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  Opioid-inducerad obstipation i samband med postoperativ smärtbehandling: Förekomst och förebyggande åtgärder
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.
2012 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Objective: The objective was to examine the incidence of constipation, and the preventive measures taken in relation with postoperative pain treatment with opioids at two orthopaedic surgery wards.

Methods: The participants were patients that had undergone surgery in the back, hip or thigh. They were selected through systematic selection and a total of 46 electronic health records were examined. The factors investigated and tested for correlation with constipation were the usage of laxatives, daily fluid-intake and early mobilisation.

Results: Totally, 26.1 % of the patients became constipated, and laxatives were prescribed to 65.2 % of the patients. Doctors prescribed 53.3 % of the laxatives, nurses 33.3 % and for the remaining 13.3 % it was uncertain who had written the prescription. Usage of laxatives seemed to cause constipation (p=0,025), whereas there was no correlation between constipation and early mobilization. The documentation regarding daily fluid-intake was insufficient and no correlation test could be performed.

Conclusions: This study failed to demonstrate that usage of laxatives and early mobilization prevents constipation in patients postoperatively treated with opioids. There was a need for increased education about constipation and its preventing measures for health care workers.

Place, publisher, year, edition, pages
2012. , 26 p.
Keyword [sv]
opioider, obstipation, magtarm kanalen, prevalens, postoperativ smärta
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-166452OAI: diva2:476604
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Available from: 2012-01-12 Created: 2012-01-12 Last updated: 2012-01-12Bibliographically approved

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