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Förekomsten av trycksår hos patienter som genomgår brachybehandling vid prostatacancer
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 [en]

Prostate cancer is the most common cancer in men. One type of treatment is internal radiation therapy, brachytherapy. This treatment requires the patient to lie completely motionless and in lithotomy position. The purpose of this study was to investigate the prevalence of pressure ulcers associated with brachytherapy in prostate cancer at the UniversityHospitalin Uppsala. Furthermore, the purpose was to identify the most common location of pressure ulcer and to examine whether there were any connection between risk factors and possible pressure ulcers. Thirty patients participated in the study. The data collection was carried out partly by the nurse anesthetist and partly by the nurse in the oncology ward in fall 2009 to spring 2010. The study showed that seven of thirty patients (23.3%) developed pressure ulcers after brachytherapy. All of these were stage 1 according to EPUAP's pressure ulcer scale. Only one of the patients (3.3%) had remaining pressure ulcer the day after treatment. The most common location were lower legs/calves (16.7%). No statistically significant relationship was found between risk factors and the development of pressure ulcers. The results of this study showed a relatively high incidence of pressure ulcers (23.3%). All of stage 1 and only one of the pressure ulcers were remaining the day after brachytherapy. This indicates a good pressure-relieving measures and equipment, and that the patients in this study have a relatively good general          condition.Keywords: brachytherapy, pressure ulcers, lithotomy position, risk factors

Abstract [sv]

Prostatacancer är den vanligast förekommande cancersjukdomen hos män. En av behandlingsformerna är intern strålbehandling, brachyterapi. Denna behandling kräver att patienten ligger helt stilla och i gynekologiskt läge. Syftet med studien var att undersöka förekomsten av trycksår i samband med brachyterapi vid prostatacancer på Akademiska sjukhuset i Uppsala. Vidare var syftet med studien att kartlägga de vanligaste lokalisationerna samt att undersöka om de fanns några samband mellan riskfaktorer och eventuella trycksår. Trettio patienter deltog i studien. Datainsamlingen utfördes dels av anestesisjuksköterskan och dels av patientansvarig sjuksköterska på onkologavdelningen under hösten 2009 till våren 2010. Resultatet av studien visade att sju av trettio patienter (23,3 %) utvecklade trycksår efter behandlingen. Alla dessa var av grad 1 enligt EPUAP:s trycksårsskala. Endast en av patienterna (3,3 %) hade kvar trycksåret dagen efter behandlingen. Den vanligaste lokalisationen för trycksår var underben/vader (16,7 %). Inga statistiskt säkra samband kunde ses mellan riskfaktorerna och utvecklandet av trycksår. Studien visade en relativt hög frekvens av trycksår (23,3 %). Dock var samtliga av grad 1 och endast ett trycksår var kvarstående till dagen efter brachybehandlingen. Detta tyder på bra tryckavlastande åtgärder och utrustning samt att patienterna i den aktuella undersökningsgruppen har relativt gott allmäntillstånd.

 

Nyckelord: brachyterapi, trycksår, gynekologiskt läge, riskfaktorer

Place, publisher, year, edition, pages
2011.
Keyword [en]
brachytherapy, pressure ulcers, lithotomy position, risk factors
Keyword [sv]
brachyterapi, trycksår, gynekologiskt läge, riskfaktorer
Identifiers
URN: urn:nbn:se:uu:diva-156914OAI: oai:DiVA.org:uu-156914DiVA: diva2:433872
Subject / course
Caring Sciences
Educational program
Freestanding course
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-08-11 Created: 2011-08-11 Last updated: 2011-08-11Bibliographically approved

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