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Patientens behov av delaktighet inför anestesi: skillnader mellan kvinnor och män
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2014 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Studier visar att patienten, framför allt kvinnor, upplevde sig utlämnade, nervös, ångestfyllda och oroliga inför och under det korta mötet med anestesisjuksköterskan innan operation.

Syftet: är att undersöka patientens upplevelse av obehag och delaktighet i mötet med anestesisjuksköterskan inför en nedsövning och om patientens kön har någon betydelse för detta.

Metod: En kvantitativ tvärsnittsstudie med ett deskriptivt förhållningssätt där enkät valts som datainsamlingsmetod med totalt 44 respondenter.

Resultat: Majoriteten av respondenterna upplevde ingen obehagskänsla inför en anestesi, av de få som upplevde påtaglig med obehag var samtliga kvinnor. Medan en majoritet av respondenter kände sig delaktiga i vårdarbetet inför en nedsövning, var en fjärdedel inte tillfredsställda. En fjärdedel av respondenterna önskade större delaktighet, medan övriga inte ville eller inte visste ifall de ville vara delaktiga. Männen kände sig mindre delaktiga i vårdarbetet än kvinnorna samtidigt som de inte hade en större önskan om att vara delaktiga. Kvinnor däremot kände sig mer delaktiga, än män, och hade dessutom en önskan om att vara delaktiga. Ingen signifikant skillnad fanns mellan kvinnor och mäns svar.

Slutsats: Även om en majoritet av de patienter som genomgick en operation som krävde generell anestesi antingen kände sig delaktiga eller inte eftersökte mer delaktighet i sjuksköterskan vårdarbetet så var det fortfarande en fjärdedel som inte kände sig delaktiga. En tredjedel av respondenterna hade en positiv inställning till att med egna händer hålla i syrgasmasken under preoxygeneringen. När det kommer till patientens upplevelse av obehag inför en anestesi så visar denna studie att en tydlig majoritet inte upplever någon form av obehag, av dem få som upplevde påtagligt med obehag var samtliga kvinnor.

 

Nyckelord: Obehagskänsla, preoxygenering, delaktighet, patientcentrerad vård.

Abstract [en]

Background: Studies have shown that patients, especially women, feel themselves vulnerable, nervous, anxious and apprehensive before and during the brief meeting with the nurse anesthetist before surgery.

Aim: The purpose of this study is to examine the patient's experience of uneasiness, participation in the meeting with the nurse anesthetist, before a general anesthetic, and if the patient's gender has bearing

 

Method: A quantitative cross-sectional study with a descriptive approach where survey was selected as data collection method, with a total of 44 participants.

Results: The majority of respondents experienced no uneasiness before an anesthesia, the few who experienced significantly uneasiness were all women. The study showed that the majority of respondents already felt a sense of involvement involved in the care work before a general anesthetic, but still 25% did not ensure patients needs. 25 % of the respondents expressed a desire for greater involvement, while rest of the respondents did not want to, or did not know whether they wanted to be more involved. Male respondents felt less involved currently, but also expressed least interest for greater involvement. Female respondents, on the other hand, felt more involved than men, and at the same time also expressed a desire to be involved. No significant difference was found between women's and men's responses.

Conclusion: A majority of the patients who underwent a surgery requiring general anesthesia did feel a level of involvement in the care work performed by nurses. While a majority did not want to be involved at all in the care work, 25% did not feel, but wished to be involved. One way to accommodate and increase involvement would be to offer the patients to hold the oxygen mask with their own hands during preoxygenation. Nearly a third of the respondents would have agreed to do so if they had been given the option. When it comes to patient’s uneasiness before an anesthesia does this study shows that a clear majority does not experience any kind of uneasiness, those who experienced significantly uneasiness with were all women.

 

Keywords: Uneasiness, preoxygenation, participation, patient-centered care.

Place, publisher, year, edition, pages
2014. , 26 p.
Keyword [en]
Uneasiness, preoxygenation, participation, patient-centered care.
Keyword [sv]
Obehagskänsla, preoxygenering, delaktighet, patientcentrerad vård.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-231338OAI: oai:DiVA.org:uu-231338DiVA: diva2:744198
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot anestesisjukvård
Presentation
(Swedish)
Supervisors
Examiners
Available from: 2014-09-12 Created: 2014-09-07 Last updated: 2014-09-12Bibliographically approved

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