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Hur patienter med psykisk sjukdom upplever att bli vårdad i den somatiska vården: En litteraturöversikt
Ersta Sköndal University College, Department of Health Care Sciences.
Ersta Sköndal University College, Department of Health Care Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
How patients with mental illness experience being cared for in the somatic care : A literature review (English)
Abstract [sv]

Bakgrund: I den somatiska vården finns det patienter med psykiska sjukdomar. De vanligaste psykiska sjukdomarna är schizofreni, psykoser, depression, ångestsyndrom och bipolära sjukdomar. Behovet av somatisk vård är större för patienter med psykiska sjukdomar än de utan, på grund av ökad risk för somatiska sjukdomar. Patienter upplevde att vardagslivet påverkas av de psykiska sjukdomarna. Vårdpersonal upplevde en osäkerhet och rädsla inför denna patientgrupp.

Syfte: Att beskriva hur patienter med psykisk sjukdom upplever att bli vårdad i den somatiska vården.

Metod: Litteraturöversikten baserades på 13 vetenskapliga artiklar. Dessa artiklar hämtades från CINAHL Complete och Pubmed. De huvudsakliga sökorden bestod av: mental illness, mental health, healthcare experience, patients’ experience, physical illness, primary care, communication och physical care.

Resultat: Fyra teman utformades i resultatet. Ett tema var upplevelser av att bli stämplad av sjukvården på grund av den psykiska sjukdomen och det gjorde att patienterna kände sig bortprioriterade. När de kände sig stämplade upplevde de känslor av skam och maktlöshet. Ett tema var upplevelser att inte bli trodd som handlade om att fysiska symtom inte blir tagna på allvar. Det tredje temat var hur upplevelser om bristande kunskap hos vårdpersonal om psykiska sjukdomar påverkade vården. Detta upplevde patienter ledde till brist på information och delaktighet. Positiva erfarenheter och önskemål var det sista temat som visades i form av upplevelser av en personcentrerad vård, då vårdpersonal visade empati.

Diskussion: Valda delar i resultatet diskuterades utifrån Katie Erikssons teori om att lindra lidande. Centrala begrepp inom teorin som användes var vårdlidande och konsensusbegreppet människan.

Abstract [en]

Background: In the somatic care, there are patients with mental illnesses. The most common mental illnesses are schizophrenia, psychoses, depression, anxiety disorders and bipolar disorders. The need for somatic care is bigger for patients with mental illnesses than those without, because of an increased risk of getting a somatic disease. Patients were experiencing that their daily life was affected by the mental illness. Healthcare professionals experienced uncertainty and fear of treating these patients.

Aim: To describe how patients with mental illness are experiencing to be cared in the somatic care.

Method: The literature review consisted of 13 scientific articles. These articles were found in the databases CINAHL Complete and PubMed. Main search words consisted of: mental illness, mental health, healthcare experience, patients experience, physical illness, primary care, communication and physical care.

Results: Four themes were formed in the result. One theme was the experience of being labeled because of the metal illnesses and that made the patients feel not prioritized. When they felt labeled, they experienced feelings of shame and powerlessness. One theme was the experiences of not being believed and included patients experience that symptoms were not taken seriously. The third theme was how the experience of a lack of knowledge among health professionals about mental illnesses affected the care. Patiens experienced that it led to lack of information and participationPositive experiences and desires were the last theme that appeared in form of experiences of a person centred care, when health professionals showed empathy.

Discussion: Based on Katie Eriksson´s theory about relieving suffering, chosen parts from the results were discussed. The key concepts in the theory that were used were care suffering and the consensus concept human.

Place, publisher, year, edition, pages
2016. , 30 p.
Keyword [en]
Mental illness, Patient’s experiences, Somatic care
Keyword [sv]
Psykiska sjukdomar, Patienters upplevelser, Somatisk vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-5631OAI: oai:DiVA.org:esh-5631DiVA: diva2:1054822
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2016-12-09 Created: 2016-12-09 Last updated: 2016-12-09Bibliographically approved

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