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Digitaliserad vård i hemmet: En kvalitativ studie av hur äldre patienter med hjärtsvikt och deras anhöriga upplever självmonitorering med ny digital teknik
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
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: Sverige har en av de största andelarna äldre i världen. Fler lever längre med kroniska sjukdomar, vilket ger en ökad efterfrågan på vård. Andelen personer med hjärtsvikt ökar. Digital teknik kan bli en viktig länk mellan patient, anhörig samt hälso- och sjukvården. Ökad användning av digital teknik i hälso- och sjukvården kan underlätta för patienter med kronisk sjukdom och leda till en bättre livskvalitet. Självmonitorering i hemmet ger en snabb indikation på försämring, leder till färre akutbesök och inläggningar samt minskade vårdkostnader.

Syfte: Syftet var att beskriva upplevelsen av självmonitorering i hemmet utifrån den äldre patienten med hjärtsvikt och anhörigas perspektiv.

Metod: För att besvara studiens syfte och problemområde valdes en kvalitativ studie med induktiv design. Material inhämtades genom semistrukturerade intervjuer som sedan analyserades genom kvalitativ analys enligt Malteruds systematiska textkondensering.

Resultat: I studien deltog sju äldre med hjärtsvikt och sex anhöriga. Deltagarna självmonitorerade i hemmet med hjälp av en mobil plattenhet. Analysen resulterade i tre kategorier. Aspekter av trygghet och otrygghet i samband med självmonitorering, självmonitorering ett stöd till egenvård samt självmonitorering ett stöd till att bli en partner i vården men också ett ansvar.

Slutsats: Hälso- och sjukvården står inför stora utmaningar med en ökande äldre befolkning där fler lever längre med kroniska sjukdomar. Patienten behöver bli mer delaktig samt behöver ta ett större ansvar för den egna vården. Studiens resultat pekar på att äldre patienter med hjärtsvikt och deras anhöriga genom självmonitorering i hemmet upplever trygghet, beskrivs få en ökad kunskap om sin sjukdom och behandling samt tar ett större ansvar för sin hälsa genom att utföra avancerad egenvård i hemmet.

Abstract [en]

Background: Sweden has one of the highest proportions of older people in the world. More people live longer with chronic diseases, which increases the demand for care. The proportion of people with heart failure is increasing. Digital technology can become an important link between patient, relative and healthcare. Increased use of digital technology in healthcare can help patients with chronic illness and lead to a better quality of life. Self-monitoring in the home provides a quick indication of deterioration and leads to less emergency visits and admissions as well as reduced healthcare costs.

Aim: The aim was to describe the experience of self-monitoring in the home based on the elderly patient with heart failure and the relative's perspective.

Method: A qualitative study with inductive design was chosen to answer the study's purpose and problem area. Data was obtained through semi-structured interviews, and analysed using qualitative analysis according to Malterud's systematic text condensation.

Results: Seven elderly patients with heart failure and six relatives participated in the study.  Participants self-monitored in the home using a mobile device. The analysis resulted in three categories. Aspects of security and insecurity related to self-monitoring, self-monitoring provides support for self-care and self-monitoring a support to become a partner in care but also a responsibility.

Conclusion: Health care is facing major challenges with an increasing ageing population where more people live longer with chronic diseases. The patient needs to become more involved and need to take greater responsibility for their own care. The results of the study indicate that elderly patients with heart failure and their relatives through self-monitoring in the home experience security, are described to gain an increased knowledge of their disease and treatment and take greater responsibility for their health by performing advanced self-care at home.

Place, publisher, year, edition, pages
2019. , p. 43
Keywords [en]
digital technology, self-monitoring, self-care, elderly, heart failure, relative
Keywords [sv]
digital teknik, självmonitorering, egenvård, äldre, hjärtsvikt, anhöriga
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-90244OAI: oai:DiVA.org:lnu-90244DiVA, id: diva2:1372478
Educational program
Specialist Nursing Programme, with Specialism in Primary Health Care, 75 credits
Supervisors
Examiners
Available from: 2019-11-25 Created: 2019-11-24 Last updated: 2019-11-25Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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Output format
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