{"id":18039,"date":"2025-07-30T11:55:57","date_gmt":"2025-07-30T09:55:57","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=18039"},"modified":"2026-05-06T12:24:12","modified_gmt":"2026-05-06T10:24:12","slug":"patienters-oplevelse-af-et-perioperativ-forloeb-med-colles-fraktur-at-staa-alene-med-staerke-smerter","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2025\/07\/30\/patienters-oplevelse-af-et-perioperativ-forloeb-med-colles-fraktur-at-staa-alene-med-staerke-smerter\/","title":{"rendered":"Patienters oplevelse af et perioperativ forl\u00f8b med colles fraktur \u2013 at st\u00e5 alene med st\u00e6rke smerter"},"content":{"rendered":"<div class=\"wc_ppp_paywall wc_ppp_paywall_18039\"><div class=\"elementor-text-editor\">\n<p><img data-recalc-dims=\"1\" class=\"alignnone size-full wp-image-18040\" src=\"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2025\/07\/FA1325-Illustration.png?resize=701%2C324&#038;quality=85&#038;ssl=1\" alt=\"\" width=\"701\" height=\"324\" \/><\/p>\n<p><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Kirsten Kaptain, RN,<\/span> <span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">MScN, kommunal sygeplejerske <\/span><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">1<\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">,Pia Dreyer, RN, MScN, Ph.d. Sygeplejeprofessor <\/span><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">2<\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">,<\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\"> Anette Kars\u00f8, Udviklingsansvarlig sygeplejerske, MCN. An\u00e6stesisygeplejerske <\/span><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">3<\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">, Anne-Mette S\u00f8ndergaard Nielsen, specialeansvarlig sygeplejerske, SD <\/span><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">3<\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">, Maria Dietz Toppenberg, AC medarbejder, Cand.scient.san, Ph.D <\/span><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">4<\/span> <\/strong><\/p>\n<p><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\"><strong>1<\/strong> Sygeplejen Hedensted Kommune.<\/span> <a class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\" href=\"mailto:kirsten.kaptain@gmail.com\" target=\"_blank\" rel=\"noopener\">kirsten.kaptain@gmail.com<\/a><br \/>\n<strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">2 <\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Intensiv, Aarhus Universitetshospital<br \/>\n<\/span><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">3 <\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Bed\u00f8velse og Operation Nord, Aarhus Universitetshospital<br \/>\n<\/span><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none font-size-modifier vertical-align\">4 <\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Psykiatriskafdeling for Psykoser, Aarhus Universitetshospital<\/span><\/p>\n<div class=\"farve-boks\" style=\"border: 10px solid #bfe6f6;padding: 16px 32px;border-radius: 24px;color: black;margin-bottom: 32px\">\n<p class=\"cvGsUA direction-ltr align-start para-style-body\"><strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Resum\u00e9<br \/>\n<\/span><\/strong><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\"><strong>Form\u00e5l<br \/>\n<\/strong><\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">At unders\u00f8ge patienters oplevelse af et perioperativ forl\u00f8b med colles fraktur.<br \/>\n<\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\"><strong>Baggrund<br \/>\n<\/strong><\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Gennem de sidste \u00e5rtier er \u201cPerioperative Surgical Home Model\u201d (PSMH) anvendt i USA, modellen er anvendt i dansk kontekst p\u00e5 elektive forl\u00f8b i cirka 10 \u00e5r, men tidligere ikke p\u00e5 ortop\u00e6dkirurgiske forl\u00f8b med traumer som colles fraktur.<br \/>\n<\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\"><strong>Metode<br \/>\n<\/strong><\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Et kvalitativt studie med 50 timers observation p\u00e5 tre afdelinger og 22 interviews med patienter henholdsvis 1 og 3 uger efter operation. Data blev analyseret med en Ricoeur-inspireret fortolkningsmetode.<br \/>\n<\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\"><strong>Resultater<br \/>\n<\/strong><\/span><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Vi fandt fire temaer:<\/span><\/p>\n<ul>\n<li><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Ulidelige smerter i det akutte forl\u00f8b<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">Mangelfuld information og vejledning<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">At forberede sig p\u00e5 operation<\/span><\/li>\n<li><span class=\"OYPEnA font-feature-liga-on font-feature-clig-on font-feature-calt-on text-decoration-none text-strikethrough-none\">At v\u00e6re alene og observere sig selv.<\/span><\/li>\n<\/ul>\n<h4><strong>English abstract<\/p>\n<p><\/strong><\/h4>\n<h5 class=\"my-2 [&amp;+p]:mt-4 [&amp;_strong:has(+br)]:inline-block [&amp;_strong:has(+br)]:pb-2\"><strong>Patients\u2019 experiences of a perioperative course with Colles\u2019 fracture \u2013 left alone with severe pain<\/strong><\/h5>\n<p class=\"my-2 [&amp;+p]:mt-4 [&amp;_strong:has(+br)]:inline-block [&amp;_strong:has(+br)]:pb-2\"><strong><br \/>\nAim<\/strong><br \/>\nTo explore patients\u2019 experiences of a perioperative course with Colles\u2019 fracture.<br \/>\n<strong>Background<\/strong><br \/>\nOver the past decades, the Perioperative Surgical Home Model (PSHM) has been used in the United States. In a Danish context, the model has been applied to elective surgical pathways for approximately ten years, but not previously to orthopaedic trauma pathways such as Colles\u2019 fracture.<br \/>\n<strong>Method<\/strong><br \/>\nA qualitative study comprising 50 hours of observation across three departments and 22 patient interviews conducted 1 and 3 weeks after surgery. Data were analysed using a Ricoeur-inspired interpretive approach.<br \/>\n<strong>Results<\/strong><br \/>\nWe identified four themes:<br \/>\n1. Unbearable pain in the acute phase<br \/>\n2. Inadequate information and guidance<br \/>\n3. Preparing for surgery<br \/>\n4. Being alone and observing oneself<br \/>\n<strong>Conclusion<\/strong><br \/>\nThe study showed that pain management and patient information are insufficient. There is a need for an individualised and holistic approach to the care pathway for patients with Colles\u2019 fracture.<br \/>\n<strong>Clinical relevance<\/strong><br \/>\nThe findings may form the basis for changes in perioperative care pathways, in which large parts of rehabilitation take place at home, with the aim that patients do not feel left to manage on their own.<\/p>\n<p class=\"my-2 [&amp;+p]:mt-4 [&amp;_strong:has(+br)]:inline-block [&amp;_strong:has(+br)]:pb-2\"><strong>Keywords:<\/strong>\u00a0Colles\u2019 fracture, patient pathway, observation, interview, pain, information, nursing.<\/p>\n<\/div>\n<\/div>\n<div data-elementor-type=\"single-page\" data-elementor-id=\"19154\" class=\"elementor elementor-19154\" data-elementor-post-type=\"elementor_library\">\n<div class=\"elementor-element elementor-element-2cd49e3 e-con-full jedv-enabled--yes e-flex e-con e-child\" data-id=\"2cd49e3\" data-element_type=\"container\" data-e-type=\"container\" 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Sygeplejeprofessor 2, Anette Kars\u00f8, Udviklingsansvarlig sygeplejerske, MCN. An\u00e6stesisygeplejerske 3, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":18071,"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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