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Stressyndrom hos patienter som vårdats på intensivvårdsavdelning
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.
2014 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

SAMMANFATTNING

 

Bakgrund:

Till intensivvårdsavdelningar (IVA) kommer patienter med livshotande tillstånd som leder till svikt av vitala organ. Målet med vården är att övervaka, behandla och ge omvårdnad till patienterna. Behandlingar och åtgärder som utförs på IVA kan påverka patienten båda under tiden på IVA samt efter utskrivningen till andra avdelningar och sedan i hemmet. Patienter kan påverkas både fysisk och psykiskt efter vården på IVA. Posttraumatisk stressyndrom (PTSD) kan vara en av konsekvenserna efter vården på IVA.

Syfte:

Att belysa de psykiska besvär patienter kan uppleva efter att ha vårdats på IVA samt belysa riskfaktorer som kan leda till utveckling av PTSD efter vistelsen på IVA.

Metod:

Metoden var en litteraturöversikt där artikelsökning gjordes i Pub Med, PSYCINFO, Cinahl samt Scopus. Sökningen resulterade i val av 20 artiklar som granskades och utvärderades innan sammanställning av resultatet skedde.

Resultat:

Utifrån de artiklar som har inkluderats i resultatet framgår att patienter som har vårdats på IVA utvecklar olika grader av psykiska besvär som kan yttra sig i form av ångest, depression, mardrömmar samt sömnrubbningar. De psykiska besvären kan fortlöpa under flera år i varierande grad efter vården på IVA. Resultatet visar att det finns flera riskfaktorer som leder till utvecklingen av PTSD efter vården på IVA. Bestående fysiska besvär efter IVA-vård, kön, läkemedel som används under vården på IVA, ventilatorbehandling, patientens psykologiska bakgrund, ålder, minnen från IVA samt tiden på IVA hör till de riskfaktorer som kan leda till PTSD.

Slutsats:

Det är viktigt att öka medvetenheten hos sjuksköterskor som möter patienter som har vårdats på IVA för de psykiska konsekvenserna samt riskerna att utveckla PTSD som vården på IVA kan leda till. Det är viktigt med uppföljning av patienter som har vårdats på IVA.

Nyckelord:

Posttraumatisk stress symptom, intensivvård, psykiska besvär, patient.

 

 

 

Abstract [en]

Abstract

 

Background:

Patients come to the intensive care unit (ICU) with different life threating situations that can lead to failure of vital organs. The care aims at observing, treating and giving care to those patients. Treatments and interventions that are given on ICU can affect patients both under their time on the ward and even after their discharge back to other wards and eventually home. The patients can be affected both physically and mentally after their stay on ICU. Posttraumatic stress disorder (PTSD) can be a consequence of treatment on ICU.

Aims:

The purpose of this study was to elucidate those mental problems a patient can get after being treated on an ICU and also to elucidate the risk factors that can lead to the development of PTSD after being treated on an ICU.

Method:

The method was a literature study where searches were made in PubMed, PSYCINFO, Cinahl and Scopus. The search resulted in a sample of 20 articles that were examined and evaluated before compiled into a result.

Results:

From the articles that were included in the result it was shown that patients that were treated on ICU developed mental suffering to different degrees which showed itself in the form of anxiety, depression, nightmares and insomnia. The mental problems can trouble the patients over many years at different levels after their time on ICU. The result showed that there are many risk factors that can lead to the development of PTSD after being treated on ICU.  Physical problems post ICU, gender, meditation on ICU, respirator treatment, the patient´s psychological background and memory of time on ICU are those risk factors that can lead to the development of PTSD.

Conclusions:

It is important to increase awareness among nurses that meet patients that have been treated in ICU to the mental consequences and also to the risk of developing PTSD that time on the ICU can lead to. It is also important to follow up patients that have been treated in ICU after their discharge home.

 

 

 

I

Place, publisher, year, edition, pages
2014. , p. 24
Keyword [sv]
Posttraumatisk stress symtom, intensivvård, psykiska besvär, patient
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-231279OAI: oai:DiVA.org:uu-231279DiVA: diva2:744123
Subject / course
Caring Sciences
Educational program
Freestanding course
Supervisors
Examiners
Available from: 2014-09-08 Created: 2014-09-06 Last updated: 2014-09-08Bibliographically approved

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