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Ätsvårigheter hos patienter med demenssjukdom: En empirisk undersökning baserad på sjuksköterskors erfarenheter
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Eating disorders in patients with dementia : An empirical study based on nurses experiences (English)
Abstract [sv]

Bakgrund: Undernäring är ett utbrett problem hos patienter med demenssjukdom på äldreboenden. De flesta får i sig för lite energigivande näringsämnen och ligger därmed i riskzonen för att utveckla undernäring.

Syfte: Att beskriva sjuksköterskors erfarenheter av att ge omvårdnad till demenssjuka patienter med ätsvårigheter på äldreboenden.

Metod: Kvalitativa intervjuer med tio sjuksköterskor i en stor stad i mellersta Sverige, informanter valdes ut genom ett strategiskt urval. Intervjuerna har bearbetats med en kvalitativ innehållsanalys utifrån Graneheim och Lundman (2004; 2008).

Resultat: Sjuksköterskorna upplevde att de först behövde kartlägga patienternas problem och behov. Genom att ge extra näringstät mat, konsistensanpassa maten och minska fastan kunde sjuksköterskorna påverka patienternas näringsintag. Det var viktigt att måltiderna sågs som en trevlig stund och att det var något patienterna kunde se fram emot.

Slutsats: Sjuksköterskorna kunde påverka patienternas matintag genom att vara delaktiga i situationen kring matintaget. Att lyfta nutritionen i en organisation, att måltidens betydelse lyftes som en aktivitet, kunde bidra till en generell förbättring av patienternas undernäring och/eller ätsvårigheter.

Abstract [en]

Background: Undernourishment is a widespread problem in patients with cognitive failure and dementia at the retirement homes. Most elderly people who live in special homes are fed up with some energy-generating nutrients and thus risk the development of malnutrition.

Aim: To describe nurses' experience of giving nursing care to dementia patients with eating disorders at the retirement homes.

Method: Qualitative interviews with ten nurses in a large city in central Sweden, informants were selected through a strategic selection. The interviews have been processed with qualitative content analysis based on Graneheim and Lundman (2004; 2008).

Result: Nurses felt that they first needed to chart the patients' problems and needs. By providing extra nutritional food and tailoring food, nurses can influence the nutritional intake of patients. It was important that the meals were seen as a nice moment and that it was something the patients could look forward to.

Conclusion: Nurses could influence patients' food intake by participating in the food intake situation. Raising nutrition in an organization that lifting the meal's importance as an activity could contribute to a general improvement in patient malnutrition and/or eating disorders.

Place, publisher, year, edition, pages
2017. , 33 p.
Keyword [en]
Dementia, Nursing care, Malnutrition, Elderly
Keyword [sv]
Demens, Omvårdnad, Undernäring, Äldre
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-36398ISRN: JU-HHJ-OMA-2-20170243OAI: oai:DiVA.org:hj-36398DiVA: diva2:1114893
Subject / course
HHJ, Nursing Science
Supervisors
Examiners
Available from: 2017-06-28 Created: 2017-06-26 Last updated: 2017-06-28Bibliographically approved

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CiteExportLink to record
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Citation style
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