{"id":26779,"date":"2026-10-12T14:33:07","date_gmt":"2026-10-12T12:33:07","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=26779"},"modified":"2026-10-12T14:33:07","modified_gmt":"2026-10-12T12:33:07","slug":"fra-smerte-til-helhed-inddragelse-af-psykologiske-aspekter-i-smertebehandling-til-ortopaedkirurgiske-patienter-med-kroniske-smerter-der-oplever-akutte-forvaerringer","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/10\/12\/fra-smerte-til-helhed-inddragelse-af-psykologiske-aspekter-i-smertebehandling-til-ortopaedkirurgiske-patienter-med-kroniske-smerter-der-oplever-akutte-forvaerringer\/","title":{"rendered":"Fra smerte til helhed – Inddragelse af psykologiske aspekter i smertebehandling til Ortop\u00e6dkirurgiske patienter med kroniske smerter, der oplever akutte forv\u00e6rringer"},"content":{"rendered":"

\"\"<\/p>\n

Uma Olivia Hart<\/em>. <\/span>Uma.Olivia.Hart@regionh.dk
\n<\/a>Sofie-Marie Nybroe Fjeldmose<\/em>. <\/span>Sofie-marie.nybroe.fjeldmose@regionh.dk<\/a>
\nUC Diakonissestiftelsen. Vejleder: Anne-Katrine R\u00f8nn Mathiassen. Udgivet: 03.10.2025.<\/span><\/p>\n

Download resum\u00e9 <\/a><\/p>\n

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

\n

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

Introduktion
\n<\/span><\/strong>Form\u00e5let med bachelorprojektet er at unders\u00f8ge, hvordan psykologiske faktorer kan inddrages i planl\u00e6gningen af smertebehandlingen hos ortop\u00e6dkirurgiske patienter med kroniske smerter, der oplever akutte forv\u00e6rringer. Projektet fokuserer s\u00e6rligt p\u00e5 sammenh\u00e6ngen mellem smerte, angst og smertekatastrofering samt betydningen af disse faktorer for en helhedsorienteret sygepleje.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Projektet blev gennemf\u00f8rt med et hermeneutisk videnskabsteoretisk st\u00e5sted og med FIRE-modellen som innovationsramme. Data blev indsamlet gennem semistrukturerede interviews med to ortop\u00e6dkirurgiske patienter og en smerteekspert samt gennem relevant litteratur. Materialet blev analyseret ved hj\u00e6lp af kvalitativ indholdsanalyse gennem meningskondensering.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Analysen identificerede fire centrale temaer:
\n<\/span>1.<\/span><\/strong> Psykologiske faktorer som angst og katastrofet\u00e6nkning inddrages ikke systematisk i smertebehandlingen.
\n<\/span>2.<\/span><\/strong> Tidspres og mangel p\u00e5 ressourcer kan begr\u00e6nse fokus p\u00e5 patienternes psykiske behov.
\n<\/span>3.<\/span><\/strong> Psykologisk belastning kan forst\u00e6rke smerter og reducere livskvalitet.
\n<\/span>4.<\/span><\/strong> Tillid, relation og patientinddragelse underst\u00f8tter tryghed og mestring.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Projektet peger p\u00e5 et behov for en mere helhedsorienteret smertebehandling. Derfor blev prototypen Psykologisk Smertebelastningsscore (PSBS) udviklet. V\u00e6rkt\u00f8jet kan hj\u00e6lpe sundhedspersonale med at identificere psykologisk smertebelastning og underst\u00f8tte en mere patientcentreret pleje og behandling.<\/span><\/p>\n

English abstract<\/strong><\/h4>\n


\nFrom Pain to Holistic Care: <\/strong><\/span>Integrating Psychological Aspects into Pain Management for Orthopaedic Surgical Patients with Acute Exacerbations of Chronic Pain
\n<\/span><\/strong><\/p>\n

Introduction
\n<\/span><\/strong>The aim of this bachelor project is to investigate how psychological factors can be further incorporated into the pain management planning for orthopaedic patients with chronic pain experiencing acute exacerbations. The project focuses on the relationship between pain, anxiety, and pain catastrophizing, and on the importance of these factors for holistic nursing care.<\/span><\/p>\n

Method
\n<\/span><\/strong>The project is conducted using a hermeneutic approach and the FIRE model as an innovation framework. Data were collected through semi-structured interviews with two orthopaedic patients and one pain specialist, supported by relevant literature. The data were analysed using qualitative content analysis and thematic condensation.<\/span><\/p>\n

Results
\n<\/span><\/strong>The analysis identified four key themes:
\n<\/span>1.<\/span> <\/strong>Psychological factors such as anxiety and pain catastrophizing are not systematically addressed in pain management.
\n<\/span>2.<\/span><\/strong> Time constraints may limit attention to patients’ psychological needs.
\n<\/span>3.<\/span> <\/strong>Psychological distress can intensify pain and reduce quality of life.
\n<\/span>4.<\/span> <\/strong>Trust, therapeutic relationships, and patient involvement promote safety and coping.<\/span><\/p>\n

Conclusion
\n<\/span><\/strong>The findings highlight a need for a more holistic approach to pain management. Therefore, we developed a prototype called the Psychological Pain Loading Score (PPLS). The tool may help healthcare professionals identify psychological pain burden and support more patient-centred and holistic care and treatment.<\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Uma Olivia Hart. Uma.Olivia.Hart@regionh.dk Sofie-Marie Nybroe Fjeldmose. Sofie-marie.nybroe.fjeldmose@regionh.dk UC Diakonissestiftelsen. Vejleder: Anne-Katrine R\u00f8nn Mathiassen. Udgivet: 03.10.2025. Download resum\u00e9  Download BA-projektet 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