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Skyddande isolering i samband med stamcellstransplantation: Patienters upplevelser av den skyddande isoleringen samt uppfattningar om sjuksköterskans roll under vårdtiden
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.
2013 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

When going through a stem cell transplantation a patient is forced to undergo protective isolation to inhibit risk of opportunistic infections related to the low leucocyte count as a result of aggressive pre-transplant chemotherapy treatment. Protective isolation has shown to have an impact on patient experiences during treatment and the aim of this study is to elucidate experiences of protective isolation of patients undergoing hematopoietic stem cell transplantation and to deduce patient perceptions of the role of nurses in protective isolation care. The presented study was performed as a mixed qualitative and quantitative survey at a hematopoietic ward in Sweden. Results were analyzed by Mayring (2000) and by descriptive frequency charts and show that patients in protective isolation experience alienation, necessity, safety and anxiety with regards to their protective situation. Considering the role of nurses patients perceive their role to be attendant, informant and acting as an executioner of medical implementations. To ensure best possible care consideration needs to be taken regarding patient experiences and in doing so nurses are equipped with tools when caring for the patient in isolated care. 

Abstract [sv]

Att genomgå för en stamcellstransplantation innebär att patienten till följd av behandlingen blir immunosupprimerad till en grad att skyddsisolering för patientens egen hälsa blir nödvändig. Skyddsisoleringen i samband med stamcellstransplantation kan pågå i veckor till månader i väntan på att behandlingen ska få effekt och nya stamceller bildas. Denna isolering påverkar patientgruppen och det är denna studies syfte att belysa hematologiska patienters upplevelser av isolering efter en stamcellstransplantation samt att undersöka uppfattningar om sjuksköterskans roll under tiden efter transplantationen. Genom en kvantitativ forskningsdesign med kvalitativa inslag har patienter på en hematologisk avdelning tagit del av en enkätstudie som analyserats enligt Mayring (2000) samt deskriptiva frekvenstabeller. Huvudresultaten visar att patienterna, i samband med isoleringen, upplever utanförskap, att isoleringen var en nödvändighet samt att isoleringen medförde trygghet eller oro. Patienterna uppfattar sjuksköterskans roll att vara närvarande och informationsbärande samt att innebära medicinskt utförande. För att kunna bedriva god vård för patientgruppen behöver hänsyn tas till de beskrivna upplevelserna och sjuksköterskan bör ta dessa patientupplevelser med sig i mötet med den skyddsisolerade patienten.

Place, publisher, year, edition, pages
2013. , 51 p.
Keyword [sv]
Stamcellstransplantation, skyddsisolering, omvårdnad, patientupplevelser
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-192285OAI: oai:DiVA.org:uu-192285DiVA: diva2:589263
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Uppsok
Medicine
Supervisors
Examiners
Available from: 2013-01-21 Created: 2013-01-17 Last updated: 2013-01-21Bibliographically approved

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Skyddande isolering i samband med stamcellstransplantation(888 kB)275 downloads
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CiteExportLink to record
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  • apa
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