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Sambandet mellan känsla av sammanhang och mental hälsa hos intensivvårdspatienter: Sekundäranalys av en prospektiv kohortstudie
The Swedish Red Cross University College.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The relationship between sense of coherence and mental health in intensive care patients : Secondary analysis of a prospecitve cohort study (English)
Abstract [sv]

Bakgrund: Intensivvården utvecklas och förbättras ständigt. Mortaliteten inom sjukvårdenminskar och fler patienter blir aktuella för intensivvård. Intensivvård kan vara en traumatiskupplevelse och leder i vissa fall till mental ohälsa. För att identifiera riskpatienter användsfrågeformulär vid uppföljning efter intensivvård men det behövs mer forskning kringuppföljningsmetoder. Frågeformuläret KASAM-13 mäter copingförmåga vilket har visats hastor betydelse när det kommer till mental hälsa. Formuläret är ej tidigare använt förintensivvårdspatienter. Syfte: Att undersöka om det finns ett samband mellan känsla av sammanhang och patienterssjälvskattade mentala hälsa efter intensivvård. Metod: Sekundäranalys av en prospektiv studie av vuxna patienter (n = 236) efterintensivvård. Korrelationsanalys av två frågeformulär, KASAM-13 och HAD. Resultat: Antalet deltagare var 146 (62 %). Respondenterna var äldre än icke-respondenterna(p = 0,03). Stark känsla av sammanhang korrelerade i denna kohort till låg självskattad ångestoch depression (p <0,001 respektive p <0,001). Slutsats: Studien visar att mental hälsa efter intensivvård korrelerar till känsla avsammanhang i den studerade kohorten. Ju starkare känsla av sammanhang desto bättre mentalhälsa. Studien genererar svag evidens beroende på dess studiedesign.

Abstract [en]

Background: Intensive care is constantly progressing and improving. This leads to lower mortality rates and increasing number of patients recieving intensive care. Intensive care can be a traumatic experience which in some cases lead to psycological problems. For identification of patients at risk, questionnaires are used at follow-up visits. More research is needed on the different methods. The questionnaire SOC-13 measures coping ability which has been shown to be of great importance regarding mental health. This form is not previously used for intensive care patients. Purpose: To investigate whether there is a relationship between sense of coherence and patients' self-rated mental health after intensive care. Method: Secondary analysis of a prospective study of adult patients (n = 236) after intensive care. Correlation analysis of two questionnaires, SOC-13 and HAD. Result: The number of participants was 146 (62 %). The respondents were older than the nonrespondents (p = 0,03). Strong sence of coherence correlated in this cohort with low self-rated anxiety and depression (p <0.001 versus p <0.001). Conclusion: The study shows that mental health after intensive correlates to the sense of coherence in the studied cohort. The stronger sense of connection, the better mental health. The study generates weak evidence depending on the study design.

Place, publisher, year, edition, pages
2016. , 29 p.
Keyword [sv]
Frågeformulär. HAD. Intensivvård. KASAM. Mental Hälsa.
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-2249OAI: oai:DiVA.org:rkh-2249DiVA: diva2:933875
Educational program
Postgraduate Program in Specialist Nursing
Presentation
(Swedish)
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-06-09 Created: 2016-06-07 Last updated: 2017-07-07Bibliographically approved

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