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Trycksårsprevention i den perioperativa omvårdnaden: en observationsstudie
Karlstad University, Faculty of Health, Science and Technology (starting 2013).
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Prevention of pressure ulcer during the perioperative care : an observational study (English)
Abstract [sv]

Introduktion: Trycksår är en vårdskada som kan uppstå i samband med kirurgiska ingrepp. Det medför ett stort lidande för patienten men även en kostnad för samhället. Alla patienter som opereras har en ökad risk att utveckla trycksår på grund av unika riskfaktorer som en operation medför. Därför har operationsteamet en särskild utmaning i att förebygga denna vårdskada.

 

Syfte: Syftet med studien var att undersöka vilka trycksårspreventiva åtgärder som operationsteamet använder.

 

Metod: Studien genomfördes som en observationsstudie med kvantitativ ansats. Operationsteam vid ett medelstort sjukhus i södra Sverige observerades.  Ett observationsprotokoll konstruerades för att fånga de åtgärder som operationsteamet använde. Totalt genomfördes 20 observationer.

 

Resultat: Operationsteamet tryckavlastade patientens hälar och bakhuvud. Patienten värmdes intraoperativt, personalen såg till att patienten inte låg med benen i kors eller låg på varmt underlag och anpassade  operationsbordet efter patientens behov. Flera möjliga trycksårsförebyggande metoder genomfördes inte alls eller i liten utsträckning. Operationsteamet repositionerade inte patienten varannan timme, instrument, personal och utrustning tilläts trycka på patienten och material fanns mellan patienten och den tryckavlastande madrassen.

 

Konklusion: Operationsteamet utnyttjade trycksårspreventiva åtgärder för att förhindra trycksår hos patienten. Dock fanns ett flertal trycksårsförebyggande åtgärder som sällan användes eller inte alls. 

Abstract [en]

Introduction: Pressure ulcers are a common health problem that can be a complication in surgical procedures. It means a great suffering for the patient, but also a cost to society. The surgical team has a special challenge to prevent pressure ulcers that occur in the operating room. It´s because all patients who undergo surgery have an increased risk of developing pressure ulcers because of the unique risk factors that an operation means for the patient.

 

Aim: The purpose of this study was to investigate the methods that the surgical team use to prevent pressure ulcer in patients during surgery.

 

Method: The study was conducted as an observational study with quantitative approach. The study included 20 observations of surcial teams on a hospital in south Sweden. An observation protocol was created to capture the preventive methods the surgical team used.

 

Results: The surgical team depressurized the patients heels and occiput with pillows. The surgical team was warming the patient intraoperatively, made sure that the patient was not lying with legs crossed or laid on a warm surface. The staff adjusted the operating table to the patient's needs. Several possible methods to prevent pressure ulcers that was not used or rarely used, was also observed. The surgical team did not reposition the patient every two hours, equipment and staff were allowed to press against the patient and layers of material laid between the patient and the pressure ulcer preventing mattress.

 

Conclusion: The surgical team used pressure ulcer preventive methods to decrease the risks of pressure ulcer in the patients. However, there were a number of pressure ulcers prevention methods that were rarely used. 

Place, publisher, year, edition, pages
2016. , 36 p.
Keyword [en]
pressure ulcer prevention, perioperative nursing, surgical team, patientsafety, observational study
Keyword [sv]
trycksårsprevention, perioperativ omvårdnad, operationsteam, patientsäkerhet, observationsstudie
National Category
Nursing
Identifiers
URN: urn:nbn:se:kau:diva-42666OAI: oai:DiVA.org:kau-42666DiVA: diva2:935048
Educational program
Specialist Nursing -Theatre Care (60 ECTS credits)
Supervisors
Examiners
Available from: 2016-07-07 Created: 2016-06-09 Last updated: 2016-07-07Bibliographically approved

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