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Patienters erfarenheter av palliativ vård vid lungcancer
Jönköping University, School of Health and Welfare.
Jönköping University, School of Health and Welfare.
Jönköping University, School of Health and Welfare.
2021 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Lungcancer är den cancerform nationellt och internationellt som orsakar flest dödsfall. Den låga överlevnadsgraden innebär att patienter med lungcancer vanligtvis har behov av palliativ vård. För att vårda patienter ur ett holistiskt perspektiv kan personcentrerad omvårdnad tillämpas när vårdpersonal utgår från patientberättelsen och bildar ett partnerskap med patienten.

Syfte: Syftet var att belysa patienters erfarenheter av palliativ vård vid lungcancer. 

Material och metod: En litteraturöversikt med kvalitativ design och induktiv ansats. Litteratursökning i databaserna Medline och Cinahl resulterade i 13 kvalitativa artiklar publicerade mellan åren 2011 – 2020 som analyserades genom Friberg (2017). 

Resultat: I resultatet framkom två huvudteman och sex underteman. Palliativa vårdens prövningar och potential med underteman Lidande och hopp vid cytostatikabehandling, Positiva effekter av egenvård och strategier för att återfå kontroll. Ambivalens gentemot vårdpersonal och organisation med undertemana Missnöje med planering och organisering, Bristfälligt bemötande och otillräcklig kommunikation och Tillgodosedda behov av planering och organisering 

Slutsats: Resultatet påvisar patienters behov av adekvat hantering av sina symtom och biverkningar från behandling. Vårdpersonal måste ha ett gott bemötande, en anpassad kommunikation, ett effektivt teamarbete och involvera anhöriga för att tillgodose patienters behov av planering och organisering. Det krävs en kontinuitet inom dessa aspekter oavsett om patienterna befinner sig i tidig palliativ fas eller i vård vid livets slutskede.

Abstract [en]

Background: Lung cancer is the type of cancer that causes the highest number of cancer related deaths both on a national and international level. Considering the low survival rate many patients diagnosed with lung cancer will need palliative care. To care for patients from a holistic perspective, person-centered care can be applied when the health care professionals takes part of the patient’s narrative and forms a partnership with the patient. Aim: The aim was to illustrate patients experiences of palliative care when diagnosed with lung cancer.

Material and method: A literature review with qualitative design and inductive method. A literature search in the databases Medline and Cinahl resulted in 13 qualitative articles published between 2011 -– 2020which then were analyzed according to Friberg (2017).Results:  In the result two main themes and six subthemes emerged. The palliative care’s trials and potential with sub-themes suffering and hope during chemotherapy, positive effects of self-care and strategies to regain control. Ambivalence towards healthcare personnel with sub-themes dissatisfaction with planning and organizing, inadequate reception and insufficient communication and met needs of planning and organizing.

Conclusion: The result demonstrates patients needs for adequate management of their symptoms and side effects from treatment. Healthcare personnel need to have a good reception, a well adapted communication, an effective teamwork and involve relatives to meet the patients need for planning and organizing. It takes a continuity within these aspects regardless if the patients are in the early stage of palliative care or is receiving end of life care.

Place, publisher, year, edition, pages
2021. , p. 33
Keywords [en]
Patients, experiences, lung cancer, palliative care, qualitative
Keywords [sv]
Erfarenheter, kvalitativ, lungcancer, palliativ vård, patienter
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-51621ISRN: JU-HHJ-OMA-1-20210681OAI: oai:DiVA.org:hj-51621DiVA, id: diva2:1521162
Subject / course
HHJ, Nursing Science
Available from: 2021-01-29 Created: 2021-01-22 Last updated: 2025-10-13Bibliographically approved

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