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Distriktssköterskans arbete med, och erfarenhet av livsstilsförändringar hos patienter med pre-diabetes: En kvalitativ intervjustudie
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The community health nurse’s work and experience with lifestyle changes in patients with pre-diabetes : A qualitative interview study (English)
Abstract [sv]

Syftet med denna studie var att beskriva distriktssköterskans arbete med, och erfarenhet av livsstilsförändringar hos patienter med pre-diabetes inom primärvården. Metod var en empirisk intervjustudie med en kvalitativ ansats. Åtta semistrukturerade intervjuer utfördes, intervjumaterialet analyserades utifrån Graneheim och Lundmans innehållsanalys. Resultatet visade att patienter med pre-diabetes oftast upptäcktes i samband med årskontrollen hypertoni eller då de sökte för andra besvär. Blodsockret kontrollerades på patienter med riskfaktorer. Det var diabetessköterskan som tog hand om patienterna och gav information om pre-diabetes, typ 2-diabetes, samt råd vad gäller livsstilsförändringar. De använde sig av olika pedagogiska verktyg och metoder i arbetet med att förebygga typ 2-diabetes hos patienter med pre-diabetes. Hur ofta dessa patienter följdes upp var individuellt. Att få patienten att förstå betydelsen av livsstilsförändringar upplevdes som en utmaning. Tid- och resursbrist nämndes som hinder i det förebyggande arbetet men ändå upplevdes möjligheterna som många. Slutsats är att om strukturerade rutiner för upptäckt av pre-diabetes och förebyggande av typ 2-diabetes fanns skulle patienter med pre-diabetes hittas tidigare. Därmed skulle onödigt lidande för patienten och de samhällskostnader som typ 2-diabetes medför minska.

Abstract [en]

The Aim of this study was to describe the Community Health Care nurse´s work and experience with lifestyle changes in patients with pre-diabetes, within the primary health care. The Method was an empirical interview study with a qualitative approach. Eight semi structured interviews were accomplished, the interview material were analyzed with Graneheim and Lundmans qualitative content analysis. The Results showed that the patients with pre-diabetes was discovered during the annual check-up for hypertension, or when the patients sought care for other symptoms. Blood glucose were checked on all patients with risk factors. It was the diabetes nurse who informed the patients about pre-diabetes, type 2- diabetes, and gave advice about lifestyle changes. They used different pedagogic tools and methods in the preventive work. The follow-up was adapted individually. It was a challenge to get the patients to understand that lifestyle changes were needed. Recourses and lack of time were an obstacle in the preventive work. Still the opportunities were seen as many. The Conclusion is that patients with pre-diabetes would be found earlier if structured routines for discovery of pre-diabetes and prevention of type 2-diabetes excited in the primary health care. Therefore, unnecessary suffering for the patient, and social costs would decrease.

Place, publisher, year, edition, pages
2016.
Keyword [en]
Community Health Care nurse/pre-diabetes/lifestyle change/experience
Keyword [sv]
Distriktssköterska/pre-diabetes/livsstilsförändring/erfarenhet
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-24233OAI: oai:DiVA.org:du-24233DiVA: diva2:1072751
Available from: 2017-02-08 Created: 2017-02-08

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
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More styles
Language
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  • Other locale
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Output format
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