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Extubering ur ett patientperspektiv: En observationsstudie
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.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Intensivvård innebär diagnostisering, övervakning, behandling och omvårdnad av patienter med akut livshotande tillstånd/sjukdomar. Thoraxintensivvård definieras som vård omedelbart efter: hjärtoperationer med ECC (hjärt- lungmaskin), koronaroperationer off-pump, öppen kirurgi på torakalaorta och perkutana aortaklaffar. Varje intensivvårdssjuksköterska ska behandla patienten med respekt för dennes autonomi och integritet samt ge omvårdad utifrån dennes individuella behov. Sjuksköterskan/intensivvårdssjuksköterskan skall också om patienten vill, föra dennes talan i vården. Det finns situationer som gör att patienterna inte känner sig delaktiga i sin vård. Exempel på sådana situationer kan vara när patienten får reda på provresultat och undersöknings resultat men inte får någon förklaring till vad de betyder, när patienten inte vet vad som ska hända härnäst, när patienten blir betraktad som ett objekt eller-, när patienten inte blir lyssnad på och patientens åsikt inte tas i beaktande.

Syfte: Syftet med studien var att studera patientperspektivet vid väckning och extubation efter thoraxkirurgi, som sker i ett tidigt postoperativt förlopp.

Metod: Studien är en kvalitativ och deskriptiv semistrukurerad observationsstudie med fältanteckningar.

Resultat: Resultatet visar att kommunikation, lugnande omvårdnad, information och delaktighet var fyra stycken huvudområden.

Slutsats: Vid tidig extubering av patient som genomgått thoraxkirurgi krävs att patienten görs delaktig i sin vård genom att information kommuniceras tidigt och tydligt. Det var av stor vikt för patienten att vårdpersonalen guidade denne genom extubationen, för att minska obehaget som denna upplevelse kan orsaka.

Abstract [en]

Background: Intensive care involves diagnosing, monitoring, treatment and care of patients with acute life-threatening conditions / diseases. Thoracic intensive care is defined as immediate care after: cardiac surgery with ECC, coronary surgery off pump, open surgery on the aorta and percutaneous aortic valves. Each intensive care nurse must treat the patient with respect for their autonomy and integrity and provide care based on the patients individual needs. ICU nurses has to, if required by the patient, represent the patient in the daily care. There are situations when the patients may feel that they are not able to participate care. Examples of such events can be when the patient gets out test scores and survey results, but does not get any explanation of what they mean, when the patient does not know what will happen next, when the patient is viewed as an object, when the patient does not get listened to or when the patient's opinion is not taken into account.

Objective: The aim of this study was to study the patient's perspective of wake-up and extubation after thoracic surgery, which takes place in the early postoperative course.

Method: The study is a qualitative and descriptive semi-structured observational study with field notes.

Results: The results show that communication, soothing care, information and participation were four main areas.

Conclusion: Early extubation of patients undergoing thoracic surgery requires that patients are involved in their care through information communicated early and clearly. It was very important for the patient's that the medical staff guided them through the extubation, to reduce the discomfort that this experience can cause.

Place, publisher, year, edition, pages
2016. , 34 p.
Keyword [sv]
Intensivvård, extubation, postoperativvård, personcentrerad vård.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-296267OAI: oai:DiVA.org:uu-296267DiVA: diva2:937031
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot intensivvård
Supervisors
Examiners
Available from: 2016-06-16 Created: 2016-06-14 Last updated: 2016-06-16Bibliographically approved

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