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Omvårdnad vid smärta hos äldre patienter med cancer: En litteraturöversikt
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
Ersta Sköndal Bräcke University College, Department of Health Care Sciences.
2018 (Swedish)Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesisAlternative title
Experiences of nursing care in older cancer patients with pain : A literature review (English)
Abstract [sv]

Bakgrund: Smärta är vanligt hos äldre, och är en subjektiv upplevelse. Smärta förekommer i olika typer: nociceptiv smärta, neuropatisk smärta samt blandsmärta. Smärta är ett av de vanligaste symtomen hos patienter med cancer och kan påverka äldre patienters livskvalité. Om smärtan inte behandlas kan den orsaka ökat lidande.

Syfte: Syftet var att belysa hur äldre patienter med cancer upplever omvårdnaden vid smärta.

Metod: Litteraturöversikten är grundad på tio vårdvetenskapliga resultatartiklar. Artiklarnas innehåll analyserades och resultatet presenterades i tre huvudteman.

Resultat: Resultatet av denna litteraturöversikt presenteras i tre teman, vikten av vårdrelationen, kommunikationens betydelse och information om smärta och smärtlindring. Resultatet visade att om vårdrelationen brast och att patienterna som inte fick tid från sjuksköterskorna upplevde mer smärta samt att de kände sig obekräftade. En sämre vårdrelation till patienterna gav ett lägre självbestämmande och engagemang kring smärtbehandlingen. Information om smärta och smärtbehandling av sjuksköterskorna var bristfällig. Patienterna önskade att det skulle finnas utbildningsmaterial som de skulle kunna ta del av. Dessutom önskade patienterna en förbättring kring verbal och icke-verbal kommunikation. 

Diskussion: Resultatdiskussionen grundades på Katie Erikssons vårdteori. Det visade att sjuksköterskornas kompetens och kunskap kring smärta och smärtlindring var bristande och det behövdes ett ökat behov av detta. 

Abstract [en]

Background: Pain is common in older patients and is a subjective experience. Pain occurs in different types: nociceptive pain, neuropathic pain and mixedpain. Pain is one of the most common symptoms in cancer patients and can affect the quality of life in older patients. If the pain is not treated, it can cause increased suffering.

Aim: The purpose of this literature review was to describe how older patients with cancer experience nursing care in pain.

Method: The literature review is based on ten health science articles. The content of the articles was analyzed and the results were presented in three main themes.

Results: The results of this literature review are presented in three themes, the importance of the healthcare relationships, the importance of communication and information about pain and pain relief. The result showed that if the healthcare relationship failed and patients who did not get time from nurses experienced more pain and did not get confirmation from the nurses. A poorer relationship with patients gave less autonomy and involvement to their pain management. Information about pain and pain treatment given to patient from nurses were inadequate. Patients wished that more educational materials were available so that they could easily get access to it. In addition, patients also wanted an improvement in verbal and non-verbal communication

Discussion: The discussion of the results was based on Katie Eriksson's theory. It showed that the nurses' skills and knowledge about pain and pain relief were inadequate and there was an increased need to develop this.

Place, publisher, year, edition, pages
2018. , p. 36
Keywords [sv]
Äldre, Patienter, Cancer, Erfarenhet, Omvårdnad, Smärta
National Category
Nursing
Identifiers
URN: urn:nbn:se:esh:diva-7228OAI: oai:DiVA.org:esh-7228DiVA, id: diva2:1277516
Educational program
Bachelor of Science in Nursing
Presentation
es4
Uppsok
Medicine
Supervisors
Examiners
Available from: 2019-01-11 Created: 2019-01-10 Last updated: 2019-01-11Bibliographically approved

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