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Schizofreni och Quality of Life: Vilka faktorer påverkar Quality of Life hos personer med schizofreni i öppenvården? En litteraturöversikt.
The Swedish Red Cross University College.
The Swedish Red Cross University College.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Schizophrenia and Quality of Life : What Factors Affect Quality of Life in people with schizophrenia in outpatient settings? A literature review. (English)
Abstract [sv]

BAKGRUND: Schizofreni är en allvarlig psykiatrisk sjukdom som innebär ett stort lidande för den drabbade. Sjukdomen kan leda till symtom så som hallucinationer, förvrängd verklighetsuppfattning, apati och tillbakadragenhet. Sammantaget innebär detta att patienter med schizofreni skattar sin Quality of Life lägre än genomsnittspopulationen.

SYFTE: Syftet med litteraturöversikten var att belysa vilka faktorer som påverkar Quality of Life hos personer med diagnosen schizofreni och som behandlas i öppenvården.

METOD: Undersökningen genomfördes som en litteraturöversikt. Tio vetenskapliga artiklar som stämde överens med studiens syfte ingick, de granskades kvalitémässigt och genomgick en strukturerad analys.

RESULTAT: De identifierade faktorer som påverkade Quality of Life hos personer med schizofreni delades in i tre huvudkategorier som var synonyma med Anontonvskys KASAMbegrepp: begriplighet, hanterbarhet och meningsfullhet. Som underkategorier till dessa begrepp identifierades följande underkategorier: Positiva symtom, den kognitiva förmågan, den psykosociala situationen, att ha kontroll över vardagen, fysisk hälsa, stöd från vården och livsglädje och optimism. Sammanfattningsvis visar artiklarna att de tre huvudkategorierna identifierar områden där patienterna har en låg funktionsgrad. De sju underkategorierna identifierar i sin tur områden som direkt eller indirekt påverkar patientens Quality of Life.

SLUTSATS: Sjuksköterskan kan på egen hand eller tillsammans med andra yrkeskategorier inom vården stärka Quality of Life hos personer med schizofreni, dels genom motiverande samtal men också genom samordnade insatser mellan olika samhällsaktörer.

KLINISK BETYDELSE: Personer med schizofreni upplever socialt utanförskap, brist på sysselsättning och isolering som faktorer som påverkar deras livssituation negativt. Som vårdgivare är det av största vikt att möta patienten i dess upplevda problem för att få ett positivt behandlingsresultat.

 

Abstract [en]

BACKGROUND: Schizophrenia is a serious psychiatric illness, which entails great suffering for the person afflicted. The illness may cause symptoms such as hallucinations, a distorted sense of reality, apathy and reclusiveness; in effect causing the schizophrenic patient to evaluate his or her Quality of Life as being lower than the average persons.

PURPOSE: The purpose of the literature review, was to highlight which factors affect Quality of Life, for schizophrenic patients in outpatient care.

METHOD: The study was carried out as a literature review. Ten scientific articles, well suited for the purpose of this paper, were critically reviewed and structurally analyzed.

RESULT: The identified factors, influencing Quality of Life for patients suffering from schizophrenia, were divided into three main categories, synonymous with Antonovsky's concept of KASAM: comprehensibility, manageability and meaningfulness. Furthermore, seven concepts were identified as constituting subcategories: positive symptoms, the psychosocial situation, maintaining control of ones everyday life, physical health and support from health facilities and exuberance and optimism. In summary, the articles studied show that the three main categories identify areas, in which the patients are low functioning. The seven sub-categories in their turn identify areas that directly or indirectly affect the patients' Quality of Life.

CONCLUSION: The nurse can improve Quality of Life in individuals diagnosed with schizophrenia, either on her own, or in collaboration with other professionals in the health care sector. This can be achieved through motivational talks, but also through coordinated efforts between various social actors.

CLINICAL SIGNIFICANCE: Patients suffering from schizophrenia, perceive exclusion in the social arena, a lack of pursuit and/or employment and general isolation as factors negatively affecting their lives. Thus the ability of caregivers, to meet the perceived problems and needs of the patient, is paramount when striving for a positive outcome of treatment.

 

Place, publisher, year, edition, pages
2013. , 29 p.
Keyword [en]
Quality of Life, Schizophrenia, comprehensibility, manageability and meaningfulness
Keyword [sv]
Quality of Life, Schizofreni, begriplighet, hanterbarhet och meningsfullhet
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-723OAI: oai:DiVA.org:rkh-723DiVA: diva2:661644
Educational program
Sjuksköterskeprogrammet
Uppsok
Medicine
Available from: 2013-11-04 Created: 2013-10-31 Last updated: 2015-07-20Bibliographically approved

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