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Langtidspasienter i sykehjem: Pleier-pasient-interaksjonensbetydning for velvaere
Engelsk titel: The vital influence of the nurse-patient interaction on well-being among cognitively intact nursing home patients Läs online Författare: Haugan, Görill Språk: Nor Antal referenser: 91 Dokumenttyp: Artikel UI-nummer: 15103586

Tidskrift

Geriatrisk Sykepleie 2015;7(2)22-33 ISSN 1891-1889 E-ISSN 1893-563X KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Background: The daily life in nursing homes is institutionalized involving losses such as privacy, self-determination, autonomy and affiliation. However, meaning, hope and self-transcendence are potential health resources in cognitively intact long-term nursing home patients. Aims: The purpose of this study was twofold; 1) to describe the symptom burden among cognitively intact nursing home patients, and 2) to explore the relationships between the study variables nurse-patient interaction, meaning, hope, self-transcendence, anxiety, depression, global and spiritual well-being in this population. This article presents some key findings from this study, from which 19 different peer-reviewed articles have been published, and discusses knowledge gained from this sample. Methods: A cross-sectional design was applied, and data were collected during 2008–2009 among 202 patients in 44 nursing homes in Mid-Norway. Symptom severity was described by means of descriptive statistics. Based in theory and empirical evidence four hypotheses were tested by means of seven different SEM-models (structural equations modelling). Results: The symptom burden was high; fatigue 56%, pain 49%, constipation 43%, dyspnea 41%, sleep problems 38%, loss of appetite 25%and vomiting, nausea 18%, anxiety 12 % and depression 30%. The measurement models were tested and then applied in seven different SEM-models. The details of the SEM analyzes are presented in the individual scientific publications. The nurse-patient interaction showed a significant effect on the patient´s hope, meaning, self-transcendence, anxiety and depression. Based in the results a tentative nursing theory is presented. Conclusion: The nurse-patient interaction is essential for health and well-being among cognitively intact long-term nursing home patients. By consciously and competent use of the nurse-patient interaction the patient´s experience of meaning, hope, self-transcendence and global well-being can be promoted. The terms of hope, meaning, self-transcendence, nurse-patient interaction and well-being, as well as the relationships between them, outline a fruitful theoretical perspective for nursing home care, and should be emphasized in the health professional education.