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Egenvårdsutbildning till personer med typ 2 diabetes- En kvalitativ intervjustudie
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Self -management education to persons with type 2 diabetes – A qualitative interview study (English)
Abstract [sv]

Bakgrund:

Diabetes är en kronisk sjukdom och drabbar allt fler i världen.

Distriktssköterskan på vårdcentralerna i Sverige har en betydande uppgift att vägleda patienter med typ 2 diabetes genom att erbjuda egenvårdsutbildning för att patienten själv ska klara av att hantera sjukdomen. Sjukdomen kräver en omfattande egenvård för att hålla blodglukosnivåerna optimala och för att minska eller förebygga riskerna för komplikationer.

Syfte: Syftet med studien var att beskriva distriktssköterskors erfarenheter av patientutbildning till personer med typ 2 diabetes. Metod: En kvalitativ design med induktiv ansats. Semistrukturerade intervjuer hölls individuellt med fyra distriktssköterskor på två olika vårdcentraler i Stockholm län. Resultat: Resultatet i föreliggande studie visade att distriktssköterskorna måste utgå från patientens situation och individanpassa informationen. De angav vidare att det var viktigt att skapa en god relation och använde sig av olika pedagogiska metoder för att motivera patienterna till livsstilsförändring. Distriktssköterskorna angav att de hade goda kunskaper om patentutbildning, dock hade de bristande kunskaper om kulturella skillnader hos patienter. Slutsats: Studien påvisar att distriktssköterskorna har en stödjande roll i att stärka patienternas egenvårdsförmåga. Den informationen som ges måste vara individanpassade och utgå från den enskilda individen. Att använda olika pedagogiska metoder kunde öka patientens motivation. Distriktssköterskorna upplevde brist på tid- och resurser.

Abstract [en]

Background:

Diabetes is a chronic disease that affects more and more people in the world. The district nurse at the health centers in Sweden has a significant task in guiding patients with type 2 diabetes by offering self-management education to enable the patients to manage the disease themselves. The disease requires extensive self-management to keep blood glucose levels optimal and to reduce or prevent the risks for complications. Aim: The purpose of this study was to describe district nurses experiences of patient education for persons with type 2 diabetes. Method: A qualitative design with inductive approach. Semistructured interviews were performed individually with four district nurses on two different out patient clinics in Stockholm’s county. Result The result of the present study showed that district nurses has to start from the patient's situation and individualize the information. They further stated that it was important to create a good relationship and used different pedagogical methods to motivate patients to lifestyle change. The district nurses stated that they had good knowledge of patent training, but they had a lack of knowledge in cultural differences in patients. Conclusion: This study showed that the district nurses have a supporting role in strengthening the patients' ability to self-management. The given information had to be individualized. It is necessary to use different pedagogical methods to increase the patient's motivation. The district nurses experience a lack of time and resources.

Place, publisher, year, edition, pages
2018.
Keywords [en]
Diabetes self-management, district nurses field of competence, self-care education, person centred care, type 2 diabetes.
Keywords [sv]
Diabetesegenvård, distriktssköterskors kompetensområde, egenvårdsutbildning, personcentrerat vård, typ 2 diabetes.
National Category
Nursing
Identifiers
URN: urn:nbn:se:du-29751OAI: oai:DiVA.org:du-29751DiVA, id: diva2:1298617
Available from: 2019-03-25 Created: 2019-03-25

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CiteExportLink to record
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Citation style
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