{"id":11749,"date":"2025-02-26T09:14:24","date_gmt":"2025-02-26T08:14:24","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=11749"},"modified":"2025-09-02T21:42:37","modified_gmt":"2025-09-02T19:42:37","slug":"patienter-i-haemodialyse-et-kvalitativt-projekt-om-oplevelsen-af-dialyse-og-dialysevalg","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/02\/26\/patienter-i-haemodialyse-et-kvalitativt-projekt-om-oplevelsen-af-dialyse-og-dialysevalg\/","title":{"rendered":"Patienter i h\u00e6modialyse – Et kvalitativt projekt om oplevelsen af dialyse og dialysevalg"},"content":{"rendered":"

\"\"<\/p>\n

Af Marie Holmgaard Lind, Katrine Jakobsen. VIA University College, Campus Holstebro. <\/span>BA-projekt afleveret 20.12.24.
\nVejleder: Ingrid Villadsen Kristensen<\/span><\/p>\n

Download Resume som pdf<\/a><\/p>\n

Download BA-projektet<\/a><\/p>\n

Resume<\/span><\/strong><\/p>\n

Introduktion
\n<\/span><\/strong>Statistikker fra 2023 viser at pr\u00e6valensen af patienter i h\u00e6modialyse var 2638. Blandt disse modtog 92,7% deres behandling som centerh\u00e6modialyse. Patienter i h\u00e6modialyse oplever flere livsforandringer n\u00e5r de opstarter behandlingen. Hverdagen p\u00e5virkes af faste behandlingsrutiner som ogs\u00e5 medf\u00f8rer bivirkninger som tr\u00e6thed, kramper, kvalme og infektioner som p\u00e5virker patientens livskvalitet. Hjemmeh\u00e6modialyse kan gennem \u00f8gning af behandlingsfrekvens, modvirke nogle af disse bivirkninger. Form\u00e5let med projektet var at unders\u00f8ge patienternes oplevelse af Limited Care centerh\u00e6modialyse og hvad der har betydning for fravalg af hjemmeh\u00e6modialyse.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Et kvalitativt studie med et hermeneutisk videnskabsteoretisk st\u00e5sted baseret p\u00e5 fire semistrukturerede interviews med patienter i Limited-Care centerh\u00e6modialyse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Fire temaer blev identificereret og analyseret ud fra Max Van Manens teori om de 4 eksistentialer:
\n<\/span>Tidens betydning: Kontrol, frihed og fleksibilitet
\n<\/span>Krop og behandling: Velv\u00e6re som drivkraft
\n<\/span>Dialysens rum: Hvor tryghed og praktiske begr\u00e6nsninger m\u00f8des
\n<\/span>Relationernes rolle: Forma\u030alet i livet.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Vores fund viste at patienterne oplever ba\u030ade praktiske, fysiske, psykiske og sociale fordele ved at v\u00e6re i centerh\u00e6modialyse. Det fremh\u00e6ves, at patienternes fravalg af hjemmeh\u00e6modialyse, er pr\u00e6get af udfordringer, der er dybt forankrede i eksistentielle og relationelle aspekter.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>De konkluderes at patienternes valg af centerh\u00e6modialyse ikke altid er et aktivt fravalg af hjemmeh\u00e6modialyse. Fysiske, psykiske, sociale og praktiske aspekter er en medvirkende faktor i patientens dialysevalg.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Der er et behov for \u00f8get fokus p\u00e5 videreudvikling af eksisterende tiltag samt implementering af nye initiativer hvilket potentielt kan \u00f8ge patienternes mulighed for at tr\u00e6ffe valget om behandlingsform, baseret p\u00e5 egne \u00f8nsker og behov. Dette kan fremme en mere selvbestemmende beslutningsproces og \u00f8ge motivationen hos patienter i centerh\u00e6modialyse til at v\u00e6lge hjemmeh\u00e6modialyse.<\/span><\/p>\n

Kontaktoplysninger
\n<\/span><\/strong>Marie Holmgaard Lind, sygeplejerske. marie.holmgaard@hotmail.com
\n<\/span>Katrine Jakobsen, sygeplejerske. <\/span>katrine.jakobsen99@gmail.com<\/a><\/p>\n


\nPatients in Hemodialysis \u2013 A Qualitative Study on the Experience of Dialysis and Treatment Choice<\/span><\/h3>\n


\nClinical dissertation by Marie Holmgaard Lind, Katrine Jakobsen. Submittet 20.12.024. <\/span>VIA University College, Campus Holstebro. Supervisor Ingrid Villadsen Kristensen<\/span><\/p>\n

Abstract<\/span><\/strong><\/p>\n

Introduction
\n<\/span><\/strong>In 2023, the prevalence of patients in hemodialysis was 2,638, with 92.7% receiving in-center treatment. Hemodialysis patients experience significant life changes, as daily routines are structured around treatment sessions, often causing side effects like fatigue, cramps, nausea, and infections, impacting their quality of life. Home hemodialysis, through increased treatment frequency, may alleviate some of these effects. This study explores patients’ experiences with Limited Care in-center hemodialysis and factors influencing their decision to forgo home hemodialysis.<\/span><\/p>\n

Method
\n<\/span><\/strong>A qualitative study with a hermeneutic approach, based on four semi-structured interviews with Limited Care in-center hemodialysis patients.<\/span><\/p>\n

Results
\n<\/span><\/strong>Four themes were identified and analyzed using Max van Manen\u2019s four existentials:
\n<\/span>The Significance of Time: Control, freedom, and flexibility
\n<\/span>Body and Treatment: Well-being as a driving force
\n<\/span>The Dialysis Space: Where a sense of safety and practical limitations meet
\n<\/span>The Role of Relationships: Purpose in life<\/span><\/p>\n

Discussion
\n<\/span><\/strong>Patients experience practical, physical, psychological, and social benefits from in-center hemodialysis. Their decision against home hemodialysis is influenced by existential and relational factors rather than solely practical concerns.<\/span><\/p>\n

Conclusion
\n<\/span><\/strong>Choosing in-center hemodialysis is not always an active rejection of home hemodialysis. Physical, psychological, social, and practical aspects all contribute to the decision.<\/span><\/p>\n

Implications for Practice
\n<\/span><\/strong>A greater focus on improving existing initiatives and implementing new ones could help patients make more autonomous treatment choices. Enhancing decision-making support may increase motivation for home hemodialysis.<\/span><\/p>\n

Contact Information
\n<\/span><\/strong>Marie Holmgaard Lind, RN. marie.holmgaard@hotmail.com
\n<\/span>Katrine Jakobsen, RN. <\/span>katrine.jakobsen99@gmail.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Af Marie Holmgaard Lind, Katrine Jakobsen. VIA University College, Campus Holstebro. BA-projekt afleveret 20.12.24. Vejleder: Ingrid Villadsen Kristensen Download Resume 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