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Preoperativ information inför cancerkirurgi: - Patienters erfarenheter- En kvalitativ deskriptiv intervjustudie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2019 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Inför ett kirurgiskt ingrepp erhålls information kring pre/intra/post – operativa rutiner. Det är inte helt klarlagt hur patienter uppfattar och kan ta till sig denna information. Syfte: Att beskriva patienters erfarenheter av preoperativ information inför kolo-rektal cancer kirurgi. Design: Kvalitativ deskriptiv studie med semi-strukturerade intervjuer. Kontext: Intervjuerna genomfördes på en vårdavdelning tillhörande ett universitetssjukhus i Sverige. Deltagare: 14 deltagare tillfrågades att delta i studien varav sju accepterade att delta. Metod: Intervjuerna spelades in på band och transkriberades ordagrant, insamlad data analyserades efter latent innehåll utefter Graneheim och Lundmans modell för innehållsanalys. Resultat: Huvudtema: Personcentrerad omvårdnad, och fyra teman: 1. Betydelsen av individuellt anpassad information. 2. Tydliga besked och bra bemötande främjar trygghet. 3. Stöd av närstående är betydelsefullt. 4. Väntan på svar främjar ovisshet. Deltagarna var sammantaget nöjda med erhållen preoperativ information. Några av deltagarna hade dock svårigheter att minnas all information som givits. Att leva i ovisshet kring fortsatt prognos samt framtiden gav känslor av otrygghet och oro. Betydelsen av närstående och anhöriga var stor, dels för att uppfatta informationen korrekt, för att minnas den samt för emotionellt stöd. Behov av ytterligare information gällde biverkningar av läkemedel, kostråd efter kirurgi, provsvar, peroperativa förlopp samt information kring livet efter sjukhusvistelsen. Slutsats: : Att utgå från en personcentrerad vård, där patientens egna berättelse är i fokus, kan bidra till att ge en mer individbaserad preoperativ information, och på så sätt stärka patientens egna resurser under vårdtiden.

Abstract [en]

Background: Information regarding the pre/intra/post – operative routines is given prior to surgical interventions. It is not entirely clarified how patients perceive this information. Objective: To explore patients´ experiences regarding preoperative information before undergoing colo-rectal cancer surgery. Design: Qualitative descriptive study with semi-structured interviews. Setting: Interviews were conducted in a hospital ward on a university hospital in Sweden. Participants: 14 participants were asked to participate and seven accepted to participate in the study. Method: Interviews were tape recordered and collected data were transcribed verbatim and analyzed for latent content using Graneheim and Lundman´s outline for content analysis. Results: Main theme: Person-centered nursing care. Four themes were identified: 1. The meaning of individual-based information. 2. Explicit notifications and warm receptions promote feelings of safety. 3. Support from next of kin are meaningfull. 4. Waiting for answers promotes feelings of uncertainty. All of the participants were satisfied with acquired preoperative information. However, a few of the participants had difficulties remembering all of the information given. Feelings of uncertainty about the prognosis and the future were present and were experienced as to somewhat burdensome. The importance of relatives and next of kin were very important in regard of understanding and memorizing given information, but also for emotional support. The need for further desired information included pharmacological side effects, dietary advice following surgery, test results, perioperative complications and information regarding life after discharge. Conclusions: Providing person-centered care based on the narrative from the patient can help healthcare professionals to provide more accurate and individual based preoperative information.

Place, publisher, year, edition, pages
2019. , p. 32
Keywords [en]
Nursing, colo-rectal cancer, patient´s needs of preoperative information.
Keywords [sv]
Personcentrerad vård, kolorektal-kirurgi, perioperativ omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-389383OAI: oai:DiVA.org:uu-389383DiVA, id: diva2:1344193
Subject / course
Caring Sciences; Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot anestesisjukvård; Specialistsjuksköterskeprogrammet med inriktning mot anestesisjukvård
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Examiners
Available from: 2019-08-20 Created: 2019-08-20 Last updated: 2019-08-20Bibliographically approved

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