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Äldre personers upplevelser av att vårdas med akutmedicinsk utrustning i hemmet: -En systematisk litteraturstudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Antalet människor ökar i världen och allt fler multisjuka äldre personer kommer att vara i behov av akutmedicinsk behandling. Inläggning på sjukhus kan medföra komplikationer för de mest sjuka äldre. Modeller med mobila sjukvårdsteam och behandling med akutmedicinsk utrustning i hemmet behöver därför utvecklas för att tillmötesgå dessa personers behov och minska återbesök på akutmottagningarna och återinläggningar på sjukhus.

Syfte: Att beskriva den äldre personens upplevelse av att vårdas med akutmedicinsk utrustning i hemmet.

Metod: En systematisk litteraturstudie med kvalitativ metod genomfördes med sökningar ur två databaser. Befintliga data ur vetenskapliga artiklar analyserades och sammanställdes genom dataextraktion. Tolv kvalitetsgranskade primärstudier identifierades till resultatet.

Resultat: Följande tre kategorier utgjorde resultatet:

Trygghet i hemmet De behövde känna sig trygga vid hantering av utrustningen i hemmet och att personal ansvarade för utrustningen och fanns tillgängliga dygnet runt.  

Motstånd och framgång De kände ett motstånd mot sin situation och utrustningen gjorde att de kände sig begränsade. De tog kontroll över situationen och upplevde hälsa och välmående.

Hantera den nya vardagen De ville vara självständiga trots beroendet av andra och utrustningen. Familjens delaktighet var viktig. Utrustningen och procedurer hindrade ett socialt och aktivt liv.

Slutsats: Anhöriga och sjukvårdspersonalen som arbetar runt den äldre har en avgörande roll för att skapa trygghet och vara ett stöd i hemmet. Litteraturstudien visar befintligt kunskapsläge och att det finns behov för fortsatt forskning inom området.

Abstract [en]

Background: The population is increasing in the world and more elderly people will be needing emergency medical treatment. Hospitalization involves great risk for the most disordered elderly. Models with mobile healthcare teams and treatment with medical equipment in the home needs to be developed to accommodate the needs from elderly and reduce revisits into the emergency department and recurrent hospitalizations.

Aim: To describe the older person's experience of being cared for by emergency medical equipment in the home.

Method: A systematic literature study with a qualitative method was carried out by searching from two databases. Existing data from scientific articles was analyzed and compiled by data extraction. Twelve quality-reviewed primary studies were identified as the result.

Results: The following three categories represented the result:

Security in the home They needed to feel safe in the home when handling the equipment and that clinicians were responsible for the equipment, available around the clock.

Resistance and progress They felt resistance to their situation and the equipment made them feel limited. They took control of the situation and experienced health and well-being.

Managing the new everyday life They wanted to be independent despite being dependent on others and the equipment. Family involvement was important. The equipment and procedures prevented a social and active life.

Conclusions: The result shows that the next of kin and clinicians working in the elder´s home are important to create security and being a support. The literature study shows current state of knowledge and there is a need for continued research within the subject.

Place, publisher, year, edition, pages
2019. , p. 40
Keywords [sv]
Äldre, upplevelse, akutmedicinsk utrustning i hemmet, trygghet, systematisk litteraturstudie
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-85462OAI: oai:DiVA.org:lnu-85462DiVA, id: diva2:1328693
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Emergency Care, 60 credits
Supervisors
Examiners
Available from: 2019-06-24 Created: 2019-06-22 Last updated: 2019-06-24Bibliographically approved

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