Integrated Protocol of Nutrition and Stomatherapy in the Management of Peripheral Arterial Disease

Authors

DOI:

https://doi.org/10.36489/nursing.2025v30i331p12152-12172

Keywords:

Peripheral arterial insufficiency, Nutrition, Nursing, Stomach therapy, Wound healing, Interdisciplinary health care

Abstract

Objective: To analyze the role of nursing and nutrition in the care of patients with AIP and propose an integrated protocol to support clinical practice. Method: Narrative review in the PubMed, SciELO, LILACS, Cochrane, and Web of Science databases (2019–2024), using MeSH/DeCS descriptors and Boolean operators. Articles in Portuguese, English, and Spanish on interdisciplinary care, nursing, and nutrition in API were included. Results: Nursing interventions based on NANDA, NIC, and NOC promote safety and clinical organization, while nutrition contributes to metabolic balance and healing. The integrated protocol proposes practical steps for joint action, focusing on health education and therapeutic adherence. Conclusion: The
integration of nursing and nutrition in the management of PAI improves clinical outcomes, prevents complications, and reduces amputations, strengthening interdisciplinary practice and the efficiency of health services.

Metrics

Metrics Loading ...

References

Tehan PE, Mills J, Leask S, Oldmeadow C, Peterson B, Sebastian M, Chuter V. Toe-brachial index and toe systolic blood pressure for the diagnosis of peripheral arterial disease. Cochrane Database Syst Rev. 2024 Oct 30;10(10):CD013783.

Neville RF. Management of peripheral arterial disease in the context of a multidisciplinary limb program. Front Cardiovasc Med. 2024 May 1;11:1368655.

Li KR, Lava CX, Neughebauer MB, Rohrich RN, Atves J, Steinberg J, Akbari CM, Youn RC, et al. A Multidisciplinary Approach to End-Stage Limb Salvage in the Highly Comorbid Atraumatic Population: An Observational Study. J Clin Med. 2024 Apr 20;13(8):2406.

Rodighiero J, Léveillé N, Shen S, Ekmekjian T, Ades M, Drudi LM. A scoping review of malnutrition in patients undergoing interventions for peripheral arterial disease. J Vasc Surg. 2022 Dec;76(6):1742-1754.e3.

Kobayashi T, Hamamoto M, Okazaki T, Tomota M, Fujiwara T, Hasegawa M, Takahashi S. An Evaluation of Pre-Operative Nutritional Assessment Methods in Patients with Chronic Limb Threatening Ischaemia Having Distal Bypass. Eur J Vasc Endovasc Surg. 2022 Jul;64(1):92-100.

Mine K, Sugihara M, Fujita T, Kato Y, Gondo K, Arimura T, Takamiya Y, Shiga Y, et al. Impact of Controlling a Nutritional Status Score on Wound Healing in Patients with Chronic Limb-Threatening Ischemia after Endovascular Treatment. Nutrients. 2021 Oct 22;13(11):3710.

Marques R, Lopes M, Ramos P, Neves-Amado J, Alves P. Prognostic factors for delayed healing of complex wounds in adults: A scoping review. Int Wound J. 2023 Sep;20(7):2869-2886.

Frodl A, Geisteuer N, Fuchs A, Nymark T, Schmal H. Incisional negative pressure wound therapy to reduce surgical-site infections in major limb amputations: a meta-analysis. EFORT Open Rev. 2022 Aug 4;7(8):526-532.

Lane KL, Abusamaan MS, Voss BF, Thurber EG, Al-Hajri N, Gopakumar S, Le JT, Gill S. et al. Glycemic control and diabetic foot ulcer outcomes: A systematic review and meta-analysis of observational studies. J Diabetes Complications. 2020 Oct;34(10):107638.

Burian EA, Rungby J, Karlsmark T, Nørregaard S, Cestari M, Franks PJ, Moffatt CJ. The impact of obesity on chronic oedema/lymphoedema of the leg – na international multicenter cross-sectional study (LIMPRINT). Int J Obes (Lond). 2024 Sep;48(9):1238-1247.

Jørgensen TS, Schramm A, Leinum M, Gottlieb H, Brorson S, Hellsten Y, Høier B. Passive Movement Exercise of the Lower Limbs May Facilitate Wound Healing in Patients With Diabetic Foot Ulcers. Cureus. 2024 Nov 18;16(11):e73925.

Peng TC, Chang SP, Chi LM, Lin LM. The effectiveness of far-infrared irradiation on foot skin surface temperature and heart rate variability in healthy adults over 50 years of age: A randomized study. Medicine (Baltimore). 2020 Dec 11;99(50):e23366.

Lai J. Lifestyle Medicine Approach to Wound Management. Am J Lifestyle Med. 2024 Apr 4;18(5):694-700.

Bechara N, Hng TM, Gunton JE. The association between tobacco smoking and systolic toe pressures in active foot ulceration. Sci Rep. 2024 Apr 12;14(1):8550.

Published

2025-12-16

How to Cite

Cabral, D. de C., & Goelzer, J. P. C. (2025). Integrated Protocol of Nutrition and Stomatherapy in the Management of Peripheral Arterial Disease. Nursing Edição Brasileira, 30(331), 12152–12172. https://doi.org/10.36489/nursing.2025v30i331p12152-12172

Issue

Section

Integrative Review

Categories