Development of an Education Material Targeting Patients Undergoing Lower Extremity Amputation due to Severe Limb Ischemia-A Qualitative Study

J Surg Res. 2024 Jul:299:205-212. doi: 10.1016/j.jss.2024.04.031. Epub 2024 May 20.

Abstract

Introduction: Critical limb-threatening ischemia (CLTI) is associated with a high risk of amputation, yet patients undergoing amputation due to CLTI have little knowledge of the amputation process and the rehabilitation that awaits. The aim of the present study was to develop and validate information material for patients undergoing amputation.

Methods: Nine participants were included in the study. Two focus group interviews were performed with seven patients who had undergone lower extremity amputation due to CLTI within the past 2 y. Additionally, two individual interviews were carried out. A semistructured interview guide was used, and the interviews were transcribed verbatim and analysed using qualitative content analysis with a deductive approach.

Results: Three themes were identified as essential for the design of the written information: Perspectives on design and formatting, Providing information to enhance participation in care, and Accessibility to information and support. The prototyped information leaflet was perceived as acceptable, useable, relevant, and comprehensible by the participants.

Conclusions: For patients to actively engage in their care, it is vital that their information needs are met and that they are provided with psychosocial support when needed. Written and oral information should be provided by a trusted healthcare professional.

Keywords: Major amputation; Participatory design; Patient information; Patient involvement; Peripheral arterial disease; Surgical decision-making.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Amputation, Surgical* / psychology
  • Chronic Limb-Threatening Ischemia / surgery
  • Female
  • Focus Groups*
  • Humans
  • Interviews as Topic
  • Ischemia / etiology
  • Ischemia / surgery
  • Lower Extremity* / blood supply
  • Lower Extremity* / surgery
  • Male
  • Middle Aged
  • Pamphlets
  • Patient Education as Topic*
  • Qualitative Research*