{"id":19973,"date":"2025-09-16T19:10:22","date_gmt":"2025-09-16T17:10:22","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=19973"},"modified":"2025-09-16T19:23:43","modified_gmt":"2025-09-16T17:23:43","slug":"saarbare-borgere-med-rygmarvsskade-i-livslange-rehabiliteringsforloeb-et-opmaerksomhedspunkt-for-sygeplejersker","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/09\/16\/saarbare-borgere-med-rygmarvsskade-i-livslange-rehabiliteringsforloeb-et-opmaerksomhedspunkt-for-sygeplejersker\/","title":{"rendered":"S\u00e5rbare borgere med rygmarvsskade i livslange rehabiliteringsforl\u00f8b \u2013 et opm\u00e6rksomhedspunkt for sygeplejersker"},"content":{"rendered":"

\"\"<\/p>\n

Bodil Bj\u00f8rnshave Noe, Anne H\u00f8jgaard, Frederik Skovbjerg, Randi Steensgaard, Egon Noe. Rural-urban living with spinal cord injury, impact health, quality of life and integration \u2013 Experiences from Denmark. Social Science & Medicine. 2025;381:118300. https:\/\/doi.org\/10.1016\/j.socscimed.2025.118300<\/a><\/span><\/p>\n

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

Resum\u00e9<\/span><\/strong><\/p>\n

Introduktion
\n<\/span><\/strong>Danmark har et velf\u00e6rdssystem og sm\u00e5 geografiske afstande, men is\u00e6r p\u00e5 landet kan en presset kommunale \u00f8konomi skabe ulighed i livslange rehabiliteringsforl\u00f8b for mennesker med rygmarvsskade. Studiet unders\u00f8ger, hvordan bop\u00e6l i land eller by p\u00e5virker helbred, livskvalitet og social integration.
\n<\/span>
\nMetode
\n<\/span><\/strong>Kvalitativ, f\u00e6nomenologisk-hermeneutisk unders\u00f8gelse med semistrukturerede interviews af personer tidligere indlagt p\u00e5 Vestdansk Rygmarvsskadecenter, analyseret med refleksiv tematisk analyse.
\n<\/span>
\nResultater
\n<\/span><\/strong>16 semistrukturerede interviews (2024), som resulterede i tre udviklede hovedtemaer:
\n<\/span>1) Bop\u00e6l har betydning
\n<\/span>2) Kamp for rettigheder
\n<\/span>3) Relationer t\u00e6ller.<\/span><\/p>\n

Deltagerne oplever generelt god adgang til hospitalsbehandling, men der er stor variation i kommunal st\u00f8tte. Borgere i \u00f8konomisk svage landomr\u00e5der og med f\u00e6rre personlige ressourcer har st\u00f8rst uop-fyldte behov. Tillidsfulde relationer til det kommunale team er afg\u00f8rende. Stramme kommune-budgetter kan flytte ansvar til civilsamfundet, som personer med begr\u00e6nsede ressourcer har sv\u00e6rere ved at udnytte.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Selv i en velf\u00e6rdsstat forst\u00e6rker \u00f8konomisk pres og kommunal autonomi en voksende land\u2013by-kl\u00f8ft, men uligheder handler ikke kun om fysisk afstand, men ogs\u00e5 om sociale og \u00f8konomiske ressourcer.
\n<\/span>
\nKonklusion
\n<\/span><\/strong>Personer med rygmarvsskade i Danmark oplever store udfordringer med kommunale sundheds- og socialydelser, og systemets nuv\u00e6rende organisering udfordrer m\u00e5let om lige muligheder uanset bop\u00e6l.
\n<\/span>
\nImplikationer for praksis
\n<\/span><\/strong>En m\u00e5lrettet, personcentreret rehabiliterings indsats kan reducere ulighed, s\u00e5 de mest s\u00e5rbare i \u00f8konomisk pressede landkommuner f\u00e5r den n\u00f8dvendige hj\u00e6lp til bedst mulig livskvalitet og integration. Det foruds\u00e6tter en s\u00e6rlig opm\u00e6rksomhed p\u00e5 s\u00e5rbare borgere, et tillidsfuldt samarbejde og vedholdende st\u00f8tte i borgerens dialog med myndigheder.<\/span><\/p>\n

Bodil Bj\u00f8rnshave Noe, sygeplejerske, ph.d., docent, Forskningsprogram for Sundhedsfaglig Praksis, University College Syd. <\/span>bbno@ucsyd.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Bodil Bj\u00f8rnshave Noe, Anne H\u00f8jgaard, Frederik Skovbjerg, Randi Steensgaard, Egon Noe. Rural-urban living with spinal cord injury, impact health, quality […]<\/p>\n","protected":false},"author":1,"featured_media":12722,"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":[13,164],"tags":[],"class_list":["post-19973","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-resume-af-forskning","category-ulighed-i-sundhed-resume-af-forskning"],"acf":[],"jetpack_featured_media_url":"https:\/\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/09\/Omsorg-2.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/19973","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=19973"}],"version-history":[{"count":4,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/19973\/revisions"}],"predecessor-version":[{"id":19983,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/19973\/revisions\/19983"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/12722"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=19973"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=19973"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=19973"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}