{"id":18803,"date":"2025-08-21T19:21:56","date_gmt":"2025-08-21T17:21:56","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=18803"},"modified":"2025-08-21T19:21:56","modified_gmt":"2025-08-21T17:21:56","slug":"traening-og-egenomsorg-for-personer-med-multisygdom-resultater-fra-mobilize-studiet","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/08\/21\/traening-og-egenomsorg-for-personer-med-multisygdom-resultater-fra-mobilize-studiet\/","title":{"rendered":"Tr\u00e6ning og egenomsorg for personer med multisygdom \u2013 resultater fra MOBILIZE-studiet"},"content":{"rendered":"

\"\"<\/p>\n

Skou ST, Nyberg M, Dideriksen M, et al. Exercise therapy and self-management support for individuals with multimorbidity: a randomized and controlled trial. Nature Medicine 2025 Jun 30. <\/span>https:\/\/doi.org\/10.1038\/s41591-025-03779-4<\/a><\/p>\n

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

Resum\u00e9
\n<\/span>Introduktion
\n<\/span><\/strong>Multisygdom \u2013 tilstedev\u00e6relsen af to eller flere kroniske sygdomme hos samme person \u2013 er en stigende udfordring for sundhedsv\u00e6senet. Personer med multisygdom har nedsat livskvalitet og h\u00f8j risiko for hospitalsindl\u00e6ggelser. MOBILIZE-studiet unders\u00f8gte effekten af en struktureret intervention med tr\u00e6ning og egenomsorg.
\n<\/span>Metode
\n<\/span><\/strong>I et pragmatisk, multicenter, assessor-blindet RCT blev 228 voksne med multisygdom randomiseret til enten et 12-ugers personligt tr\u00e6nings- og egenomsorgs-program plus s\u00e6dvanlig behandling eller s\u00e6dvanlig behandling alene. Interventionen omfattede 24 egenomsorgs-sessioner (30min) efterfulgt af 24 superviserede tr\u00e6nings-sessioner (60min). Prim\u00e6rt outcome var helbredsrelateret livskvalitet (EQ-5D-5L) ved 12 m\u00e5neder.
\n<\/span>Resultater
\n<\/span><\/strong>197 deltagere (86%) gennemf\u00f8rte 12-m\u00e5neders opf\u00f8lgning. Interventionen medf\u00f8rte en statistisk signifikant forbedring i livskvalitet (justeret forskel: 0.064 point; 95% CI: 0.014\u20130.115) og selvvurderet helbred (EQ-VAS: 6.9 point; 95% CI: 1.8\u201312.1). Ingen \u00f8get risiko for alvorlige bivirkninger blev observeret.
\n<\/span>
\nDiskussion
\n<\/span><\/strong>Interventionen forbedrede livskvaliteten uden at kompromittere sikkerheden. Effekten blev opretholdt over 12 m\u00e5neder. Den kliniske betydning af forskellen er dog fortsat usikker.
\n<\/span>Konklusion
\n<\/span><\/strong>Personlig tr\u00e6ning og egenomsorg kan v\u00e6re en effektiv og sikker tilgang til at forbedre livskvaliteten hos personer med multisygdom
\n<\/span>Implikationer for praksis
\n<\/span><\/strong>Sygeplejersker og andre sundhedsprofessionelle kan integrere struktureret tr\u00e6ning og egenomsorg i behandlingen af patienter med flere kroniske sygdomme. Interventionen underst\u00f8tter personcentreret pleje og kan bidrage til bedre livskvalitet.<\/span><\/p>\n

S\u00f8ren T. Skou, professor, ph.d.<\/span> stskou@health.sdu.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Skou ST, Nyberg M, Dideriksen M, et al. Exercise therapy and self-management support for individuals with multimorbidity: a randomized and 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