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Fysioterapeuters upplevelser och erfarenheter av att arbeta med vidmakthållande av fysiska aktivitetsbeteenden hos personer med psykisk ohälsa
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Physiotherapy.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Patienter med psykisk ohälsa så som depression och ångestsyndrom återfinns i primärvården. Fysioterapeuter är vanligtvis en av de första instanserna och fysisk aktivitet en viktig behandlingsdel. Att särskilt arbeta med vidmakthållande av fysisk aktivitet är viktigt då denna patientgrupp ofta har svårt att bibehålla detta.

Syfte: Utforska erfarenheter och upplevelser hos fysioterapeuter i primärvård som arbetade med vidmakthållande av fysiska aktivitetsbeteenden i rehabiliteringen av patienter med psykisk ohälsa.

Metod: Data samlades in med hjälp av semistrukturerade intervjuer och analyserades med innehållsanalys.

Resultat: 8 kategorier och 21 subkategorier framkom. Kategorierna var: ”Bygga allians tidigt”, ”Strategier för individualisering”, ”Utnyttja patientens egna resurser”, ”Belysa framsteg”, ”Former för uppföljning”, ”Hindrande faktorer”, ”Underlättande faktorer” och ”Tankar om förändring”. För att öka chanserna till att vidmakthålla fysisk aktivitet behövdes ständig avvägning av dosen fysisk aktivitet, regelbunden uppföljning samt belysa patientens framsteg. Vården upplevdes ej vara optimal då det ofta behövdes längre behandlingstider.

Konklusion: Resultatet belyser viktiga komponenter i rehabiliteringen för att underlätta vidmakthållande av fysiska aktivitetsbeteenden. Fortsatt forskning behövs för att finna strategier inom vården för att hantera tidsbrist. Även vidare kartläggning kring hur fysioterapeuter bör arbeta för att få patienter att vidmakthålla träningsbeteenden behövs.

Sökord: Self-efficacy, Maintenance, Mental disorders, Physical activity, Physical therapy, Behavior change teqniques

Abstract [en]

Background: Patients with mental disorders such as depression and anxiety disorder are found in primary care. Physiotherapists are often the first contact and physical activity is an important part of the treatment. Working with maintenance of physical activity is important as this patient group often struggle to maintain this.

Objective: Explore the experiences of physiotherapists in primary care who worked with maintaining physical activity in the rehabilitation of patients with mental disorders.

Method: Data was collected using semi-structured interviews and analyzed by content analysis.

Results: 8 categories and 21 subcategories appeared. The categories were: "Building alliance early", "Strategies for individualization", "Utilizing patients own resources", "Promoting advances", "Forms of follow-up", "Obstacles", "Enhancing factors", and "Thoughts of change". In order to increase the chances of maintaining physical activity, constant balancing of the dose of physical activity, regular follow-up and highlighting patient progress were required. Primary care was found not to be optimal as longer treatment times were often needed.

Conclusion: The result highlights important components of rehabilitation, to facilitate the maintenance of physical activity. Continued research is needed to find strategies in health care to address shortage of time. Further survey of how physiotherapists should work to get patients to maintain training behaviors is also needed.

Keywords: Self-efficacy, Maintenance, Mental disorders, Physical activity, Physical therapy, Behavior change teqniques

Place, publisher, year, edition, pages
2017. , p. 33
Keywords [en]
Self efficasy, maintenance, mental disorders, physical activity, physical therapy, behavior change teqniques
Keywords [sv]
Tilltro till egen förmåga, vidmakthållande, psykisk ohälsa, fysisk aktivitet, fysioterapi, beteendeförändringstekniker
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-337291OAI: oai:DiVA.org:uu-337291DiVA, id: diva2:1168886
Educational program
Physiotherapy programme
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Available from: 2018-02-20 Created: 2017-12-21 Last updated: 2018-02-20Bibliographically approved

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