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Att opereras och vara vaken: Upplevelser utifrån patientperspektivet
Halmstad University, School of Health and Welfare.
Halmstad University, School of Health and Welfare.
2015 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Awake surgery : Experiences from the patient perspective (English)
Abstract [sv]

Det är vanligt att patienter som genomgår kirurgi får antingen lokal eller regional anestesi istället för att bli helt sövda. Denna anestesiform kräver mycket av patienten avseende samarbete. Den perioperativa omvårdnaden anpassas under varje operation efter den enskilde patientens behov. Denna studie har utförts som en litteraturstudie med syftet att beskriva patienters upplevelser under vaken kirurgi. Resultatet kategoriserades utefter tre teman; Upplevelser av smärta och obekvämlighet, Upplevelser av oro och ångest och Upplevelser av utsatthet eller delaktighet. Patienter som genomgår vaken kirurgi upplever smärta, känslor av obekvämlighet, oro, ångest och rädslor för att behöva höra, se och känna något av operationen. Känslan av att inte ha kontroll över sin egen kropp skapar känslor av utsatthet. Närvaro och kommunikation mellan anestesisjuksköterskan och patienten skapar upplevelser av delaktighet. Resultatet diskuteras utifrån Comfort Theory’s fyra kontexter; Fysisk, Psykospirituell, Sociokulturell och Miljömässig. Anestesisjuksköterskans uppgifter blir att hitta de omvårdnadsinterventioner som lindrar och underlättar patientens situation i den perioperativa miljön. Vidare finns det således behov av att undersöka vilka olika omvårdnadsinterventioner som påverkar patientens perioperativa nöjdhet och bekvämlighet.

Abstract [en]

A common procedure in surgery is local or regional anesthesia in contrast to general anesthesia. These forms of anesthesia demand a lot from the patient in terms of collaboration. During the surgical procedure, the perioperative nursing care needs to be adapted to each patient’s individual needs. Therefore, this study is a literature review with the aim to describe patients’ experiences during awake surgery. The results were categorised from three themes, experiences of pain and discomfort, experiences of anxiety and fear, experiences of vulnerability or participation. Patients undergoing awake surgery experience pain, discomfort, anxiety and fear of hearing, seeing and feeling anything during the surgical procedure. The feeling of not having control of your own body results in experiences of feeling vulnerable. To be close to the patient and have a good communication between the nurse anesthetist and the patient create experiences of participation. The role of the nurse anesthetist is to find nursing interventions which relieve and help the patient in these situations. The results are discussed according to the Comfort Theory’s context; physical, psychospiritual, sociocultural and environmental. The skills for the nurse anesthetist are to find nursing interventions which relief and ease the situation for the patient. Furthermore, there is a need to investigate effects of different nursing interventions on patients’ satisfaction and comfort in the perioperative setting.

Place, publisher, year, edition, pages
2015. , 42 p.
Keyword [en]
Anesthesia, Awake surgery, Experiences, Nursing and Patients
Keyword [sv]
Anestesi, Omvårdnad, Patienter, Upplevelser, Vaken Kirurgi
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hh:diva-28618OAI: oai:DiVA.org:hh-28618DiVA: diva2:822778
Subject / course
Nursing
Supervisors
Examiners
Available from: 2015-06-25 Created: 2015-06-17 Last updated: 2015-06-25Bibliographically approved

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fulltext(764 kB)219 downloads
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CiteExportLink to record
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  • apa
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