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Inverkan av personcentrerad vård på livskvaliteten hos personer med kognitiv sjukdom: en litteraturöversikt
Sophiahemmet University.
Sophiahemmet University.
2023 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The impact of personcentered care on the quality of life for people with cognitive disease : a literature review (English)
Abstract [sv]

Litteraturöversikten behandlar begreppen kognitiv sjukdom, personcentrering och livskvalitet. Kognitiv sjukdom drabbar varje år ett ökande antal människor.  Konsekvensen av kognitivsjukdom är omfattande med ett ökande antal drabbade på samhällsnivå. Ett personcentrerat förhållningssätt inom vården kan bidra till god omvårdnad och ökad livskvalitet.

Syftet med studien var att belysa inverkan av personcentrerad vård på livskvalitet hos personer med kognitiv sjukdom.

Använd metod var en allmän litteraturöversikt med systematisk sökmetod. Databassökning genomfördes med sökorden demens, Alzheimer, personcentrerad vård och livskvalitet, vilket bedömdes svara väl mot syftet. Efter urval kvarstod 15 artiklar, kvalitativa och kvantitativa, vilket gav en mixad metod. 

Resultatet extraherades genom tematisk syntes, genom vilken analytiska teman genererats. Resultatet presenterades under tre teman: ökad livskvalitet genom (1) aktiviteter, (2) sociala interaktioner och (3) emotioner. Personcentrerade aktiviteter i dagliga livet visade sig ha påverkan på livskvalitet hos personer med kognitiv sjukdom. Personer som erhöll högre andel personcentrerad vård värderades ha högre livskvalitet och bättre förmåga att genomföra aktiviteter i dagliga livet. Personcentrerad vård förbättrade sociala interaktionerna, vilket gav positiv påverkan på livskvalitet. Positiv påverkan på interaktioner kunde ses oavsett grad av kognitiv sjukdom. Personcentrerad vård minskade agitation, ökade livskvalitet och välbefinnande. 

Slutsatsen visade att personcentrerad vård har betydelse för livskvalitet hos personer med kognitiv sjukdom. Personcentrerad vård har inverkan på en rad områden i livet vid ökad livskvalitet exempelvis ökad förmåga till aktiviteter i dagliga livet. Det påvisades också att valfrihet och upplevd kontroll påverkade livskvalitet positivt. 

Abstract [en]

The literature review deals with the concepts of cognitive disease, person-centeredness and quality of life (QoL). Cognitive disease affects an increasing number of people every year. The impact of cognitive disease is extensive with an increasing number of people affected at the societal level. A person-centered approach can add to good care and increased QoL.

The aim of the study was to highlight the impact of person-centered care on QoL in people with cognitive disease.

The method used was a literature review with a systematic search method. A database searchwas conducted using the keywords dementia, Alzheimer, person-centered care and quality of life, which were assessed to respond well to the aim of the study. 15 articles remained after selection, both qualitative and quantitative, which resulted in a mixed method approach.

The results were extracted through thematic synthesis, through which analytical themes were generated.The results were presented under three themes: increased QoL through 1) activities, 2) social interactions and 3) emotions. Person-centered activities in daily life were found to have an impact on the QoL of people with cognitive disease. Persons who received a higher proportion of person-centered care were valued as having a higher QoL and a better ability to carry out activities in daily life. Person-centered care improved social interactions, which had a positive impact on QoL. Positive influence could be seen regardless of the severity of the cognitive disease. Person-centered care also reduced agitation and increased QoL and wellbeing.

The conclusion showed that person-centered care is important for the QoL of persons with cognitive disease. Person-centered care has an impact on several areas in life when QoL is increased, as for instance increased ability to carry out activities of daily life. Freedom of choice and perceived control was shown to affect QoL positively. 

Place, publisher, year, edition, pages
2023. , p. 30
Keywords [en]
Activities, Cognitive disease, Interactions, Person-centered care, QoL
Keywords [sv]
Aktiviteter, Kognitiv sjukdom, Livskvalitet, Personcentrerad vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-4811OAI: oai:DiVA.org:shh-4811DiVA, id: diva2:1750601
Educational program
Specialistsjuksköterskeprogrammet : inriktning vård vid kognitiv sjukdom
Uppsok
Medicine
Supervisors
Examiners
Available from: 2023-04-14 Created: 2023-04-13 Last updated: 2023-04-14Bibliographically approved

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