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Octogenarian patien...
Octogenarian patients' sleep and delirium experiences in hospital and four years after aortic valve replacement : a qualitative interview study
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- Amofah, Hege Andersen (författare)
- Department of Heart Disease, Haukeland University Hospital, Bergen, Norway,Department of Clinical Science, University of Bergen Faculty of Medicine and Dentistry, Bergen, Norway,Haukeland Hosp, Norway
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- Broström, Anders (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Region Östergötland, Neurofysiologiska kliniken US,Jonkoping Univ, Sweden
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- Instenes, Irene (författare)
- Department of Heart Disease, Haukeland University Hospital, Bergen, Norway,Haukeland Hosp, Norway
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- Fridlund, Bengt (författare)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV),Department of Heart Disease, Haukeland University Hospital, Bergen, Norway,Haukeland Hosp, Norway; Linnaeus Univ, Sweden
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- Haaverstad, Rune (författare)
- Department of Heart Disease, Haukeland University Hospital, Bergen, Norway,Haukeland Hosp, Norway; Univ Bergen, Norway
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- Kuiper, Karel (författare)
- Department of Heart Disease, Haukeland University Hospital, Bergen, Norway,Haukeland Hosp, Norway
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- Ranhoff, Anette Hylen (författare)
- University of Bergen, Norway,Univ Bergen, Norway
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- Norekval, Tone M. (författare)
- Department of Heart Disease, Haukeland University Hospital, Bergen, Norway,Haukeland Hosp, Norway; Univ Bergen, Norway
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(creator_code:org_t)
- 2021-01-07
- 2021
- Engelska.
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Ingår i: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 11:1
- Relaterad länk:
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https://doi.org/10.1...
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https://bmjopen.bmj....
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- ObjectivesSleep disturbances and delirium are frequently observed complications after surgical aortic valve replacement (SAVR) and transcutaneous aortic valve implantation (TAVI), especially in octogenarian patients. However, a knowledge gap exists on patient experiences of sleep and delirium. In particular, patients' long-term sleep and delirium experiences are unknown. This article explores and describes how octogenarian patients suffering from delirium after aortic valve replacement experience their sleep and delirium situation.DesignAn explorative and descriptive design with a longitudinal qualitative approach was applied. Qualitative content analysis following the recommended steps of Graneheim and Lundman was performed.SettingPatients were included at a tertiary university hospital with 1400 beds. Delirium and insomnia screening was performed at baseline and five postoperative days after aortic valve treatment. For qualitative data, 10 patients were interviewed 6-12 months after treatment with focus on delirium. Five of these patients were reinterviewed 4 years after treatment, with focus on their sleep situation.ParticipantsInclusion criteria; age 80+, treated with SAVR or TAVI and had experienced delirium after treatment.ResultsFor the initial interview, we included five men and five women, four following TAVI and six following SAVR, mean age 83. One overarching theme revealed from the content analyses; Hours in bed represented emotional chaos. Whereas three subthemes described the patients' experiences with sleep and delirium, a cascade of distressful experiences disturbing sleep, the struggle between sleep and activity and elements influencing sleep. Four years after the treatment, sleep disturbances persisted, and patients still remembered strongly the delirium incidences.ConclusionsFor octogenarian patients, sleep disturbances and delirium are long-term burdens and need a greater attention in order to improve patient care.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- coronary intervention
- valvular heart disease
- sleep medicine
- cardiac surgery
- qualitative research
- delirium &
- cognitive disorders
- Hälsovetenskap
- Health and Caring Sciences
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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