{"id":18686,"date":"2025-08-19T13:17:59","date_gmt":"2025-08-19T11:17:59","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=18686"},"modified":"2025-09-02T21:16:36","modified_gmt":"2025-09-02T19:16:36","slug":"kol-livet-en-indsats-for-bedre-livskvalitet","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/08\/19\/kol-livet-en-indsats-for-bedre-livskvalitet\/","title":{"rendered":"KOL Livet \u2013 En indsats for bedre livskvalitet"},"content":{"rendered":"

\"\"<\/p>\n

Kirstine Skovbo Bunk. K\u00f8benhavns Professionsh\u00f8jskole, Institut for Sygepleje- og Ern\u00e6ringsuddannelserne. <\/span>BA-projekt afleveret 07.03.2025. Vejleder: Pernille Fastholm<\/span><\/p>\n

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

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

\n

Resum\u00e9
\n<\/span>Introduktion
\n<\/span><\/strong>Patienter med KOL lever med fysiske, psykiske og sociale udfordringer, der reducerer livskvaliteten og ofte f\u00f8rer til indl\u00e6ggelser. Projektet \u2018<\/span>KOL Livet\u2019<\/span> er udviklet p\u00e5 en lungemedicinsk afdeling som et helhedsorienteret tilbud med fokus p\u00e5 kontinuitet, tilg\u00e6ngelighed og relation.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Kvalitativ unders\u00f8gelse baseret p\u00e5 semistrukturerede interviews med patienter, der havde v\u00e6ret tilknyttet \u2018<\/span>KOL Livet\u2019<\/span> i mindst \u00e9t \u00e5r. Data blev analyseret ud fra en hermeneutisk tilgang med inddragelse af Hildegard Peplaus interpersonelle relations teori og Edgar Scheins organisationskulturteori.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Fire semistrukturerede interview viste at patienterne oplevede, at <\/span>\u2018KOL Livet\u2019<\/span> gav tryghed og tilg\u00e6ngelighed gennem relationen til en patientansvarlig sygeplejerske. Kontinuitet og ops\u00f8gende kontakt styrkede deres mestring. Dog blev der identificeret udfordringer vedr\u00f8rende forventningsafstemning og kommunikation, idet flere patienter ikke kendte til alle tilbud eller f\u00f8lte sig uforberedte p\u00e5 ACP-samtaler.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Fundene viser, at tryghed og kontinuitet er centrale for patienternes livskvalitet, men manglende kommunikation kan skabe usikkerhed og begr\u00e6nse udbyttet. Dette afspejler kendte barrierer for implementering af tidlig palliation, hvor forskelle i forst\u00e5else mellem sundhedspersonale og patienter kan skabe misforst\u00e5elser.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>\u2018<\/span>KOL Livet\u2019<\/span> bidrager til \u00f8get livskvalitet ved at skabe tryghed, kontinuitet og tilg\u00e6ngelighed. For at optimere effekten er der behov for en mere struktureret og proaktiv kommunikation.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Resultaterne kan overf\u00f8res bredt til sygeplejepraksis: en tydelig relation, kontinuerlig kontakt og systematisk kommunikation b\u00f8r prioriteres i plejen af patienter med KOL. <\/span>En tidlig palliativ tilgang kan reducere angst og usikkerhed, styrke patienternes mestring og mindske behovet for akutte indl\u00e6ggelser.<\/span><\/p>\n

Kontaktoplysninger: <\/span><\/strong>Kirstine Bunk. kirstinesbunk@live.dk<\/span><\/p>\n<\/div>\n

\n

Life with COPD \u2013 An initiative for improved quality of life<\/span><\/strong><\/h4>\n

Clinical dissertation by Kirstine Skovbo Bunk. <\/span>Bachelor of Science in Nursing,<\/span> KP, University College Copenhagen. submitted 07.03.2025. <\/span>Supervisor: Pernille Fastholm<\/span><\/p>\n

Abstract
\n<\/span><\/strong>Introduction
\n<\/span><\/strong>Patients with COPD experience physical, psychological, and social challenges that reduce quality of life and often result in frequent hospital admissions. Life with COPD was developed in a pulmonary department as a holistic initiative emphasizing continuity, accessibility, and supportive relationships.<\/span><\/p>\n

Methods
\n<\/span><\/strong>A qualitative study based on semistructured interviews with patients enrolled in Life with COPD for at least one year. Data were analyzed hermeneutically. Hildegard Peplau\u2019s Interpersonal Relations Theory and Edgar Schein\u2019s Organizational Culture Theory provided theoretical perspectives.<\/span><\/p>\n

Results
\n<\/span><\/strong>Four patients reported that Life with COPD enhanced their sense of security and accessibility through a continuous relationship with a designated nurse. Proactive contact improved coping and reassurance. However, challenges emerged regarding expectation management and communication, as several patients were unaware of existing services or felt unprepared for ACP discussions.<\/span><\/p>\n

Discussion
\n<\/span><\/strong>Findings highlight that security and continuity are key to quality of life, but insufficient communication may foster uncertainty and limit program benefits. These challenges reflect known barriers in implementing early palliative care, where differences in understanding between healthcare professionals and patients may create misalignment.<\/span><\/p>\n

Conclusion
\n<\/span><\/strong>Life with COPD improves patients\u2019 quality of life by enhancing security, continuity, and accessibility. Yet, more structured and proactive communication is needed to fully optimize outcomes.<\/span><\/p>\n

Relevance to clinical practice
\n<\/span><\/strong>The study emphasizes that continuity, relational support, and structured communication should be prioritized in nursing care for COPD patients, not only within Life with COPD. An early palliative approach can reduce anxiety and uncertainty, strengthen coping strategies, and potentially decrease the need for acute hospitalizations.<\/span><\/p>\n

Contact Information: <\/span><\/strong>Kirstine Bunk. <\/span>kirstinesbunk@live.dk<\/a><\/p>\n<\/div>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Kirstine Skovbo Bunk. K\u00f8benhavns Professionsh\u00f8jskole, Institut for Sygepleje- og Ern\u00e6ringsuddannelserne. BA-projekt afleveret 07.03.2025. Vejleder: Pernille Fastholm Download Resume som pdf 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