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Beskrivning av patienters postoperativa vårdförlopp tre dagar efter kolorektalkirurgi enligt ERAS vårdprogram
University of Gävle, Faculty of Health and Occupational Studies. University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
University of Gävle, Faculty of Health and Occupational Studies. University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences.
2010 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
Abstract [en]

Abstract

The purpose of this study was to describe the post-operative care during the three first days for patients who have undergone colorectal surgery according to ERAS care programs with a focus on the variables nutrition, elimination, activity, type of analgesia and the number of hospital days documented in the patient record and patient log books. ERAS means "Early Recovery After Surgery" and the purpose of the health care program is to accelerate recovery after colorectal surgery. The study had a descriptive design and a quantitative approach, in which 51 patient records were included. Log books and patient records were reviewed postoperatively. According to the log books estimated most of the patients, who had documented, that they ate and drank very good or good. According to nursing documentation most of the patients ate ordinary food and drank nutritional drinks. According to the log books, the mean and median were about two drinks per day while nursing documentation varied. According to the log books, the median first stool after surgery was two days and according to the nursing documentation three days. The median number of walks in the corridor varied from 2-3 (log books) to two walks each day (nursing documentation). Epidural analgesia was the most common analgesia. The mean number of hospital days was 8.4 days (median 7 days). The conclusion is that few ERAS patients achieved the targets set at the hospital. The lack of documentation makes the interpretation difficult.

Abstract [sv]

Sammanfattning

Syftet med studien var att utifrån sjuksköterske- och patientdokumentation beskriva det postoperativa vårdförloppet under tre dagar för patienter som har genomgått kolorektalkirurgi enligt ERAS vårdprogram med fokus på variablerna nutrition, elimination, aktivitet, typ av smärtlindring och antal vårddagar. ERAS betyder "Early Recovery After Surgery" och syftet med vårdprogrammet är att påskynda återhämtning efter kolorektalkirurgi. Studien hade en beskrivande design och en kvantitativ ansats där 51 patientjournaler inkluderades. Loggböcker och patientjournaler granskades postoperativt. Enligt loggböckerna så skattade de flesta patienterna, av de som hade dokumenterat, att de åt och drack mycket bra eller bra. Enligt sjuksköterskedokumentationen så åt de flesta vanlig mat och drack näringsdrycker. Enligt loggböckerna var medelvärdet och medianen cirka två näringsdrycker per dag medan det enligt sjuksköterskedokumentationen varierade. Enligt loggböckerna var medianen för första avföringen efter operationen två dagar och enligt sjuksköterskedokumentationen tre dagar. Medianen för antal vändor i korridoren varierade från 2-3 vändor (loggböckerna) till 2 vändor varje dag (sjuksköterske-dokumentationen). Epiduralbedövning var den vanligaste smärtlindringen. Medelvärdet för vårddagar var 8,4 dagar (median 7 dagar). Slutsatsen är att få patienter uppnådde de uppsatta målen vid det aktuella sjukhuset. Dokumentationen var bristfällig, vilket försvårar tolkningen av resultatet.

Place, publisher, year, edition, pages
2010. , p. 33
Keyword [en]
Postoperative care process, colorectal surgery, ERAS, nutrition, elimination, activity, analgesia, hospital days
Keyword [sv]
Postoperativa vårdförloppet, kolorektalkirurgi, ERAS, nutrition, elimination, aktivitet, postoperativa smärtlindring, vårddagar
Identifiers
URN: urn:nbn:se:hig:diva-7547Archive number: FKOMV/vt07nr26OAI: oai:DiVA.org:hig-7547DiVA, id: diva2:350392
Uppsok
Medicine
Supervisors
Examiners
Available from: 2010-09-15 Created: 2010-09-10 Last updated: 2010-09-15Bibliographically approved

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