hig.sePublikationer
Ändra sökning
Avgränsa sökresultatet
12345 51 - 100 av 208
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 51.
    Fröjd, Camilla
    et al.
    Department of Public Health and Caring Sciences, Psychosocial Oncology, Uppsala University, Uppsala Science Park, Uppsala, Sweden.
    Lampic, Claudia
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Larsson, Gunnel
    Department of Medical Sciences, Endocrine Oncology, Uppsala University, Uppsala, Sweden.
    von Essen, Louise
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Is satisfaction with doctors' care related to health-related quality of life, anxiety and depression among patients with carcinoid tumours?: A longitudinal report2009Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 23, nr 1, s. 107-116Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate (i) whether specific aspects of the initial consultation (IC) and/or patients' satisfaction with doctors' care are related to health-related quality of life (HRQoL), anxiety and depression among patients with carcinoid tumours and (ii) whether patients' satisfaction with doctors' care changes over time. The study has a longitudinal design. The HRQoL and psychosocial function among patients who met the doctors showing good ability to identify patients' worry and wish for information were compared with those patients who met doctors showing less good ability. Patients' HRQoL, anxiety, depression and satisfaction with doctors' care were assessed longitudinally, shortly after each of the first four admissions to specialist care. Patients who met doctors showing good ability to identify their wish for information at the IC reported higher levels of cognitive function. Higher satisfaction with doctors' care was related to higher emotional and cognitive function, to higher global QoL, and to lower levels of problems with diarrhoea, financial difficulties, constipation, anxiety and depression shortly after each of the first three admissions, although not after the fourth admission to the specialist care. Although most patients with carcinoid tumours report high satisfaction with care, it is important to be aware of the fact that some patients may be less satisfied. Doctors should provide patients with information which matches the individual patients' needs and preferences as patients' satisfaction with doctors' provision of information is related to patients' HRQoL, anxiety and depression.

  • 52.
    Fröjd, Camilla
    et al.
    Department of Public Health and Caring Sciences, Psyc hosocial oncology, Uppsala Un iversity, Uppsala, Sweden.
    Larsson, Gunnel
    Department of Medical Sciences, Uppsala Un iversity, Uppsala, Sweden.
    Lampic, Claudia
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sc iences, Caring Sciences, Uppsala University, Uppsala, Sweden.
    von Essen, Louise
    Department of Public Health and Caring Sciences, Psyc hosocial oncology, Uppsala Un iversity, Uppsala, Sweden.
    Health related quality of life and psychosocial function among patients with carcinoid tumours: a longitudinal, prospective, and comparative study2007Ingår i: Health and Quality of Life Outcomes, ISSN 1477-7525, E-ISSN 1477-7525, Vol. 5, artikel-id 18Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The aim was to investigate HRQoL and psychosocial function among patients with carcinoid tumours, longitudinally and prospectively, and to compare HRQoL among patients with carcinoid tumours to that of the Swedish general population. The aim was also to investigate the prevalence of distress during the first year after diagnosis. Methods: At four assessments during the first year after diagnosis, HRQoL was measured by the EORTC QLQ-C30 3.0, anxiety and depression by the HADS, and prevalence, and worst aspects of distress by an interview guide. ANOVA was performed in order to study changes over time with regard to HRQoL, anxiety and depression. Comparisons regarding HRQoL between patients and the Swedish population were made by the use of one-sample t-tests and changes over time regarding the prevalence of distress was investigated by means of Cochran's Q. Results: High levelsof physical-, emotional-, cognitive-, and social function and somewhat lower levels of role function and global quality of life were reported at all assessments. Role- and emotional function increased over time. Patients reported lower role function and global quality of life and more problems with fatigue and diarrhoea than the Swedish general population, at all assessments. Fatigue, limitations to work and pursue daily activities, and worry that the illness will get worse were among the most prevalent aspects at all assessments. At all assessments the majority reported worrying about the family's situation, the ability to care for the family, and worrying before the check-up. Conclusion: It is concluded that HRQoL and psychosocial function among patients with carcinoid tumours remains stable during the first year, that the patients report a lower HRQoL than the Swedish general population, and that a majority of the patients report a number of aspects of emotional distress. In the clinical care, it should be considered that the majority of patients report not only fatigue and diarrhoea but also worries about their prognosis, their families, tests, and examinations. Efforts to reduce these worries should be made.

