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Patienters upplevelse av att få Fysisk aktivitet på recept samt följsamheten till FaR: En intervjustudie
University of Gävle, Faculty of Health and Occupational Studies.
2011 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syftet var att beskriva patienters upplevelse av att få Fysisk aktivitet på recept (FaR) samt följsamheten till FaR. Studien hade en deskriptiv design med kvalitativ ansats. Urvalet bestod av tio patienter från en vårdcentral i Mellansverige. Datainsamlingen gjordes med semistrukturerade intervjuer och data analyserades med kvalitativ innehållsanalys. Resultatet presenteras utifrån två frågeområden; patienters upplevelse av att få FaR och patienters följsamhet till FaR. Fyra kategorier framkom inom respektive område. I det första området framkom kategorierna; motivationshöjande samtal”, ”delaktighet- patientcentrerad vård”,” egen insikt relaterad till livsstilsförändring” samt ”brist på delaktighet och samspel”. I det andra området framkom kategorierna ”att vara i förberedelsestadiet”, ”att uppleva inre och yttre drivkraft”, ”att uppleva olika slags hinder” samt ”effekt av FaR”. Deltagarna beskrev betydelsen av att få uppmuntran och stöd från distriktssköterskan. Upplevelse av tvång och att inte vara motiverad till livsstilsförändring var något som deltagarna uttryckte. Resultatet visade att några deltagare startade direkt med någon aktivitet efter FaR, målmedvetenhet och noggrann planering framkom. Några planerade sin aktivitet och andra upplevde hinder att starta med FaR. Upplevelse av stöd och uppmuntran var av betydelse för följsamheten till FaR. Studiens slutsats är att stöd, uppmuntran och att möta patienten i förändringsprocessen har betydelse vid en livsstilsförändring.

 

Abstract [en]

The aim was to describe patients` experiences of getting Physical activity on Prescription (PaP) and adherence to the PaP. The study had a descriptive design with qualitative approach. The sample consisted of ten patients from a primary care centre in central Sweden. The data were collected with semi-structured interviews and data were analyzed using qualitative content analysis. The results are presented from two question areas, patients` experiences of getting PaP and patients` adherence to the PaP. Four categories emerged in each area. In the first area the categories were, "motivational talks," "participatory patient-centered care," "self-awareness related to lifestyle change" and "lack of participation and interaction." In the second area the categories were "being in the preparatory stage," "to experience internal and external driving force," "to experience different kinds of obstacles" and "effect of PaP". Participants described the importance of getting encouragement and support from the district nurse. Experience of coercion and not being motivated to change lifestyle was something that the participants expressed. The results showed that some participants started immediately with an activity after receiving PaP, purposefulness and careful planning was found. Some planned their activity and others perceived barriers to start with the PaP. Experience of support and encouragement were of importance to adherence to the PaP. The study's conclusion is that support, encouragement, and to meet the patient in the process of change is important for a lifestyle change.

 

Place, publisher, year, edition, pages
2011. , 31 p.
Keyword [en]
physical activity on prescription, physical activity, adherence, lifestyle change
Keyword [sv]
Fysisk aktivitet på recept, fysisk aktivitet, följsamhet, livsstilsförändring
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-11015Archive number: SPECDSK/vt11nr52OAI: oai:DiVA.org:hig-11015DiVA: diva2:463003
Subject / course
Caring science
Educational program
Specialist nursing – master’s programme (one year)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-12-08 Created: 2011-12-08 Last updated: 2011-12-08Bibliographically approved

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