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Patientens upplevelse av stigmatisering i vården vid alkohol och, - eller substansmissbruk: En litteraturstudie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Sustainable development
The essay/thesis is partially on sustainable development according to the University's criteria
Abstract [sv]

Bakgrund: Socialstyrelsen har dokumenterat 450 000 individer mellan 18 år och äldre med alkoholmissbruk och 55 000 individer med narkotikamissbruk. Siffrorna representerade enbart dokumenterade fall av missbruk, men utesluter de antal missbruk vilka inte dokumenterats. Alla individer har rätten att tillgodoses med likvärdig vård och ett icke stigmatiserande från vårdpersonal oavsett livssituationer, bakgrund, fysiska och psykiska aspekter.

Syfte: Syftet med litteraturstudien var att beskriva patientens upplevelse av stigmatisering i vården vid alkohol och,- eller substansmissbruk samt beskriva genomförandet av datainsamlingsmetoden till samtliga artiklar.

Metod: Studien var en deskriptiv litteraturstudie. Resultatet har framtagits och sammanställts genom upprepad granskning av 12 vetenskapliga artiklar från tre databaser.

Huvudresultat: Patienterna beskrev att upplevelsen av stigmatisering generellt uppfattades negativt och påverkade deras självkänsla, egenvärde, värdighet och hälsa. Patienterna berättade att stigmatiseringen skapade rädsla och vissa undvek kontakt med vården till följd av detta. Stigmatiseringen upplevdes nedvärderande och patienterna kände att de beskylldes för sitt tillstånd och därför inte förtjänade ett gott bemötande och god vård, medans några upplevde stigmatisering positivt och motiverande.

Slutsats:  Varje individ skall bemötas med likvärdig vård anpassat efter dennes behov oavsett individens bakgrund eller livssituation. Därför borde sjukvårdspersonal utöka sin kunskap och förståelse i mötet med dessa individer genom att tillgodoses med relevant utbildning i ämnet, anskaffa förståelse i stigmatiseringens innebörd och påverkan i syfte att tillhandahålla likvärdig och icke stigmatiserande vård till alla individer. 

Abstract [en]

Background : The National Board of Health has documented 450,000 individuals between 18 years and older with alcohol abuse and 55,000 individuals with drug addiction. The figures represented only documented cases of addiction, but excluded the number of addictions that have not been documented.

Aim : The purpose of this literature study was to describe patient's experience of stigmatization of alcohol and, - or substance abuse in health care and describe the implementation of the data collection method from all articles.

Method : The study was a descriptive literature study. The result has been developed and compiled by repeated review from 3 scientific articles found out of three databases were used in the preparation of the result.

Main results : Patients described that the perception of stigmatization was generally perceived negatively and affected their self-esteem, dignity and health which resulted in fear and shame. Patients felt that they were accused of their condition and therefore did not deserve good treatment and good care, while some patients’ considered stigmatization as something positive and motivating.

Conclusion : Each individual should be treated with equal care adapted to their needs. This should not be influenced regardless of the individual's background or life situation. Therefore, healthcare professionals should increase their knowledge and understanding in the encounter with these individuals, by providing adequate education in the subject, acquiring understanding of the stigma's impact on the individual in order to provide equal and non-stigmatizing care to all individuals.

Place, publisher, year, edition, pages
2017. , p. 25
Keywords [en]
Patient perspective, stigmatization, experience, health care
Keywords [sv]
Patientperspektiv, stigmatisering, upplevelse, vården
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-25895OAI: oai:DiVA.org:hig-25895DiVA, id: diva2:1168948
Subject / course
Nursing
Educational program
Nursing
Supervisors
Examiners
Available from: 2018-01-03 Created: 2017-12-21 Last updated: 2018-01-03Bibliographically approved

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