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Intensivvårdssjuksköterskors kunskap om att hantera och administrera blodtransfusion till patienter som genomgått hjärtkirurgi med ECC.
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.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Sambandet mellan hjärtkirurgi med extracorporeal cirkulation (ECC) och blodtransfusion visar risker så som ökad morbiditet och mortalitet. Detta kan orsaka lidande för patienten och leda till kostnader för samhället. Att hantera och administrera blodprodukter är en omvårdnadshandling som sjuksköterskan ansvarar för och detta ställer därför krav på dennes kompetens.

 

Syftet: Syftet med denna studie var att studera intensivvårdssjuksköterskors kunskap om att ge blodtransfusion till patienter som genomgått hjärtkirurgi med ECC och om de ansåg sig ha kunskap om hur blodprodukter ska handhas och administreras på ett patientsäkert sätt, samt vilket behov av kompetensutveckling de ansåg sig ha.

 

Metod: Studien som utfördes hade en kvantitativ design med deskriptiv ansats. Ett icke-slumpmässigt urval gjordes på en Thoraxintensivvårdsavdelningen vid ett universitetssjukhus i Mellansverige och 30 intensivvårdssjuksköterskor inkluderades.

 

Resultat: Intensivvårdsjuksköterskorna hade en mycket låg till låg kunskap om de postoperativa komplikationer vid hjärtkirurgi med ECC som kan ha ett samband med blodtransfusion. Inget statistiskt signifikant samband kunde fastställas mellan intensivvårdsjuksköterskornas upplevda kunskap och faktiska kunskap om dessa postoperativa komplikationer. I resultatet sågs också att de önskade ytterligare utbildning.

 

Slutsats: Det fanns ett behov av vidare forskning inom området för att kunna uttala sig om intensivvårdssjuksköterskors kunskap och behov av ytterligare utbildning avseende risker med blodtransfusion till patienter som genomgått hjärtkirurgi med ECC. 

Abstract [en]

Background: The relationship between cardiac surgery with extracorporeal circulation (ECC) and blood transfusion demonstrates risks like increased morbidity and mortality. This may cause suffering for the patient and further costs on society. To manage and administer blood products is a nursing act which the nurse is responsible for, and therefore it requires specific competence.

Purpose: The purpose of this study was to study critical care nurses' knowledge of giving blood transfusion in patients undergoing cardiac surgery with ECC. Also if they felt they had knowledge of how blood products should be handled and administered safely for the patient, as well as the need for further education they felt they had. 

Method: The study had a quantitative design with descriptive approach. A non - random selection was made on the Cardiothoracic Intensive Care Unit at an University Hospital in Sweden and 30 intensive care nurses were included. 

Results: Intensive care nurses had a very low to low knowledge of the postoperative complications in cardiac surgery with ECC that may be related to blood transfusion. No statistically significant correlation could be established between critical care nurses' perceived knowledge and actual knowledge of these postoperative complications. In the result there was also possible to see that they wanted further education.  

Conclusion: There was a need for further research in the area to give an opinion on critical care nurses' knowledge and the need for further education about the risks of blood transfusion in patients undergoing cardiac surgery with ECC.

Place, publisher, year, edition, pages
2015.
Keyword [en]
blood transfusion, cardiac surgery, knowledge, complications, intensive care nurses
Keyword [sv]
blodtransfusion, hjärtkirurgi, kunskap, komplikation, intensivvårdssjuksköterskor
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-253154OAI: oai:DiVA.org:uu-253154DiVA: diva2:813290
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2015-05-22 Created: 2015-05-22 Last updated: 2015-05-22Bibliographically approved

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