Effect of Educational Program on Compliance of Patients with Lower Limb Ischemia Regarding Therapeutic Regimen

Abstract

Chronic lower limb ischemia (CLI) is a restriction of blood flow due to arterial stenosis or occlusion often lead to complaints of muscle pain on walking (intermittent claudication) ranged from mild claudication to rest pain; So, it is very important for the patient to engage in plenty of ongoing education as well. The needs of vascular patients continue with education and there are maintain compliance about their conditions. The education of patient never stops as they are required to continually acquire skills and education throughout their life. This study aimed to evaluate the effect of educational program on compliance of patient with lower limb ischemia regarding therapeutic regimen. Research hypotheses: were that an educational program will have a positive effect on compliance for patient with lower limb ischemia. Design: a quasi-experimental research design was used. Setting: Data were collected from outpatient vascular clinic and general surgery department, ward 7 at Ain-Shams University Hospitals. The study was conducted on 84 patients, who have been selected to the program pre, post, after 3and 6 months later. Data tools: four tools were used for data collection (I) patient knowledge assessment interview sheet, divided into three parts: (A) Bio-social demographic data, (B) Medical characteristic data, (C) Patients knowledge sheet, (II) Patient leg assessment sheet, (III) Observational check list for foot care, (IV), Patients compliance assessment questioner sheet “pre, immediately post, after 3 and 6 months of program implementation. Result: this study revealed that statistically significant differences regarding patients’ knowledge, foot care practice and compliance toward chronic lower limb ischemia at all program phases. So, this study concluded that, the educational program was effective positively regarding compliance of patients with chronic lower limb ischemia which indicates justification of the study hypothesis. Therefore, their study recommended that: an educational program should be developed for patients at every time with continuous update education.

Key Words: Chronic Lower Limb Ischemia, Therapeutic Regimen, Educational Program