ABSTRACT
To assess the quality of life (QoL) of treated patients in order to evaluate the success of peripheral transluminal angioplasty (PTA) and correlate physical parameters with clinical progress at 6 months post-PTA.According to TASC II classifications, 69 patients were selected for PTA. Clinical evaluation and diagnostic tests were performed before, after and after 6 months following PTA. The SF-36 QoL questionnaire was added as an additional parameter.Fifty one patients were included in the study. The ankle-brachial index (ABI) increased from 0.49â±â0.11 before PTA, to 0.81â±â0.14 after PTA (Pâ<â.001) and 0.76â±â0.10 at 6 months following PTA (Pâ<â.001). Transcutaneous oxygen pressure (TcPO2) increased from 28.05â±â3.15 mm Hg before PTA, to 39.89â±â4.12 after PTA (Pâ<â.001) and 46.4â±â3.81 at 6 months following PTA (Pâ<â.001). The lumen of the affected blood vessel increased from 29â±â18% before PTA, to 81â±â10.3% after PTA (Pâ<â.001). SF-36 values increased from 29â±â18 before PTA, to 81â±â10.36 at 6 months following PTA (Pâ<â.001).The improvement of QoL is the parameter that best describes the symptoms and functionality of the patient, therefore, should be used to determine the successful PTA. Although ABI and TcPO2 with arteries functionality and tissue oxygenation, they are not show a significant correlation with all parameters determined in the QoL questionnaire.
Subject(s)
Angioplasty , Diabetic Angiopathies/therapy , Intermittent Claudication/therapy , Quality of Life , Aged , Aged, 80 and over , Female , Follow-Up Studies , Humans , Intermittent Claudication/etiology , Male , Middle Aged , Treatment OutcomeABSTRACT
We report the case of a 73-year-old man with medical diagnoses of long-standing diabetes mellitus, chronic ischemia of the lower limbs and intermittent claudication, for which the patient had been treated with minimally invasive radiological surgery. On arrival at the radiology unit, the patient had nursing diagnoses of anxiety and fear. Intraoperatively, the client had nursing diagnoses of pain, urine retention and infection risk. At discharge, a collaboration problem was detected and hemorrhagic risk. The patient received individualized nursing care. Interventions were planned following the nursing intervention classification (NIC) and the expected results for these interventions followed the Nursing Outcomes Classification (NOC) taxonomy. The application of an appropriate nursing care plan contributes to making the patient's hospital stay easier, more comfortable and less traumatic.
Subject(s)
Nursing Care/methods , Radiology, Interventional/methods , Surgical Procedures, Operative/methods , Aged , Diabetes Mellitus, Type 2/complications , Humans , Ischemia/complications , Ischemia/diagnostic imaging , Ischemia/surgery , Lower Extremity/diagnostic imaging , Lower Extremity/surgery , Male , RadiographyABSTRACT
Se presenta el caso clínico de un paciente varón de 73 años, con los diagnósticos médicos de diabetes mellitus de larga evolución, isquemia crónica de miembros inferiores y claudicación intermitente, al que se le ha tratado con cirugía mínimamente invasiva radiológica. A su llegada a la unidad de radiología, el paciente presenta los diagnósticos enfermeros de ansiedad y temor; durante el intraoperatorio dolor, retención urinaria y riesgo de infección, y al alta de la unidad se detecta el problema de colaboración y el riesgo de hermorragia. Se le prestan cuidados enfermeros individualizados, y se planifican las intervenciones según las clasificaciones NIC (Nursing Intervention Classification) y los resultados esperados de estas intervenciones según la taxonomía NOC (Nursing Outcomes Classification). La aplicación de un correcto plan de cuidados enfermeros ayuda a que la estancia del paciente en el quirófano sea más fácil, confortable y menos traumática
We report the case of a 73-year-old man with medical diagnoses of long-standing diabetes mellitus, chronic ischemia of the lower limbs and intermittent claudication, for which the patient had been treated with minimally invasive radiological surgery. On arrival at the radiology unit, the patient had nursing diagnoses of anxiety and fear. Intraoperatively, the client had nursing diagnoses of pain, urine retention and infection risk. At discharge, a collaboration problem was detected and hemorrhagic risk. The patient received individualized nursing care. Interventions were planned following the nursing intervention classification (NIC) and the expected results for these interventions followed the Nursing Outcomes Classification (NOC) taxonomy. The application of an appropriate nursing care plan contributes to making the patient's hospital stay easier, more comfortable and less traumatic
