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Upplevelsen av att vara patient i opioidsubstitutionsbehandling: En litteraturöversikt
Marie Cederschiöld University, Department of Health Care Sciences.
Marie Cederschiöld University.
2023 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The experience of being a patient participating in opiate substitution therapy : A literature review (English)
Abstract [sv]

Bakgrund: Heroinberoende är ett mycket svårt sjukdomstillstånd som medför allvarliga sociala och medicinska konsekvenser. Opioidsubstitutionsbehandling minskar bruket av heroin och minskar risken för brottslighet och överdoser. Utöver att minska skadeverkningar för individ och samhälle syftar opioidsubstitutionsbehandling till social och personlig rehabilitering i linje med WHO:s rekommendation om personcentrerad vård.

Syfte: Syftet var att beskriva patienters upplevelse av opioidsubstitutionsbehandling.

Metod: Tillämpad metod är en kvalitativ litteraturöversikt med systematisk ansats och artiklarna analyserades utifrån Graneheim och Lundmans manifesta innehållsanalys. Artiklarna söktes i databaserna CINAHL, MEDLINE och PsycInfo och totalt inkluderades 15 artiklar i resultatet.

Resultat: Patienters upplevelse av att ingå i opioidsubstitutionsbehandling sammanfattas i kategorierna Nyckeln till ett bättre liv och Fastlåst och utsatt. Nyckeln till ett bättre liv beskrivs med subkategorierna Ett normalt liv och Återhämtning. Fastlåst och utsatt beskrivs med subkategorierna Vårdprogrammets brister, Medicinens bojor samt Omgivningens stigmatisering.

Slutsats: Patienters upplevelser av att erhålla opioidsubstitutionsbehandling är både positiva och negativa. Däremot finns det en samstämmighet gällande vad depositiva respektive negativa upplevelserna består av. Det verkar finnas en intressekonflikt mellan patientens önskemål och vårdprogrammets krav och rutiner.

Abstract [en]

Background: Heroin addiction is a very severe medical condition that entails serious social and medical consequences. Opiate substitution therapy decreases the use of heroin as well as the risk of crime and overdoses. Beyond the decrease inadverse effects, opiate substitution therapy aims for social and personal rehabilitation in line with WHO:s recommendation for person centered care.

Aim: The aim of this study is to describe the patients experience of participating in opiate substitution therapy.

Method: The applied method is a qualitative literature review with a systematic approach and the articles were analyzed with Graneheim and Lundmans manifest content analysis. The articles were retrieved from the databases CINAHL, MEDLINE och PsycInfo and 15 articles were included in theresult in total.

Results: The patient experience of participating in opiate substitution therapy is summarized by the categories A key to a better life and Deadlocked and exposed. A key to a better life is described with the subcategories A normal life and Recovery. Deadlocked and exposed is described with the subcategories Deficits of the care program, Cuffed to the medicine and Stigmatization from the people around you.

Conclusion: The patient experience of participating in opiate substitution therapy are both positive and negative. However, there are accordance concerning what the positive and negative experience consists of. There seems to be a conflict of interest between the patients desires and the demands and routines of the care program.

Place, publisher, year, edition, pages
2023. , p. 68
Keywords [en]
Opioid substitution therapy, Psychiatric nurse, Patient experience
Keywords [sv]
Opioidsubstitution, Psykiatrisjuksköterska, Patientens upplevelse
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-10301OAI: oai:DiVA.org:esh-10301DiVA, id: diva2:1768332
Educational program
Postgraduate Diploma in Specialist Nursing - Mental Health Care
Uppsok
Medicine
Supervisors
Examiners
Available from: 2023-09-04 Created: 2023-06-15 Last updated: 2023-09-04Bibliographically approved

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