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När ett behov är mer än ett behov: En litteraturstudie om patienters psykiska behov inom den palliativa vården
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.
2015 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
When a need is more than a need : A literature review of patients' psychological needs in palliative care (English)
Abstract [sv]

Bakgrund

Inom den palliativa vården anammas ett holistiskt synsätt, vilket innebär att fokus ligger på såväl fysiska, psykiska, sociala som existentiella aspekter i patientens livsvärld. Tre grundläggande psykiska behov, autonomi, möjligheter och sammanhang är essentiella i upplevelsen av psykisk hälsa. Även önskningar, värderingar och mål bidrar till patientens psykiska välbefinnande. Det har tidigare visat sig att patienters psykiska behov inte tillgodoses och sjuksköterskor inom den palliativa vården brustit i förmågan att uppmärksamma dessa behov.

Syfte

Syftet med studien var att beskriva patienters psykiska behov inom den palliativa vården.

Metod

Litteraturstudien baserades på tolv kvalitativa originalartiklar. Analysen genomfördes induktivt med en manifest innehållsanalys.

Resultat

Resultatet visade på psykiska behov i fem kategorier och sju underkategorier. Behoven gällde patientens närstående, självständighet, framtiden, vården och att bo hemma.

Slutsatser

Resultatet visade att psykiska behov kunde grundas i fysiska och sociala aspekter. Patienter som får palliativ vård förekommer på fler ställen inom specifikt den palliativa vården. Därför är det viktigt att belysa patienternas olika uttryck av psykiska behov för att de ska kunna tillgodoses och bidra till välbefinnande hos patienten.

Abstract [en]

Background

In palliative care a holistic approach is embraced, which means that the focus is on physical, psychological, social and existential aspects of the patient's life-world. Three basic psychological needs, autonomy, competence and relatedness are essential concepts in the experience of mental health. Even desires, values ​​and goals contribute to the patient's psychological well-being. It has previously been shown that patients' psychological needs are not being met and that nurses in palliative care lack the ability to identify and address these needs

Aim

The aim of the study was to describe patients' psychological needs in the palliative care setting.

Method

The literature review was based on twelve qualitative original articles. An inductive, manifest content analysis was conducted.

Result

The result showed psychological needs in five categories and seven sub-categories; needs related to patient's family, independence, future, the healthcare system and staying at home.

Conclusions

The results showed that psychological needs could be based on both physical and social aspects. Patients receiving palliative care often receive that care in different environments that are not necessarily within specific palliative care clinical settings. Therefore, it is important to highlight the patients' expressions of psychological needs so that those specific needs can be addressed and in the process, improve the overall well being of the patient.

Place, publisher, year, edition, pages
2015. , p. 29
Keywords [en]
needs, palliative care, psychological needs, psychological pain
Keywords [sv]
behov, palliativ vård, psykisk smärta, psykiska behov
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-39342OAI: oai:DiVA.org:lnu-39342DiVA, id: diva2:782853
Subject / course
Vårdvetenskap; Vårdvetenskap
Educational program
Nursing Programme, 180 hp; Nursing Programme, 180 hp
Supervisors
Examiners
Available from: 2015-01-23 Created: 2015-01-22 Last updated: 2015-01-23Bibliographically approved

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Citation style
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