{"id":9128,"date":"2024-09-17T17:30:24","date_gmt":"2024-09-17T15:30:24","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=9128"},"modified":"2025-07-14T20:31:16","modified_gmt":"2025-07-14T18:31:16","slug":"afsloering-af-psykosociale-bekymringer-ved-kol-patientperspektiver-paa-et-nationalt-pro-skema-til-at-stoette-dialogen-i-ambulante-samtaler-et-interviewstudie","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/09\/17\/afsloering-af-psykosociale-bekymringer-ved-kol-patientperspektiver-paa-et-nationalt-pro-skema-til-at-stoette-dialogen-i-ambulante-samtaler-et-interviewstudie\/","title":{"rendered":"Afsl\u00f8ring af psykosociale bekymringer ved KOL: Patientperspektiver p\u00e5 et nationalt PRO-skema til at st\u00f8tte dialogen i ambulante samtaler \u2013 et interviewstudie"},"content":{"rendered":"

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Download som PDF<\/a><\/p>\n

Gronhaug LM, Farver-Vestergaard I, Fr\u00f8lund JC, Enghold CL, Ottesen AL. Unveiling the burden of COPD: Perspectives on a Patient-Reported Outcome Measure to support communication in outpatient consultations – An interview study among patients. Front. Rehabil. Sci, 2024, 5: 1-15. Doi: <\/span>10.3389\/fresc.2024.1434298<\/a>.<\/span><\/p>\n

Introduktion
\n<\/span><\/strong>Mange patienter med KOL oplever fysiske, psykiske og sociale udfordringer, men ikke alle deler deres bekymringer med sundhedspersonale, hvilket kan p\u00e5virke deres trivsel negativt.
\n<\/span>Anvendelsen af PRO-skemaet til basal palliation (PRO-Pall) kan fremme holistisk og personcentreret kommunikation, men nytten heraf er stadig usikker. Vi unders\u00f8gte derfor patienternes oplevelser med PRO-Pall f\u00f8r og under samtaler i et lungemedicinsk ambulatorie. <\/span>Se FIGUR<\/strong> 1<\/span>.<\/span><\/p>\n

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Metode
\n<\/span><\/strong>Patienter med moderat til meget sv\u00e6r KOL deltog i semi-strukturerede telefoninterviews 2-5 dage efter deres ambulante bes\u00f8g p\u00e5 Vejle Sygehus. Transskriberede interviews blev analyseret induktivt via kvalitativ indholdsanalyse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Fem m\u00e6nd og fire kvinder blev interviewet. Vi udledte fire temaer:<\/span><\/p>\n

1)<\/span> At \u00e5bne op: Udfyldelsen af PRO-Pall igangsatte refleksion hos patienterne, og afsl\u00f8rede ofte tidligere oversete KOL-relaterede udfordringer. Dette \u00f8gede deres bevidsthed om samt evne og parathed til at udtrykke is\u00e6r psykosociale udfordringer.
\n<\/span>2)<\/span> At lade masken falde: Udfyldelsen af PRO-Pall opmuntrede de fleste patienter til at v\u00e6re mere \u00e6rlige, da de indser at det ikke gavner dem at skjule deres bekymringer.
\n<\/span>3)<\/span> At bryde isen: Patienternes \u00e6rlige PRO-svar gjorde det lettere for personalet at stille direkte sp\u00f8rgsm\u00e5l om identificerede udfordringer, hvilket legitimerede og initierede samtaler om sensitive, men vigtige emner.
\n<\/span>4)<\/span> At fordybe dialogen: Personalets im\u00f8dekommende og m\u00e5lrettede tilgang skabte dybere og mere meningsfulde dialoger, som gav de fleste patienter bedre forst\u00e5else for deres psykosociale udfordringer, som p\u00e5virkede trivslen.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Udfyldelsen af PRO-Pall f\u00f8r ambulante samtaler hjalp patienterne med at erkende tidligere oversete psykosociale udfordringer, og gjorde dem mere parate til at dele deres bekymringer.<\/span><\/p>\n

\u00c6rlige PRO-svar gjorde det lettere for personalet at \u00e5bne og centrere samtalen om identificerede behov.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Aktiv brug af PRO-Pall kan fremme holistiske samtaler om den enkelte patients KOL-relaterede udfordringer og behov. Det kr\u00e6ver dog, at personalet har tid og mod til at adressere og integrere patienternes PRO-svar i de ambulante samtaler.<\/span><\/p>\n

Louise Muxoll Gr\u00f8nhaug, Sygeplejerske, cand.cur. og ph.d.-studerende. <\/span>Louise.Muxoll.Gronhaug@rsyd.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Download som PDF Gronhaug LM, Farver-Vestergaard I, Fr\u00f8lund JC, Enghold CL, Ottesen AL. Unveiling the burden of COPD: Perspectives on 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