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Frihet och bundenhet -patienters erfarenheter av hemodialys i hemmet.
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2014 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Freedom and confinement - Patients experiences of haemodialysis at home (English)
Abstract [sv]

Bakgrund:Patienter med kronisk njursvikt i slutstadiet behöver dialysbehandling för att överleva. De behöver välja en behandling som passar deras livssituation. Hemhemodialys har ökat som behandlingsform. Sjuksköterskan som arbetar på en dialysavdelning, möter patienter som är i behov av stöd och information. Det är viktigt att sjuksköterskan kan ge en trovärdig information om de olika dialysformerna. Eftersom hemhemodialys är en relativt ny behandlingsform, behövs mer kunskap om vad behandlingen innebär ur ett patientperspektiv.Syfte: Syftet är att beskriva patientens erfarenhet av att ha hemodialys i hemmet.Metod: För att få tillgång till patienternas erfarenheter, ombads de att skriva ner berättelser. Berättelser om en bra och en dålig situation som behandlingen ger dem. Berättelserna analyserades med en kvalitativ metod.Resultat: Från resultatet framgick fem teman: Frihet att vara hemma och själv styra sin behandling, Känsla av att vara ensam med ansvaret, Hemmiljön förändras, Behov av stöd och trygghet och Mår bättre med HHD.Konklusion: Hemhemodialys betyder en frihet. Men friheten är begränsad eftersom behandlingen i sig är tvingande. För att omvårdnaden av hemhemodialyspatienter ska bli bättre, behöver de mer stöd och utbildning.

Abstract [en]

Introduction:Patients with chronic end stage renal disease needs treatment of dialysis to survive. They need to choose a treatment that suits their lifesituation. Homehaemodialysis has increased as treatment form. The nurse who works in a dialysis ward, meets patients who are in need of support and information. It is of importance that nurses can give trustworthy information about the different regims of dialysis. Since homehaemodialysis is a relatively new treatment form, more knowledge is needed about what the treatment means from a patient perspective.Aim: The aim of this study is to describe the patients experiences of having homehaemodialysis.Method: To gain access to the patients experiences, they were asked to write stories down. Stories about good and bad situations that the treatment gives them. The stories were analysed with a qualitative method.Result: From the analysis five themes emerged: Freedom to be at home and control their own treatment, Feeling of being alone with the responsibility, The home environment changes, Need for support and security and Feeling better with homehaemodialysis.Conclusion: Homehaemodialysis means freedom. But freedom is limited as the treatment itself is compelling. To make the care of homehaemodialysis patients better, they are in need of more support and education.

Place, publisher, year, edition, pages
2014. , 20 p.
Keyword [en]
Patients, experiences, homehaemodialysis, written stories
Keyword [sv]
Patienter, erfarenheter, hemhemodialys, skriven berättelse
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:his:diva-10637OAI: oai:DiVA.org:his-10637DiVA: diva2:787258
Subject / course
Nursing/Nursing Science
Educational program
Nursing - Study Programme
Presentation
2014-01-10, Högskolan i Skövde, Skövde, 14:00 (Swedish)
Supervisors
Examiners
Available from: 2015-02-13 Created: 2015-02-09 Last updated: 2015-02-13Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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