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Distriktssköterskors erfarenheter av att främja egenvård hos patienter med venösa bensår
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2014 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
District nurses’ experiences of promoting self-care in patients with venous leg ulcers (English)
Abstract [sv]

Bakgrund: Venösa bensår är ett växande problem som orsakar smärta, begränsad rörlighet och minskad livskvalitet. Genom att främja egenvård till patienter med venösa bensår kan sårläkning förbättras. Egenvård är en hälso- och sjukvårdsåtgärd som legitimerad yrkesutövare har bedömt att personen kan utöva själv eller med hjälp av någon annan. Sjuksköterskors nyckelroll är att främja och optimera följsamhet av egenvård. Patientdelaktighet leder till att målen med vård och behandling uppfylls bättre.

Syfte: Syftet med denna studie var att belysa distriktssköterskors erfarenheter av att främja egenvård hos patienter med venösa bensår.

Metod: Data analyserades genom kvalitativ innehållsanalys med en induktiv ansats. Tio intervjuer med distriktssköterskor genomfördes.

Resultat: Ur analysen av datamaterialet framträdde fyra kategorier med elva underkategorier; Involvera patienten i behandlingen, Skapa samsyn till förändring, Samarbeta kring patienten och Beakta patientens bristande medverkan.

Konklusion: Studiens resultat visade att egenvårdsråd främjas till patienter med venösa bensår men att distriktssköterskorna saknade gemensamma riktlinjer. Genom att distriktssköterskorna tar sig tid och främjar egenvård kan patienten få ökad insikt till varför egenvård behövs för att främja sårläkning.

Abstract [en]

Background: Leg ulcers are a growing problem causing pain, limited mobility and reduced quality of life. Through promotion of self-care for patients with venous leg ulcers, wound healing can be improved. Self-care is a health measure that qualified professionals can decide a person can exert him or herself or with assistance from others. Nurses’ key role is to foster and optimize adherence to self-care. Patient participation leads to better fulfillment of the goals for the care and treatment.

Purpose: The purpose of this study was to elucidate the district nurses’ experiences of promoting self-care in patients with venous leg ulcers.

Method: Data were analyzed using qualitative content analysis and an inductive approach. Ten interviews with district nurses were conducted.

Results: Analysis of the data produced four categories with eleven sub-categories; Involve the patient in treatment, Create consensus for change, Collaborate with the patient and Observe the patient's lack of participation.

Conclusion: Our results showed that self-care is promoting to patients with venous leg ulcers, but that the district nurses lacked common guidelines. The district nurses can by taking the time to promote self-care advice give the patient a greater understanding why self-care is needed to promote wound healing. 

Place, publisher, year, edition, pages
2014. , 27 p.
Keyword [en]
district nurses, experiences, promote, self-care, venous leg ulcers
Keyword [sv]
distriktssköterskor, egenvård, erfarenheter, främja, venösa bensår
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-9111OAI: oai:DiVA.org:his-9111DiVA: diva2:719353
Subject / course
Nursing/Nursing Science
Educational program
Primary Health Care - Specialist Nursing Programme
Supervisors
Examiners
Available from: 2014-08-26 Created: 2014-05-23 Last updated: 2014-08-26Bibliographically approved

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