Patientperspektiver på livet med kræft -en drivkraft for Excellent Sygepleje

Resume
Baggrund
Flere mennesker lever med kræft, og mange oplever, at sygdom og behandling påvirker deres livskvalitet og velvære. På Onkologisk Afdeling, Sygehus Lillebælt, er ambitionen at tilbyde Excellent Sygepleje, der fremmer velvære ud fra patientens perspektiv.
Formål
At undersøge, hvad patienter oplever som livskvalitet og velvære i livet med kræft, med henblik på at udvikle sygeplejen.
Metode
Et kvalitativ interviewstudie med fænomenologisk-hermeneutisk tilgang er gennemført med 15 patienter i forskellige stadier af deres kræftforløb. Data er analyseret med tematisk meningsfortolkning.
Resultater
Tre gennemgående temaer blev identificeret:
1. Et godt hverdagsliv
2. Betydningsfulde relationer
3. Et forandret selvbillede. Temaerne påvirker hinanden og udgør kernen i patienternes oplevelse af livskvalitet og velvære.
Konklusion
Sygepleje, der understøtter patientens hverdagsliv, relationer og identitet, fremmer velvære og livskvalitet. Excellent Sygepleje tager afsæt i det, der er meningsfuldt for den enkelte patient.

English abstract

Patient perspectives on life with cancer – a driving force for Excellent Nursing

Background
More people are living with cancer, and many experience that the disease and its treatment affect their quality of life and wellbeing. At the Department of Oncology, Sygehus Lillebælt, the ambition is to provide Excellent Nursing that promotes wellbeing from the patient’s perspective.
Aim
To explore what patients experience as quality of life and wellbeing when living with cancer, with the purpose of developing nursing care.
Method
A qualitative interview study with a phenomenological-hermeneutic approach was conducted with 15 patients at different stages of their cancer trajectory. Data were analysed using thematic interpretation of meaning.
Results
Three overarching themes were identified:
1. A good everyday life
2. Meaningful relationships
3. A changed self-image
The themes influence one another and constitute the core of patients’ experiences of quality of life and wellbeing.
Conclusion
Nursing that supports the patient’s everyday life, relationships, and identity promotes wellbeing and quality of life. Excellent Nursing is grounded in what is meaningful for the individual patient.

Keywords: Cancer, patient perspectives, quality of life, wellbeing, oncology nursing, qualitative research, phenomenological-hermeneutic study, Excellent Nursing.