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Sambandet mellan preoperativ smärtinformation, oro och postoperativ smärta hos patienter som genomgått elektiv och akut ortopedisk kirurgi - En kvantitativ studie
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

ABSTRACT Background: To serve the patients information and to relieve pain post-operatively is largely the nurse's responsibility. Studies suggest a correlation between the preoperative information and the pain and anxiety. Previous studies suggest that the preoperative information affect the postoperative pain in a positive direction. Aim: The aim of this study was to investigate the correlation between preoperative paininformation, anxiety and pain in patients who have undergone elective and acute orthopedic surgery. A further aim was to see if there was a difference between elective and acute orthopedic surgical wards and also investigate if there were something the patients were missing in the preoperative pain-information. Method: A quantitative survey was conducted with a descriptive correlative design. The study was carried out in two different orthopedic wards in a hospital in Sweden. The study included a total of 27 participants, 12 elective and 15 acute patients. Reslut: The result showed that there is a significant correlation between the patients preoperative anxiety and postoperative pain (r=0,398, N=27, p=0, 04). The result also showed a significant correlation between patient’s postoperative anxiety and postoperative pain (r=0,601, N=27, p=0,001). Patients with high anxiety also had high levels of pain. No significant difference was seen between the elective and acute group, but the elective group estimated the preoperative information higher (M=6, 17) than the acute group (M=4, 53). The study did not show evidence that preoperative information about the pain leads to lower postoperative painscores, however the preoperative information is important so the patient feel well prepared for the operation. A total of 6 (22%) patients did not obtain preoperative pain-information. Conclusion: Anxiety and pain are two factors that affect each other. To be responsive as a nurse and capture anxious patients, as well as alleviate this concern , the postoperative pain would be alleviated . Patients undergoing acute surgery do not receive preoperative information to the same extent as those undergoing elective surgery. To develop a quality document about how and when preoperative information about pain should be given , could ensure that patients are well informed before surgery. To share this information is largely the nurse's role, and it is important as it would lead to increased well-being and less suffering for the patients. 

Place, publisher, year, edition, pages
2016. , 34 p.
Keyword [sv]
Nursing care, anxiety, pain, pain management, patient education.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-295052OAI: oai:DiVA.org:uu-295052DiVA: diva2:932702
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2016-06-02 Created: 2016-06-02 Last updated: 2016-06-02Bibliographically approved

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