Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Kan omvårdnadshandlingar orsaka EEG-förändringar hos neurokirurgiska intensivvårdspatienter?: 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.
2017 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

ABSTRACT

Background: An acquired brain injury can be classified as either a primary brain injury or a secondary brain injury. A secondary brain injury can also be caused by secondary clinical insults, such as epileptic seizures. To date, there have been no studies conducted on whether nursing interventions, such as bathing, oral care and suctioning the endotracheal tube, can cause epileptic seizures when caring for neurosurgical patients in the intensive care ward.

Aim: The aim of this study was to explore whether nursing interventions can cause changes in a neurosurgical intensive care ward patient’s EEG pattern.

Methods: Qualitative prospective observational study, using descriptive design (non-experimental). There was a total of 12 patients included in this study, all from a neurointensive care ward in the middle of Sweden. The patients were observed using continuous EEG monitoring with video recording all nursing interventions during 48 hours for each patient. The nursing interventions that were conducted were marked and categorised on a data log. The EEG was then analysed by a neurophysiologist, the results of which were also documented on the data log.

Results: The total number of nursing interventions that have been observed for all 12 patients are 1170. Of these, 55 percent resulted in a change in the EEG pattern. The changes in an EEG pattern were categorized into one of four categories. The category with the largest percentage of documented changes was muscle artifact. The nursing interventions that resulted in the highest percentage of EEG pattern changes were – Everything at once, Oral care, Hygiene, Change of position and Suctioning the endotracheal tube. A correlation between the duration of nursing interventions and the occurrence of EEG pattern changes was detected. The longer the nursing intervention lasted the more EEG changes were generated.

Conclusion: The results of the study show that nursing-related EEG changes can occur. This suggests that nursing interventions may be stressful for the neurosurgical intensive care patient. It is possible that this stress could be palliated by raising awareness among nursing staff of the importance of using sedatives and analgesics before performing nursing interventions. 

Place, publisher, year, edition, pages
2017. , 38 p.
Keyword [en]
Nursing, intensive care, neuro surgical, EEG
Keyword [sv]
Omvårdnad, Intensivvård, Neurokirurgi, EEG
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-323741OAI: oai:DiVA.org:uu-323741DiVA: diva2:1107282
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot intensivvård
Supervisors
Examiners
Available from: 2017-06-12 Created: 2017-06-09 Last updated: 2017-06-12Bibliographically approved

Open Access in DiVA

fulltext(1471 kB)12 downloads
File information
File name FULLTEXT01.pdfFile size 1471 kBChecksum SHA-512
fdfb9e0601d3436bbe83b6bbebbae5080534c1e9728aa2f7a6b101a8ca1959a35d3dd2201439c08fe3c13c5b6ce59b57ef752968e64207f2fcd7772ed09e687a
Type fulltextMimetype application/pdf

By organisation
Department of Public Health and Caring Sciences
Nursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 12 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Total: 114 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf