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Patienters upplevelse av livskvalitet vid palliativ vård i hemmet: En litteraturstudie
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Ett ökat antal patienter väljer att avsluta sina liv i hemmiljö, med hjälp av palliativa insatser från hemsjukvården. Då livskvalitet är ett viktigt mål inom palliativ vård, krävs kunskap hos sjuksköterskan om vilka faktorer som påverkar livskvaliteten hos patienterna. Syftet var att genom en litteraturstudie undersöka vad som påverkade patientens upplevelse av livskvalitet i samband med palliativ vård i hemmet. Resultatet utgick från tio vetenskapliga artiklar varav två kvalitativa, sju kvantitativa och en med mixad metod, vilka resulterade i två huvudkategorier: Fysiska och psykiska symtom och Psykosociala faktorer. Resultatet visade att om både fysiska och psykiska symtom kunde lindras ökade patientens upplevelse av livskvalitet. Resultatet behandlar även hur sjuksköterskan i omvårdnaden vid palliativ vård kan ge patienten relevant information, stöd, trygghet och hopp, vilket även det ökar livskvaliteten. Genom att som sjuksköterska kunna ge patienten tid så ökade både trygghet och livskvalitet. Något som framkom i resultatet var att en stor andel patienter led av depression, vidare forskning behövs för utvecklandet av lättanvända screening-instrument. Sjuksköterskor behöver kontinuerliga kompetensutveckling inom palliativ vård, för att kunna utveckla nya kunskaper och för att kunna vidta relevanta omvårdnadsåtgärder för att kunna öka den upplevda livskvalitén hos patienterna i palliativt skede.

Abstract [en]

An increased number of patients choose to end their life in home environments, with support from palliative efforts from home care services. Since quality of life is an important goal in palliative care, knowledge of the nurse regarding which factors that affect the quality of life in the patients is important. The aim was to through a literature study explore what affected the patient´s experience of quality of life in conjunction with palliative care in the home environment. The result was from ten scientific articles, whereof two qualitative articles, seven quantitative articles and one with mixed method, which resulted in two main categories: Physical and psychological symptoms and psychosocial factors. The result showed that if both physical and psychological symptoms were alleviated, the patient´s quality of life increased. The result also deals with how the nurse in the palliative care can give the patient relevant information, support, security and hope, which also increases the quality of life. By as a nurse be able to give the patient time, both security and quality of life were increased. Something that emerged in the result was that a large proportion of patients suffered from depression, further research is needed for the development of easy-use-screening instruments. Nurses need continuous competence development in palliative care, to be able to develop new skills for the ability to take relevant care measures to be able to increase the perceived quality of life in the patients in the palliative phase.

Place, publisher, year, edition, pages
2017. , p. 20
Keyword [en]
Home care, palliative care, patient, quality of life
Keyword [sv]
Hemsjukvård, livskvalitet, palliativ vård, patient
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-35931OAI: oai:DiVA.org:hh-35931DiVA, id: diva2:1168518
Subject / course
Nursing
Educational program
Nursing Programme, 180 credits
Supervisors
Examiners
Available from: 2017-12-22 Created: 2017-12-20 Last updated: 2017-12-22Bibliographically approved

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