{"id":8837,"date":"2024-09-06T11:18:42","date_gmt":"2024-09-06T09:18:42","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=8837"},"modified":"2026-05-07T12:31:36","modified_gmt":"2026-05-07T10:31:36","slug":"ulighed-i-kraeft-sygeplejerskens-moede-med-saarbare-kraeftpatienter","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/09\/06\/ulighed-i-kraeft-sygeplejerskens-moede-med-saarbare-kraeftpatienter\/","title":{"rendered":"Ulighed i kr\u00e6ft: Sygeplejerskens m\u00f8de med s\u00e5rbare kr\u00e6ftpatienter"},"content":{"rendered":"
\n

\"\"<\/p>\n

Rikke Langballe<\/span>1 <\/span><\/strong>Rikke Torenholt<\/span>2 <\/span><\/em><\/strong>Lizette Lykke Mehr<\/span>3 <\/span><\/strong>Kristina Skarshaug Jacobsen<\/span>4 <\/span><\/strong>Vibeke Holst M\u00f8lgaard May<\/span>5 <\/span><\/strong>Mette Petersen<\/span>6 <\/span><\/strong>Bente Christensen<\/span>7 <\/span><\/strong>Jill Thomsen<\/span>8 <\/span><\/strong>Pernille Envold Bidstrup<\/span>9
\n<\/span><\/strong><\/p>\n

1<\/span><\/strong> sygeplejerske, ph.d., postdoc<\/span>* <\/strong>mail: ril@cancer.dk<\/a>
\n2<\/strong><\/span> cand.scient.san.publ., ph.d., postdoc<\/span>*
\n<\/span> 3 <\/span><\/strong>sygeplejerske, Klinisk Onkologisk og Palliative Enheder, Sj\u00e6llands Universitetshospital
\n<\/span>4<\/span><\/strong> projektsygeplejerske, Kr\u00e6ftafdelingen, Regionshospitalet G\u00f8dstrup
\n<\/span> 5 <\/span><\/strong>sygeplejerske, Kr\u00e6ftafdelingen, Regionshospitalet G\u00f8dstrup
\n<\/span>6<\/span><\/strong> sygeplejerske, Kr\u00e6ftafdelingen, S\u00f8nderborg Sygehus
\n<\/span>7 <\/span><\/strong>sygeplejerske, Kr\u00e6ftafdelingen, S\u00f8nderborg Sygehus
\n<\/span>8 <\/span><\/strong>sygeplejerske, Lungemedicinsk afdeling J, Odense Universitetshospital
\n<\/span>9 <\/span><\/strong>psykolog<\/span> ph.d., forskningsleder<\/span>*<\/strong>
\n<\/span>*<\/span><\/strong>Psykologiske Aspekter af Kr\u00e6ft, Kr\u00e6ftens Bek\u00e6mpelses Center for Kr\u00e6ftforskning<\/span><\/p>\n

\n

Resum\u00e9
\n<\/span><\/strong>Det er veldokumenteret, at der er stor ulighed i kr\u00e6ftforl\u00f8b fra diagnose til modtagelse af kr\u00e6ftbehandling, rehabilitering og overlevelse - is\u00e6r blandt lungekr\u00e6ftpatienter, som ofte har sv\u00e6r sygdom, komplekse behov, begr\u00e6nset socialt netv\u00e6rk og begr\u00e6nsede sundhedskompetencer. Sygeplejerskenavigation har vist lovende resultater i forhold til at forkorte udredningsforl\u00f8bet, men vi mangler fortsat viden om hvilken effekt sygeplejenavigation har p\u00e5 symptomer, livskvalitet og overlevelse efter lungekr\u00e6ftdiagnosen er stillet. <\/span><\/p>\n

For at f\u00e5 viden herom og for at adressere uligheden har vi udviklet NAVIGATE interventionen, der som den f\u00f8rste af sin slags har til hensigt at forbedre overlevelsen og livskvaliteten for s\u00e5rbare lungekr\u00e6ftpatienter. NAVIGATE kombinerer samtaler med en navigatorsygeplejerske, st\u00f8tte til h\u00e5ndtering af symptomer og fysisk tr\u00e6ning.<\/span><\/p>\n

Navigatorsygeplejersken bruger teknikker fra den Motiverende Samtale til at st\u00f8tte den enkelte patient i at gennemf\u00f8re kr\u00e6ftbehandlingen og i at h\u00e5ndtere symptomer fra sygdom og behandling.<\/span> Derudover bruges teknikkerne til at st\u00f8tte patienten i at fortage de forandringer i sundhedsadf\u00e6rd, som patienten finder relevant. Forud for et randomiseret kontrolleret studie,<\/span> gennemf\u00f8rte vi en pilotunders\u00f8gelse, hvor alle patienter blev tilbudt interventionen. <\/span><\/p>\n

Resultaterne herfra viser vigtigheden af fleksibilitet og tilpasning af b\u00e5de forskningsmetoder og intervention, n\u00e5r s\u00e5rbare patienter deltager i forskning. Rollen som navigatorsygeplejerske er en stor omstilling fra den vante kliniske praksis, men det er ogs\u00e5 givende at opleve, hvor stor en forskel man kan g\u00f8re for s\u00e5rbare lungekr\u00e6ftpatienter i et vanskeligt og kompliceret behandlingsforl\u00f8b, bl.a. ved at have god tid til at lytte og lade patienternes behov v\u00e6re udgangspunkt for samtalerne.<\/span><\/p>\n

\n
\n
\n
\n
\n
\n
\n
\n

English abstract<\/h4>\n

Inequality in cancer: Nurses\u2019 encounters with vulnerable patients<\/h4>\n

There is well\u2011documented inequality in cancer pathways from diagnosis to access to treatment, rehabilitation and survival, particularly among patients with lung cancer, who often have advanced disease, complex needs, limited social support and low health literacy. Nurse navigation has shown promising results in reducing time to diagnosis, but we still lack knowledge about the effects of nurse navigation on symptoms, quality of life and survival after a lung cancer diagnosis.<\/p>\n

To address this gap and tackle inequality, we developed the NAVIGATE intervention, the first of its kind designed to improve survival and quality of life in vulnerable patients with lung cancer. NAVIGATE combines consultations with a nurse navigator, support for symptom management and physical exercise. The nurse navigator uses techniques from motivational interviewing to support each patient in completing cancer treatment and managing symptoms related to the disease and its treatment, as well as to help patients make health behaviour changes they themselves consider relevant. Before conducting a randomised controlled trial, we carried out a pilot study in which all patients were offered the intervention.<\/p>\n

The results highlight the importance of flexibility and adaptation of both research methods and the intervention when vulnerable patients take part in research. The role of nurse navigator represents a major shift from usual clinical practice, but it is also rewarding to experience how much of a difference nurses can make for vulnerable patients with lung cancer during a difficult and complex treatment trajectory, not least by having sufficient time to listen and let patients\u2019 needs form the basis of the conversations.<\/p>\n

Keywords:<\/strong> Cancer inequality, vulnerable lung cancer patients, nurse navigation, NAVIGATE intervention, motivational interviewing, quality of life, survival.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\n
\n
\n
\n
\n

Vil du l\u00e6se videre?
\nF\u00e5 adgang til artiklen med:<\/h2>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n
\n\t\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t\t\tPLUSmedlem<\/span>
\n\t\t\t\t\t<\/span>
\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n

Enkelt k\u00f8b af artikel<\/h2>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n
\n
\n
\n