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Logopedens arbete med akuta strokepatienter: en retrospektiv registerstudie vid Gävle sjukhus
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Stroke utgör en av de vanligaste folksjukdomarna i Sverige med 30 000 fall per år. Sjukdomen orsakas av blodpropp eller blödning i hjärnan och symtomen varierar beroende på vilken del av hjärnan som är skadad. De överlevande drabbas av övergående eller långvariga komplikationer. Det krävs omfattande akuta åtgärder såväl som rehabiliterande insatser för strokedrabbade, och det totala antalet vårddagar beräknas uppgå till närmare en miljon årligen. Logopeden ansvarar för att utreda, diagnostisera och behandla svälj- och kommunikationssvårigheter, vilka ofta förekommer i samband med stroke. I Sverige finns för närvarande inga studier där logopediska insatser undersöks för patienter med dysartri, dysfagi och afasi i den akuta fasen. Denna studie syftar till att undersöka vilka logopediska insatser som görs vid akuta strokeavdelningen på Gävle sjukhus, och att undersöka det eventuella sambandet mellan tidig bedömning och total vårdtid. En journalgenomgång gjordes av 130 journaler från patienter som vårdats akut med bekräftad stroke på Gävle sjukhus och som varit aktuella för logopedisk bedömning under 2014. Studiens resultat indikerar att dysfagipatienter prioriteras vad gäller såväl bedömning som intervention. Majoriteten av patienter med afasi erbjöds ingen intervention alls och inga patienter med dysartri erhöll någon intervention under den akuta vårdtiden. Det fanns ett positivt samband mellan den totala vårdtiden och antal dagar från inskrivning till logopedisk bedömning för afasipatienterna.

Abstract [en]

Stroke constitutes one of the most common national diseases in Sweden with 30 000 affected per year. The disease is caused by cerebral thrombus or hemorrhage and the symptoms vary depending on which part of the brain that is affected. Stroke survivors suffer temporary or long-term complications. The condition requires extensive acute as well as rehabilitative interventions, and the total days of care is approximately one million annually. The speech and language pathologist (SLP) is responsible for investigating, diagnosing and treating dysphagia, aphasia and dysarthria, which often occurs in association with stroke. In Sweden, there are no studies investigating the SLP-intervention for patients suffering from dysarthria, dysphagia and aphasia in the acute phase. The aim for this study is to investigate which interventions that are done at Gävle hospital, and to investigate the correlation between early assesment and total length of hospital stay. A review of 130 medical records in which patients who had received treatment for a confirmed acute stroke and were up for speech pathology assessment during 2014 was performed. The study’s result indicates that patients suffering from dysphagia are prioritized in terms of both assessment and intervention. The majority of patients suffering from aphasia were not offered any intervention, and patients suffering from dysarthria did not obtain any intervention during the acute hospital stay. A positive correlation was found between total length of hospital stay and the amount of days from enrollment to SLP-assesment for patients with aphasia.

Place, publisher, year, edition, pages
2016. , 48 s p.
Series
Examensarbete i logopedi, 126
Keyword [en]
stroke, dysphagia, aphasia, dysarthria, speech language pathologist, intervention, rehabilitation, length of hospital stay
Keyword [sv]
stroke, dysfagi, afasi, dysartri, logoped, intervention, rehabilitering, vårdtid
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-278845OAI: oai:DiVA.org:uu-278845DiVA: diva2:907031
Educational program
Degree of Master of Science in Speech and Language Pathology
Supervisors
Examiners
Available from: 2016-02-26 Created: 2016-02-25 Last updated: 2016-02-26Bibliographically approved

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