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Download resume som PDF<\/a><\/p>\n Download BA-projektet her<\/a><\/p>\n Sidse Andersen, Ann-Sofie Marie Hausmann Niemann. <\/span>BA projekt afleveret 04.01.2024. Sygeplejerskeuddannelsen KP K\u00f8benhavn. Vejleder: Karen-Marie Olesen<\/span><\/p>\n Introduktion:<\/span><\/strong> Nyeste statistikker indikerer, at KOL nu rangerer som den mest udbredte \u00e5rsag til d\u00f8dsfald i Danmark som en isoleret sygdom. At leve med KOL som kronisk sygdom er ofte h\u00e5rdt for den enkelte patient, som oplever forringet livskvalitet relateret til helbredet i takt med progression af sygdommen. Litteraturstudiets form\u00e5l har v\u00e6ret at unders\u00f8ge hvilke sygeplejeinterventioner, der kan v\u00e6re med til at \u00f8ge helbredsrelateret livskvalitet hos patienter med KOL under og efter indl\u00e6ggelse.<\/span><\/p>\n Metode:<\/span><\/strong> Et litteraturstudie blev udf\u00f8rt med litteraturs\u00f8gning i databaserne PubMed og Cinahl. En fire-trins proces blev anvendt som analysestrategi med den narrative syntese. Tre RCT-studier blev udvalgt og inddraget.<\/span><\/p>\n Resultater:<\/span><\/strong> Studierne viste, at samtaler om mestring, medicinadministration og vejledning til fysisk aktivitet \u00f8ger patienternes helbredsrelateret livskvalitet. St. George\u2019s Respiratory Questionnarie blev anvendt som m\u00e5leredskab i de tre inkluderede studier.<\/span><\/p>\n Diskussion: <\/span><\/strong>En vigtig dimension i evalueringen af interventionernes effekt er sp\u00f8rgsm\u00e5let om langsigtet effekt p\u00e5 HRQoL. Der ses en signifikant forbedring i HRQoL som f\u00f8lge af de implementerede interventioner. Man kan stille sp\u00f8rgsm\u00e5l ved, hvorvidt disse forbedringer er b\u00e6redygtige over tid og en mere langsigtet opf\u00f8lgningsperiode kan give information om vedvarende effekter og eventuelle tilbagefald. Det vurderes afg\u00f8rende for forst\u00e5elsen af, hvordan behandlingen kan integreres som en del af en langsigtet plejeplan, men rejser samtidig sp\u00f8rgsm\u00e5let om patienternes behov for kontinuerlig st\u00f8tte og ikke kun den vedvarende indvirkning p\u00e5 HRQoL.<\/span><\/p>\n Konklusion:<\/span><\/strong> Det kan konkluderes, at implementeringen af patientuddannelse, faciliteret af sygeplejersker, b\u00e5de under indl\u00e6ggelse og i opf\u00f8lgningsfasen efter udskrivelse med integrering af elementer fra KOL forl\u00f8bsprogrammet, positivt p\u00e5virker patientens HRQoL. Endvidere er det essentielt at tilbyde opl\u00e6ring og st\u00f8tte til fysisk tr\u00e6ning.<\/span><\/p>\n Implikationer for praksis:<\/span><\/strong> Der ses klare muligheder for at forbedre eksisterende praksis i Danmark, hvilket vil have direkte positive indvirkninger p\u00e5 livskvaliteten for patienter med KOL. Der skal implementeres patientuddannelse, b\u00e5de under indl\u00e6ggelse og i opf\u00f8lgningsfasen efter udskrivelse, med fokus p\u00e5 at integrere velkendte elementer fra KOL forl\u00f8bsprogrammet. Denne patientuddannelse b\u00f8r omfatte undervisning, der giver patienten viden om KOL, korrekt medicinadministration, mestring af symptomer, st\u00f8tte til rygestop og opl\u00e6ring samt st\u00f8tte til fysisk aktivitet. Efter udskrivelse skal der gives kontinuerlig opf\u00f8lgning gennem telefon eller hjemmebes\u00f8g, hvor sygeplejersken booster patienten til at forblive motiveret for adf\u00e6rds\u00e6ndringerne.<\/span><\/p>\n Sidse Andersen, sygeplejerske, mail: <\/span>sidse97@live.dk<\/a> Download abstract as PDF<\/a><\/p>\n Introduction:<\/span><\/strong> Latest statistics indicate that COPD now ranks as the most widespread cause of death in Denmark as an isolated disease. Living with COPD as a chronic disease is often hard for the individual patient, who experiences a reduced health-related quality of life as the disease progresses. The purpose of the literature study has been to investigate which nursing interventions can contribute to increasing the health-related quality of life in patients with COPD during and after hospitalization.<\/span><\/p>\n Method: <\/span><\/strong>A literature study was carried out with a literature search in the databases PubMed and Cinahl. A four-step process was used as the analysis strategy with the narrative synthesis. Three RCT studies were selected and included.<\/span><\/p>\n Discussion:<\/span><\/strong> An important dimension in the evaluation of the intervention’s effect is the question of long-term effect on HRQoL. A significant improvement in HRQoL is seen as a result of the implemented interventions. One can question whether these improvements are sustainable over time and a longer-term follow-up period can provide information on persistent effects and possible relapses. It is considered crucial for the understanding of how the treatment can be integrated as part of a long-term care plan, but at the same time raises the question of the patients’ need for continuous support and not just the ongoing impact on HRQoL.<\/span><\/p>\n Conclusion:<\/span><\/strong> It can be concluded that the implementation of patient education, facilitated by nurses, both during hospitalization and in the follow-up phase after discharge with the integration of elements from the COPD course program, positively affects the patient’s HRQoL. Furthermore, it is essential to offer training and support for physical training.<\/span><\/p>\n Relevance to clinical practice: Sidse Andersen, RN, mail: <\/span>sidse97@live.dk<\/a> Nyeste statistikker indikerer, at KOL nu rangerer som den mest udbredte \u00e5rsag til d\u00f8dsfald i Danmark som en isoleret sygdom.<\/p>\n","protected":false},"author":4,"featured_media":7456,"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 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Kontaktoplysninger<\/span><\/h3>\n
\nAnn-Sofie Marie Hausmann Niemann, sygeplejerske, mail: <\/span>annsofiegia@gmail.com<\/a><\/p>\nHealth-related quality of life in the elderly medical patient with chronic obstructive pulmonary disease<\/span><\/h4>\n
Abstract<\/span><\/h3>\n
\n<\/span><\/strong>There are clear opportunities to improve existing practice in Denmark, which will have direct positive effects on the quality of life for patients with COPD. Patient education must be implemented, both during hospitalization and in the follow-up phase after discharge, with a focus on integrating well-known elements from the COPD course programme. This patient education should include teaching that gives the patient knowledge about COPD, correct medication administration, coping with symptoms, support for smoking cessation and education, and support for physical activity. After discharge, continuous follow-up must be provided by telephone or home visit, where the nurse boosts the patient to remain motivated for the behavioral changes.<\/span><\/p>\nContact information<\/span><\/h3>\n
\nAnn-Sofie Marie Hausmann Niemann, RN, mail: <\/span>annsofiegia@gmail.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"