  • 53.
    Green, Ulrika
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Nyutexaminerade specialistsjuksköterskors upplevelse av introduktionen på intensivvårdsavdelning2009Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med studien var att undersöka hur nyutbildade intensivvårdssjuksköterskor upplevde introduktionen på intensivvårdsavdelningen (IVA). Data samlades in genom semistrukturerade intervjuer av tio nyutbildade intensivvårdssjuksköterskor. Data analyserades med kvalitativ innehållsanalys. I huvudresultatet framkom två teman. Första temat ”Yttre faktorer som påverkar upplevelsen av introduktionen både positivt och negativt” innehöll kategorierna bemötande, checklista/introduktionsprogram, handledning, mentorskap, psykosociala miljön och organisatoriska faktorer. Dessa yttre faktorer påverkade upplevelsen av introduktionen och den enskilda sjuksköterskan hade själv svårt att påverka dessa. Andra temat ”Individfaktorer som påverkar upplevelsen av introduktionen både positivt och negativt” med kategorierna sammanhållning mellan de nyutbildade, att klara sig själv som ny samt känsla av att kunna påverka. För att tillfredsställa nyutexaminerade intensivvårdssjuksköterskors behov av god introduktion måste hänsyn tas till både yttre faktorer och individfaktorer.

  • 54.
    Hallqvist, Susanne
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Wilhelmsson, Therese
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Sjuksköterskors attityder gentemot kvinnliga patienter som har blivit utsatta för misshandel av sin partner– en litteraturstudie.2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    The aim of this literature study was to describe nurses' attitudes toward female patients who have been victims of spouse abuse. In this descriptive literature study, fifteen scientific articles were used in the result. The articles were of both qualitative and quantitative nature. The nurses felt that domestic violence was a social problem and that they had an important role in the detection of such violence. Several had themselves experienced violence but couldn‟t believe that so many in their vicinity or in the care were affected. Nurses thought that abused women had low self esteem and factors such as economics and children played into why the woman stayed in the violent relationship. The nurses often had a lack of education about the subject and felt uncomfortable in the situation that routinely screening all female patients for domestic violence. Education increased awareness and nurses felt more confident to talk about domestic violence with their female patients. The study found barriers to routine screening, as time constraints and lack of opportunity to talk separately with the patient. More education and knowledge of the subject is desirable so these women can be discovered and be helped by the health services.

  • 55.
    Hardy, Jennifer
    et al.
    Faculty of Health Sciences, School of Nursing and Human Movement, Australian Catholic University.
    Lindqvist, Ragny
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Dahlberg, Ola
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för medicinsk vetenskap.
    The current status of nursing informatics in undergraduate nursing programs: Comparative case studies between Sweden and Australia1997Ingår i: Nursing informatics: The impact of nursing knowledge on health care informatics / [ed] Gerdin U, Tallberg M & Wainwright P, Amsterdam: IOS Press , 1997, s. 132-136Konferensbidrag (Refereegranskat)
  • 56.
    Hardy, Jenny
    et al.
    Faculty of Health Sciences, School of Nursing and Human Movement, Australian Catholic University, Australia.
    Lindqvist, Ragny
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Dahlberg, Ola
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för medicinsk vetenskap.
    The current status of nursing informatics in undergraduate nursing programs: comparative case studies between Sweden and Australia1997Ingår i: Studies in Health Technology and Informatics, ISSN 0926-9630, E-ISSN 1879-8365, Vol. 46, s. 132-136Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    During the last ten years, the inclusion of education in health information systems has assumed an important role in graduate programs for health professionals. More recently, attention has focused on undergraduate programs. Throughout the world schools of nursing, organisations and associations are addressing the issue of educational offerings in nursing informatics. This paper reports on the status of nursing informatics at undergraduate level. Nurse academics from Gavle and Lund in Sweden, and from Melbourne and Sydney in Australia, took part in a survey of the respective nursing courses. The purpose of the study was to identify and describe examples of types of nursing informatics courses in Australia and Sweden A convenient sample of academics were approached and interviewed The results of the survey illustrate, in the schools surveyed, the slow emergence of nursing informatics into nursing curricula.

