Sammendrag

Formålet med dette studie var at undersøge sygeplejen ved hæmodialyse set fra patienters og professionelles perspektiv. I denne kvalitative undersøgelse blev dialog anvendt til at få indsigt i patienternes og de sundhedsprofessionelles erfaringer og forventninger. Dialogerne blev transskriberet og analyseret med en fænomenologisk-hermeneutisk metode. Resultaterne viste, at det var vigtigt for patienterne, at sygeplejerskerne udviste respekt og var parat ved opstart og afslutning af dialysebehandlingen. Således kunne patienternes daglige liv og aktivitet genoptages så hurtigt som muligt. Det var værdifuldt, at patienterne kunne opretholde integritet og kontrol, fordi der blev brugt mental energi til at genvinde kontrollen ved konflikter eller i situationer med uopfyldte behov. Patienterne havde positive oplevelser, når de blev involveret i sygeplejen, når de blev informeret om behandlingen, og når det var muligt at opnå høj grad af egenomsorg.

Nøgleord:coping, dialog, egenomsorg, patientoplevelser

English abstract

Nursing in Hemodialysis Treatment Seen from the Patients’ and the Professionals’ Perspectives

The aim of this study was to shed light on nursing care in hemodialysis treatment seen from the patientsŽ and the professionalsŽ perspectives. Due to daily technical procedures in hemodialysis treatment, the caring aspects of nursing could easily be challenged. In this qualitative study, dialogue was used to gain insight in patientsŽ and professionalsŽ experiences and expectations. Notes and recordings from the dialogues were analyzed with a phenomenological-hermeneutic method. The findings revealed that it was important for the patients that the nurses showed respect and were ready at the start and finish of dialysis treatment. Thus, the patientsŽ daily life and activities could be taken up again as soon as possible. It was valuable that patients could maintain their integrity and control, because mental energy was required to regain control in conflicts or in situations with unfulfilled needs. The patients had positive experiences, when they were involved in the nursing, when they were informed about their own treatment, and when it was possible to obtain a high degree of self care.

Keywords:coping, dialogue, patient experience, selfcare