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Upplevelse av palliativ vård hos patienter behandlade för obotlig cancer på hospice eller inom den slutna vården - en litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Syfte: Att utifrån litteratur beskriva upplevelser av palliativ vård hos patienter med obotlig cancer och som vårdas på hospice eller inom den slutna vården, samt att utifrån litteraturen belysa vad dessa patienter anser att en god palliativ vård innefattar.

Metod: Beskrivande litteraturstudie baserad på 14 artiklar sökta i databaserna Cinahl, PubMed, PsycInfo och via manuell sökning. Resultatet av analysen sammanställdes i 5 huvudkategorier innehållande 23 underkategorier.

Huvudresultat: Patienterna upplevde att en adekvat smärtlindring utan förbehåll och dröjsmål var det viktigaste i den palliativa vården. En god kommunikation och interaktion mellan sjuksköterskan och patienten låg till grund för att en god vård skulle kunna utvecklas. Tillit till sjukvårdspersonalens kompetens och förmågor hade avgörande betydelse för patienternas upplevelse av trygghet. Autonomi hade en central roll för patienterna då delaktighet i vården skapade känsla av kontroll och mening. Miljön på hospice bidrog till att patienterna förlorade sin identitet. Att finna mening med sitt lidande bidrog till att patienterna succesivt accepterade sin situation och kunde finna frid i sin vetskap om det oundvikliga.  

Slutsats: Den mellanmänskliga kommunikationen och sjuksköterskans kompetens har nyckelroller för patienternas upplevelse av god palliativ vård. Mer forskning krävs för att möta det växande behovet av kvalificerad palliativ vård.

Abstract [en]

Purpose: The purpose of this study was to describe the experiences of terminal cancer patients’ receiving palliative care in hospice or in an in-patient care unit, and illuminate what these patients believe that good palliative care involves. Method:  The Literature study had a descriptive design and was based on 14 scientific articles that were retrieved from the databases Cinahl, PubMed, PsycInfo and by manual search. The results of the analysis were compiled into 5 categories containing 23 subcategories. Main Result: Patients experienced that the issue of most importance in palliative care was to obtain adequate pain relief without reservation or delay. Good communication and interaction between the nurse and the patient was the basis for good health care to be developed. Trust in health professionals' skills and abilities were essential to patients' perceptions of security. Autonomy was central for the patients’ participation in their health care, and it created a sense of control and meaning. The environment at the hospice had a negative impact on the patients’ self-image and made them lose their identity. Finding meaning in their suffering helped the patients gradually to accept their situation in order to find peace in their knowing of the inevitable. Conclusion: The interpersonal communication and nursing skills is of crucial importance for patients' perceptions of good health care. More research is needed to meet the growing request of qualified professional palliative care.

Place, publisher, year, edition, pages
2012. , 34 p.
Keyword [en]
cancer, palliative care, end-of-life care, patient experience, patient perspective
Keyword [sv]
cancer, palliativ vård, vård i livets slutskede, patientens upplevelser, patientens perspektiv.
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-11758Archive number: SSKHk09-01OAI: oai:DiVA.org:hig-11758DiVA: diva2:516635
Subject / course
Nursing science
Educational program
Nursing
Uppsok
Humanities, Theology
Supervisors
Examiners
Available from: 2012-04-19 Created: 2012-04-18 Last updated: 2012-04-19Bibliographically approved

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Upplevelse av palliativ vård hos patienter behandlade för obotlig cancer på hospice eller inom den slutna vården - en litteraturstudie(1141 kB)997 downloads
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