  • 57.
    Hayat Roshanai, Afsaneh
    et al.
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Rosenquist, Richard
    Department of Genetics and Pathology, Uppsala University, Uppsala, Sweden.
    Lampic, Claudia
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Nordin, Karin
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden; Department of Public Health and Primary Health Care, University of Bergen, Bergen, Norway.
    Cancer genetic counselees' self-reported psychological distress, changes in life, and adherence to recommended surveillance programs 3-7 years post counseling.2009Ingår i: Journal of Genetic Counseling, ISSN 1059-7700, E-ISSN 1573-3599, Vol. 18, nr 2, s. 185-94Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present cross-sectional study was to investigate psychological distress, changes in life, adherence to surveillance programs and satisfaction with cancer genetic counseling based on Swedish participants' self-reported data. A total of 218 probands (72% response rate) affected by breast, breast/ovarian or colorectal cancer and/or a family history of cancer were surveyed 3-7 years after receiving cancer genetic counseling. Participants reported a relatively high level of anxiety and a low level of depression. Probands affected by colorectal cancer reported a higher level of depression than did non-affected individuals with a family history of colorectal cancer. Overall, the participants reported moderate changes in family relations, priorities and appreciation of daily life activities. The majority of at-risk probands reportedly adhered to recommended surveillance programs. The mean level of satisfaction with cancer genetic counseling was high. About half of the participants would have accepted additional counseling sessions, contact with a psychologist or further help concerning informing family members. The present results indicate no adverse effects of genetic counseling, but they do suggest that typical counseling procedures could be improved by provision of additional psychosocial support.

  • 58.
    Hedov, Gerth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Annerén, Göran
    Uppsala universitet.
    Children with Down syndrome. How are new parents supported?1993Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 90, nr 39, s. 3319-3320Artikel i tidskrift (Refereegranskat)
  • 59.
    Hedov, Gerth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Annerén, Göran
    Wikblad, Karin
    Self-perceived health in Swedish parents of children with Down's syndrome.2000Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 9, nr 4, s. 415-422Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this comparative study, self-perceived health was investigated in 165 parents of 86 children with Down's syndrome (DS), using the Swedish version of the SF-36 questionnaire. Questionnaires were mailed to parents of children with DS in a defined Swedish population. The results were compared with those in a randomised control group of parents from the Swedish SF-36 norm population. Mothers and fathers replied separately. Student's t-test with the Bonferroni correction was used for multiple statistical comparisons. The mothers of children with DS ('DS mothers') had significantly lower, less favourable scores than did the fathers of DS children ('DS fathers') in the Vitality (p < 0.0005) domain. Further, DS mothers spent significantly more time in caring for their child with DS than did the DS fathers (p < 0.0001). DS mothers also had lower scores than the mothers of the control group in the Vitality (p < 0.001) and Mental Health (p < 0.001) domains. DS fathers and control fathers differed significantly in the Mental Health domain (p < 0.002), but not otherwise. In conclusion, DS mothers showed poorer health than their spouses and the control mothers. No differences similar to those found between the DS mothers and DS fathers were observed between control mothers and control fathers.

