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Fysisk smärta vid en medicinskt inducerad abort under andra graviditetstrimestern: En litteraturstudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Den medicinska aborten är i Sverige den vanligaste metoden vid inducerade aborter. Den smärta som proceduren innebär är både psykisk och fysisk. För att kunna bemöta patienternas behov behöver vårdpersonal ha god kunskap om det lidande som dessa patienter utsätts för.

Syftet: Syftet med studien var att undersöka upplevd fysisk smärta samt vad som påverkar den fysiska smärtupplevelsen i samband med medicinsk inducerad abort i andra graviditetstrimestern.

Metod: En litteraturstudie gjordes med inkluderade artiklar av studier med både kvalitativ och kvantitativ ansats. De 13 inkluderade artiklarna identifierades genom sökningar i databaserna PubMed, Cinahl och Cochrane. Dessa valdes ut efter att ha granskats med modifierade granskningsmallar för bedömning av vetenskaplig kvalitet.

Resultat: Åtta teman identifierades utifrån syftet: (1) intensitet av fysisk smärta, (2) fysisk smärta över tid, (3) fostrets påverkan på den fysiska smärtan, (4) bakgrund och livsstil, (5) orsak till inducerad abort, (6) psykologisk och emotionell påverkan på den fysiska smärtan, (7) patientens förväntningar om smärtan före aborten, samt (8) tankar om smärtan efter aborten. Samtliga studier rapporterade att deltagarna kände någon form av fysisk smärta, vilken varierade och upplevdes som värst vid utstötning av fostret.

Slutsats: Patienter som genomgår en medicinsk inducerad abort upplever någon form av fysisk smärta under proceduren. Smärtan upplevdes som starkast under utstötning av foster. 

Abstract [en]

Background: The medical abortion is the most common method of induced abortion in Sweden. The pain during the procedure involves both psychological and physiological pain, therefore, healthcare professionals need good knowledge of the suffering that these patients may face in order to meet the patient's needs.

Purpose: The purpose of the study was to investigate the physical pain that a patient experience and factors that affect the pain experience during a medical induced abortion in the second trimester of pregnancy.

Method: A literature study was made which included articles of studies with both qualitative and quantitative terms. The 13 included articles were identified by searches in the databases PubMed, Cinahl and Cochrane. Articles were selected after examination with modified review templates.

Results: Eight themes were identified that represent the different aspects identified in the results of the included articles: (1) physical pain intensity, (2) physical pain over time, (3) the fetus affect for the physical pain, (4) background and lifestyle, (5) cause of induced abortion, (6) psychological and emotional impact on physiological pain, (7) patient expectations about the physical pain before the abortion, as well as (8) thoughts about the physical pain after the abortion. The main conclusion is that the participants experienced some sort of physical pain throughout the abortion, the worst pain experience was related to the expulsion of the fetus.

Conclusion: Patients undergoing a medical induced abortion experienced some sort of physical pain during the procedure. High pain scores were reported during fetal expulsion.

Place, publisher, year, edition, pages
2017. , 38 p.
Keyword [en]
physical pain, abortion, medical abortion, pain experience
Keyword [sv]
fysisk smärta, abort, medicinsk abort, upplevd smärta
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-325203OAI: oai:DiVA.org:uu-325203DiVA: diva2:1113468
Subject / course
Public Health
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2017-06-22 Created: 2017-06-21 Last updated: 2017-06-22Bibliographically approved

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