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Behandlas barn olika?: Smärtskattning på barn efter skoliosoperation
Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Social and Welfare Studies. Linköping University, Faculty of Health Sciences.
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Are the children treated differently? : Pain assessment in children after scoliosis surgery (English)
Abstract [sv]

Inledning: Postoperativ smärta hos barn är fortfarande ett problem trots förbättrade arbetsrutiner och smärtbehandling. Smärtskattning på barn och speciellt barn med kognitiva nedsättningar kräver att sjuksköterskorna har kunskap om tillgängliga smärtskattningsinstrument. På så vis ges alla barn möjlighet att smärtskattas.

Syfte: Att undersöka hur ofta sjuksköterskor smärtskattar barn som opereras för skolios postoperativt.

Design: En retrospektiv studie.

Metod: Journalgranskningen genomfördes på Universitetssjukhuset i Linköping. Alla barn som under 2008-2009 opererats för Idiopatisk eller Neuromuskulär skolios, var mellan 0-18 år och fanns med i journaldatasystemet inkluderades i studien.

Resultat: Barn med Idiopatisk skolios smärtskattades oftare än barn med Neuromuskulär skolios. Barn som inte förstod instruktion smärtskattades inte lika ofta som de barn som förstod instruktion. Flickor smärtskattades oftare än pojkar inom gruppen som förstod instruktion.

Konklusion: Det fanns en signifikant skillnad i frekvens smärtskattning mellan Idiopatisk skolios och Neuromuskulär skolios, utöver detta gjordes fyndet att flickor smärtskattades högre än pojkar. För att alla skall få möjlighet till lika god omvårdnad krävs att det finns tillgång till olika smärtskattningsinstrument.

Abstract [en]

Background: Despite improved guidelines and treatment of children, postoperative pain is still a problem. Painassessment in children and specially children with cognitive disibilities demands knowledge in existing pain measurement tools for nurses. Then all children have the opportunity to express their pain.

Aim: To find out if there is a difference in the frequency of assessment in postoperative pain in children after surgery for scoliosis.

Design: A retrospective study.

Methods: The study was performed in Linköping University hospital. Children admitted 2008-2009 for Idiopatic scoliosis or Neuromuscular scoliosis surgery, in age 0-18 years and available via the data journal were included in the study.

Results: Children with Idiopatic scoliosis had a higher freqvence of painassessment compared with Neuromuscular scoliosis. Children who didn´t understood verbal information had less frequence of painassesment compered with those who understood verbal information. Girls were assessed for pain significant more often as compared to boys in the group who understood verbal information.

Conclusion: There was differences between children who were able to express themselves and those who weren´t in painassessment, but also gender matters and to ensure all children’s right to similar care it´s of importance to access different pain measurement tools.

Place, publisher, year, edition, pages
2010. , 23 p.
Keyword [en]
Postoperative pain, child, painassessment, nurse, scoliosis
Keyword [sv]
Postoperativ smärta, barn, smärtskattningsinstrument, sjuksköterska, skolios
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-117540OAI: oai:DiVA.org:liu-117540DiVA: diva2:809415
Subject / course
Specialist Nursing Programme in Paediatric Care
Supervisors
Available from: 2015-05-06 Created: 2015-05-04 Last updated: 2015-05-06Bibliographically approved

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Department of Social and Welfare StudiesFaculty of Health Sciences
NursingPublic Health, Global Health, Social Medicine and Epidemiology

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CiteExportLink to record
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Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
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  • nn-NB
  • sv-SE
  • Other locale
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  • asciidoc
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