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Patienters upplevelser av intravenös jämfört med nasal smärtlindring inom ambulanssjukvården i Stockholm: En empirisk studie
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
2017 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Ett vanligt symtom inom ambulanssjukvården är smärta, vilken ofta kan förvärra den smärta som redan upplevs av patienten, då de nödvändiga förflyttningarna genomförs av besättningen till bår och ambulans. Det är sjuksköterskorna i ambulansbesättningen som gör bedömningen huruvida smärtlindring krävs akut eller inte under transporten till sjukhus. Syfte: Syftet med studien var att studera patienters upplevelser av intranasal (i.n) smärtlindring jämfört med intravenös (i.v) smärtlindring inom ambulanssjukvården i Stockholm. Metod: Studien är en empirisk studie med deskriptiv design. Huvudresultat: Studien visade endast signifikant skillnad i området där upplevelsen av oro och/eller rädsla mättes i samband med i.n kontra i.v smärtlindringsmetod. Det var fler som upplevde en negativ aspekt i form av oro och eller rädsla i den grupp som fått i.n smärtlindring. Inga andra signifikanta skillnader i upplevelsen av varken, nöjdhet av smärtlindringens effekt, själva sättet att erhålla läkemedlet eller upplevelse av biverkningar påvisades. En jämförelse mellan de rapporterade biverkningarna visade att illamående var den vanligaste biverkningen och den var vanligast i den grupp som erhållit i.n smärtlindring. Slutsats: Med bakgrund av detta resultat kan man ifrågasätta om administreringssättet är avgörande kring effekten och upplevelsen av positiva eller negativa aspekter av smärtbehandlingen.

Abstract [en]

Background: A common symptom of ambulance care is pain, which can often exacerbate the pain already experienced by the patient, as the necessary movements are carried out by the crew to the stern and ambulance. It is the nurses in the ambulance crew who assess whether pain relief is required urgently or not during transport to hospitals.   Objective: The purpose of this study was to study patient´s experiences of intranasal (i.n) pain relief compared to intravenous (i.v) pain relief within the ambulance service in Stockholm area.    Method: The study is an empirical study with a descriptive design.   Main results: The study showed that the only significant difference in the area where the experience of anxiety and/or fear was measured in connection with i. n versus i. v. pain relief method. It was more that experienced a negative aspect in the form of anxiety and or fear in the group that received in n pain relief. No other significant differences in the experience of pain relief, satisfaction of neither the ring's power, the way to obtain the medicine or experience side effects was demonstrated. A comparison of the reported showed that the most common side effect was nausea, and it was most common in the group that received in n pain relief.   Conclusion: Based on this result, one can question whether the mode of administration is crucial for the effect and experience of positive or negative aspects of pain management. 

Place, publisher, year, edition, pages
2017. , p. 31
Keyword [en]
intranasal administration, pain relief, patient experience, pre-hospital care
Keyword [sv]
intranasal administrering, patienterfarenhet, prehospital vård, smärtlindring
National Category
Nursing
Identifiers
URN: urn:nbn:se:hig:diva-25781OAI: oai:DiVA.org:hig-25781DiVA: diva2:1164729
External cooperation
AISAB
Subject / course
Nursing
Educational program
Nursing
Supervisors
Examiners
Available from: 2017-12-18 Created: 2017-12-11 Last updated: 2017-12-18Bibliographically approved

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Öholm-Lundahl, HelenMählqvist, Evalena
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CiteExportLink to record
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Citation style
  • apa
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  • ieee
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  • Other style
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  • sv-SE
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  • en-US
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  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
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  • text
  • asciidoc
  • rtf