  • 60.
    Hedov, Gerth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Annerén, Göran
    Wikblad, Karin
    Swedish parents of children with Down's syndrome.2002Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, nr 4, s. 424-430Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Becoming parents of a child with Down's syndrome (DS) challenges the adjustment ability in parenthood. Individuals with higher sense of coherence (SOC) are supposed to manage stressors better than those with lower SOC. The aims of this study were to investigate parental self-perceived stress, SOC, frequency of gainful employment and amount of time spent on child care in Swedish DS parents (165 parents; 86 mothers, 79 fathers) and to compare those with control parents of healthy children (169 parents; 87 mothers, 82 fathers). The mean age of the children was 4.7 years. Parents responded to questionnaires separately including Hymovich's Parent Perception Inventory as stress measurement and Antonovsky's short version of the Orientation to Life. No differences concerning total employment rate were observed, but the DS mothers were more often employed part-time than control mothers. The DS parents did not spend more time on child care than the control parents and they did not differ in mean SOC score, but the DS parents perceived greater stress. The differences in stress, particularly between the DS and control mothers, were related to time-demanding areas. Parents with high SOC scores experienced significantly less self-perceived stress.

  • 61.
    Hedov, Gerth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Wikblad, Karin
    Annerén, Göran
    First information and support provided to parents of children with Down syndrome in Sweden: clinical goals and parental experiences.2002Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 91, nr 12, s. 1344-1349Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    When parents are informed that their newborn child has Down syndrome (DS), they often respond with a traumatic crisis reaction. The aims of this study were to assess the clinical goals regarding the first information and support provided to parents of newborn children with DS at the Swedish paediatric departments, and to analyse the parents' experiences of how they were first informed and treated. Data were collected during 1992-1993 from all of the 51 departments of paediatrics in Sweden. Information on the parents' experiences, collected retrospectively in 1996, was based on recollection by 165 parents of 86 children with DS born between 1989 and 1993 at 10 of the paediatric departments considered representative for Sweden. Seventy-five percent of the families were informed about the diagnosis within 24 h post partum. Some parents felt they were informed too late, and a few parents that they were told too soon. Half of the parents were satisfied with the timing. About 70% of the parents considered the information insufficient and 60% felt that they had been unsupported. Seventy percent would have liked more frequent information. Parental criticisms concerning the way in which the information was provided were that they received too much negative information about DS and that both the communication skills and the basic knowledge of DS on the part of the professionals could have been better. CONCLUSION: The Swedish paediatric departments fall short of their reported strong clinical goals regarding the initial information in Sweden, and improvements in this area are desirable.

  • 62.
    Hedov, Gerth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Unit of Paediatrics, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Wikblad, Karin
    Department of Welfare and Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Annerén, Göran
    Unit of Clinical Genetics, Department of Genetics and Pathology, Uppsala University, Uppsala, Sweden.
    Sickness absence in Swedish parents of children with Down's syndrome: relation to self-perceived health, stress and sense of coherence.2006Ingår i: Journal of Intellectual Disability Research, ISSN 0964-2633, E-ISSN 1365-2788, Vol. 50, nr 7, s. 546-552Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The aims of present study were to study sickness absence among Swedish parents of children with Down's syndrome (DS) and to compare their rates of absence with those of control parents. Sickness absence data for 165 DS parents were compared with those for 174 control parents; all data were for the period 1997-2000. Sickness absence rates were also related to parental self-perceived health, stress and sense of coherence. METHODS: The self-administrated measures of parental self-perceived health, stress and sense of coherence were compared with the number of days of sickness absence. RESULTS: In about two-thirds of the parents in both the study and the control group, no days of sickness absence were registered. Six of the DS parents had remarkably large numbers of days of sickness absence (more than 100 per year). None of the control parents had such high sickness absence rates. It is speculated that there is a small group (less than 5%) of parents who are more vulnerable to the birth of a child with DS. Apart from these six DS parents, sickness absence was not more frequent among the DS parents than among the control parents. DS parents stayed at home to care for their sick DS child three times more often than control parents did for their non-disabled child. DS fathers took greater responsibility in the care of their temporarily sick child and stayed at home to care for the child even more often than control mothers did. DS parents with sickness periods experienced small deterioration in self-perceived health, significantly higher stress and decreased sense of coherence in comparison with parents without sickness periods. CONCLUSIONS: There was a great similarity in sick leave rates due to one's own sickness between DS and control parents, but a small group of DS parents (<5%) may be more vulnerable. DS fathers stayed at home to care for their sick DS child remarkably often.

