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Arbetsterapeutiska interventioner vid sjukdomsrelaterad fatigue - en litteraturstudie
Luleå University of Technology, Department of Health Sciences.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Sammanfattning

Syftet med denna litteraturstudie var att beskriva arbetsterapeutiska interventioner vid sjukdomsrelaterad fatigue samt deras effekter. För att besvara studiens syfte valdes en litteraturstudie med grund i analys av kvantitativ forskning, resultatet av denna litteraturstudie baserades på arton artiklar. Resultatet visade att de flesta av de arbetsterapeutiska interventionerna var aktivitetsfokuserade och byggde på self-management principen där arbetsterapeutens roll är att hjälpa och stötta personen att hantera sin fatigue. Den mest förekommande interventionen var Fatigue Management kurs som beskrevs i nio artiklar och där alla inkluderade personer med MS-diagnos. I elva av artiklarna framkom att interventionerna hade effekt på sjukdomsrelaterad fatigue. Fatigue var det primära utfallsmåttet som mättes i de flesta artiklarna. Det mest förekommande bedömningsinstrument som användes för att mäta effekten av interventionerna var instrument som bedömde påverkan av fatigue till exempel Modified Fatigue Impact Scale (MFIS) och Fatigue Severity Scale (FSS). Slutsatsen av denna studie är att det främst finns studier där arbetsterapeutiska interventioner vid MS relaterad fatigue är studerat och att dessa har positiv effekt på fatigue. Däremot finns en kunskaplucka om vilka arbetsterapeutiska interventioner som används vid sjukdomsrelaterad fatigue vid till exempel cancer, reumatiska sjukdomar eller förvärvade hjärnskador samt vilken eventuell effekt de har.

Nyckelord: Occupational therapy, fatigue, patient education, self-management.

Abstract [en]

Abstract

The purpose of this literature study was to describe occupational therapeutic interventions in illness-related fatigue and their effects. In order to answer the purpose of the study, a literature study was chosen based on analysis of quantitative research. The results of this literature study were based on eighteen articles. The results showed that most of the occupational therapy interventions were activity-focused and based on the self-management principle, where the role of the occupational therapist is to help and support the person to handle his fatigue. The most common intervention was the Fatigue Management course described in nine articles, and all of which were conducted with people with MS diagnosis. In eleven of the articles it showed that the interventions had effect on illness-related fatigue. Fatigue was the primary outcome measure measured in most articles. The most commonly used assessment tool used to measure the effect of interventions was instruments that assessed the impact of fatigue, such as Modified Fatigue Impact Scale (MFIS) and Fatigue Severity Scale (FSS). The conclusion of this study is that there are mainly studies where occupational therapy interventions in MS related fatigue have been studied and that they affect fatigue positively. On the other hand, there is a knowledge gap about which occupational therapy interventions are used in illness-related fatigue in, for example, cancer, rheumatic diseases or acquired brain injuries as well as any possible effect.

Keywords: Occupational therapy, fatigue, patient education, self-management.

Place, publisher, year, edition, pages
2018. , p. 45
Keywords [sv]
occupational therapy, fatigue, patient education, patient education, self-management
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:ltu:diva-69600OAI: oai:DiVA.org:ltu-69600DiVA, id: diva2:1219723
Subject / course
Student thesis, at least 15 credits
Educational program
Occupational Therapy, master’s level (60 credits)
Supervisors
Examiners
Available from: 2018-06-19 Created: 2018-06-17 Last updated: 2018-06-19Bibliographically approved

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