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Astmapatienter i primärvården: Vårdresurser och astmakontroll
Mälardalen University, School of Health, Care and Social Welfare.
2015 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Sjuksköterskeledda astma/KOL-mottagningar förekommer inom primärvården, men forskning kring effekten av dessa är bristfällig. Det är oklart om patienternas astmakontroll (symtomkontroll) förbättras om vårdcentralerna har en astma/KOL-mottagning.

Syfte: Syftet är att belysa relationen mellan vuxna astmapatienters astmakontroll och förekomsten av astma/KOL-mottagningar i primärvården.

Metod: En enkät skickades till alla vårdcentraler i landstinget Sörmland, för att kartlägga vårdresurser kring omhändertagandet av vuxna astmapatienter. Utifrån kartläggningen bildades två grupper av vårdcentraler baserat på hur mycket tid sjuksköterskan hade avsatt för astma/KOL-mottagningen. Patienter från båda grupperna fick besvara en enkät i vilken bl.a. astmakontrolltest (ACT) ingick.

Resultat: 76 % av vårdcentralerna hade en sjuksköterskeledd astma/KOL-mottagning. I genomsnitt var den avsatta tiden för sjuksköterskan 0,9 timmar/vecka/1000 listade invånare per vårdcentral (1,5 h rekommenderas). Av patienterna i gruppen med vårdcentraler där sjuksköterskan hade mest tid avsatt för astma/KOL-mottagningen hade 58 % god astmakontroll, jämfört med 36% av patienterna i den andra gruppen (p<0,01).

Slutsats: Få av astma/KOL-mottagningarna uppfyllde tidskriteriet för en godkänd astma/KOL-mottagning, vilket troligtvis kan vara en bidragande orsak till att astma/KOL-sjuksköterskorna inte hann med att utföra tillräckligt med omvårdnadsaktiviteter för att stärka patienternas egenvårdskapacitet. Vilket i sin tur kan bidra till en sämre astmakontroll.

Abstract [en]

Background: Nurse-led asthma/COPD-clinics in primary care is common, but there is insufficient research of the effects. The evidence of  the impact of patients asthma control is not sufficient. 

Aim: The aim is to illustrate the relationship between adult asthma patients asthma control and the presence of asthma/COPD-clinics in primary care.

Method: Every Primary Healthcare Center (PHC) in the region of Sörmland answered a questionnaire about the organization of care to adult asthma patients. Two groups of PHC was formed, based on how much time was allocated for the nurse at the asthma/COPD-clinic. Patients from each group answered a questionnaire. Asthma Control Test (ACT) was included.

Findings: 76 % of the PHC´s had an nurse-led asthma/COPD-clinic. The average time for the nurse was 0,9 hours/week/1000 patients at the PHC (1,5 h is recommended). Of the patients in the group from PHC´s with most time allocated for the nurse at the asthma/COPD-clinic 58 % reached asthma control, compared to 36% of the patients in the other group (p<0,01).

Conclusions: Only a few asthma/COPD-clinics fulfilled the recommended time  for an approved asthma/COPD-clinic. This can probably be a contributing factor to that the asthma/COPD-nurse did not manage to perform enough nursing activities to strengthen patients self-care capacity. This can in turn contribute to poor asthma control.

Place, publisher, year, edition, pages
2015. , 31 p.
Keyword [en]
asthma, asthmacontrol, healthcare resoursces, nurse, primary care, self-care
Keyword [sv]
astma, astmakontroll, egenvård, primärvård, sjuksköterska, vårdresurser
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-30664OAI: oai:DiVA.org:mdh-30664DiVA: diva2:890153
External cooperation
FoU-centrum/CKF Sörmland
Subject / course
Caring Science
Supervisors
Examiners
Available from: 2016-01-28 Created: 2015-12-30 Last updated: 2016-01-28Bibliographically approved

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