4. Discussion
lower extremity arterial occlusive disease, LEAOD
DISEASE
The implementation of holistic nursing interventions, under the guidance of the FTS concept, represents an innovative patient-centered approach to rehabilitation planning and care.Leveraging modern information technologies, healthcare professionals can transform disease-related knowledge into a more engaging and visual format. By promoting an active learning environment, patients can better understand the risks associated with their disease, appreciate the importance of self-care strategies, and become more equipped to independently execute disease-related interventions.Moreover, our repeated measures variance analysis of the post-intervention sleep quality at 3, 7, and 15 days revealed that, as the nursing intervention time continued, the PSQI scores of the experimental group were consistently lower than those of the control group (In conclusion, for patients with LEAOD, holistic nursing interventions guided by the FTS concept can lead to increased adherence, improved sleep status, and contribute significantly to the sustainable development of healthcare institutions. By shifting the paradigm of patient care from a passive to a more active and engaging learning environment, we can empower patients to play a more proactive role in their treatment and recovery process. Furthermore, these interventions can also improve the quality of perioperative care, thereby enhancing postoperative outcomes and accelerating early recovery. Therefore, this study offers important insights into how the principles of FTS can be integrated into nursing practice, with the potential to significantly improve patient outcomes in the context of LEAOD management. The results also underscore the need for further research to explore the application and impacts of such holistic nursing interventions in other contexts and patient populations.Despite the valuable insights provided by our study into the application of holistic nursing interventions based on the FTS concept for patients with lower extremity arterial occlusive disease, it is crucial to acknowledge its limitations. Our study was limited by a relatively small sample size, which may restrict the statistical power and external validity of our results. This was compounded by the fact that the research was carried out in a single medical institution, possibly confining the diversity of patient data and healthcare practices examined. Furthermore, the focus was primarily on the immediate postoperative period up to 15 days, thereby neglecting potential long-term impacts of the interventions. The use of self-reported measures for assessing outcomes such as sleep quality and patient adherence could also be subject to recall bias or social desirability bias. Finally, the absence of randomization or blinding procedures might introduce potential biases. Additionally, the study did not evaluate patients’ psychological well-being or exercise tolerance, which could offer a more comprehensive understanding of the intervention’s impact. Although these limitations should be considered when interpreting our results, they also offer a roadmap for future research to enhance these areas, leading to more robust and universally applicable findings.