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Patients' experiences of person-centred integrated heart failure care and palliative care at home: an interview study

Artikel i vetenskaplig tidskrift
Författare N. Talabani
K. H. Angerud
K. Boman
Margareta Brännström
Publicerad i Bmj Supportive & Palliative Care
Volym 10
Nummer/häfte 1
Sidor 6
ISSN 2045-435X
Publiceringsår 2020
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Sidor 6
Språk en
Länkar dx.doi.org/10.1136/bmjspcare-2016-0...
Ämnesord end-of-life, european-society, association, cancer, Health Care Sciences & Services
Ämneskategorier Hälsovetenskaper

Sammanfattning

Objectives Patients with severe heart failure (HF) suffer from a high symptom burden and high mortality. European and Swedish guidelines for HF care recommend palliative care for these patients. Different models for integrated palliative care and HF care have been described in the literature. No studies were found that qualitatively evaluated these models. The purpose of this study is to describe patients' experiences of a new model of person-centred integrated HF and palliative care at home. Method Interviews were conducted with 12 patients with severe HF (New York Heart Association class III(sic)nd included in the research project of Palliative advanced home caRE and heart FailurE caRe (PREFER). Qualitative content analysis was used for data analysis. Results Two themes and a total of five categories were identified. The first theme was feeling secure and safe through receiving care at home with the categories: having access to readily available care at home, being followed up continuously and having trust in the team members' ability to help. The second theme was being acknowledged as both a person and a patient, with the following two categories: being met as a person, participating in decisions about one's care and receiving help for symptoms of both HF and comorbidities. Conclusions Person-centred integrated HF and palliative care provides a secure environment and holistic care for patients with severe HF. This approach is a way to improve the care management in this population.

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