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Upplevelser av att leva med venösa bensår: En litteraturöversikt med utgångspunkt i KASAM
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Experiences of living with venous leg ulcers : A literature review based on SOC (English)
Abstract [sv]

BakgrundVenösa bensår uppkommer till följd av venös insufficiens. Tillståndet förväntas öka i takt med en åldrande befolkning. Behandlingen kan vara tidskrävande och följsamheten är låg. Sjuksköterskan spelar en viktig roll vid behandlingen av dessa personer. Genom att belysa personers upplevelser av att leva med venösa bensår kan kunskap genereras som är nödvändig för att sjuksköterskan ska kunna ge god vård.

Syfte: Att belysa personers upplevelser av att leva med venösa bensår.

MetodLitteraturöversikt med riktad innehållsanalys. Analysen utgick från de tre centrala komponenterna begriplighet, hanterbarhet och meningsfullhet i Antonovskys teori om känsla av sammanhang (KASAM). Sökningar genomfördes i tre databaser. Sökord för att leva med kombinerades med sökord för venösa bensår. Träffar begränsades till artiklar publicerade mellan 1 januari 2008 och 31 augusti 2018. Elva vetenskapliga artiklar valdes ut för analys.

ResultatUnder tre huvudkategorier formulerades åtta underkategorier. Huvudkategorierna var begriplighet, hanterbarhet och meningsfullhet. I kategorin begriplighet beskrevs upplevelser av att drabbas av venösa bensår, betydelsen av kontroll samt betydelsen av information. Under hanterbarhet beskrevs användandet av resurser och strategier för att hantera livet. Under meningsfullhet beskrevs tillståndets inverkan på människors identitet och självbild, sårens plats i livet samt hur livet med bensår upplevdes på ett emotionellt plan.

DiskussionI resultatdiskussionen lyftes aspekter av tid relaterat till omvårdnad och behandling. Sjuksköterskans betydelse för följsamhet till behandling samt vikten av information och kunskap belystes. Resultatet diskuterades i relation till Antonovskys centrala komponenter samt tidigare forskning.

Abstract [en]

BackgroundVenous leg ulcers occur as a result of venous insufficiency. The condition is expected to increase in line with an aging population. Treatment may be time consuming and the adherence to treatment is low. The nurse plays an important role in the treatment of these persons. By highlighting people’s experiences of living with venous leg ulcers, knowledge necessary for the nurse to provide good care can be gained.

Aim: To highlight people’s experiences of living with venous leg ulcers.

MethodA literature review with directed content analysis. The analysis was based on the three key components in Antonovsky's theory of sense of coherence (SOC): comprehensiveness, manageability and meaningfulness. Searches were carried out in three databases. Keywords for to live with were combined with keywords for venous leg ulcers. Searches were limited to articles published between the 1st of January 2008 and the 31st of August 2018. Eleven scientific articles were selected for analysis.

ResultsEight subcategories were presented under three main categories. The main categories were comprehensiveness, manageability and meaningfulness. The comprehensiveness category described experiences of suffering from venous leg ulcers, the significance of control and the importance of information. In the manageability category, the use of resources and strategies to handle life were described. In the meaningfulness category, the impact of leg ulcers on identity and self-image were described. The place of the ulcers in patients’ lives and descriptions of how life with leg ulcers was emotionally experienced were also presented.

DiscussionAspects in relation to nursing and treatment were discussed. Time, adherence to treatment, information and knowledge were highlighted. This was discussed in the light of Antonovsky's core components as well as previous research.

Place, publisher, year, edition, pages
2018. , p. 45
Keywords [en]
Venous leg ulcer, Patient, Nurse, Experience, Sense of coherence
Keywords [sv]
Venösa bensår, Patient, Sjuksköterska, Upplevelse, Känsla av sammanhang
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7153OAI: oai:DiVA.org:esh-7153DiVA, id: diva2:1267572
Educational program
Bachelor of Science in Nursing
Uppsok
Medicine
Supervisors
Examiners
Available from: 2018-12-03 Created: 2018-12-03 Last updated: 2018-12-03Bibliographically approved

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