  • 63.
    hellström-hyson, eva
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Att ta ansvar eller att vara åskådare: en studie av två handledningsmodeller2009Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 64.
    Hornèy, Sofia
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Isaksson, Emma
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Smärtlindringseffekten av lokal hudanalgetika och avledning vid venpunktion hos barn: En litteraturstudie2009Studentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna litteraturstudie var att beskriva effekten av hur lokal hudanalgetika och avledning fungerar som smärtlindringsmetod vid venpunktion hos barn. Resultatet baserades på 15 vetenskapliga artiklar med kvantitativ karaktär. I resultatet framkom det att Emla hade en smärtreducerande effekt under själva venpunktionen i jämförelse med placebokräm, dock var inte effekten signifikant. Ingen signifikant skillnad i smärtlindring kunde påvisas mellan Emla och Ela-Max, inte heller mellan Emla och Lidokain Iontophoresis. Smärtlindringseffekten vid enbart avledning visade varierande resultat. Vissa studier visade att avledningstekniker kunde ge signifikant lägre skattning av smärta och oro och gjorde att barnen samarbetade bättre, medan andra studier inte visade några signifikanta resultat. Vid kombination av kognitiva beteendestrategier kombinerat med Emla samt vid självhypnos och Emla visades signifikant minskad smärta. Dessa tekniker minskade även barnens oro. Dock fanns ingen signifikant smärtlindringseffekt mellan avledning och Emla jämfört med avledning och placebokräm. I flertalet artiklar visade resultatet att både smärta och oro skattades högre av de yngre barnen i jämförelse med de äldre.

  • 65.
    Hägglund, Doris
    et al.
    Department of Health Sciences, Örebro University, Örebro, Sweden.
    Wadensten, Barbro
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Department of Health Sciences, Örebro University, Örebro, Sweden.
    Fear of humiliation inhibits women's care-seeking behaviour for long-term urinary incontinence2007Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, nr 3, s. 305-312Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Most women with urinary incontinence (UI) do not seek professional help. Women's experiences of their behaviour when seeking care for incontinence are important to improve understanding by nurses and encourage as well as enable women to seek help. The aim of this study was to illuminate the meaning of women's lived experiences of their behaviour when seeking care for long-term UI. Thirteen women were interviewed (range 37-52 years) who had not sought professional help for incontinence. A phenomenological hermeneutic method was used to analyse and interpret the interview texts. Three themes evolved from data: being in an affected situation, having personal beliefs about seeking care and having desired expectations about care. Being in an affected situation, means that the women were negatively affected by their long-term incontinence. Living with shame, altered sexual relationships and a need for distancing have negatively influenced their care-seeking behaviour (CSB). Having personal beliefs about seeking care means that the women had their own beliefs regarding morally acceptable behaviour for seeking care because of incontinence. This led to a toning down of their problem and a minimization of the problem associated with incontinence as it was considered to be a normal consequence of pregnancy and childbirth. Having desired expectations about care means that the women had opinions relevant to the care and felt being asked about incontinence and an understanding atmosphere should be included. The conclusion is that fear of humiliation inhibited women from seeking care for long-term UI. The findings suggest that nurses should be precise when asking about women's experiences of UI because otherwise they do not bring it up. Additionally, CSB can help nurses to explain the experience and enable women to seek help for this manageable condition.

