Anestesisjuksköterskors strategier för att lindra preoperativ oro och ångest - en systematisk litteraturöversikt
(2025) ANSM22 20251Department of Health Sciences
- Abstract (Swedish)
- Bakgrund: Preoperativ ångest är vanligt förekommande inför kirurgiska ingrepp och anestesi. Ångest kan bottna i brist på information, oro för kirurgi/anestesi, komplikationer eller rädslan att dö. Hög preoperativ ångest är kopplad till negativa effekter, såsom: ökat behov av anestesimedel, instabilare vitalparametrar, mer postoperativ smärta och illamående, samt sämre återhämtning och sårläkning. Anestesisjuksköterskor spelar en viktig roll i att möta och lindra denna ångest, vilket är en del av deras funktion som patientföreträdare, Health Advocates.
Syfte: Att belysa anestesisjuksköterskors strategier för att lindra oro och ångest hos patienter som ska genomgå anestesi.
Metod: En systematisk litteraturöversikt med... (More) - Bakgrund: Preoperativ ångest är vanligt förekommande inför kirurgiska ingrepp och anestesi. Ångest kan bottna i brist på information, oro för kirurgi/anestesi, komplikationer eller rädslan att dö. Hög preoperativ ångest är kopplad till negativa effekter, såsom: ökat behov av anestesimedel, instabilare vitalparametrar, mer postoperativ smärta och illamående, samt sämre återhämtning och sårläkning. Anestesisjuksköterskor spelar en viktig roll i att möta och lindra denna ångest, vilket är en del av deras funktion som patientföreträdare, Health Advocates.
Syfte: Att belysa anestesisjuksköterskors strategier för att lindra oro och ångest hos patienter som ska genomgå anestesi.
Metod: En systematisk litteraturöversikt med litteratursökningar i databaserna Pubmed, CINAHL och Embase. Resultatet baseras på 11 vetenskapliga artiklar som granskades med SBU:s mall för kvalitativa studier och analyserades med tematisk analys.
Resultat: Sammanställningen identifierade flera strategier som anestesisjuksköterskor använder för att lindra patienters preoperativa oro och ångest. Resultaten mynnade ut i tre tema: "Minska oro genom samspel", "Skapa tillit i en sårbar situation" och "Att öka patientens känsla av trygghet". Subtema inkluderade verbal kommunikation och förhållningssätt, icke-verbal kommunikation, relationsskapande åtgärder, delaktighet, miljö och yttre faktorer samt medicinskt och fysiologiskt stöd.
Konklusion: Genom att tillämpa dessa kommunikativa, relationella och miljömässiga strategier kan anestesisjuksköterskor inte bara minska patientens oro och därmed potentiellt minska behovet av läkemedel och förbättra postoperativ återhämtning, utan också stärka sin roll som patientföreträdare. (Less) - Abstract
- Background: Preoperative anxiety is commonly experienced prior to surgical procedures and anesthesia. This anxiety may stem from a lack of information, concerns about the surgery or anesthesia, potential complications, or the fear of death. High levels of preoperative anxiety are associated with negative outcomes, such as increased need for anesthetic agents, less stable vital signs, more postoperative pain and nausea, as well as poorer recovery and wound healing. Nurse anesthetists play a vital role in addressing and alleviating this anxiety, which is part of their function as patient advocates (Health Advocates).
Aim: To highlight the strategies used by nurse anesthetists to alleviate worry and anxiety in patients undergoing... (More) - Background: Preoperative anxiety is commonly experienced prior to surgical procedures and anesthesia. This anxiety may stem from a lack of information, concerns about the surgery or anesthesia, potential complications, or the fear of death. High levels of preoperative anxiety are associated with negative outcomes, such as increased need for anesthetic agents, less stable vital signs, more postoperative pain and nausea, as well as poorer recovery and wound healing. Nurse anesthetists play a vital role in addressing and alleviating this anxiety, which is part of their function as patient advocates (Health Advocates).
Aim: To highlight the strategies used by nurse anesthetists to alleviate worry and anxiety in patients undergoing anesthesia.
Method: A systematic literature review was conducted using the databases PubMed, CINAHL and Embase. The results are based on 11 scientific articles that were assessed using the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) quality template for qualitative studies and analyzed through thematic analysis.
Results: The review identified several strategies employed by nurse anesthetists to reduce patients’ preoperative worry and anxiety. The findings resulted in three themes: "Reducing anxiety through interaction", "Creating trust in a vulnerable situation", and "Enhancing the patient’s sense of security". Subthemes included verbal communication and approach, non-verbal communication, relationship-building, involvement, environment and external factors, and medical and physiological support.
Conclusion: By applying these communicative, relational, and environmental strategies, nurse anesthetists can not only reduce patient anxiety and potentially decreasing the need for medication and improving postoperative recovery but also strengthen their role as patient representatives. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9191076
- author
- Ellsäter, Peter Leonard LU and Hagelberg, Olof LU
- supervisor
- organization
- alternative title
- Nurse anesthetists’ strategies to relieve preoperative worry and anxiety - a systematic literature review
- course
- ANSM22 20251
- year
- 2025
- type
- H1 - Master's Degree (One Year)
- subject
- keywords
- Anestesisjuksköterska, preoperativ ångest, strategier, omvårdnad, Health Advocacy
- language
- Swedish
- id
- 9191076
- date added to LUP
- 2025-06-10 08:12:54
- date last changed
- 2025-06-10 08:12:54
@misc{9191076,
abstract = {{Background: Preoperative anxiety is commonly experienced prior to surgical procedures and anesthesia. This anxiety may stem from a lack of information, concerns about the surgery or anesthesia, potential complications, or the fear of death. High levels of preoperative anxiety are associated with negative outcomes, such as increased need for anesthetic agents, less stable vital signs, more postoperative pain and nausea, as well as poorer recovery and wound healing. Nurse anesthetists play a vital role in addressing and alleviating this anxiety, which is part of their function as patient advocates (Health Advocates).
Aim: To highlight the strategies used by nurse anesthetists to alleviate worry and anxiety in patients undergoing anesthesia.
Method: A systematic literature review was conducted using the databases PubMed, CINAHL and Embase. The results are based on 11 scientific articles that were assessed using the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) quality template for qualitative studies and analyzed through thematic analysis.
Results: The review identified several strategies employed by nurse anesthetists to reduce patients’ preoperative worry and anxiety. The findings resulted in three themes: "Reducing anxiety through interaction", "Creating trust in a vulnerable situation", and "Enhancing the patient’s sense of security". Subthemes included verbal communication and approach, non-verbal communication, relationship-building, involvement, environment and external factors, and medical and physiological support.
Conclusion: By applying these communicative, relational, and environmental strategies, nurse anesthetists can not only reduce patient anxiety and potentially decreasing the need for medication and improving postoperative recovery but also strengthen their role as patient representatives.}},
author = {{Ellsäter, Peter Leonard and Hagelberg, Olof}},
language = {{swe}},
note = {{Student Paper}},
title = {{Anestesisjuksköterskors strategier för att lindra preoperativ oro och ångest - en systematisk litteraturöversikt}},
year = {{2025}},
}