en
Links doi.org/10.1016/j.radi.2014.06.006
Keywords Anxiety, Calmness, Caring chain, Interventional radiology, Patient experience
Subject categories Nursing, Radiology, Nuclear Medicine and Medical Imaging

Abstract

© 2014 The College of Radiographers. Background: Peripheral Arterial Disease (PAD) often caused by atherosclerosis is a major health care issue worldwide. Percutaneous Transluminal Angioplasty (PTA) on the lower limb is a common procedure used to enhance peripheral circulation. With an increasing number of individuals acquiring peripheral PTA treatment and with an increased focus on patient centred care, there is a need to find out more about patients' feelings and thoughts of undergoing PTA. Aim: The aim was to identify patients who are predominantly anxious or calm during and after peripheral PTA and to explore reasons for these feelings. Method: The study includes 51 patients who received PTA treatment in western Sweden. Findings: Seventy-eight percent of the patients rated themselves as calm after the PTA. The analysed interviews resulted in two themes: reasons for feelings of calmness and reasons for feelings of anxiety. Conclusion: In order to feel calm during and after the PTA, information given prior to the PTA needs to be comprehensive and consistent with the actual situation at the angiography suite. The dialogue with the physician and the radiographers was considered valuable, as was the ability to follow the procedure on the image screen. It is concluded that a thorough dialogue with the physician in a calm setting after the PTA is important for the patients' ability to foresee and plan for the future. Moreover, there is a need to find ways to improve analgesic routines regarding assessment and evaluation in connection with PTA treatment as pain is shown to increase anxiety.

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