  • 66.
    Häggström, Elisabeth
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Att stärka kvinnors yrkesroll inom äldreomsorgen2009Rapport (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Syftet med studien var att skapa möjligheter för undersköterskor och vårdbiträden vid ett äldreboende i Sandvikens kommun att delta i ett nio månaders träningsprogram med fokus på empowerment samt att beskriva deras syn på sin egen professionella roll i arbetet med de äldre vårdtagarna före och efter träningsprogrammets genomförande. Enligt flera studier är det vanligt att kvinnor tar på sig skulden för problem och orättvisor som de upplever i arbetslivet. Forskargruppens antagande var att ett sätt att förbättra arbetssituationen för vårdpersonal inom äldreomsorgen skulle vara att hjälpa dem att utveckla sin självkänsla och öka sin empowerment genom att erbjuda dem möjligheten att delta i ett träningsprogram med fokus på detta.

    Halvstrukturerade intervjuer genomfördes med 12 undersköterskor och två vårdbiträden vid äldreboendet i början och i slutet av träningsprogrammets genomförande. Materialet analyserades med hjälp av kvalitativ innehållsanalys. Huvudresultatet, som beskrivs genom följande teman, ’att gå från passivitet till aktivitet’, ’att gå från att klaga till att förstå’ och ’att gå från tystnad till att tala’ visar att vårdpersonalens självkänsla och empowerment stärktes. Slutsatsen av studien är att implementering av ett träningsprogram med fokus på empowerment tycks vara en bra form av handledning för undersköterskor och vårdbiträden inom äldreomsorgen. Enhetschefer, beslutsfattare och politiker inom äldreomsorgen bör ta tillvara dessa kunskaper och skapa förutsättningar för vårdpersonalen att delta i denna form av utbildning.

  • 67.
    Häggström, Elisabeth
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Municipal care for older people: experiences narrated by caregivers and relatives2005Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • 68.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Bruhn, Åsa
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Caregivers' attitude to education and supervision in work with the older people in a nursing home2009Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 29, nr 8, s. 850-854Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Community-based care in Sweden has problems recruiting and keeping staff with formal competence and education. Both the caregiver’s well-being and the receiver’s care improve when the personnel receive support in the form of continuing supervision and education. Yet the caregivers in this study did not participate in a training and supervision programme during working hours. The aim of this study was to describe the attitudes towards education, support and supervision in the care of older people in municipal care in Sweden. The study used a qualitative approach with a descriptive design. Twelve caregivers, nine enrolled nurses and three nurses’ aides from four wards in a nursing home were interviewed. The interviews were analysed with qualitative content analysis. The main findings showed that all of the caregivers were positive towards the idea of participating in training and asked for education and supervision but felt that the management did not create conditions that made it possible to participate during working hours. According to the findings there is a need for developing new forms and methods for learning that can be integrated into working life.

  • 69.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Engström, Maria
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Wadensten, Barbro
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Uppsala universitet.
    A nine-month intervention programme focusing on empowerment; caregivers' descriptions of changed behaviour and increased room for acting2009Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, nr 6, s. 866-873Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: To describe public nursing home Enrolled Nurses' and Nurses Aides' view of their work and their perceptions of themselves in their professional role while they were receiving a serious of role awareness sessions focusing on empowerment for nine months. BACKGROUND: According to several studies, it is typical that women may experience problems and injustices at work. The main focus of the intervention was to help enrolled nurses' and nurses aides' in developing their self-image and professional role. DESIGN: This study was descriptive and qualitative in design. METHODS: The present study comprises semi-structured interviews conducted with enrolled nurses and nurses aides (n = 14) from public nursing homes at start of the intervention and again nine months following the intervention. The text from the interviews was analysed using latent content analysis. RESULTS: The main findings primarily show an improved professional role for the caregivers, as described in the following themes: the move from passivity to activity, the move from complaining to understanding, the move from expectations to frustration and the move from being silent to speaking loud. CONCLUSIONS: For caregivers working with older people within public nursing home care, it seems to be a good form of clinical supervision to implement a serious of role awareness sessions in order to improve their professional role. RELEVANCE TO CLINICAL PRACTICE: The findings showed that an intervention providing opportunities with focus on empowerment improved the enrolled nurses' and nurses aides' professional role in working with older people. This can be useful information for managers and educators and they may want to adapt it when working in a public nursing home.

