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Examensarbete: Patienters uppfattning av ACT som behandlingsmetod mot långvarig, icke-malign smärta samt sjuksköterskans roll under behandlingen.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: SBU (2006) efterfrågade mer evidens för Acceptance and Commitment Therapy, (ACT) mot långvarig smärta då det både är en stor orsak till lidande och en dyr samhällskostnad (87,5 miljarder kr, år 2003). Enheten för Långvarig Smärta – Avdelning, (ELS-A) är den enda vårdavdelningen i Sverige som behandlar långvarig smärta med ACT. Syfte: Att undersöka hur patienter, som för minst ett år sedan genomgått ACT-behandling på en slutenvårdsavdelning med långvariga smärttillstånd som specialitet, upplevde behandlingsmetoden och dess resultat samt sjuksköterskans roll vid behandlingen. Metod: Kvalitativ forskningsintervju med semi-strukturerade frågor tillämpades för datainsamling. Fem färdigbehandlade patienter intervjuades och därefter analyserades intervjuinnehållet i en analysmodell. Resultat: Patienterna ställde sig väldigt positiva och tacksamma till både ACT-behandlingen och resultatet av den. Alla patienter upplevde en minskning av smärtproblematik, medan själva smärtnivån inte påverkats något nämnvärt. Efter avklarad sexveckorsbehandling valde två av fem av patienterna att fortsätta vidareutbilda sig i ACT på egen hand. Patienterna upplevde både positiva och negativa delar med ACT som gruppbehandling, medan ingen ställde sig negativ till individuell träning. Sjuksköterskans roll uppfattades som väsentlig och vital för avdelningens dagliga arbete. Det mest uppskattade med sjuksköterskan var hennes höga kompetens i form av vidareutbildning och yrkeserfarenhet samt hennes ständiga närvaro på avdelningen. Slutsats: ACT som behandlingsmetod uppskattades främst för det multiprofessionella arbetet. Behandlingen gav goda resultat gällande smärtupplevelsen för patienter med diagnosen långvarig smärta. ACT var uppskattat och intervjupersoner fortsatte därför egenbehandlingen efter utskrivning från ELS-A. Sjuksköterskan var en uppskattad person med sin höga kompetens och dagliga närvaro på avdelningen.

Abstract [en]

Background: SBU (2006) has requested more evidence-based research about the efficiency of Acceptance and Commitment Therapy on chronic pain, a disease that cost Sweden 87,5 million Krona in 2003. ELS-A is today the only department in Sweden where patients diagnosed with chronic pain can enroll for treatment. The treatment at the clinic is based on the philosophy of Acceptance and Commitment Therapy (ACT). Aim: To examine how patients diagnosed with chronic pain, one year after finalized treatment at ELS-A, evaluated the method of treatment, their level of pain today, and what role the nurse had during the enrollment. Method: Qualitative research interviews with semi-structured questions were applied for data collection. Five patients were interviewed and the data was analyzed. Results: The patients were very supportive and grateful both towards the experience of the ACT treatment itself, and the results of said therapies. All five patients experienced a reduction in how their pain previously negatively affected their lives, however the level of pain they felt remained the same. After the six weeks of clinical treatment two out of five of the interviewed patients continued studying the ACT-method independently. The patients all had both positive and negative experiences from the group interactions, and found greater appreciation for the individual treatment. The nurse played an important role in the department's everyday order of business. The nurse's performance during these days of testing was excellent. Her level of higher education, work experience and work ethic during the program was most appreciated by all. Conclusion: ACT treatment was appreciated mainly for the multi-professional team. The treatment gave good results in terms of pain perception in patients with a diagnosis of chronic pain. ACT was appreciated and interviewees therefore continued self-treatment after discharged from ELS-A. The nurse was a popular team-member with her high knowledge and daily presence at the department.

Place, publisher, year, edition, pages
2013. , 48 p.
Keyword [en]
ELS-A, Chronic Pain, ACT, patient experience, role of nurses, enrolled department
Keyword [sv]
ACT, Sjuksköterskans roll, Långvarig smärta, slutenvårdsavdelning, patientupplevelse
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-201958OAI: oai:DiVA.org:uu-201958DiVA: diva2:630210
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2013-06-18 Created: 2013-06-18 Last updated: 2013-06-18Bibliographically approved

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