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Postoperativt illamående hos patienter som genomgått hjärtkirurgi
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.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

 SAMMANFATTNING

Bakgrund

Postoperativt illamående och kräkningar (PONV) är de vanligaste komplikationerna efter kirurgi och anestesi. Många patienter kan uppleva illamående och kräkningar som ett större problem än postoperativ smärta i samband med kirurgiska ingrepp. Faktorer som kön, ålder och åksjuka kan öka risken att drabbas av PONV.

Syfte

Studiens syfte var att undersöka förekomsten av illamående efter hjärtkirurgi. Vi ville även kartlägga om det fanns skillnad mellan kvinnor och män, i ålder samt samband mellan åksjuka och tid med respiratorbehandling och illamående.   

Metod

Studiens design var kvantitativ. Data samlades in med hjälp av ett frågeformulär bland patienter som genomgått hjärtkirurgi. Resultatet bearbetades och analyserades i Excel och statistikprogrammet SPSS.

Resultat

Tjugoåtta patienter av totalt 36 tillfrågade tackade ja att medverka i studien. Resultatet visar att 75 % (21) av deltagande patienter upplevde illamående postoperativt. Merparten av patienterna drabbades av illamående under operationsdagen eller dagen efter. Inget samband mellan illamående och kön, ålder och åksjuka kunde ses.

Slutsats

Denna studie visar att många patienter drabbades av illamående och att illamåendet debuterade tidigt i det postoperativa förloppet, medan litteraturen visar att tre av tio patienter drabbas av illamående och att illamåendet kan ha sin kulmen upp till 2-3 dygn efter operationen. Undersökningsgruppen var för liten för att några säkra slutsatser kunde dras. 

Abstract [en]

ABSTRACT

Background

Post-operative nausea and vomiting (PONV) are the most common complications after surgery and anaesthesia. Many patients experience nausea and vomiting as a bigger problem than post-operative pain following a surgical procedure. Factors such as gender, age and motion sickness could increase the risk of suffering from PONV.

Purpose

The aim of this study was to examine the presence of nausea after cardiac surgery. Another aim was to map out variation in experiences between male and female patients, age related susceptibility, connection to motion sickness and if respiratory treatment could increase the likelihood of nauseousness.

Method

This study was designed to be quantitative. Data was collected by using a questionnaire that was filled out by patients who had experienced cardiac surgery. All data were processed and analysed in Excel and with the statistical program SPSS.

Result

28 patients out of 36 patients, gave their consent to taking part in this study. Seventifive procent (21) of the participated patients experienced post-operative nausea. The majority of patients experienced nausea during the day of operation or the following 24 hours. There was no difference between genders and nausea neither ageor, motion sickness seemed to have any direct influence in cases where nausea was experienced.

Conclusion

This study shows that many patients are affected by nausea and that nauseousness appears during the early stages of the procedure. Literature demonstrates that 30% patients are affected by nausea, and that it will peak 2 to 3 days post-operatively. The study group was too small to draw significant conclusions.

Place, publisher, year, edition, pages
2013. , 31 p.
Keyword [en]
nausea, post-operative, cardiac surgery
Keyword [sv]
illamående, postoperativt, hjärtkirurgi
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-205510OAI: oai:DiVA.org:uu-205510DiVA: diva2:641714
Subject / course
Caring Sciences
Educational program
Freestanding course
Uppsok
Medicine
Supervisors
Examiners
Available from: 2013-08-19 Created: 2013-08-19 Last updated: 2013-08-19Bibliographically approved

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