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Att hantera det ohanterbara: Patienters copingstrategier i palliativ vård
Halmstad University, School of Social and Health Sciences (HOS).
Halmstad University, School of Social and Health Sciences (HOS).
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Managing the unmanageable : Patients' coping strategies in palliative care (English)
Abstract [sv]

Den palliativa vården även kallad vård vid livets slutskede, innebar stora omställningar för patienter, vilket skapade ett intresse att belysa copingstrategier patienter använder sig av i palliativ vård. Målet med problemformuleringen var att utreda hur patienter upplever sina copingstrategier och hur sjuksköterskor bäst kan stödja patienter med sina copingstrategier. Syftet med föreliggande litteraturstudie var att belysa patienters copingstrategier i palliativ vård. Som en metod utfördes en systematisk litteraturstudie, innehållande 12 vetenskapliga artiklar. Resultatet framhöll copingstrategierna: undvikande, att känna hopp och tro, samt  behovet av stöd. Några patienter undvek relationer med närstående och vänner, som ett sätt att hantera sin situation. Andra kände hopp med hjälp av positiva tankar och positiv energi från andra människor. Den spirituella delen hade en betydelsefull roll för patienter vid livets slutskede. Sjuksköterskornas stöd var viktigt och patienterna behövde samtalshjälp för att utveckla copingstrategier och hantera de känslor och tankar som uppstod. Resultatet visade också att sjuksköterskorna inte alltid lyckades förstå och hjälpa patienterna på bästa sätt. Vidare forskning i ämnet kan utveckla kunskapen om hur sjuksköterskor bäst kan hjälpa patienter med sina copingstrategier.

Abstract [en]

Palliative care is also called care at the end of life, meant great changes for the patients, and thereby the interest fell in how patients handled coping strategies in the palliative care. The formulation of the problem was aimed at investigating how patients experienced their coping strategies and how nurse`s could best support patients with their coping strategies. The aim of the present study was to illustrate patients coping strategies in the palliative care. The method was a systematic literature review with 12 scientific articles. The results pointed to the coping strategies: avoidance, to have hope and faith, and the need for support. Studies showed that some patients avoided relationships with the family and friends, it was a way to cope with their situation. Others could feel hope through positive thoughts and positive people and that the spiritual path was shown to have an important role for patients at the end of life. Nursing support was important and patients needed supportive conversations to develop their coping strategies, and manage the emotions and thoughts that arose. The results also showed that nurses did not always managed to understand and help the patients in the best way. Further research on the topic can develop knowledge about how nurses can best help patients with their coping strategies.

Place, publisher, year, edition, pages
2013. , 17 p.
Keyword [en]
Coping, nurse, palliative care, patients
Keyword [sv]
Coping, palliativ vård, patienter, sjuksköterskan
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-23087OAI: oai:DiVA.org:hh-23087DiVA: diva2:632635
Subject / course
Nursing
Uppsok
Social and Behavioural Science, Law
Supervisors
Examiners
Available from: 2013-06-27 Created: 2013-06-25 Last updated: 2013-06-27Bibliographically approved

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