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Distriktssköterskornas erfarenheter av att arbeta med urininkontinens bland äldre i hemsjukvården: – en intervjustudie
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.
2013 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Urininkontinens är ett stort folkhälsoproblem bland äldre och upplevs som genant. Då många äldre har hemsjukvård är detta ett vanligt problem som distriktssköterskan kommer i kontakt med. Distriktssköterskorna upplever att tyngdpunkten i hemsjukvården ligger på att skriva ut inkontinensskydd och inte på att göra grundliga utredningar.

Syfte: Var att belysa distriktssköterskors erfarenheter av att arbeta med urininkontinens bland äldre i hemsjukvården.

Metod: En kvalitativ intervjustudie med semistrukturerade frågor genomfördes. Via ett bekvämlighetsurval valdes åtta distriktsköterskor ut att delta. Analysen genomfördes enligt Graneheim's och Lundman's manifesta innehållsanalys.

Resultat: Fyra kategorier framkom; att hitta och förstå problemet, att ge rätt inkontinenshjälpmedel, ekonomi och förbrukning samt samarbetet med hemtjänsten. Distriktssköterskorna berörde urininkontinens med ödmjukhet och uttryckte att ämnet inte var svårt då de oftast hade en långvarig kontakt med patienten. Ingen grundlig utredning gjordes gällande orsaken till inkontinensen. Oftast anpassades hjälpmedlen genom att patienten fick prova olika storlekar och sedan berätta vilket som passade bäst. Tidbristen gjorde att de som stod patienten närmast, vanligtvis hemtjänsten, fick bistå med hjälp att bedöma behovet av inkontinenshjälpmedel. Detta kunde resultera i problem då distriktsköterskan upplevde att hemtjänsten ibland använde hjälpmedlen felaktigt.

Slutsats: Inkontinensvården bredrivs inte alltid enligt de riktlinjer som finns, vilket kan medföra att den inte alltid är evidensbaserad. Det finns ett behov av bättre utbildning inom inkontinensvård samt en inkontinensansvarig inom varje hemsjukvårdsgrupp.

Abstract [en]

Background: Urinary incontinence is a major public health problem and cause of embarrassment among the elderly. Since a great many elderly have home health care this is a common problem for the district nurses to encounter. The district nurse experience that the focus within the home health care is on prescribing incontinence aids and not on performing thorough investigations.

Aim: Was to illuminating the district nurses’ experiences of working with urinary incontinence among the elderly within home health care.

Method: A qualitative interview study was performed using semi-structured questions. Eight district nurses were chosen to participate through a convenience sampling. The analysis was carried out in accordance with the manifest content analysis by Graneheim and Lundman.

Results: Four categories emerged; to find and understand the problem, to give the right incontinence aids, economy and consumption, and the collaboration with home care services. The district nurses approached urinary incontinence with humility and claimed that it was not a difficult topic since they usually had a prolonged contact with the patient. No thorough investigation of the reason behind the incontinence was performed. The suitable incontinence aid were determined by letting the patient try out different sizes and give feedback on which aid the patient preferred. Due to lack of time people closest to the patient, usually the home care services, had to provide help with assessing the need for incontinence aids. This could lead to problems since the district nurse felt that the home care services sometimes used the aids erroneously.

Conclusion: The incontinence care is not always carried out in accordance with the defined guidelines, which can result in the care not always being evidence-based. There exists a need for better education in incontinence care as well as a person with special competence in this area within each home health care unit.

Place, publisher, year, edition, pages
2013. , 35 p.
Keyword [en]
District nurses, elderly, experience, home health care, urinary incontinence
Keyword [sv]
Distriktssköterskor, erfarenheter, hemsjukvård, urininkontinens, äldre
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-26365OAI: oai:DiVA.org:lnu-26365DiVA: diva2:627502
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Primary Health Care, 75 credits
Presentation
2013-06-05, v1115, Stagneliusgatan 14b, Kalmar, 20:39 (Swedish)
Supervisors
Examiners
Available from: 2013-06-13 Created: 2013-06-11 Last updated: 2013-06-13Bibliographically approved

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