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Samband mellan information, oro och smärta vid bukkirurgi: En pilotstudie
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.
2014 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Studier har visat på ett samband mellan otillräcklig information preoperativt och upplevelser av höga nivåer postoperativ smärta hos kirurgpatienter. Även oro preoperativt har visats påverka postoperativ smärta i negativ riktning.

Syfte: Syftet med denna studie var att undersöka hur patientgruppen skattade oro, smärta, information och smärtlindring vid kirurgi. Samt undersöka om det fanns samband mellan preoperativ information, oro och upplevelsen av smärta efter operation för patienter som genomgår laparotomisk bukkirurgi.

Metod: En tvärsnittsstudie med kvantitativ ansats baserad på ett konsekutivt urval. Data samlades in genom enkäter, deltagarna var kirurgiska patienter som genomgått laparotomisk bukkirurgi. Tjugo patienter deltog i studien i åldrarna 22-75 år, hälften kvinnor och hälften män. Sjuttio procent av patienterna opererades för cancerdiagnoser och 30 % för andra kolorektala diagnoser. Det externa bortfallet var stort, därför kan resultatet inte generaliseras.

Resultat: Resultatet i studien visar på ett signifikant samband mellan höga nivåer av preoperativ oro och upplevelsen av postoperativ smärta. Patienter med stark oro preoperativt löper större risk att uppleva oro postoperativt och därmed även smärta. Information vid inskrivningssamtalet kan minska den preoperativa oron. Inget signifikant samband för att preoperativ information direkt kan påverka den postoperativa smärtupplevelsen kunde påvisas i undersökningsgruppen.

Slutsats: Genom att i ett tidigt skede identifiera oroliga patienter kan postoperativ smärta mildras med icke-farmakologiska metoder som tillägg till den medicinska smärtbehandlingen. Det preoperativa informationssamtalet är ett viktigt verktyg för att minska oro och därmed även smärta för att kunna ge en bättre omvårdnad, återhämtning och välbefinnande för patienten. 

Abstract [en]

Background: Previous studies indicate a relationship between insufficient preoperative information and experiences of high postoperative pain among surgical patients. Also, preoperative anxiety has been shown to affect postoperative pain in a negative direction.

Aim: The aim of this study was to investigate how the patient group rated anxiety, pain, information and pain-management after surgery. Also, to investigate if there was an association between preoperative information, level of anxiety and experience of postoperative pain in patients undergoing laparotomic abdominal surgery.

Method: A cross-sectional study with quantitative approach based on a consecutive sample. Data was collected through questionnaires; the participants were surgical patients undergoing laparotomy abdominal surgery. 20 patients participated in the study, aging 22-75 years, 10 women and 10 men. Seventy percent of the patients underwent surgery for cancer diagnoses and 30% for other colorectal diagnoses. The external loss of data was large; therefor the results cannot be generalized.

Results: The results of the study show a significant association between high levels of preoperative anxiety and the experience of postoperative pain. Patients with serious preoperative anxiety are more likely to experience postoperative anxiety and thus more pain. Information from a nurse during the preoperative meeting seems to be able to reduce the preoperative anxiety. No significant correlation regarding preoperative information reducing the experience of postoperative pain could be demonstrated in the investigated group.

Conclusion: By an early identification of patients with high levels of anxiety, postoperative pain can be abated with non-pharmacological methods as a complement to the medical pain management. The preoperative information is a central tool to decrease anxiety and pain, and therefore give the patients an enhanced care, recovery and well being.

Place, publisher, year, edition, pages
2014. , 33 p.
Keyword [sv]
postoperativ smärta, oro, preoperativ information, nöjdhet, bukkirurgi
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-224798OAI: oai:DiVA.org:uu-224798DiVA: diva2:718227
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2014-05-20 Created: 2014-05-20 Last updated: 2014-05-20Bibliographically approved

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