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Utvärdering av en akut smärtkonsultverksamhet vid ett universitetssjukhus, samt utvärdering av patienters tillfredsställelse med sin smärtbehandling
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: Vid svårbehandlade smärttillstånd krävs ibland insatser av specialiserade smärtkonsultverksamheter och sådana har instiftats på sjukhus världen över. Studier visar att denna typ av specialistkompetens fungerar som ett bra alternativ beträffande postoperativ smärtlindring.

Syfte: Att utvärdera den akuta smärtkonsultverksamheten vid ett universitetssjukhus i Mellansverige, samt att undersöka patienternas tillfredställelse med den på avdelningen erhållna smärtbehandlingen.

Metod: En kvantitativ tvärsnittsstudie med deskriptiv och komparativ design. Datamaterialet utgjordes av insamlade enkäter. Urvalet bestod av patienter, sjuksköterskor och läkare som hade varit i kontakt med smärtkonsultverksamheten. Data redovisades med deskriptiv statistik och jämförande analyser gjordes med hjälp av Mann-Whitney U-test.

Resultat: Majoriteten av patienter, sjuksköterskor och läkare var nöjda med smärtkonsulverksamhetens arbete. De flesta av patienterna var nöjda med smärtbehandlingen på respektive avdelning, men av de patienter som genomgick kirurgi ansåg hälften att de preoperativt inte fått information om postoperativ smärtbehandling. Sjuksköterskor skattade samarbetet med smärtkonsultverksamheten och deras omhändertagande av patienter lägre än läkare.

Slutsats: Trots övervägande hög tillfredställelse med både smärtkonsultverksamhetens insatser och smärtbehandlingen på avdelningarna, ansåg hälften av patienterna som opererats att den preoperativa informationen om smärtbehandlingen postoperativt var otillräcklig. Smärtkonsultverksamheten bör fortsätta utveckla samarbetet med vårdavdelningarna, samt förmedla till avdelningarna att hälften av kirurgipatienterna i denna studie anser den preoperativa informationen om postoperativ smärtlindring vara bristfällig.

Abstract [en]

Background: Complicated pain conditions that are difficult to treat may need the help from pain specialists. Pain management services, often called acute pain services, has been established in hospitals around the world. Studies show that acute pain services are good options when it comes to treating postoperative pain.

Aim: To evaluate the acute pain services at a teaching hospital in central Sweden, and to investigate patient satisfaction with the pain management received in the wards.

Method: A quantitative cross-sectional study with a descriptive and comparative design. The data was collected by means of questionnaires. The sample consisted of patients, registered nurses and doctors who had had dealings with the acute pain services. Data was accounted for by descriptive statistics and the Mann-Whitney U-test was used for the comparative analyses.

Results: The majority of patients, nurses and doctors were satisfied with contribution of the acute pain services. Most of the patients were content with the pain management they received in the wards. However, among the patients that had surgery, half of them considered that they did not get preoperative information about postoperative pain management. Nurses rated the acute pain services lower than doctors regarding the collaboration with the acute pain services and how well they took care of their patients.

Conclusion: Despite high satisfaction with both the contribution by the acute pain services and the pain management received in the wards, half of the surgical patients considered the preoperative information about postoperative pain management insufficient. The acute pain services should continue to develop their collaboration with the hospital wards, and also convey to the wards that half of the surgical patients in this study considered the preoperative information about the postoperative pain management to be insufficient.

Place, publisher, year, edition, pages
2015. , 30 p.
Keyword [en]
pain, acute pain, pain management, intractable pain, postoperative pain
Keyword [sv]
smärta, akut smärta, smärtbehandling, svårbehandlad smärta, postoperativ smärta
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-253713OAI: oai:DiVA.org:uu-253713DiVA: diva2:815740
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2015-06-02 Created: 2015-06-01 Last updated: 2015-06-02Bibliographically approved

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