{"id":11461,"date":"2025-02-03T11:42:29","date_gmt":"2025-02-03T10:42:29","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=11461"},"modified":"2025-09-02T21:51:38","modified_gmt":"2025-09-02T19:51:38","slug":"veje-til-et-bedre-sovehjerte-nonfarmakologiske-interventioner-til-at-forbedre-soevnen-paa-et-hjerteafsnit","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/02\/03\/veje-til-et-bedre-sovehjerte-nonfarmakologiske-interventioner-til-at-forbedre-soevnen-paa-et-hjerteafsnit\/","title":{"rendered":"Veje til et bedre sovehjerte -nonfarmakologiske interventioner til at forbedre s\u00f8vnen p\u00e5 et hjerteafsnit"},"content":{"rendered":"

\"\"<\/p>\n

Philip Mak Jensen K\u00f8benhavns Professionsh\u00f8jskole, Sygeplejerskeuddannelsen. <\/span>BA-projekt afleveret 03.10.24.
\nVejleder: Mette Kildev\u00e6ld Simonsen<\/span><\/p>\n

Download resume som PDF<\/a><\/p>\n

Download BA-projektet<\/a><\/p>\n

Resume
\n<\/span>Introduktion
\n<\/span><\/strong>Vi ved fra nyere forskning at s\u00e6rligt i forhold til kardiovaskul\u00e6re sygdomme, er s\u00f8vn kritisk. Kan man g\u00f8re noget for at hj\u00e6lpe s\u00f8vnen p\u00e5 vej ogs\u00e5 p\u00e5 et akut hjerteafsnit?
\n<\/span>
\nForm\u00e5l
\n<\/span><\/strong>Formlet med dette litteraturstudie er at se, om der er s\u00f8vnforbedrende effekter af nonfarmakologiske interventioner for patienter p\u00e5 et hjerteafsnit.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Projektet er opbygget som et litteraturstudie, som er udf\u00f8rt gennem en systematisk s\u00f8gning i databaserne PubMed og CINAHL anvendt. Tre randomiserede kontrollerede fors\u00f8g med forskellige nonfarmakologiske s\u00f8vninterventioner er blevet udvalgt og inddraget i litteraturstudiet.
\n<\/span>
\nResultater
\n<\/span><\/strong>De valgte interventionsstudier er ganske forskellige og skal illustrere sp\u00e6ndvidden i mulige interventioner. Et studie ang\u00e5r brug af \u00f8jenmaske\/\u00f8repropper, et andet bes\u00f8g af p\u00e5r\u00f8rende og et sidste en st\u00f8rre protokol ang\u00e5ende b\u00e5de fysisk tr\u00e6ning, s\u00f8vnundervisning og afslapnings\u00f8velser. Alle tre interventioner viser en positiv effekt p\u00e5 s\u00f8vnen omend metodologien i de tre studier er pr\u00e6get af heterogenitet i m\u00e5leredskaber.
\n<\/span>
\nDiskussion
\n<\/span><\/strong>Resultaterne underst\u00f8tter brugen af nonfarmakologiske s\u00f8vninterventioner. Dog viser en gennemgang af nylige systematiske reviews ogs\u00e5, at dette er kendt viden. Derfor bruger studiet en del tid p\u00e5 at gennemg\u00e5 barriere for implementering og hvilke milj\u00f8m\u00e6ssige tiltag der kan tages for at sikre en implementering, men ogs\u00e5 hvilke milj\u00f8m\u00e6ssige forandring der kan p\u00e5virke sygeplejersken rolle i at underst\u00f8tte s\u00f8vn for patientgruppen i den n\u00e6rmeste fremtid.
\n<\/span>
\nKonklusion
\n<\/span><\/strong>Dette litteraturstudie finder en god effekt af nonfarmakologiske interventioner, s\u00e5vel milj\u00f8m\u00e6ssige som psykosociale. En barriere til at implementere s\u00e5danne forandring, kan ses i forhold til et sundhedsv\u00e6sen der er struktureret i forhold til at varetage en specialiseret behandling, men kan overse patientens langsigtet helbredsadf\u00e6rd i plejen.
\n<\/span>
\nImplikationer for praksis
\n<\/span><\/strong>Projektet foresl\u00e5r en integrering af s\u00f8vn i den landsd\u00e6kkende patienttilfredshedsunders\u00f8gelse og udpegede sygeplejersker med ekstra fokus p\u00e5 s\u00f8vn, da dette ville kunne underst\u00f8tte de kulturelle forandringer en implementering af nonfarmakologiske s\u00f8vninterventioner ville kr\u00e6ve.<\/span><\/p>\n

