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För- och nackdelar med mobil datortomografi vid akut diagnostik - En litteraturöversikt
Luleå University of Technology, Department of Health Sciences.
Luleå University of Technology, Department of Health Sciences.
2020 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Pros And Cons of Mobile Computed Tomography for Acute Care Diagnostics - A literature review (English)
Abstract [sv]

Inledning: För patienter som behöver akut sjukvård är tiden till diagnos och behandling en viktig faktor. Röntgensjuksköterskornas roll är betydelsefull vid akut diagnostik då de ansvarar för att genomföra röntgenundersökningar. Idag är mobila röntgentjänster, främst konventionell röntgen, tillgängliga för till exempel instabila patienter. Detta bidrar till snabb diagnostik, men många akuta frågeställningar kräver en datortomografiundersökning (DT). Syfte: Syftet med studien var att sammanställa för- och nackdelar med mobil DT vid akut diagnostik. Metod: Studien genomfördes som en litteraturöversikt. Det gjordes en systematisk litteratursökning i tre medicinska databaser. Totalt kvalitetsgranskades och analyserades tio kvantitativa artiklar. Resultat: Det har visat sig i resultatet att fördelarna med en mobil DT är flera, som till exempel minskad tid till diagnos och behandling samt minskad arbetsbelastning för vårdpersonal. En mobil DT motverkar även transportrelaterade komplikationer hos högrisk-patienter. Det framgår dock även att nackdelarna, som till exempel ökad stråldos, sämre bildkvalitet och ökade kostnader, bör beaktas. Slutsats: Den mobila DT:n har visat sig höja patientsäkerheten, vilket är en viktig faktor inom vården. Denna enhet har, trots sina nackdelar, stor potential för att underlätta diagnostik hos patienter i kritiska situationer. Förhoppningsvis kommer denna enhet att utvecklas vidare för att användas i mer vardagligt bruk.

Abstract [en]

Introduction: For patients in need of urgent medical care, the time to diagnosis and treatment is an important factor. The role of the X-ray nurse is important in emergency diagnostics as they are responsible for conducting X-ray examinations. Today, mobile X-ray services, primarily conventional X-ray examinations, are for instance available for unstable patients. These services offer rapid diagnosis, but many urgent issues require examinations using a computed tomography (CT). Aim: The aim of this study was to compile the pros and cons of mobile CT in acute care diagnostics. Method: The study was conducted as a literature review. A systematic literature search was conducted in three medical databases. In total, ten quantitative articles were quality-reviewed and analyzed. Results: It appears in the results that the advantages of a mobile CT are several, such as reduced time for the diagnosis and treatment and reduced workload for the healthcare personnel. A mobile CT also counteracts transport-related complications in high-risk patients. However, it also states that the disadvantages, such as increased radiation dose, inferior image quality and increased costs, should be taken into account. Conclusion: The mobile CT has been shown to increase patient safety, which is an important factor in healthcare. The device, despite its drawbacks, has a great potential to facilitate diagnostics in patients in critical situations. Hopefully, this device will be further developed to be used regularly.

Place, publisher, year, edition, pages
2020. , p. 31
Keywords [en]
mobile computed tomography, acute care diagnostics, pros, cons, radiography, X-ray nurse
Keywords [sv]
mobil datortomografi, akut diagnostik, fördelar, nackdelar, radiografi, röntgensjuksköterska
National Category
Medical and Health Sciences Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:ltu:diva-77490OAI: oai:DiVA.org:ltu-77490DiVA, id: diva2:1388004
Subject / course
Student thesis, at least 15 credits
Educational program
Diagnostic Radiology Nursing, bachelor's level
Supervisors
Examiners
Available from: 2020-01-27 Created: 2020-01-23 Last updated: 2020-01-27Bibliographically approved

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