{"id":1705,"date":"2024-02-03T14:02:17","date_gmt":"2024-02-03T14:02:17","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=1705"},"modified":"2025-07-14T19:58:30","modified_gmt":"2025-07-14T17:58:30","slug":"beslutningsprocessen-i-forhold-til-hvilke-patienter-som-indlaegges-til-udrensning-forud-for-koloskopi-er-uens-paa-tvaers-af-hospitaler","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/02\/03\/beslutningsprocessen-i-forhold-til-hvilke-patienter-som-indlaegges-til-udrensning-forud-for-koloskopi-er-uens-paa-tvaers-af-hospitaler\/","title":{"rendered":"Beslutningsprocessen i forhold til hvilke patienter som indl\u00e6gges til udrensning forud for koloskopi er uens p\u00e5 tv\u00e6rs af hospitaler."},"content":{"rendered":"

\"\"<\/p>\n

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

Julie Jacoby Petersen, Ann Sophie Nielsen, Pia Anh\u00f8j, Kitt Louise Stevns Bendtsen, Hanne Konradsen. The Process of Being Hospitalized for Bowel Preparation before Colonoscop.
\nIntegr. J. Nurs. Med, Volume 4(5): 1\u20136, 2023. DOI:10.31038\/IJNM.2023441<\/a><\/p>\n

Baggrund
\n<\/strong>P\u00e5 verdensplan er koloskopi den hyppigst anvendte metode til diagnosticering af tarmsygdomme. Det er afg\u00f8rende at patienter er tilstr\u00e6kkeligt udrenset f\u00f8r koloskopi. Ellers m\u00e5 unders\u00f8gelsen uds\u00e6ttes, hvilket er ubehageligt for patienterne og omkostningstungt for sundhedsv\u00e6senet. Hovedparten af patienter udrenser hjemme, men nogen patienter indl\u00e6gges til udrensning. Antallet af patienter som indl\u00e6gges, varierer p\u00e5 tv\u00e6rs af afdelinger i Danmark.<\/p>\n

Metode
\n<\/strong>Vi brugte en deskriptiv systematik model til at unders\u00f8ge arbejdsgange og retningslinjer i forhold til <\/span>hvilke patienter som blev indlagt til udrensning f\u00f8r koloskopi p\u00e5 tre gastroenterologiske afdelinger i Danmark. Studiet inkluderede patienter, l\u00e6ger, sygeplejersker og ledere fra prim\u00e6r og sekund\u00e6r sektor.<\/p>\n

Resultater
\n<\/strong>Beslutningen om hvorvidt patienterne skulle indl\u00e6gges til udrensning f\u00f8r koloskopi var funderet i lokale <\/span>guidelines p\u00e5 hospitalerne, samt p\u00e5 l\u00e6gers individuelle vurderinger. Disse guidelines fulgte ikke <\/span>evidensbaseret viden p\u00e5 omr\u00e5det. Patient var oftest ikke involveret i beslutningsprocessen og prim\u00e6r<\/span>sektor var p\u00e5 intet tidspunkt kontaktet med henblik p\u00e5 om de kunne hj\u00e6lpe patienten under <\/span>udrensning i eget hjem. De fleste patienter fandt det trygt at v\u00e6re indlagt, frem for at udrensningen <\/span>skulle foreg\u00e5 i eget hjem. Ulempen var mangel p\u00e5 privatliv ved de hyppige toiletbes\u00f8g.<\/span><\/p>\n

Diskussion
\n<\/strong>Manglende involvering af prim\u00e6r sektor er i modstrid med sundhedsv\u00e6senets vision om det n\u00e6re og sammenh\u00e6ngende sundhedsv\u00e6sen. Prim\u00e6r sektor kunne potentielt hj\u00e6lpe borgere til at gennemg\u00e5 udrensning derhjemme. H\u00f8jere grad af involvering af patienter i beslutningen om indl\u00e6ggelse til udrensning, kunne bidrage til at patienter som kunne klare dette hjemme, undg\u00e5r indl\u00e6ggelse.<\/p>\n

Konklusion
\n<\/strong>Beslutningsprocessen i forhold til hvilke patienter som indl\u00e6gges til udrensning, er uens p\u00e5 tv\u00e6rs af hospitaler. Der er behov for evidensbaseret nationale guidelines, samarbejde p\u00e5 tv\u00e6rs af sektorer og patientinddragelse for at udvikle mere effektive patientforl\u00f8b.<\/p>\n

Implikationer for praksis
\n<\/strong>Der er potentiale for forbedring af patientforl\u00f8b og reuktion af omkostninger ved hospitalsindl\u00e6ggelse, ved at samarbejde med prim\u00e6r sektor og \u00f8ge patientinvolveringen.<\/p>\n

Julie Jacoby Petersen. Klinisk sygeplejespecialist\/postdoc, PhD, Master in Philosophy of Education, RN. Amager og Hvidovre Hospital, Gastroenheden afsnit 360 julie.jacoby.petersen@regionh.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

P\u00e5 verdensplan er koloskopi den hyppigst anvendte metode til diagnosticering af tarmsygdomme. Det
\ner afg\u00f8rende at patienter er tilstr\u00e6kkeligt udrenset f\u00f8r koloskopi. Ellers m\u00e5 unders\u00f8gelsen uds\u00e6ttes,
\nhvilket er ubehageligt for patienterne og omkostningstungt for sundhedsv\u00e6senet.<\/p>\n","protected":false},"author":4,"featured_media":12836,"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 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