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Fysisk aktivitet och tarmstomi: En kvalitativ studie
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences.
2017 (Swedish)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Physical activity and intestinal stoma : A qualitative study (English)
Abstract [sv]

Syfte och frågeställningar

Syftet med studien var att undersöka upplevelsen av fysisk aktivitet hos personer med tarmstomi. Frågeställningarna var:

  • Hur ser den fysiska aktivitetsnivån ut bland personer med tarmstomi?
  • Upplever personer med tarmstomi att det sker en förändring i fysisk aktivitet efter operation?
  • Vilka faktorer upplever personer med tarmstomi påverkar den fysiska aktiviteten?
  • Vilken information samt uppföljning kring fysisk aktivitet får personer som genomgår en tarmstomioperation?

Metod

För att besvara syftet och frågeställningarna har en kvalitativ metod med semistrukturerade intervjuer använts. 12 personer med tarmstomi, rekryterade genom ett lämplighetsurval från tre sjukhus i Stockholms län, deltog i studien. Deltagarna var mellan 30 och 84 år och var opererade för minst tre månader sedan vid tillfället för intervjun. Intervjuerna transkriberades och analyserades därefter genom en induktiv innehållsanalys enligt Graneheim och Lundman (2004).

Resultat

Innehållsanalysen resulterade i tre stycken huvudkategorier; tiden före operation, tiden efter operation samt information. Huvudresultaten var 1) att studiedeltagarna hade en hög fysisk aktivitetsnivå efter operationen. 2) Att den fysiska aktivitetsnivån hos studiedeltagarna var densamma eller något högre efter operationen men att vissa hade gjort ändringar i aktivitets eller miljöval. 3) Att studiedeltagarna inte såg stomin som ett hinder för fysisk aktivitet mer än i vissa särskilda miljöer men att den fysiska aktiviteten kunde påverkas av andra sjukdoms och operationsrelaterade orsaker. 4) Att studiedeltagarna hade fått information kring fysisk aktivitet i det direkt postoperativa stadiet men upplevde en avsaknad av information samt uppföljning i ett senare stadie efter operationen.

Slutsats

Resultaten i studien tyder på att en stomi inte behöver vara ett hinder för fysisk aktivitet. Vidare visar resultaten att det är viktigt med information och uppföljning för att personer med stomi ska kunna återgå till sin preoperativa nivå av fysisk aktivitet.

Abstract [en]

Aim

The aim of the study was to investigate the experience of physical activity among people with intestinal stoma. The research questions were:

  • What is the level of physical activity among people with intestinal stoma?
  • Do people with intestinal stoma experience a change in physical activity after surgery?
  • What factors affect physical activity in people who have intestinal stoma?
  • What kind of information and follow-up on physical activity do people receive who have had intestinal stoma surgery?

Method

To answer the aim and research questions, a qualitative method of semi-structured interviews have been conducted. 12 people with intestinal stoma participated in the study and were recruited from three hospitals in Stockholm County using a non-random sample with astrategic selection. The participants were between 30 and 84 years old and were operated for at least three months before the time of the interview. The interviews were transcribed and then analysed by an inductive content analysis according to Graneheim and Lundman (2004).

Results

The content analysis resulted in three main categories; the time before surgery, the time after the operation as well as information. The main results were 1) the participants had a high level of physical activity after the surgery. 2) The physical activity level of the participants was the same or slightly higher after the surgery. However some participants had made changes in their activity or the environment of where the activity took place. 3) The participants did not see the stoma as a barrier to physical activity more than in certain specific environments. Physical activity could however be affected by other illness- and surgery-related causes. 4)The participants had received information regarding physical activity in the direct postoperative stage but experienced a lack of information and follow-up at a later stage after surgery.

Conclusions

The results of the study indicate that a stoma does not need be a barrier for physical activity. Furthermore, the results show the importance of information and follow-up for people with stoma in order for them to be able to return to their preoperative level of physical activity.

Place, publisher, year, edition, pages
2017.
Series
Examensarbete, 2016:43
National Category
Sport and Fitness Sciences Physiotherapy
Identifiers
URN: urn:nbn:se:gih:diva-4850OAI: oai:DiVA.org:gih-4850DiVA: diva2:1087691
Educational program
Master programme
Supervisors
Examiners
Available from: 2017-04-10 Created: 2017-04-09 Last updated: 2017-04-10Bibliographically approved

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