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Upplevelser, påverkan på vardagen och egenvård: - En litteraturstudie om MS-relaterad fatigue
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: Litteraturstudiens syfte var att beskriva upplevelsen av MS-relaterad fatigue, hur den påverkade vardagen och val av egenvårdsstrategier.

Metod: Beskrivande litteraturstudie. Resultatdelen innehåller 15 st vetenskapliga artiklar, varav 8 st har en kvantitativ ansats, 5 st har en kvalitativ ansats och 2 st har båda ansatserna. Artiklarna söktes i databaserna PubMed och Cinahl och genom manuell sökning.

Resultat: MS-relaterad fatigue var en unik och individuell upplevelse. Fatigue hade en multidimensionell och handikappande inverkan på vardagen, som berörde såväl fysiska, psykiska, sociala och kognitiva aspekter. Personer med MS hade utvecklat olika egenvårdsstragier för att minska, förebygga och dölja konsekvenserna av fatigue. Tre av artiklarna saknade en tillräcklig beskrivning av inklusions- och exklusionkriterier. Fyra artiklar saknade en adekvat beskrivning av bortfall. 

Slutsats: MS-relaterad fatigue bidrog till en försämring av fysiska, psykiska, sociala och kognitiva funktioner och stod i direkt relation till sämre livskvalitet. Befintliga egenvårdsstrategier kunde beskrivas utgå ifrån två olika teman: lindra och dölja konsekvenserna av fatigue. Levines bevarandemodell gav en omvårdnadsteoretisk förståelse av MS-relaterad fatigue som saknades i tidigare forskning.

Abstract [en]

Aim: The aim of this study was to describe the experience of MS-related fatigue, how it affected daily-living and different self-care strategies.

Method: Descriptive literature study. The study contains 15 scientific papers, 8 had a quantitative approach, 5 had a qualitative approach and 2 included both approaches. The articles were found by using PubMed and Cinahl and by manual search.

Results: MS-related fatigue was a unique and individual experience. Fatigue had a multidimensional and disabling impact on everyday life involving physical, psychological, social and cognitive aspects. People with MS had developed various self-care strategies to reduce, prevent and hide the effects of fatigue. Three of the articles lacked a sufficient description of inclusion and exclusion criteria. Four articles lacked an adequate description of the discontinuity of participation.

Conclusion: MS-related fatigue contributed to a deterioration of the physical, psychological, social and cognitive functions and was directly related to lower quality of life. Existing self-care strategies could be described in two themes: to ease and hide the effects of fatigue. Levine's conservation model yielded a theoretical understanding of MS-related fatigue. Previous research did not incorporate a nursing theoretical understanding of MS-related fatigue.

Place, publisher, year, edition, pages
2012. , 32 p.
Keyword [en]
Multiple sclerosis, fatigue, daily life, experience, Levine's conservation model
Keyword [sv]
Multipel skleros, fatigue, vardag, upplevelse, Levines bevarandemodell
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-13411OAI: oai:DiVA.org:hig-13411DiVA: diva2:570189
Subject / course
Nursing science
Educational program
Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-11-19 Created: 2012-11-16 Last updated: 2012-11-19Bibliographically approved

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