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Evidensbaserad vård för personer med KOL: En journalgranskning utifrån Socialstyrelsens riktlinjer/indikatorer på en primärvårdsenhet
University West, Department of Health Sciences, Section for nursing - graduate level.
University West, Department of Health Sciences, Section for nursing - graduate level.
2016 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background: Sufferers of COPD do not always receive the healthcare which guidelines and evidence suggest they should be given. In November 2015, The National Board of Health and Welfare issued new guidelines and indicators for care administered to sufferers of COPD. Aim: To investigate documentation of indicators and vaccination administered to COPD sufferers at a primary care unit.Method:The method was a retrospective journal review of total of n=118 journals. Aquantitative analysis with deductive approach was performed using a review template based on indicators for COPD care.Results: According to the documentation, 89% of subjects had their COPD diagnosis confirmed through spirometry and 90% were offered assistance with smoking cessation. The journals indicated that 8.5% of subjects had been vaccinated against influenza and pneumococcus, 15.3% of subjects had received structured patient education, the health status of 10.2% of subjects had been documented through CAT, 34.6% of subjects received nutritional treatment for those with a BMI under 22, 3.4% of subjects had their physical activity measured, 3.4% had been diagnosed cardiovascular exercise and/or weight training and the patient's next appointment had been documented in 80.5% of cases. None of the subjects involved in the study had received a written treatment plan or documented mMRCsymptom assessment. Conclusion: The primary care unit neither documents nor administers evidence-based care to COPD sufferers to a satisfactory degree in line with The National Board of Health andWelfare's domestic guidelines.

Place, publisher, year, edition, pages
2016. , 28 p.
Keyword [en]
COPD, District nurse, Evidence-based practice, Improvement measures, National guidelines
National Category
URN: urn:nbn:se:hv:diva-9398Local ID: EXD800OAI: diva2:937388
Subject / course
Nursing science
Educational program
Specialist nursing programme
Available from: 2016-06-15 Created: 2016-06-14 Last updated: 2016-06-22Bibliographically approved

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