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Distriktssköterskors erfarenheter av att stödja patienter med hypertoni till livsstilsförändringar
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
District nurses´ experiences of supporting patients with hypertension for lifestyle changes (English)
Abstract [sv]

Bakgrund: Hypertoni är ett folkhälsoproblem och utgör en stor riskfaktor för utveckling av hjärt-kärlsjukdom. Basen för omvårdnaden utgörs av livsstilsförändringar. Distriktssköterskors centrala roll innefattar att i jämlik, ömsesidig kommunikation ge råd, motivera och stödja till förändring av levnadsvanor samt främja patientdelaktighet och autonomi.

Syfte: Syftet med studien var att belysa distriktssköterskors erfarenheter av att stödja patienter med hypertoni till livsstilsförändringar.

Metod: Datamaterialet analyserades med kvalitativ innehållsanalys med en induktiv ansats. Åtta distriktssköterskor med ansvar för patienter med hypertoni intervjuades.

Resultat: Ur analysen av datamaterialet framträdde tre kategorier; Initierar samarbete, Bekräftar individen och Anpassar omvårdnad för patienten, med sex underkategorier.

Konklusion: Distriktssköterskorna upplevde sin roll central, viktig och ansvarsfull när det handlade om att ge råd och undervisning. De upplevde sig även vara en viktig länk mellan patient och andra aktörer. De ansåg att lyhördhet för patientens livssammanhang och en samtalsstrategi i kommunikationen vid livsstilsrådgivning var viktigt för främjandet av patientdelaktighet och autonomi. Att individuellt motivera till livsstilsförändring beskrevs som en svårighet och distriktssköterskorna uttryckte en frustration över att det var bristande tid för uppföljning.

Abstract [en]

Background: Hypertension is a public health problem and a major risk factor for developing cardiovascular disease. The basis for the nursing care is lifestyle changes. District nurses´ role includes to advise, motivate and support life style changes, as well as to promote patient participation and autonomy, through an equal and mutual communication.

Aim: The aim of the study was to illuminate experiences of district nurses supporting patients with hypertension to make lifestyle changes.

Method: The data were analyzed by qualitative content analysis with an inductive approach. Eight district nurses responsible for hypertensive patients were interviewed.

Results: Three categories emerged from the data analysis: Initiates cooperation; Confirms the individual and Adapts nursing for the patient, with six subcategories.

Conclusion: The district nurses perceived their role as central, important, and responsible when providing advice and instruction. They also considered themselves as an important link between the patient and other actors. Responsiveness of the patient's life context, as well as using a communication strategy when giving counseling on lifestyle changes were considered important to promote patient participation and autonomy. To motivate lifestyle changes individually was described as a difficulty and district nurses expressed frustration with the lack of time for follow-up.

Place, publisher, year, edition, pages
2016. , 24 p.
Keyword [en]
District nurses, health promotion nursing, hypertension, lifestyle changes, support
Keyword [sv]
Distriktssköterskor, hypertoni, hälsofrämjande omvårdnad, livsstilsförändringar, stöd
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-12264OAI: oai:DiVA.org:his-12264DiVA: diva2:929508
Subject / course
Nursing/Nursing Science
Educational program
Primary Health Care - Specialist Nursing Programme
Presentation
2016-05-18, Högskolan i Skövde, Högskolevägen, Skövde, 20:33 (Swedish)
Supervisors
Examiners
Available from: 2016-06-09 Created: 2016-05-18 Last updated: 2016-06-09Bibliographically approved

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