Upplevelse av trygghet och otrygghet bland patienter med hjärtsvikt som får avancerad sjukvård
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Sammanfattning
Aim: The aim of this study was to describe the experience of security and insecurity in patients with
chronic heart failure who were treated by Advanced Home Care (AHC) in a city in Sweden.
Background: It is common for patients with heart failure to have frequent readmissions to hospital
due to deterioration. The patients have various symptoms such as breathing problems, oedema and
fatigue. Being cared for by AHC has become more common for patients with heart failure to reduce
deterioration of heart failure and prevent hospitalization.
Method: A qualitative method with semi-structured interviews was used. Eight patients with heart
failure participated in the study. The interviews were analysed by content analysis.
Findings: Three categories were identified: ‘home care’, ‘the social network’ and ‘internal and
external resources’.
Conclusion: The experience was complex and depended on several factors both within and outside
the health care situation. The need for access to a multidisciplinary team was great and it was
important that the nursing staff had time to listen. It was important that the care had focus on the
patient’s perspective to create security and avoid insecurity.