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Hjerneoperation hos en vågen patient
Engelsk titel: Awake craniotomy Läs online Författare: Kirkegaard, Ane Språk: Dan Antal referenser: 12 Dokumenttyp: Artikel UI-nummer: 19110232

Tidskrift

Sygeplejersken Fag&Forskning 2019;119(4)68-74 ISSN 1601-7617 KIBs bestånd av denna tidskrift

Sammanfattning

The surgical aim of awake craniotomy is to achieve maximum resection of a brain tumour while reducing the risk of permanent neurological damage to the patient. If the tumour is located in regions of the brain implicated in speech, and hence the patient’s quality of life, awake craniotomy may be offered. Brain tumours close to these regions of the brain pose a particular challenge in neurosurgery. The aim of the article is to delineate surgical nursing to the patient undergoing brain surgery while in a conscious state. To that end, a qualitative, semi-structured interview-based study was conducted, which included five patients. The results of the study indicate that the patients’ focus is not on wakefulness during brain surgery, but rather on having a brain tumour and its long-term consequences. Their thoughts revolve around the family and the hope of survival. In addition, the patients indicate their great confidence in the health professionals – notably the neurosurgeon and the neuropsychologist. While the perioperative nurse is not perceived as having a focal role, patients are aware that nurses as health professionals are key members of the surgical team.