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Hur personer med psykisk sjukdom upplever bemötandet från hälso- och sjukvårdspersonal vid somatiska besvär: en litteraturöversikt
Sophiahemmet University.
Sophiahemmet University.
2023 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
How persons with mental illness experience the interaction with healthcare professionals when receiving care for somatic issues : a literature overview (English)
Abstract [sv]

Bakgrund  

Nära en miljard människor i världen hade år 2019 ett psykiatriskt tillstånd. Detta inkluderade psykiska sjukdomar där depressiva syndrom och ångestsyndrom var vanligast, medan schizofreni var minst vanligt. Psykisk ohälsa inklusive psykiska sjukdomar medför stora ekonomiska samhällskostnader såväl som individuellt lidande. Somatiska sjukdomar och i synnerhet hjärt- och kärlsjukdomar har hög prevalens hos personer med psykisk sjukdom. Dessutom är överdödligheten av naturliga orsaker hög för denna patientgrupp, som därtill är stigmatiserad i samhället. Därmed kan dessa personers upplevelse av den somatiska vården och bemötandet som är en betydande aspekt av vården anses angeläget att studera.

Syfte 

Syftet var att beskriva hur personer med psykisk sjukdom upplever bemötandet från hälso- och sjukvårdspersonal vid somatiska besvär.

Metod 

För att besvara syftet genomfördes en icke systematisk litteraturöversikt. Urvalet avgränsades till peer-reviewed vetenskapliga originalartiklar publicerade på engelska under de tio senaste åren. Datainsamlingen gjordes i databaserna PubMed, CINAHL, och PsycInfo. Femton artiklar inkluderades och kvalitetsgranskades. Artiklarnas resultat sammanställdes med en integrerad dataanalys.

Resultat

Resultatet sammanställdes under fyra kategorier. Den första kategorin Att inte bli tagen på allvar inkluderade att vårdpersonal misstolkade somatiska symtom som psykiska. Den andra kategorin var Att vilja vårdas med ett helhetsperspektiv, där det framkom upplevelser av ett bristande holistiskt synsätt. Den tredje kategorin var Att vilja involveras i sin vård, och den inkluderade upplevelser av bristande information, delaktighet och tillit. Den sista kategorin var Positiva och negativa attityder från vårdpersonal, som handlade om varierande upplevelser av vårdpersonalens attityder i bemötandet. 

Slutsats

Resultatet visade främst på upplevelser som hindrade, men även upplevelser som främjade god somatisk vård. De beskrivna upplevelserna kan bidra till förbättrat bemötande samt ökad förståelse för patientgruppens perspektiv. Det behövs ytterligare forskning om bemötande och kommunikationen mellan vårdpersonal och personer med psykisk sjukdom, samt hur förbättringar kan implementeras i vården.

Abstract [en]

Background

Globally, nearly one billion people had a mental disorder in 2019. This included mental illnesses of which depressive and anxiety syndromes were most common, while schizophrenia was least common. Mental ill health including mental illnesses cause significant economic societal costs, as well as suffering for the affected individual. Somatic illnesses, especially cardiovascular diseases, have a high prevalence for people with mental illness. Additionally, the excess mortality from natural causes is high for these patients who are also subject to social stigmatization. Thus, these patients’ experiences of somatic care and the interaction with healthcare professionals, which is an important part of healthcare, can be seen as an important topic of study.

Aim

The aim was to describe how persons with mental illness experience the interaction with healthcare professionals when receiving care for somatic issues.

Method

A non systematic literature review was carried out to fulfill the aim of the study. The sample was limited to peer reviewed scientific original articles published in English during the previous ten years. Data collection was conducted in the databases PubMed, CINAHL, and PsycInfo. Fifteen articles were included and quality checked. The findings were compiled using an integrated data analysis.

Results

The results were presented under four categories. The first category Not being taken seriously included experiences of health professionals misinterpreting somatic symptoms as psychological. The second category was Wanting holistic care, which included experiences of lacking holistic care. The third category was Wanting to be included which included experiences of lacking information, participation in care, and trust. The last category was Positive and negative attitudes from health professionals which included experiences of varying attitudes from healthcare professionals.

Conclusions

The results mainly showed experiences that hindered, but also experiences that facilitated satisfactory somatic care. The experiences described have potential to contribute to improved interaction with and understanding of patients with mental illness. Additional research is needed on the topic of communication and interaction between healthcare professionals and persons with mental illness, as well as on how improvements can be implemented in healthcare.

Place, publisher, year, edition, pages
2023. , p. 43
Keywords [en]
Mental illness, Patient experiences, Professional-patient interaction, Somatic care
Keywords [sv]
Bemötande, Patientens upplevelser, Psykisk sjukdom, Somatisk vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-4954OAI: oai:DiVA.org:shh-4954DiVA, id: diva2:1768013
Educational program
Sjuksköterskeprogrammet
Uppsok
Medicine
Supervisors
Examiners
Available from: 2023-06-15 Created: 2023-06-14 Last updated: 2023-06-15Bibliographically approved

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Lina Eliasson och Sofia Giding(517 kB)47 downloads
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