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Omvårdnadsåtgärder för att minska kirurgpatientens preoperativa oro
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.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Background/Problem: Preoperative anxiety is common with patients undergoing surgery. The anxiety may be associated with severe postoperative complications which are costly and sometimes life threatening. It is therefore necessary to investigate what kind of interventions could be valid and effective to prevent or treat preoperative anxiety.

Aim: This study aims to describe the nursing care interventions that proves to prevent and/or relieve preoperative anxiety within surgical patients.

Method: A literature search was made within PubMed and Cinhal databases. Both randomised controlled studies (RCT) and Quasi-experimental studies were included. A total of 388 articles were screened and 13 articles included in the study.

Results: All interventions had a significant lowering effect on the preoperative anxiety within surgical patients but in different levels. Relaxation exercises showed the most effective to lower the preoperative anxiety. Thereafter nature sounds and acupressure showed to have a similar lowering effect. Calm music generally showed a moderate effect. Acupuncture, information and education showed a similar varying low effect.

Conclusion: Interventions like relaxation exercises, listening to nature sounds, acupressure, acupuncture, listening to music, giving information and education can all be valid and effective nursing care interventions which can easily be used and implemented by nurses in the preoperative care.

Abstract [sv]

Bakgrund/Problemformulering: Preoperativ oro är vanligt förekommande hos patienter som ska genomgå operation. Denna oro kan vara förknippad med eller innebära en ökad risk för allvarliga postoperativa konsekvenser vilka är kostsamma och ibland livshotande. Det är därför av vikt att undersöka vilka typer av interventioner som kan vara validerade och effektiva för att förebygga eller lindra preoperativ oro.

Syfte: Syftet med studien är att beskriva de omvårdnadsåtgärder som bevisas förebygga och lindra preoperativ oro för kirurgiska patienter.

Metod: En litteraturstudie utfördes inom databaserna PubMed och Cinahl. Både randomiserade kontrollerade studier (RCT) och quasi-experimentella studier inkluderades. Totalt undersöktes 388 artiklar och 13 artiklar inkluderades i studien.

Resultat: Alla interventioner hade en signifikant minskande effekt för att minska preoperativ oro hos kirurgpatienter men i olika grad. Avslappningsövningar visade sig ha störst effekt för att minska preoperativ oro. Därefter redovisades naturljud och akupressur vilka hade en liknande god effekt. Lugn musik hade generellt en måttlig effekt. Akupunktur, Information och undervisning hade en varierande låg effekt.

Slutsats: Interventioner som avslappningsövningar, att lyssna på naturljud, akupressur, akupunktur, att lyssna på musik, informationsgivning och undervisning kan alla vara adekvata och effektiva omvårdnadsåtgärder som lätt kan användas och implementeras av sjuksköterskor i den preoperativa vården.

Place, publisher, year, edition, pages
2018. , p. 49
Keywords [en]
Anxiety, preoperative, nursing care
Keywords [sv]
Oro, preoperativ, omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-353485OAI: oai:DiVA.org:uu-353485DiVA, id: diva2:1219981
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2018-06-18 Created: 2018-06-18 Last updated: 2018-06-18Bibliographically approved

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