Hvor blev søvnen af – Hjertekirurgi og Fast track

Resumé
Introduktion
Vores studie undersøger søvnkvaliteten hos hjertekirurgiske patienter under indlæggelse på et fast-track afsnit, samt sygeplejerskens rolle i at understøtte søvnen. Søvn er essentiel for fysisk og mental restitution, men nedprioriteres ofte i hospitalsmiljøer, hvor fokus primært er på medicinske behov. Manglende søvn kan føre til komplikationer så som infektioner, dårlig sårheling, delirium og forlænget indlæggelsestid. Sygeplejersker har en vigtig rolle i at identificere søvnproblemer og tilpasse plejen, og da søvn er en subjektiv oplevelse kan observationer alene ofte være utilstrækkelige. Dette understreger behovet for systematiske værktøjer til at vurdere og støtte søvn under indlæggelse.

Metode
Dette kvalitative studie er baseret på semi-strukturerede interviews og observationer på et hjertekirurgisk fast-track intensivt afsnit. Data er analyseret med fænomenologisk og hermeneutisk tilgang, og fortolket ud fra teorier af Henderson, Martinsen og Fundamentals of Care.

Resultater
Analyse af data fra 6 informanter og observationer over to nattevagter viste, at støj, lys, og hyppige interventioner forstyrrer søvnen, og at patienter ofte oplever dårligere søvn end normalt.

Nurses’ Experiences and Management of Collaboration with a Specific Group of Parents of Children and Adolescents with Anorexia: A Qualitative Study

Abstract
Introduction
This study examines sleep quality among cardiac surgery patients admitted to an intensive care fast-track ward, with a particular focus on the nurse’s role in supporting sleep. Sleep is essential for both physical and psychological recovery, yet it is often deprioritised in hospital settings where medical needs dominate. Sleep deprivation may lead to complications such as infections, impaired wound healing, delirium, and prolonged hospitalisation. Nurses play a crucial role in identifying sleep disturbances and tailoring care; however, as sleep is a subjective experience, clinical observation alone is often insufficient. This underscores the need for systematic tools to assess and promote sleep during hospitalisation.

Method
This is a qualitative study based on semi-structured interviews and observational data collected in an intensive care fast-track unit. Data were analysed using a phenomenological-hermeneutic approach and interpreted in light of Henderson’s and Martinsen’s nursing theories as well as the Fundamentals of Care framework.

Results
The analysis included six informants and two night-shift observations. The results indicate that environmental factors such as noise, light, and frequent interventions disrupt sleep, and that patients consistently report poorer sleep quality compared with their baseline.