{"id":9245,"date":"2024-09-24T13:38:17","date_gmt":"2024-09-24T11:38:17","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=9245"},"modified":"2025-07-14T20:30:43","modified_gmt":"2025-07-14T18:30:43","slug":"at-informere-eller-ikke-at-informere-om-venoes-tromboemboli-vte-en-kvalitativ-undersoegelse-af-kommunikation-om-vte-mellem-sundhedsprofessionelle-og-patienter-med-lungekraeft","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/09\/24\/at-informere-eller-ikke-at-informere-om-venoes-tromboemboli-vte-en-kvalitativ-undersoegelse-af-kommunikation-om-vte-mellem-sundhedsprofessionelle-og-patienter-med-lungekraeft\/","title":{"rendered":"At informere, eller ikke at informere om Ven\u00f8s TromboEmboli (VTE) \u2013 en kvalitativ unders\u00f8gelse af kommunikation om VTE mellem sundhedsprofessionelle og patienter med lungekr\u00e6ft"},"content":{"rendered":"

\"\"<\/p>\n

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

Berggreen, C., Schr\u00f8der, J. H., Christensen, T., Szejniuk, W. M., S\u00f8gaard, M., H\u00f8jen, A. A., & J\u00f8rgensen, L. (2024). TO INFORM OR NOT TO INFORM about venous thromboembolisms \u2013 A qualitative study on communication between healthcare professionals and patients with lung cancer. Thrombosis Research, 243 (May), 1\u20137. <\/span>https:\/\/doi.org\/10.1016\/j.thromres.2024.109132<\/a><\/p>\n

Baggrund
\n<\/span><\/strong>Ven\u00f8s tromboemboli (VTE) er en af de hyppigste d\u00f8ds\u00e5rsager blandt kr\u00e6ftpatienter. P\u00e5 trods af dette viser unders\u00f8gelser, at kr\u00e6ftpatienter f\u00f8ler sig utilstr\u00e6kkeligt informeret om risiko for og symptomer p\u00e5 VTE, hvilket kan vanskeligg\u00f8re at identificere symptomer og reagere rettidigt. Patienter med lungekr\u00e6ft er s\u00e6rligt s\u00e5rbare grundet en h\u00f8j relativ risiko for at udvikle VTE, og samtidig har mange i denne patientgruppe begr\u00e6nsede sundhedskompetencer. Denne unders\u00f8gelse havde til form\u00e5l at unders\u00f8ge lungekr\u00e6ftpatienters behov for information om VTE, og hvordan patienter og sundhedsprofessionelle kommunikerer om VTE.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Data blev indsamlet via semistrukturerede interviews med patienter med lungekr\u00e6ft og sundhedsprofessionelle, som var l\u00e6ger og sygeplejersker. Alle deltagere (n = 20) blev rekrutteret fra en onkologisk afdeling. Analysen blev udf\u00f8rt p\u00e5 en induktiv m\u00e5de ved hj\u00e6lp af en Ricoeur-inspireret strategi.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Patienterne havde varierende behov for information om VTE. Sundhedsprofessionelle kommunikerede ikke rutinem\u00e6ssigt om VTE, og VTE havde tendens til at blive lavt prioriteret. Sundhedsprofessionelle kommunikerede om VTE, n\u00e5r patienter udtrykte et behov eller pr\u00e6senterede symptomer p\u00e5 VTE. Sundhedsprofessionelle udtrykte bekymring for at \u00f8ge patienternes f\u00f8lelsesm\u00e6ssige byrde forbundet med kr\u00e6ftsygdommen ved at informere om VTE. Nogle patienter understregede dog vigtigheden af at v\u00e6re mentalt forberedt p\u00e5 potentielle komplikationer.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Unders\u00f8gelsen viser, at sundhedsprofessionelle m\u00e5 balancere mellem at informere patienterne tilstr\u00e6kkeligt om behandling og bivirkninger, men samtidig undg\u00e5 at bekymre patienterne un\u00f8digt. Ansvaret for at initiere kommunikation om VTE m\u00e5 dog ligge hos de sundhedsprofessionelle, da patienterne ikke n\u00f8dvendigvis ved at de har en \u00f8get risiko for udvikling heraf.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Der er behov for \u00f8get fokus p\u00e5 at forbedre kommunikationen om VTE med lungekr\u00e6ftpatienter ved f\u00f8rste konsultation. Sundhedsprofessionelle b\u00f8r tage ansvar for at indlede denne samtale og prioritere den p\u00e5 niveau med sepsis. Yderligere forskning b\u00f8r unders\u00f8ge, hvilken information om VTE der er nyttig for patienter, og om kommunikationen for\u00e5rsager un\u00f8dig bekymring.<\/span><\/p>\n

Camilla Berggreen, fuldm\u00e6gtig hos Nationalt Center for Etik, cand.scient.san.publ. <\/span>cbe@dketik.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Download som PDF Berggreen, C., Schr\u00f8der, J. H., Christensen, T., Szejniuk, W. M., S\u00f8gaard, M., H\u00f8jen, A. A., & J\u00f8rgensen, 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