{"id":11580,"date":"2025-02-11T11:01:46","date_gmt":"2025-02-11T10:01:46","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=11580"},"modified":"2025-07-14T20:08:07","modified_gmt":"2025-07-14T18:08:07","slug":"brugerinddragelse-hvad-har-patienterne-behov-for-og-hvad-foretraekker-de-i-behandlingen-af-diabetiske-fodsaar-en-regional-faenomenologisk-hermeneutisk-undersoegelse","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/02\/11\/brugerinddragelse-hvad-har-patienterne-behov-for-og-hvad-foretraekker-de-i-behandlingen-af-diabetiske-fodsaar-en-regional-faenomenologisk-hermeneutisk-undersoegelse\/","title":{"rendered":"Brugerinddragelse: Hvad har patienterne behov for, og hvad foretr\u00e6kker de i behandlingen af \u200b\u200bdiabetiske fods\u00e5r? En regional f\u00e6nomenologisk hermeneutisk unders\u00f8gelse"},"content":{"rendered":"

\"\"<\/p>\n

Hansen CA, Hjelmgaard CMH, Kiemer M\u00d8K, Berthelsen C. Patient involvement in diabetes-related foot ulcers: What do patients need and prefer when undergoing treatment at multidisciplinary outpatient Foot Centres? A phenomenological hermeneutic study. Int Wound J. 2024 Dec. 15. <\/span>https:\/\/doi.org\/10.1111\/iwj.70128<\/a><\/p>\n

Download som PDF<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>Fods\u00e5r er en almindelig senkomplikation til diabetes, hvor ca. 15% udvikler fods\u00e5r.<\/span> 1\/3 aldrig opn\u00e5r s\u00e5rheling, hvilket betyder 2,5 gang h\u00f8jere d\u00f8delighed, sammenligning med diabetespatienter uden fods\u00e5r. Region Sj\u00e6lland har en h\u00f8j forekomst af diabetes sammenlignet med nationalt, henholdsvis 8% og 5,3%. Forskning understreger betydningen af egenomsorgskapacitet i forebyggelsesindsatsen, samt behovet for proaktive forebyggelses- og udviklingsstrategier med fokus p\u00e5 brugerinddragelse, herunder sociale relationer og patient-familie-perspektivet som en afg\u00f8rende faktor.<\/span><\/p>\n

Form\u00e5l
\n<\/span><\/strong>At unders\u00f8ge patienters erfaringer og behov i behandlingen af \u200b\u200bdiabetiske fods\u00e5r og brugerinddragelse i multidisciplin\u00e6r behandling i Region Sj\u00e6llands fodcentre.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Kvalitativt design med semistrukturerede interviews for at opn\u00e5 en dybdeg\u00e5ende forst\u00e5else af deltagernes erfaringer, behov og pr\u00e6ferencer. F\u00e6nomenologisk hermeneutisk dataanalyse<\/span> inspireret af Paul Ricoeurs filosofi om tekstfortolkning.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>21 patienter fra de fire multidisciplin\u00e6re fodcentre i Region Sj\u00e6lland.
\n<\/span>Tre temaer blev identificeret:
\n<\/span>1.  At v\u00e6re afh\u00e6ngig af patientinddragelse for at mestre og forst\u00e5
\n<\/span>2.  Erfaringer og behov vedr\u00f8rende inddragelse af p\u00e5r\u00f8rende og ligestillede
\n<\/span>3.  At v\u00e6re s\u00e5rbar og begr\u00e6nset af diabetesrelaterede fods\u00e5r, mens man str\u00e6ber efter normalitet.<\/span><\/p>\n

Brugerinddragelse og f\u00e6lles beslutningstagning eftersp\u00f8rges, s\u00e6rligt sundhedspersonalets kommunikationsevner fremstod som v\u00e6sentlig i oplevelsen af brugerinddragelse.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>I overensstemmelse med eksisterende forskning understreger studiet kompleksiteten og oplevelsen af et meget belastende liv med behandlingskr\u00e6vende diabetesrelaterede fods\u00e5r. Guidelines, Diabetesforeningen og forskning p\u00e5 omr\u00e5det peger i overensstemmelse med studiets fund p\u00e5, at brugerinddragelse er vigtig i h\u00e5ndterings- og forebyggelsesindsatsen. Deltagerne i det n\u00e6rv\u00e6rende studie understregede et behov for individualiserede og familiecentrerede tilgange.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Et afg\u00f8rende aspekt af brugerinddragelse i patientbehandlingen er sundhedspersonalets kommunikationsevne m\u00e5lrettet individet.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Forskerne anbefaler, udvikling af familiecentrerede strategier og politikker for brugerinddragelse. Implementering af s\u00e5danne strategier forventes at underst\u00f8tte patientens, p\u00e5r\u00f8rendes og netv\u00e6rkets viden, forst\u00e5else og egenomsorgskapacitet hvilket forventes at kunne p\u00e5virke s\u00e5rheling.<\/span><\/p>\n

Carrinna Aviaja Hansen, forskningslektor, ph.d. <\/span>carrh@regionsjaelland.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Hansen CA, Hjelmgaard CMH, Kiemer M\u00d8K, Berthelsen C. Patient involvement in diabetes-related foot ulcers: What do patients need and prefer […]<\/p>\n","protected":false},"author":1,"featured_media":12681,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[13,162],"tags":[],"class_list":["post-11580","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-resume-af-forskning","category-sygdomsspecifikke-omraader-resume-af-forskning"],"acf":[],"jetpack_featured_media_url":"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/Diabetes-1.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/11580","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=11580"}],"version-history":[{"count":1,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/11580\/revisions"}],"predecessor-version":[{"id":17205,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/11580\/revisions\/17205"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/12681"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=11580"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=11580"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=11580"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}