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Patienters upplevelser av ventilatorvård på IVA: en litteraturbaserad studie
University of Skövde, School of Life Sciences.
University of Skövde, School of Life Sciences.
2010 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Patients´experiences of ventilatory support in the intensive care setting : a literature based study (English)
Abstract [sv]

Patienter som vårdas på en intensivvårdsavdelning (IVA) är allvarligt sjuka och behöver specialiserad vård. En del av den vården är ofta ventilatorbehandlingen som kan uppfattas som en mycket mentalt påfrestande upplevelse. Syftet med denna litteraturbaserade studie var att beskriva patienters upplevelser av att vårdas i ventilator på en intensivvårdsavdelning. Datamaterialet har utgjorts av kvalitativa studier med ett patientperspektiv, vilka har analyserats kvalitativt. I resultatet framkom två huvudteman; Verkliga upplevelser och Overkliga upplevelser. Subteman som framkom till Verkliga upplevelser var upplevelser av Kommunikation, Självbestämmande och kontroll samt Miljön. Overkliga upplevelser fick subteman om IVA-syndrom och upplevelser av Sedering. Patienterna upplevde ofta en brist på kontroll där den mest dominanta orsaken var svårigheten att kunna kommunicera vilket bidrog till mental ohälsa. Denna mentala ohälsa manifesterades ofta i IVA–syndrom eller liknande tillstånd där en bidragande orsak var en orolig och förvirrande miljö samt påverkan av sedering. Positiva upplevelser beskrevs och då gärna i samband med fysisk kontakt och anhörigas närvaro. Författarna diskuterar om de olika temans faktorer och sätter dessa i samband med hälsa enligt det salutogena synsättet.

Abstract [en]

Patients in need of intensive care treatment are seriously ill and require specialized care. This includes ventilator support, which can potentially be perceived as a mentally stressful experience. The aim of this literature-based study is to describe patients' experiences of ventilatory care in an intensive care setting. The collected data contains qualitative studies from a patient perspective, which have undergone qualitative analysis. The result revealed two main themes; actual experiences and perceived experiences. Subthemes for actual experiences were; Experiences of communication, Experiences of autonomy and control as well as Experiences of the environment. Subthemes for Perceived experiences were; Experiences of ICU-syndrome and Experiences of sedation. Patients frequently perceived loss of control, which was primarily associated with difficulty to communicate. This contributed to mental ill health, and often manifested as the ICU-syndrome or a similar condition. Contributing factors included the stressful and confusing environment, as well as the effects of sedation. Conversely, the positive experiences described included physical contact and the presence of relatives. The authors discuss the aforementioned categories and their contributors whilst associating these with health according to the salutogenic model.

Place, publisher, year, edition, pages
2010. , 24 p.
Keyword [en]
Patients experience, Critical care unit, Ventilator, Patient perspective, Memory
Keyword [sv]
Patient upplevelse, Intensivvårdsavdelning, Ventilator, Patientperspektiv, Minne
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-4560OAI: oai:DiVA.org:his-4560DiVA: diva2:387857
Uppsok
Medicine
Supervisors
Examiners
Available from: 2011-01-17 Created: 2011-01-15 Last updated: 2011-01-17Bibliographically approved

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Moritz, DanielBjuvefors, Lina
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CiteExportLink to record
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Citation style
  • apa
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More styles
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