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Upplevelse av egenvård hos patienter med diagnosen hjärtsvikt
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Experience of self-care for patients diagnosed with heart failure (English)
Abstract [sv]

Bakgrund: Hjärtsvikt medför en förkortad överlevnad där andfåddhet och trötthet är de vanligaste symtomen.  Distriktssköterskan arbetar utifrån en helhetssyn som respekterar patientens autonomi, integritet och att patienten ska vara delaktig i sin vård för att skapa förutsättningar för egenvård. Syftet var att beskriva vad som kunde påverka egenvården för patienter med diagnosen hjärtsvikt. Metod: Den metod som användes var metasyntes. De tolv inkluderade artiklarna granskades och teman och kategorier bildades. Resultat: Fem nyckelteman sammanställdes; viktigt att få tidig hjälp för att känna igen symtom och förebygga med egenvård, informationen har betydelse för egenvården, bemötande och kommunikation emellan vårdgivare och patient har betydelse för följsamheten vid egenvård, medverkan/engagemang stärker egenvården hos patienten samt depression ett hinder för egenvård. Patienter önskade ökade kunskaper och stöd, som stärkt och hjälpte deras förmåga till att övervinna hinder i egenvården. Slutsats: Kommunikation, tid och engagemang är faktorer som ökade välbefinnandet och livskvalitet hos patienter med diagnosen hjärtsvikt, dessa faktorer bör distriktssköterskan ta med sig i sin fortsatta yrkesutövning.

Abstract [en]

Background:  Heart failure results in a shortened survival where breathlessness and fatigue are the most common symptoms. District nurses work from a holistic approach that respects patient's autonomy, integrity and wish involvement from patients in order to create conditions for self-care. The aim of this study was to describe the experience and what can affect self-care for patients diagnosed with heart failure. Method: The method used was a metasynthesis. The twelve inculded articles were reviewed and themes and categories was formed. Results: Five key themes were created and presented as:  Important to get early help to recognize the symptoms and prevent with self-care, information has significance for self-care, treatment and communication between healthcare provider and patient is important for compliance in self-care, involvement / commitment strengthens the self-care of the patient and the depression is a barrier to self-care. Patients desired to have more knowledge and support to strengthen their capacity in order to help them to overcome obstacles in their self-care. Conclusion: Communication, time and commitment are factors that increase the well-being and quality of life in patients diagnosed with heart failure, these factors should be the district nurse bring in its continued occupation.

Place, publisher, year, edition, pages
2016. , p. 33
Keywords [en]
Heart failure, self-care, support, district nurse
Keywords [sv]
hjärtsvikt, egenvård, stöd, distriktssköterska.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:kau:diva-39086OAI: oai:DiVA.org:kau-39086DiVA, id: diva2:895726
Subject / course
Primary Health Care Specialist Nursing, Graduate Diploma
Educational program
Nursing Specialisation: Public Health Care (75 ECTS credits)
Supervisors
Examiners
Available from: 2016-02-08 Created: 2016-01-19 Last updated: 2016-02-08Bibliographically approved

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