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Att upptäcka ätstörning hos skolelever utifrån skolsköterskors erfarenheter: En kvalitativ studie
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Sammanfattning

Bakgrund: Forskning visar att ätstörningar hos skolelever blir alltmer vanligt både nationellt och internationellt. Det förekommer mest hos flickor men ökar även hos pojkar. Uppskattningsvis har 10 % ätstörningssymtom. Ca 4-5% av alla flickor har någon gång insjuknat i en allvarlig ätstörning i Sverige. Det är av vikt att upptäcka dessa skolelever då konsekvenserna kan medföra allvarliga hälsoproblem med långdraget, ibland kroniskt förlopp och i värsta fall död. Syfte: Beskriva skolsköterskors erfarenheter av att upptäcka ätstörning hos skolelever. Metod: Tio semistrukturerade intervjuer genomfördes med skolsköterskor. Intervjuerna analyserades utifrån en kvalitativ innehållsanalys med induktiv ansats. Resultat: Skolsköterskan upptäcker ätstörningar genom sitt hälsofrämjande arbete i både de planerade och spontana hälsobesöken, men också genom att vara uppmärksam på risksignaler hos skolelever som avvikande beteende samt ha ett könssperspektiv. Skolsköterskan är beroende av andras information, såsom pedagoger, kompisar, extern personal, föräldrar och skoleleven själv för att upptäcka ätstörning. Skolsköterskorna har goda kunskaper om ätstörning men ingen stor erfarenhet av att upptäcka detta. Utbildning och tydliga riktlinjer eftersöks då osäkerhet upplevs. Slutsats: Elevhälsovården saknade riktlinjer och arbetsrutiner för att upptäcka ätstörning. Därför är det viktigt att utveckla och modernisera tydliga riktlinjer, vilket skulle kunna bidra till tidig upptäckt av ätstörningar hos skolelever.

 

Nyckelord: Elevhälsa, hälsobesök, hälsofrämjande, hälsosamtal, information, kroppsuppfattning.

 

Abstract [en]

abstract

Background: Research shows that eating disorders among school students are becoming increasingly common both nationally and internationally. It occurs most in girls but is also increasing among boys. Estimately 10% suffers from eating disorder symptoms. About 4-5% of girls have ever suffered from a serious eating disorder in Sweden. It is important to discover these schoolchildren as the consequences can lead to serious health problems with the longevity, sometimes chronic progression and in worst case death. Purpose: Describe the school nurse's experience of detecting eating disorders among school students. Method: Ten semistructured interviews were conducted with school nurses. The interviews were analyzed based on a qualitative content analysis with an inductive approach. Result: The school nurse detects eating disorders through his health promotion work in both planned and spontaneous health visits, but also by paying attention to the risk signals of school students as deviating behavior meanwhile having a gender perspective. The nurse was dependent on other people's information, such as educators, friends, external staff, parents and the actual school student to detect eating disorders. School nurses have good knowledge but no experience detecting it. Education and clear guidelines were sought sines uncertainty was experienced in detecting eating disorders. Conclusion: Student health care lacked guidelines and work routines to detect eating disorders. Therefore, it is important to develop and modernize clear guidelines, which would mean that school nurses would discover more schoolchildren and thereby reduce suffering.

Keyword: Body perception, health consultation, health promotion, health visit, information, student health.

 

Place, publisher, year, edition, pages
2017. , p. 39
Series
x
Keywords [en]
Body perception, health consultation, health promotion, health visit, information, student health
Keywords [sv]
Elevhälsa, hälsobesök, hälsofrämjande, hälsosamtal, information, kroppsuppfattning.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-37262OAI: oai:DiVA.org:mdh-37262DiVA, id: diva2:1158260
Subject / course
Caring Science
Presentation
2017-11-02, Mälardalens Högskola, Box 883, 721 23, Västerås, 13:00 (Swedish)
Supervisors
Examiners
Available from: 2017-11-20 Created: 2017-11-19 Last updated: 2017-11-20Bibliographically approved

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