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Överensstämmelse mellan patienters och anestesisjuksköterskors bedömning av oro vid dagkirurgi: En enkätstudie
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 Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Dagkirurgi, att opereras och gå hem samma dag, är en vårdform som har ökat markant i Sverige senaste åren. Tidigare studier har visat att många patienter som genomgår dagkirurgi upplever oro inför operation, vilket orsakar lidande för individen men också ökat behov av sömnmedel och ökad risk för postoperativ smärta och oro. För att kunna genomföra omvårdnadsåtgärder för att minska oro måste den först identifieras, vilket framförallt är anestesisjuksköterskans uppgift i mötet med patienten. Syfte: Att undersöka patienters skattning av sin oro vid ankomst till operationsavdelningen vid dagkirurgi samt hur väl anestesisjuksköterskans skattning av patientens oro överensstämmer med patientens egen skattning. Metod: En kvantitativ enkätstudie som genomfördes på två operationsavdelningar i Uppsala län under en veckas tid, totalt inkluderades 88 patienter och 60 anestesisjuksköterskebedömningar. Enkäten bestod av en skattningsskala för oro enligt NRS samt grundläggande demografisk information. Resultat: En stor andel patienter skattade ingen eller mild oro (n=52, 59 %) vid ankomst till operationsavdelningen. Hos 70 % av de parvisa jämförelserna bedömdes anestesisjuksköterskans förmåga att bedöma patientens oro som god. Slutsats: Anestesisjuksköterskorna var generellt bra på att bedöma patientens oro, men vid några fall missbedömdes patienter som skattade hög oro. Denna studie visar att det finns ett behov av mer studier för framtagande av rutiner och vetenskapligt beprövade och användbara instrument för att kunna identifiera dessa patienter.

Abstract [en]

Background: Ambulatory surgery, to receive surgery and go home the same day, is a form of care which has increased markedly in Sweden in recent years. Previous studies have showed that many patients undergoing ambulatory surgery experience anxiety before surgery, which causes suffering for the individual but also increases the need for hypnotics and increases risk of postoperative pain and anxiety. To be able to carry out nursing interventions aimed at reducing anxiety,  it must first be identified, which is mainly the  nurse anesthetist’s role in the encounter with the patient. Objective: To investigate patients' estimation of their anxiety upon arrival at the ambulatory surgery department, and how well the anesthesia nurses' estimation of the patients' anxiety are consistent with the patients' own estimation. Method: A quantitative survey conducted in two ambulatory surgery departments in Uppsala County during one week, a total of 88 patients were enrolled, and a total of 60 anesthesia nurses' assessments. The survey consisted of a scale for estimating anxiety using NRS and basic demographic information. Results: A large proportion of patients estimated no or mild anxiety (n=52, 59 %) on arrival at the surgical department. In 70 % of the pairwise comparisons the anesthesia nurses' ability to assess the patients' anxiety were good. Conclusion: Anesthesia nurses were generally good at assessing the patients’ anxiety, however it was showed that in some cases patients that reported high levels of anxiety were not identified. There is a need for more studies about routines and  useful and scientifically tested instruments for the identification of patients’ anxiety.

Place, publisher, year, edition, pages
2015. , 31 p.
Keyword [en]
Nurse anesthetist; Nursing Care; Anxiety; Ambulatory surgical procedures.
Keyword [sv]
Anestesisjuksköterskor; Omvårdnad; Oro; Dagkirurgi.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-255512OAI: oai:DiVA.org:uu-255512DiVA: diva2:822544
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot anestesisjukvård
Supervisors
Examiners
Available from: 2015-06-18 Created: 2015-06-16 Last updated: 2015-06-18Bibliographically approved

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