Distriktssköterskans erfarenheter av samtal med patienter, med hypertoni

Sammanfattning:

Hypertension is one of the most common reasons for visiting primary care. It is one of the most important modifiable risk factors for cardiovascular disease, suffering and death. Lifestyle change, such as increased physical activity is the foundation of treatment of hypertension. Lifestyle change starts as a process in which patients can be helped by a nurse through conscious communication, educate and support increased physical exercise.

Aim

The aim of this study was to investigate the district nurse´s experiences of interacting with patients with hypertension about physical activity.

Method

Individual qualitative study. Ten nurses from health center were interviewed. The material was analyzed according to qualitative content analysis.

Results

The interviews resulted in three categories: 1. Guidelines and proven experience creates a platform for dialogue. District nurses faced the meeting prepared by having materials adapted to each patient's unique situation and related policies. 2. If the will and ability to change is present in the patient, the district nurse can affect the ability to succeed. Patients were interested in physiological knowledge and the impact of lifestyle interventions. Motivation level varies in relation to the situation, ability and difficulties in implementing change. 3. Knowledge, feelings and reflections affect the district nurse in the dialogue. Thoughts and feelings are brought up in the desire to support a sustained change. 4. Patience to wait for an uncertain outcome. Patience is necessary because it´s never obvious which patients undertake increased physical activity.

Conclusions

During the process of content analysis following theme appeared: district nurse helping the patient to walk the narrow road. The district nurse became an asset the patent could choose to use in order to facilitate the implementation of lifestyle changes.