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Patientens upplevelse efter knäprotesoperation och den korta vårdtiden- En intervjustudie
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.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Under senare år har det satsats på att effektivisera den elektiva vården (Fast-track”). Vårdtiden efter en total knäprotesoperation (TKA) är i dag bara några enstaka dagar. Studier har visat att det finns en oro hos patienter att bli utskrivna för tidigt. Det finns också studier som visar att operationssjuksköterskan genom perioperativ omvårdnad kan lägga grunden för en effektiv rehabilitering hos patienten efter ett kirurgiskt ingrepp. Denna studie fokuserar på patienters upplevelse av en TKA-operation och hela vårdförloppet med utgångspunkt i den korta vårdtiden.Syfte: Syftet med studien var att beskriva patientens upplevelse av att genomgå en TKA operation och den korta vårdtiden.Metod:En intervjustudie genomfördes med tio patienter som genomgått en TKA-operation utifrån ett strategiskt urval. Patienternas smärta skattades enligt VAS skalan. Intervjuerna spelades in, skrevs ut ordagrant och analyserades med kvalitativ innehållsanalys.Resultat: Sex underkategorier som i sin tur skapade tre kategorier framkom; information, bemötande och symtomlindring. Samtliga patienter var väldigtnöjda med upplevelsen av hela vårdprocessen. Bemötandet och information från vårdpersonalen var en del av det som gjorde patienterna nöjda. VAS-skattning visade på hög smärta hos patienterna.Slutsats: Patienternas upplevelse av att genomgå en TKA-operation och den korta vårdtiden sågs som positiv.Trots det positiva resultatet förespråkas mer forskning utifrån ett större antal patienter för att få ett mer generaliserbart resultat av patienternas upplevelser av TKA och den korta vårdtiden. Operationssjuksköterskans delaktighet i den perioperativa vården kan med fördel tas upp i diskussion på rådande sjukhus.

Abstract [en]

Background:During the past years, there have been investments to make the elective healthcare more effective (Fast-track). The hospital stay after a knee replacement (TKA) is today just a few days. Studies indicate that there is a concern among patients to be discharged too early. There are also studies that shows that the theatre nurse through perioperative care can lay the foundation for an effective rehabilitation of the patient after surgery. This study focuses on the patients experience of a TKA surgery and throughout the care process based on the short hospital stay.Purpose:The purpose with this study was to describe the patient`s experience of undergoing a TKA surgery and the short hospitalization.Method:An interview study was made with ten patients who have undergone a TKA-operation from a strategic selection. The patient`s pain was evaluated with VAS scale.The interviews were recorded, transcribedverbatim and analysed using qualitative content analysis.Outcome:Six subcategories which in turn created three categories emerged; information, treatment and symptom relief. All the patients were very satisfied with the experience of the care process. The treatment and information given from the medical staff was part of what made the patient satisfied. VAS estimation showed that patients scored high pain. Conclusion:The patient ́s experience of undergoing a TKA surgery and the short hospitalization was seen as positive. Despite the positive result further research from a larger number of patients to get a more generalizable result of the patient ́s experiences from TKA and the short hospitalization is advocated. Theatre nurses ́ participation in theperioperative healthcare can advantageously be discussed at the current hospital.

Place, publisher, year, edition, pages
2017. , p. 32
Keywords [en]
“Fast Track”, TKA, Experience, Theatre nurse, Information
Keywords [sv]
”Fast Track”, TKA, Upplevelse, Operationssjuksköterskan, Information
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-62857OAI: oai:DiVA.org:lnu-62857DiVA, id: diva2:1093409
Subject / course
Vårdvetenskap
Educational program
Specialist Nursing Programme, with Specialism in Theatre Nursing, 60 credits
Supervisors
Examiners
Available from: 2017-05-08 Created: 2017-05-05 Last updated: 2017-05-08Bibliographically approved

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