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Anledningar till varför patienter inte går hem som planerat efter elektiv höftplastik
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.
2011 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Det finns 79 sjukhus i Sverige som utför total höftledsplastik. Ett sjukhus i Mellansverige opererar årligen 300 elektiva höftplastikoperationer. Syftet med studien var att undersöka hur stor andel av patienterna som inte går hem som planerat efter elektiv höftplastikoperation samt vilka orsaker som ligger bakom detta. Även ålder- och könsskillnader vad gäller tidpunkt för hemgång har undersökts.Studien är empirisk och kvantitativ med en jämförande och deskriptiv studiedesign. Egenhändigt utformade formulär delades ut. Totalt 52 formulär samlades in varav 10 uteslöts som bortfall.Studien visade att 64 % av patienterna blir kvar längre än planerat på sjukhuset. Detta beror på flera olika faktorer. Lågt blodvärde och/eller behov av blodtransfusion, hemsituation och immobilisering var de tre främsta orsakerna. Övriga orsaker som framkom var yrsel och svimning, övrig sjukdom, helg, smärta, ny fraktur samt bilaterala proteser. Ingen signifikant skillnad kunde påvisas mellan ålder och försenad hemgång eller mellan kön och försenad hemgång.Slutsatsen är att majoriteten av de elektiva höftplastikpatienterna blir kvar längre än planerat på avdelningen och de tre främsta orsakerna till detta är lågt blodvärde och/eller behov av blodtransfusion, hemsituation och immobilisering.

Abstract [en]

ABSTRACTThere are 79 hospitals in Sweden performing total hip replacement. A hospital in central Sweden operates an annual of 300 elective hip replacement surgeries. The purpose of this study was to examine the proportion of patients who do not go home as planned after elective hip replacement and the reasons behind this. Age and gender differences in the timing of discharge have also been investigated.The study is empirical and quantitative, with a comparative and descriptive study design. Self-designed forms were distributed. A total of 52 forms were collected of which 10 were excluded as non-response.The study showed that 64% of patients remain longer than planned at the hospital. This is due to several factors. Anemic and/or need for blood transfusion, home situation and immobilization were the three main causes. Other factors that emerged were dizziness and fainting, other illness, weekend, pain, new fracture and bilateral prostheses. There were no significant difference between age and delayed discharge or between sex and delayed discharge.The conclusion is that the majority of elective hip replacement patients remain longer than planned in the hospital and the three main reasons for this are anemic and/or need for blood transfusion, home situation and immobilization.

Place, publisher, year, edition, pages
2011. , p. 23
Keyword [sv]
Försenad hemgång; Artroplastik; Coxartros; Höftplastikoperation
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-140829OAI: oai:DiVA.org:uu-140829DiVA, id: diva2:384479
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-01-17 Created: 2011-01-10 Last updated: 2011-01-17Bibliographically approved

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