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Patienters upplevelse av sömn på sjukhus - omvårdnad och miljö: Litteraturstudie
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.
2019 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund Sömnen har många viktiga funktioner. Det är bland annat under sömnen kroppen återhämtar sig. Vid inläggning på sjukhus upplever patienter att sömnen störs. Sömnstörning påverkar läkningsprocessen negativt.

Syfte med denna litteraturstudie var att undersöka hur inneliggande vuxna patienter upplever sömnen i sjukhusmiljön samt vilken omvårdnad som främjar patienters sömn.

Metod Allmän litteraturöversikt med en deskriptiv design. Studien innefattade tolv artiklar med både kvalitativa och kvantitativa ansatser. Artiklarna granskades med granskningsmallar och artiklarnas resultat analyserades och kategoriserades in under olika områden.

Resultatet visade att patienternas upplevelse av orsaken till sömnstörning övergripande berodde på; tankar och oro som uppkom i sjukhusmiljön, störande faktorer i sjukhusmiljön, sjukdom och symtom samt rutiner på avdelningarna. Omvårdnadsåtgärder som främjade sömn var lindring av oro, anpassning av miljö, delaktighet och tillfredsställande smärtlindring.

Slutsats Sjukhusmiljön har stor inverkan på sömnen. Öronproppar och sovmask kan erbjudas till patienter för att eliminera ljud och ljus. En dialog mellan sjuksköterska och patient kan vara till hjälp för att upptäcka och hitta lösningar till patientens sömnstörning. Det finns ett behov av mer utbildning och forskning kring sömnfrämjande omvårdnad.

Abstract [en]

Background Sleep is vital for various functions. Among other things sleep aid the human body to recover. Due to hospitalization many patients experience sleep disturbances. Sleep disruptions effects the healing process negatively.

Purpose The purpose of this study was to investigate how adult inpatients experience sleep in the hospital environment and to identify promoting nursing care.

Method Literature review with a descriptive design. The study included twelve articles both with qualitative and quantitative design. The quality of the articles was assessed and the content regarding sleep analyzed and categorized into subcategories.

Result Showed that the reason for inpatients sleep disturbances were mainly caused by; thoughts and worries caused by the hospital environment, disturbing factors in the environment, illness and symptoms and also routines in the hospital wards. The result even showed nursing care that promoted sleep were relief of worry, adaptation of the environment, participation and sufficient pain relief.

Conclusion Hospital environment have a major impact on sleep. Earplugs and eyemasks can be offered to patients to eliminate sound and light. A dialogue between the nurse and the patient can be helpful to discover and find solutions to the patient's sleep deprivation. There is a need for more education and research in sleep-promoting nursing.

Place, publisher, year, edition, pages
2019. , p. 27
Keywords [en]
sleep deprivation, hospital, environment, patient experience, nursing care
Keywords [sv]
sömnbrist, sjukhus, miljö, patientupplevelse, omvårdnad
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-397966OAI: oai:DiVA.org:uu-397966DiVA, id: diva2:1374090
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2019-11-29 Created: 2019-11-28 Last updated: 2019-11-29Bibliographically approved

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