A prospective survey study on the education and awareness about walking exercise amongst inpatients with symptomatic peripheral arterial disease in Germany

• Verfasst von: Li, Yi [VerfasserIn]
• Verfasst von: Rother, Ulrich [VerfasserIn]
• Verfasst von: Rosenberg, Yvonne [VerfasserIn]
• Verfasst von: Hinterseher, Irene [VerfasserIn]
• Verfasst von: Uhl, Christian [VerfasserIn]
• Verfasst von: Mylonas, Spyridon [VerfasserIn]
• Verfasst von: Grambow, Eberhard [VerfasserIn]
• Verfasst von: Gombert, Alexander [VerfasserIn]
• Verfasst von: Busch, Albert [VerfasserIn]
• Verfasst von: Bresler, Ayko [VerfasserIn]
• Verfasst von: Öz, Tugce [VerfasserIn]
• Verfasst von: Görtz, Hartmut [VerfasserIn]
• Verfasst von: Pfister, Karin [VerfasserIn]
• Verfasst von: Dovzhanskiy, Dmitriy I. [VerfasserIn]
• Verfasst von: Trenner, Matthias [VerfasserIn]
• Verfasst von: Behrendt, Christian-Alexander [VerfasserIn]
• Titel: A prospective survey study on the education and awareness about walking exercise amongst inpatients with symptomatic peripheral arterial disease in Germany
• Verf.angabe: Yi Lia, Ulrich Rothera, Yvonne Rosenberg, Irene Hinterseher, Christian Uhl, Spyridon Mylonas, Eberhard Grambow, Alexander Gombert, Albert Busch, Ayko Bresler, Tugce Öz, Hartmut Görtz, Karin Pfister, Dmitriy Dovzhanskiy, Matthias Trenner, und Christian-Alexander Behrendt
• E-Jahr: 2023
• Jahr: July 2023
• Umfang: 6 S.
• Illustrationen: Illustrationen
• Fussnoten: Gesehen am 20.08.2024
• Titel Quelle: Enthalten in: Vasa
• Ort Quelle: Bern : Huber, 1995
• Jahr Quelle: 2023
• Band/Heft Quelle: 52(2023), 4 vom: Juli, Seite 218-223
• ISSN Quelle: 1664-2872
• DOI: doi:10.1024/0301-1526/a001057
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: best medical treatment
• Sach-SW: health behaviour
• Sach-SW: health services research
• Sach-SW: intermittent claudication
• Sach-SW: peripheral arterial disease
• Sach-SW: Walking exercise
• K10plus-PPN: 1899206094

Abstract

Background: To determine the adherence to supervised exercise training and underlying reasons for non-adherence amongst patients with inpatient treatment of symptomatic lower extremity peripheral arterial disease (PAD). Patients and methods: This was a prospective questionnaire-based survey study of all consecutively treated inpatients with treatment for either intermittent claudication or chronic limb-threatening ischaemia (CLTI) surveyed at sixteen participating centres in Germany. Results: A total of 235 patients (median age 70 years) were included, thereof 29.4% females and 34.6% with CLTI. The median time from first PAD diagnosis was 4 years (IQR: 1-8). Only 11.4% have previously participated in any walking exercise programme before the index treatment, thereby 10.0% in the IC subgroup and 12.0% with CLTI. Amongst all patients, 35.6% responded they were appropriately informed about the necessity and benefits of walking exercise programmes by their hospital physicians (25.8% by general practitioners), and 65.3% agreed that adherence to supervised exercise may improve their pain-free walking distance. A total of 24.5% responded they had access to necessary information concerning local walking exercise programmes. Amongst 127 free text comments on the reasons for non-adherence to supervised exercise training, 64% of the comments contained lack of information or consent on such measures. Conclusions: Less than 12% of the patients enrolled in the current study have ever participated in a walking exercise programme during their life course. Although all practice guidelines contain corresponding class I recommendations, especially for patients suffering from IC, most patients responded that they were not appropriately informed about the necessity of exercise training along with the fact that 65% agreed that exercise may increase the pain-free walking distance. Taken all together, these results emphasise that we miss an important opportunity in the patient-physician communication. Efforts should be made to improve acceptance and application of structured walking-exercise for patients with PAD.