Unge kvinder og psykiske bivirkninger ved hormonprævention

Resumé

Introduktion
Hormonprævention er en af de mest anvendte præventionsformer blandt unge kvinder i Danmark. Nyere forskning dokumenterer en øget risiko for psykiske bivirkninger – særligt hos kvinder i alderen 15–19 år. På trods af dette viser undersøgelser, at psykiske bivirkninger ikke systematisk bliver adresseret i praksis. Ba-projektet har undersøgt, hvordan sundhedsplejersker kan styrkes i arbejdet med at informere og vejlede unge kvinder om psykiske bivirkninger ved hormonprævention.

Metode
Projektet anvendte en kvalitativ, fænomenologisk-hermeneutisk tilgang med semi-strukturerede interviews som dataindsamlingsmetode. Der blev gennemført ét individuelt interview og ét fællesinterview med i alt tre sundhedsplejersker i kommunale sundhedstilbud. Empirien er analyseret med Ricoeurs tre-trins model og fortolket gennem teorier om klinisk kompetenceudvikling (Benner), omsorg (Martinsen) og sundhedskompetence (Nutbeam).

Resultater
Fundene viser tre centrale barrierer:
1. Manglende systematik
2. Manglende fælles fagsprog
3. Uklare rammer for vejledning om psykiske bivirkninger ved hormonprævention.

Young women and psychological side effects of hormonal contraception

Clinical dissertation by Anna Pia Holmgaard, RN. anna.holmgaard@gmail.com UCL University College, Nursing Programme Svendborg. Submitted 05.05.2026.
Supervisor: Mathilde Meedom Hansen.

Abstract

Introduction
Hormonal contraception is one of the most widely used contraceptive methods among young women in Denmark. Recent research documents an increased risk of psychological side effects - particularly among women aged 15–19. Despite this, studies show that psychological side effects are not systematically addressed in clinical practice. This project examines how public health nurses can be strengthened in their work of informing and counselling young women about the psychological side effects of hormonal contraception.

Methods
The project applies a qualitative, phenomenological-hermeneutical approach using semi-structured interviews as the method of data collection. One individual interview and one joint interview were conducted with a total of three public health nurses working in municipal health services. Data were analysed using Ricoeur’s three-step model and interpreted through theories of clinical competence development (Benner), care theory (Martinsen) and health literacy (Nutbeam).

Results
Findings identify three central barriers:
1. Lack of systematic approaches
2. Lack of shared professional language
3. Unclear frameworks for counselling about psychological side effects.