Disease acceptance and social support in patients with peripheral vascular diseases treated in the surgical ward

Abstract

Each surgery is an emotional stimulus associated with fear of its consequences . The scar after a surgery makes a physical, emotional and psychological mark with symptoms of depression, anxiety, anger and post-traumatic stress (Ngaage & Agius, 2018). Surgical treatment, however justified, is an interference with the physical integrity of the patient. The closer to the procedure, the more the patient considers the dangers arising from it. The patient's mental state becomes changeable, hope appears, but also anxiety associated with the fear of not waking up after surgery, fear of death, complications and anaesthesia, fear of control-loss and complete dependence on staff as well as fear of postoperative pain (Niechwiadowicz -Czapka, 2014;Bedaso & Ayalew, 2019). Studies show that the incidence of pre-operative anxiety in patients waiting for scheduled surgery may be high (47%) and having strong social support significantly reduces its intensity (Bedaso & Ayalew, 2019).Increased anxiety increases the number of complications and reduces the pain threshold (Kim et al., 2014;Marik & Flemmer, 2012).Lack of a support group along with subjective sense of loneliness significantly reduces the mental and physical immunity of the patient (Aliche, Ifeagwazi, Chukwuorji, et al., 2020). Reports from other authors indicate that emotional reactivity in patients qualified for a scheduled surgery is positively associated with pre-operative anxiety only with low level of support from friends and important individuals, but not with moderate or high support (Aliche, Ifeagwazi, & Eze, 2020). Postoperative pain felt by the patient during treatment and recovery, in both acute and chronic diseases, is one of the factors worsening the quality of life and causing less disease accep-

The importance of socio-economic determinants of health in the care of patients with peripheral artery disease: A narrative review from VAS

“… 94 , 95 Social support by family members, close relatives, nurses, and caregivers may have an impact on disease acceptance and cooperation; it may give individuals the sense that they are cared for. 96 For example, good social support may contribute to better recovery following bypass surgery in PAD patients. 97 In addition, social support can help mitigate the depressive symptoms that are prevalent in patients with PAD.…”

Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model

“…Autonomy support from healthcare providers was defined as encouraging patients to perform or adhere to a recommended behaviour, leading to a supportive relationship between patients and their healthcare providers (Czarnecka et al, 2021). We used the healthcare climate questionnaire developed by Williams et al (1996), translated and validated into Korean by Seo (2008).…”

“…Several reviews have reported that lifestyle modification, including smoking cessation, regular exercise and antiplatelet therapy in PAD patients is critical for improving quality of life and avoiding adverse health outcomes (Abola et al, 2020; Chen et al, 2019). Despite the advantages of optimal self‐management, it is often neglected by PAD patients (Abaraogu et al, 2018; Czarnecka et al, 2021). Specifically, patients who underwent revascularization are less likely to participate in self‐management because a successful procedure can dramatically relieve symptoms such as intermittent claudication and resting pain (DiGiacomo et al, 2021; Saxon et al, 2020).…”

“…This support from healthcare providers may help to facilitate patients' autonomous motivation for self‐management and the acquisition of long‐term self‐management skills (McCallum et al, 2021; Yeom & Lee, 2022). Some studies have reported that autonomy support from healthcare providers can influence the three primary psychological needs of SDT (Czarnecka et al, 2021; McCallum et al, 2021). Illness perception as a personal belief about illness is also a significant factor related to self‐management and treatment adherence in patients with chronic diseases, including PAD (Striberger et al, 2021).…”