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Smärtupplevelser under PCI-behandling vid punktion av arteria radialis
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 [sv]

Syfte: Syftet med föreliggande studie är att studera smärtupplevelser, smärtfrekvens och smärtintensitet hos patienter med akut kranskärlssjukdom, som genomgår PCI-behandling med punktion av a. radialis, vid ett universitetssjukhus i mellansverige. Syftet är även att studera skillnaden i smärtfrekvens mellan män och kvinnor som genomgår PCI-behandling. Metod: Deskriptiv, komparativ tvärsnittstudie med kvantitativ ansats. Totalt 31 deltagare tillfrågades varav 20 medverkade i studien, bortfallet uppgick till 11. Datainsamling skedde med enkätfrågor rörande smärtfrekvens, -intensitet, -lokalisation och skede. Visuell analog skala (VAS) användes för att mäta smärtintensitet. Data sammanställdes i stapeldiagram i Microsoft Word samt Statistical Packages for the Social Sciences. Resultat: I studien upplevde 5 (n=20) deltagare smärta, lokalbedövning samt kateter införande var de skeden där flest deltagare upplevde smärta, den vanligaste lokalisationen var i underarmen oberoende av skede. Högst skattade smärtintensitet var 9 (0-10) på VAS-skalan och upplevdes i annan kroppsdel. Av de kvinnliga deltagarna (n=5) upplevde 60% smärta och av de manliga (n=15) upplevde 20% smärta. Det var ingen signifikant skillnad i smärtfrekvens mellan könen, p=0,371. Slutsats: Resultatet visar att 25% av deltagarna upplevde smärta i samband med PCI-behandling. Det vanligaste skedet där smärta upplevdes var lokalbedövning.  Smärtans lokalisation var vanligast förlagd till underarmen. Ingen signifikant skillnad mellan män och kvinnors smärtfrekvenser har påvisats.

Abstract [en]

Aim: The aim with this study was to measure the sensation of pain, pain frequency and the intensity of pain in patients with acute coronary heart disease, whom experienced PCI-treatment with catheterization, through a. radialis, at a university hospital in central Sweden. The aim was also to study differences in pain frequency between men and women who experienced PCI-treatment. Method: Descriptive, comparative cross-sectional study with a quantitative approach. A total of 31 participants where asked of which 20 chose to partake in the study, the non-respons was counted to 11. The data was collected with a survey regarding pain frequency,  -intensity, -localization and phase. Visual analog scale (VAS) was used to estimate intensity of pain. Data was compiled into bar charts in Microsoft Word and Statistical Packages for the Social Sciences.  Result: Five (n=20) of the participants experienced pain, local anesthesia and catheterization where the most common phase to experience pain. The most common localization to experience pain in was the forearm, disregarding any particular phase of the treatment. The highest intensity of pain where estimated to 9 (0-10) on the VAS-scale and was located to other limb. Among the female participants (n=5) 60% experienced pain and among the male participants (n=15) 20% experienced pain. There was no significant difference pain intensity between genders, p=0,371. Conclusion: The results show that 25% of the participants experienced pain during PCI-treatment. The most common phase to experience pain was during local anesthesia. The most common pain localization was the forearm. No significant differences in pain frequencies between men and women could be measured.

Place, publisher, year, edition, pages
2012. , 31 p.
Keyword [sv]
smärta, PCI, smärtupplevelser, koronarangiografi, arteria radialis
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-174823OAI: oai:DiVA.org:uu-174823DiVA: diva2:529084
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Uppsok
Medicine
Supervisors
Examiners
Available from: 2012-05-30 Created: 2012-05-29 Last updated: 2012-05-30Bibliographically approved

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