Kontaktoplysninger
\n<\/span><\/strong>Philip Mak Jensen, sygeplejerske, <\/span>philipmakjensen@gmail.com<\/a><\/p>\n

Ways to get a better sleep at the Cardiac Care Unit
\n<\/span><\/h1>\n

Clinical dissertation by Philip Mak Jensen. Submitted 03.10.2025 . <\/span>KP, University College, Copenhagen.
\nSupervisor: Mette Kildev\u00e6ld Simonsen<\/span><\/p>\n

Abstract
\n<\/span><\/strong>Introduction
\n<\/span><\/strong>We know that sleep is critical, especially with regards to cardiovascular diseases. Can we do something to help better sleep even in an acute Cardiac Care Unit setting?
\n<\/span>
\nMethod
\n<\/span><\/strong>The project is designed as a literature review, conducted through a systematic and rigorous search was performed using PubMed and CINAHL. Three randomized controlled trials with sleep interventions were carefully selected and included in the study.
\n<\/span>
\nResults
\n<\/span><\/strong>The chosen interventional studies are rather diverse consciously meant to illustrate the width of possible interventions. One study is testing eye masks and ear plugs, the second is around the impact of increased presence of next of kin and the last is a bigger study protocol looking at physical training, sleep education and relaxation exercises. All three interventions show a positive effect on sleep, even if the three studies are characterized by heterogeneity in measurements.
\n<\/span>
\nDiscussion
\n<\/span><\/strong>The results support the efficacy of using nonpharmacological sleep interventions to improve sleep in a cardiac care unit setting. However a view of recent current systematic reviews shows that this is known widely. Therefore the study takes time to go through barriers to implementation and which environmental measures can be taken to make implementation happen, but also which environmental and systemic changes, can effect the role of the nurse to help for the particular group of patients in the near future.
\n<\/span>
\nConclusion
\n<\/span><\/strong>This literature review finds positive effect on nonpharmacological intervention, both environmental and psyco-social to improve sleep. A barrier to implementation of these kind of changes, can be seen in the way the health care system is structured to manage a highly specialized treatment, but can overlook interventions regarding the long term health behaviour.
\n<\/span>
\nImplications for practice
\n<\/span><\/strong>A concrete suggestion is putting a question regarding sleep, on the national questionnaire regarding patient satisfaction and also appointing nurses with an extra focus on sleep, in order to favour the cultural changes an implementation of nonpharmacological sleep interventions would seem to demand.<\/span><\/p>\n

Contact Information
\n<\/span><\/strong>Philip Mak Jensen, RN: <\/span>philipmakjensen@gmail.com<\/a><\/p>\n

 <\/span><\/h2>\n","protected":false},"excerpt":{"rendered":"

Philip Mak Jensen K\u00f8benhavns Professionsh\u00f8jskole, Sygeplejerskeuddannelsen. BA-projekt afleveret 03.10.24. Vejleder: Mette Kildev\u00e6ld Simonsen Download resume som PDF Download BA-projektet Resume […]<\/p>\n","protected":false},"author":1,"featured_media":11462,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false,"_members_access_role":[],"_members_access_error":""},"categories":[115],"tags":[],"class_list":["post-11461","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-litteratur-studier"],"acf":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/02\/12.png?fit=800%2C800&quality=80&ssl=1","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/11461","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=11461"}],"version-history":[{"count":1,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/11461\/revisions"}],"predecessor-version":[{"id":17778,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/11461\/revisions\/17778"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/11462"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=11461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=11461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=11461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}