Application of a rehabilitation management strategy based on symptom management theory in postoperative functional exercises in patients with lower extremity arteriosclerosis obliterans

Article type: Research Article

Authors: Yuan, Youyuan^a | Chen, Jiaqi^a | Wang, Xueqi^a | Song, Jialu^{b; *}

Affiliations: [a] Department of Interventional Therapy for Tumor and Vascular Disease, Shanxi Bethune Hospital, Taiyuan, Shanxi, China | [b] Nursing Department, Shanxi Bethune Hospital, Taiyuan, Shanxi, China

Correspondence: [*] Corresponding author: Jialu Song, Nursing Department, Shanxi Bethune Hospital, No. 99 Longcheng Street, Xiaodian District, Taiyuan, Shanxi 030032, China. E-mail: [email protected].

Abstract: BACKGROUND: Lower extremity arteriosclerosis obliterans (ASO) is the most common occlusive disease of the peripheral blood vessels. OBJECTIVE: To explore the application effect of symptom management-based rehabilitation strategy in postoperative functional exercises in patients with lower extremity ASO. METHODS: The researchers selected 136 patients that underwent lower extremity ASO surgery for the first time in their department from January to September 2020. Patients were divided into a control group (n= 68) and an experimental group (n= 68). The control group implemented routine discharge rehabilitation education and continuous nursing. On this basis, the experimental group applied the symptom management theory to the rehabilitation management strategy to compare the degree of pain, the ankle-brachial index, self-care ability and quality of life between the two groups before and after the intervention. RESULTS: Three months (P= 0.045) and six months (P=0.013) after discharge, the experimental group’s degree of pain was significantly lower than that of the control group. At one month (P= 0.019), three months (P= 0.003) and six months (P= 0.000) after discharge, the experimental group recovered significantly better than the control group. At six months after discharge, the self-care ability, mood status and physical pain of the experimental group were significantly higher than in the control group (P< 0.05). CONCLUSION: The rehabilitation management strategy, which is based on symptom management theory, can effectively improve the symptoms, quality of life and self-efficacy of ASO patients in continuous care. This nursing strategy is worthy of clinical promotion.

Keywords: Symptom management, rehabilitation, lower extremity arteriosclerosis obliterans, functional exercise

DOI: 10.3233/THC-220478

Journal: Technology and Health Care, vol. 32, no. 1, pp. 63-73, 2024