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Patienters erfarenheter av att vara vakna under ett kirurgiskt ingrepp -En systematisk litteraturstudie
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: I dagsläget föreligger det en bristande empirisk kunskap om patienters upplevelser av att opereras i regional anestesi. Operationssjuksköterskan ansvarar för patientens vård och välmående under den intraoperativa perioden. Därav behöver det finnas en kunskap hos operationssjuksköterskan om hur patienter upplever att opereras i vaket tillstånd för att kunna ge en personcentrerad och evidensbaserad omvårdnad.

Syfte: Att undersöka patienters erfarenheter av att vara vakna under ett kirurgiskt ingrepp.

Metod: En systematisk litteraturstudie innehållande 11 stycken vetenskapliga artiklar med kvalitativ ansats. Analysen har utförts genom metasyntes.

Resultat: I resultatet framkom två huvudteman med underteman av patienternas erfarenheter. 1) Erfarenheter av regional anestesi med underteman: erfaranheter av att medverka, erfarenheter av att hantera situationen, erfaranheter skapade genom sinnen, erfaranheter från omgivningen samt erfaranheter av smärta. 2) Vårdpersonalens betydelse med underteman: betydelsen av vårdpersonalens närvaro, betydelsen av en god kommunikation samt betydelsen av att erhålla information. Resultatet visar att opereras i regional anestesi ger patienter en känsla av deltagande och kontroll, samtidigt förekommer det att patienter upplever ångest och smärta under sitt kirurgiska ingrepp. Patienter erfar vårdmiljön genom sina sinnen och använder sig av olika sätt att hantera upplevelsen av att opereras i vaket tillstånd. För att känna trygghet är det av betydelse att få kontinuerligt med information och att känna en närhet till vårdpersonalen.

Slutsats: För att operationssjuksköterskan ska kunna ge en god omvårdnad till patienter som opereras i regional anestesi behöver det finnas en kunskap om hur patienter erfar den intraoperativa perioden samt en förmåga att kunna se och bemöta varje patient utifrån sin unika livsvärld.  

Abstract [en]

Background: In the current situation there is a lack of empirical knowledge of patients' experiences of being operated in regional anesthesia. The operating theatre nurse is responsible for patient care and well-being during the intraoperative period. Therefore the operating theatre nurse needs knowledge about patients' experience of being awake during surgery, to provide person-centered and evidence based nursing.

Aim: To investigate patients' experiences of being awake during a surgical procedure.

Methods: A systematic literature study containing 11 articles with a qualitative approach. The analysis has been performed with metasynthesis.

Results: The result emerged two main themes with subthemes about patients' experiences. 1) Experiences of regional anesthesia, with subthemes: experiences of participation, experience of handling the situation, experiences created by the senses, experiences from the environment and experiences of pain. 2) Importance of the carers, with subthemes: The importance of presence by the carers, the importance of a good communication and the importance of receive information. The findings show that being operated in regional anesthesia gives patients a sense of participation and control, while at the same time it appears that patients experience anxiety and pain during their surgical procedures. Patients experience the environment through their minds and use different ways to handle the experience of being operated in a wakeful state. To feel safe it is important to receive continuous information and to feel presence to the carers.

Conclusions: To provide good care for patients operating in regional anesthesia, the operating theatre nurse must have knowledge about patients experience in the intraoperative period as well as the ability to see and respond to each patient based on their unique lifeworld.

Place, publisher, year, edition, pages
2018. , p. 39
Keywords [en]
regional anesthesia, intraoperative care, patients experience, surgery, lifeworld
Keywords [sv]
regional anestesi, intraoperativ omvårdnad, patientens erfarenhet, kirurgiskt ingrepp, livsvärld
National Category
Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-74370OAI: oai:DiVA.org:lnu-74370DiVA, id: diva2:1206105
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Theatre Nursing, 60 credits
Supervisors
Examiners
Available from: 2018-05-16 Created: 2018-05-16 Last updated: 2018-05-16Bibliographically approved

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