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Anestesisjuksköterskans smärtskattning jämfört med patientens egenskattade smärta
Red Cross University College of Nursing.
Red Cross University College of Nursing.
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
The pain assessment made by nurse anesthetists compared to the patients' own assessed pain (English)
Abstract [sv]

Syfte: Syftet med denna pilotstudie var att undersöka om anestesisjuksköterskans skattning av postoperativ smärta skiljer sig fran patientens egenskattade VAS. Bakgrund: Flertalet studier visar att sjuksköterskor underskattar patienters smärta och att VAS inte används i tillräcklig utsträckning vid smärtskattning. Många erfarna sjuksköterskor tenderar att lita mer på sin intuitiva känsla om patientens smärta än på vad patienten säger. Metod: Åtta anestesisjuksköterskor på ett sjukhus i storstadsregionen fick genom ett frågeformulär skatta 44 patienters postoperativa smärta utifrån en beteenderelaterad skala och fysiologiska parametrar. Detta värde jämfördes med patientens egenskattade VAS/NRS. Resultat: Anestesisjuksköterskomas beteendeskattning stämde väl överens med patientens egenskattade VAS. De anestesisjuksköterskor som arbetat länge beteendeskattade närmre patientens VAS än de som arbetat kortare tid som anestesisjuksköterskor. De tre vanligaste fysiologiska parametrar anestesisjuksköterskorna bedömde var ansiktsuttryck, kroppsrörelse och tal. Slutsats: Anestesisjuksköterskomas erfarenhet av att bedöma och behandla patienter som är sövda eller sederade kan kanske förklara den högre samstämmigheten mellan deras och patientens smärtskattning.

Abstract [en]

Aim: The aim of this pilot study was to investigate if the pain assessment made by Swedish nurse anesthetists differ from the patients' own assessed pain, using the visual analogical scale, VAS. Background: Several studies shows that nurses tend to underestimate postoperative pain and that assessment tools seldom is used in pain assessment. Experienced nurses seem to rely more on their own intuitive feeling about patients' pain experience rather than what the patient says. Method: Eight nurse anesthetists in a Swedish hospital answered a questionnaire and made behavior assessments of postoperative pain on 44 patients, using physiological parameters which where compared with the patient's VAS\NRS. Results: Nurse anesthetists' pain assessment using physiological parameters where consistent with the patients' VAS/NRS. More experienced nurses assessed closer to the patient's VAS/NRS than the inexperienced did. The three most common physiological parameters used where facial expression, bodily movements and sounds. Conclusion: The nurse anesthetists' experience of observing patients during anesthesia and sedation might explain the high correlation in pain assessment. 

Place, publisher, year, edition, pages
2010. , 28 p.
Keyword [en]
nurse anesthetist, pain, pain assessment, postoperative, Visual Analogue Pain scale
Keyword [sv]
anestesisjuksköterska, postoperativ, smärta, smärtskattning, Visuell Analog skala
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-31OAI: oai:DiVA.org:rkh-31DiVA: diva2:399209
Subject / course
Magisterprogrammet i omvårdnad
Uppsok
Medicine
Available from: 2011-02-21 Created: 2011-02-21 Last updated: 2014-06-23Bibliographically approved

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Citation style
  • apa
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