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Oplevelse af sammenhæng hos bærere af Meticillin Resistente Staphylococcus aureus(MRSA): Et kvalitativt studie.
Nordic Council of Ministers, Nordic School of Public Health NHV.
2012 (Danish)Independent thesis Advanced level (degree of Master (Two Years))Student thesisAlternative title
Meticillin-resistantStaphylococcus aureus (MRSA)colonizationand sense of coherence of carriers : A qualitative study (English)
Abstract [da]

Baggrund: At være bærer af MRSA er en udfordring for et stigende antal borgere. For den enkelte indebærer det at være bærer at skulle leve med en viden om, at man kan smitte og fremkalde infektion hos den nærmeste familie eller andre, man kommer i tæt berøring med. For samfundet indebærer forekomsten af et reservoir af resistente bakterier en risiko for spredning fra det omgivende samfund ind på sygehusene med efterfølgende problemer ved behandling af akutte og alvorligt syge patienter.

Formål: At opnå en dybere forståelse af, hvilken betydning det har for bærernes oplevelse af sammenhæng og dermed for sundheden for den enkelte, at være bærer af MRSA ieget hjem.

Metode: Et kvalitativt studie med åbne interview af 12 bærere og 4 pårørende med anvendelse af Grounded Theory som analysemetode.

Resultater: Borgerne oplever det at være bærer af MRSA som en uklar og forvirrende tilstand mellem sundhed og sygdom. Undersøgelsen identificerer kernekategorien ”Mangelfuld information”, som udløser følelser som forvirring og utryghed, meningsløshed, stress og vrede. Dette resulterer i manglende compliance, bekymringer for fremtiden og stigmatisering. Øget stress påvirker oplevelsen af sammenhæng hos bærerne og deres nærmeste i negativ retning. Særligt tyngede er bærere og pårørende, som arbejder indenfor omsorgs-og plejeområdet.

Konklusion: Arbejdet afdækker mangler i primærsektorens håndtering af opgaven, specielt vedrørende korrekt information til MRSA-bærerne og deres nærmeste, som i nogle tilfælde kan påvirke bærernes oplevelse af sammenhæng og egen sundhed i negativ retning. Stigmatisering og grov diskrimination af MRSA-bærere kan være et resultat af manglende viden i MRSA-bærernes netværk og lokalområde.

Abstract [en]

Background: More and more citizens are carrying MRSA. Consequently, they mustcope with the knowledge of being a potential health risk for their families and close relations. For society,the carrierembodiesa reservoir and a risk of spreading resistant bacteriafrom the community into hospitals, resulting in problems with the treatment of patients in intensive and acute care wards.

Purpose: This qualitative study aimed to deepenknowledge of the impactof MRSAon the Sense of Coherenceand Healthfor carriers living at home.

Method: Thisqualitative study used Grounded Theory to analyze interviews with twelve carriers and four relatives.

Results: The carriers describedthe experience of colonization with MRSA as a strange,unclear,and confusing state between sickness and wellness. The studyidentifiesacore category(i.e., “Inadequate information”)that causes emotional reactions among carriers and family members, including anxiety, insecurity, confusion, inadequate compliance, worries aboutthe future,and stigmatization. Increased stress negatively influences carriers’ and family members’sense of coherence. This was especially true infemale carriers and relatives who work in health and social carebecause they risk becominga health risk to their patients or clients.

Conclusion: Thisstudy reveals inadequacy in the Primary Health Care System regarding the quality of information provided to MRSA-carriers and their relatives. Such inadequacynegatively affects carriers’Sense of Coherenceand health. Lack of knowledge in the network and local area can stigmatize MRSA carriers, making them susceptible tosevere bullying

Place, publisher, year, edition, pages
2012. , 42 p.
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2012:15
Keyword [en]
MRSA, Colonization, Stigma, Sense of Coherence (SOC), Grounded Theory
Keyword [da]
MRSA, bærertilstand, stigmatisering, oplevelse af sammenhæng, Grounded Theory
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-2995OAI: oai:DiVA.org:norden-2995DiVA: diva2:707758
Presentation
2012-12-07, Nordic School of Public Health NHV, Box 12133, 40242 Göteborg, Sverige, 00:00 (Danish)
Supervisors
Note

978-91-86739-51-5

Available from: 2014-03-25 Created: 2014-03-25 Last updated: 2015-01-28Bibliographically approved

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