Patienters upplevelser av omvårdnaden vid en akut laparotomi - preoperativt, postoperativt samt vid utskrivning

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Sammanfattning: Background: There are few research articles about patients’ experiences during acute surgery and even fewer concerning an emergency laparotomy. An emergent laparotomy can be a very traumatic experience for the patient, and it is therefore important that the personnel issues the person’s needs and uses a person-centered approach. A lot of preparations must be done preoperative at a short amount of time and the personnel have little time to inform the patient about the surgery and what to expect during rehabilitation. The patient must be well-informed to be able to participate in his/her own care. Purpose: To describe the experience that patients have during hospital stay in conjunction with the preoperative phase, postoperative phase, and discharge of an emergency laparotomy. Method: This is a qualitative semi-structured interview study where an interview guide was used. A total of 8 patients that had undergone an emergency laparotomy participated in the study. The interviews were conducted by telephone 1-2 months after the emergency laparotomy. Analysis was conducted through a qualitative manifest content analysis according to Graneheim and Lundman. Results: Two categories emerged during the analysis that reflects the patients’ experiences of their hospital stay in conjunction with an emergency laparotomy. The first category, perceived needs of the patients’, includes the impact of caring environment on patient’s experience, the patients’ experiences of symptom treatment and support for recovering as well as patients’ experiences of information. The second category, the patients’ experiences during discharge, includes the patients’ experiences of being ready for discharge as well as the patients desire to be able to participate in the decision regarding discharge. Conclusion: This study shows that the patient’s experience of caring is affected by the support from the caring personnel regarding the patient's needs, information, and caring attitudes. These experiences could probably be improved by using person-centered care.

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