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Barns upplevelse av dagkirurgi: Från ovisshet till lättnad med nyvunnen erfarenhet
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Children's experience of day surgery : From uncertainty to relief with newly acquired experience (English)
Abstract [en]

Background: An increasing number of operations on children are performed as day surgery and this experience of health care may affect future hospital stays. The aim of this qualitative study was to describe children´s experiences in connection with day surgery. Method: Ten children aged six to fifteen who had gone through general anesthesia at examinations or surgery were interviewed and the content was analyzed by systematic text condensation. Result: The core category “From uncertainty to relief with newly acquired experience” could summarize the result of this interview study. In the category “Uncertainty creates insecurityall children expressed varying levels of anxiety for the anesthesia. The main causes for the worry were insufficient information or lacking experience from similar health care situation. "The concrete experience different from the qualm” describes that the discomfort the children expressed were different or slighter than expected. The anesthetization was easy and quick while the awakening was described as more unpleasant. In the category “Good nursing care creates security and trust” the children appreciated the staff and their way of informing and giving care. Many expressed an ease that the procedure had passed and would experience less anxiety before a possible future anesthesia; “Relieved and strengthened through experience”. Conclusion: The interviewed children had surprisingly little knowledge in advance of what would happen during the day and not to mention the procedure of anesthesia. Unpleasant experiences were described even during moments where it was not expected. To reduce the anxiety and discomfort the information in connection with day surgery needs to be substantially improved in this age group.

Abstract [sv]

Bakgrund: Allt fler operationer på barn utförs polikliniskt och denna erfarenhet av sjukhusvård kan påverka upplevelsen vid framtida vårdtillfällen. Syftet med denna kvalitativa studie var att beskriva barns upplevelser i samband med dagkirurgi. Metod: Tio barn sex till femton år som genomgått sövning i samband med undersökning eller operation intervjuades och innehållet analyserades med systematisk textkondensering. Resultat: Temat ”Från ovisshet till lättnad med nyvunnen erfarenhet” kan sammanfatta resultatet av intervjustudien. I kategorin ”Ovisshet skapar otrygghet” uttrycktes oro i varierande grad inför sövningen vilken främst orsakades av otillräcklig information eller saknad erfarenhet av liknande sjukvårdssituation. ”Den konkreta upplevelsen annorlunda än farhågan” beskriver att obehagen barnen berättade om var annorlunda eller lindrigare än förväntat. Nedsövningen gick lätt och snabbt medan uppvaknandet beskrevs som mera obehagligt. Under kategorin ”God omvårdnad skapar trygghet och tillit” gav barnen positiva omdömen om personalen och deras sätt att informera och ge omvårdnad. Många uttryckte en lättnad över att ingreppet var genomfört och uppgav att de skulle känna mindre oro inför en möjlig framtida sövning; ”Lättade och stärkta av erfarenheten”. Slutsats: De intervjuade barnen hade överraskande lite kunskap i förväg om vad som skulle hända under dagen och inte minst narkosproceduren. Obehag upplevdes även under moment där det ej förväntades. För att minska oro och obehag behöver informationen i samband dagkirurgi förbättras avsevärt till denna åldersgrupp.

Place, publisher, year, edition, pages
2010. , p. 48
Keywords [en]
children, experiences, day surgery, qualitative method
Keywords [sv]
barn, upplevelse, dagkirurgi, kvalitativ metod
Identifiers
URN: urn:nbn:se:uu:diva-126530OAI: oai:DiVA.org:uu-126530DiVA, id: diva2:324710
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-06-16 Created: 2010-06-15 Last updated: 2010-06-16Bibliographically approved

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