{"id":23858,"date":"2026-04-12T19:40:48","date_gmt":"2026-04-12T17:40:48","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=23858"},"modified":"2026-04-12T19:41:34","modified_gmt":"2026-04-12T17:41:34","slug":"betydningen-af-forskellige-sternumregimer-for-kliniske-og-patientrapporterede-outcomes-efter-hjertekirurgi-via-sternotomi-et-scoping-review","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/04\/12\/betydningen-af-forskellige-sternumregimer-for-kliniske-og-patientrapporterede-outcomes-efter-hjertekirurgi-via-sternotomi-et-scoping-review\/","title":{"rendered":"Betydningen af forskellige sternumregimer for kliniske og patientrapporterede outcomes efter hjertekirurgi via sternotomi: et scoping review"},"content":{"rendered":"

\"\"<\/p>\n

Blakoe M, Gottlieb R, H\u00f8jskov IE, Olsen DB, Damgaard S, Christensen J. Impact of Sternal Precautions on Clinical and Patient-Reported Outcomes in Patients Undergoing Cardiac Surgery via Sternotomy: A Scoping Review. J Cardiopulm Rehabil Prev. 2026 Feb 2.<\/span> doi: 10.1097\/HCR.0000000000001025.<\/a><\/p>\n

Af Rikke Gottlieb, fysioterapeut, cand.scient.san, <\/span>rikke.gottlieb.01@regionh.dk <\/a>og Mitti Blak\u00f8, sygeplejerske, post doc, <\/span>mitti.blakoe@regionh.dk<\/a><\/p>\n

Download Resume som pdf<\/a><\/p>\n

Resum\u00e9<\/span><\/strong><\/p>\n

Introduktion
\n<\/span><\/strong>Patienter, der gennemg\u00e5r hjertekirurgi via sternotomi, anbefales traditionelt at f\u00f8lge et sternumregime i 8\u201312 uger postoperativt med det form\u00e5l at beskytte sternum under helingen. Anbefalingerne til ster-numregimet og hvilke bev\u00e6gerestriktioner det indeholder, varierer p\u00e5 tv\u00e6rs af hospitaler og bygger ofte p\u00e5 heterogen evidens og ekspertvurderinger. Form\u00e5let med dette scoping review var at kortl\u00e6gge betydningen af forskellige strategier for overekstremitetsbev\u00e6gelse og sternumregimer for kliniske og patientrapporterede outcomes, inden for det f\u00f8rste \u00e5r efter operationen.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Reviewet fulgte PRISMA\u2011ScR\u2011retningslinjerne. Inkluderede studier omfattede randomiserede og ikke\u2011randomiserede kontrollerede fors\u00f8g, quasi\u2011eksperimentelle design, prospektive og retrospektive kohortestudier, mixed\u2011methods\u2011studier, tv\u00e6rsnitsstudier samt kasuistikker. Studierne inkluderede voksne (\u226518 \u00e5r), der havde gennemg\u00e5et sternotomi, og som unders\u00f8gte sammenh\u00e6ngen mellem sterumregimer eller bev\u00e6gelsesstrategier inden for 12 uger postoperativt og kliniske eller patientrapporterede outcomes inden for 1 \u00e5r. Litteraturs\u00f8gningen blev udf\u00f8rt i marts 2025 i seks databaser.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Ud af 16.464 identificerede referencer blev 12 studier med i alt 2.853 patienter inkluderet. Studierne viste, at hverken belastede overekstremitetsbev\u00e6gelser eller mindre restriktive sternumregimer \u00f8gede risikoen for sternale s\u00e5rinfektioner, sternuminstabilitet, smerter, l\u00e6ngere indl\u00e6ggelser, genindl\u00e6ggelser eller d\u00e5rligere helbredsrelateret livskvalitet. Enkelte studier rapporterede derimod forbedret funktionsevne og mere hensigtsm\u00e6ssig udskrivelse hos patienter, der fulgte et mindre restriktivt sternumregime.<\/span><\/p>\n

Diskussion
\n<\/span><\/strong>Den samlede evidens peger p\u00e5, at traditionelle sternumregimer kan v\u00e6re un\u00f8digt begr\u00e6nsende, og at mere liberale bev\u00e6gelsesstrategier ikke kompromitterer kliniske eller patientrapporterede outcomes. Forskningen tyder p\u00e5, at forsigtighedsprincippet b\u00f8r balanceres med viden om funktionel fremgang og patientens behov.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Mindre restriktive sternumregimer og belastede bev\u00e6gelsesstrategier vurderes sikre og uden negative postoperative konsekvenser.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Resultaterne giver anledning til en revurdering af sternumregimer i klinisk praksis. Et mere fleksibelt regime kan potentielt fremme funktionel bedring uden \u00f8get risiko for komplikationer.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Blakoe M, Gottlieb R, H\u00f8jskov IE, Olsen DB, Damgaard S, Christensen J. Impact of Sternal Precautions on Clinical and Patient-Reported 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