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Att främja livskvalitet hos döende patienter: En litteraturöversikt om sjuksköterskors upplevelser
Mälardalen University, School of Health, Care and Social Welfare.
Mälardalen University, School of Health, Care and Social Welfare.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 180 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Målet med palliativ vård är att förbättra patienters livskvalitet. Tidigare forskning visar dock att både patienter samt närstående upplever att den palliativa vården inte alltid bidrar till en ökad livskvalitet för patienter. Orsaker är bland annat bristande smärt- och symtomlindring, kommunikation, känslomässigt stöd och omvårdnad. Konsekvensen av detta blir att patienter upplever sämre livskvalitet.

Syfte: Syftet är att beskriva sjuksköterskors upplevelser av att främja patienters livskvalitet vid vård i sen palliativ fas.

Metod: Allmän litteraturöversikt där åtta kvalitativa och tre kvantitativa artiklar har analyserats.

Resultat: Resultatet visade att det fanns flera olika sätt att främja livskvaliteten hos de patienter som vårdas i sen palliativ fas. Ur analysen framkom fem kategorier som sjuksköterskor upplevde kunde främja patienters livskvalitet. Kategorierna var: att ha en god vårdrelation, att ha en god kommunikation, att få god symtomlindring, att tillfredsställa behov av andlighet och hopp och att skapa en god vårdmiljö.

Slutsats: Patienters livskvalitet kan främjas genom vårdande av de fysiska, psykiska, sociala samt andliga dimensionerna. Det finns alltid någonting som sjuksköterskor kan göra för att främja livskvaliteten hos patienter. Om sjuksköterskor är medvetna om detta kan det leda till en palliativ vård som fokuserar på det viktigaste, vilket är ökad livskvalitet för patienter.

Abstract [en]

Background: The goal of palliative care is to improve the quality of life for patients in end of life. Previous research has shown that both patients and their relatives experience that palliative care does not contribute to increased quality of life for patients. Causes are for example lack of pain and symptomrelief, communication, emotional support and nursing. The consequence of this is that patients experience poorer quality of life.

Aim: The aim is to describe nurses’ experiences of promoting patients’ quality of life in late palliative care.

Method: A litterature review where eight qualitative and three quantitive studies have been analyzed.

Results: The results showed that there were several ways to promote the quality of life for patients that received care in the late palliative phase. From the analysis, five categories emerged that nurses experienced could promote patients' quality of life. The categories were: to have a caring relationship, to have good communication, to recieve good symptomrelief, to satisfy the need for spirituality and hope and to create a good care environment. 

Conclusion: Patients' quality of life can be promoted by caring for the physical, mental, social and spiritual dimensions and there is always something that nurses can do to promote the quality of life of patients. If nurses are aware of this, it can lead to a palliative care that focuses on what is most important, which is increased quality of life for patients.

Place, publisher, year, edition, pages
2020. , p. 29
Keywords [en]
caring relationship, palliative care, quality of life, spirituality, symptomrelief, well-being
Keywords [sv]
andlighet, livskvalitet, palliativ vård, symtomlindring, vårdrelation, välbefinnande
National Category
Nursing
Identifiers
URN: urn:nbn:se:mdh:diva-47144OAI: oai:DiVA.org:mdh-47144DiVA, id: diva2:1395896
Subject / course
Caring Science
Presentation
2020-01-16, R2-046, Högskoleplan 1, Västerås, 10:00 (Swedish)
Supervisors
Examiners
Available from: 2020-02-25 Created: 2020-02-24 Last updated: 2020-02-25Bibliographically approved

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Citation style
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  • Other locale
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