  • 70.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Hofsten, Anna
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för medicinsk vetenskap.
    Wadensten, Barbro
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Nurses’ opinions about a web-based distance course in a  specialist education programme for the care of older people: a questionnaire study2009Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 4, nr 3, s. 177-184Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. The aim of the present study was to investigate students’ opinions about a web-based distance learning course that was part of a specialist education programme.

    Design.  Survey.

    Method. The study was a descriptive survey with both qualitative and quantitative questions.

    Results. The students found the web-based course very useful for their theoretical and professional development. New perspectives on ageing, increased knowledge about analysing and describing theories as well as practising interviews and qualitative analysis as methods were appreciated by the students.

    Conclusions. One way for RNs in Sweden to get a university specialist education in the care of older people is to have a distance web-based course, as it allows flexibility and improves the students’ theoretical and professional knowledge and communication skills.

    Relevance for clinical practice. Managers working in care for older people settings and educators will be interested in this study’s finding that distance learning is a useful strategy for providing education for RNs who work with older people.

  • 71.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Kihlgren, Annica
    University of Örebro, Örebro, Sweden.
    Experiences of caregivers and relatives in public nursing homes2007Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 14, nr 5, s. 691-701Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present study was, by means of discussion highlighting ethical questions and moral reasonings, to increase understanding of the situations of caregivers and relatives of older persons living in a public nursing home in Sweden. The findings show that these circumstances can be better understood by considering two different perspectives: an individual perspective, which focuses on the direct contact that occurs among older people, caregivers and relatives; and a societal perspective, which focuses on the norms, values, rules and laws that govern a society. Relatives and caregivers thought that the politicians were sending out mixed messages: they were praising caregivers and relatives for their efforts, but at the same time the public health care sector was subjected to significant cutbacks in resources. Both caregivers and relatives were dissatisfied and frustrated with the present situation regarding the care of older persons in public nursing homes.

  • 72.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Neurotec-Department, Karolinska Institutet, Stockholm, Sweden.
    Kihlgren, Annica
    Neurotec-Department, Karolinska Institutet, Stockholm, Sweden; Centre of Nursing Science, University Hospital, Örebro, Sweden.
    Mona, Kihlgren
    Neurotec-Department, Karolinska Institutet, Stockholm, Sweden; Centre of Nursing Science, University Hospital, Örebro, Sweden.
    Sörlie, Venke
    Centre of Nursing Science, University Hospital, Örebro, Sweden; Institute of Nursing and Health Sciences, University of Oslo, Oslo, Norway.
    Relatives' struggle for an improved and more just care for older people in community care2007Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 9, s. 1749-1757Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims and objectives. The aim of the present study was to describe the relatives' experience concerning older family members living in special housing facilities. Background. During the 21st century, the relatives of older people and their efforts related to the care and nursing of older people have been observed. The interest in these relatives is because of factors such as demographic changes, where the number of older people has increased and the increasing gap between the resources that are available for geriatric care and the care needed for older people. Design. The present study has a descriptive design and is part of a project including 24 specific residences, called special housing facilities. Method. The study focused on the narratives supplied by the relatives that were analysed using qualitative latent content analysis, an interpretative process where the researcher considers the content of the text. Results. The relatives' experience of having an older person in a special housing facility that emerged from the study, was expressed in one main theme: The relatives' struggle for an improved and just care for older people and four sub-themes: (i)'To trust in caregivers'; (ii) 'To be confirmed'; (iii) 'To trust in care'; (iv) 'To receive the kind of care that one considers one has the right to receive'. Conclusions. The study shows that the relatives need more support and more opportunities, so that they can participate in the care. The study shows the relatives engagement in working for a just society's obligation towards the protection of older peoples rights and the staff's working conditions. Relevance to clinical practice. It is important that caregivers and management working with older people realize that they, together with them and their relatives, are a part of society and that all individuals are influenced by the discourse of that society.

  • 73.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Kihlgren, Mona
    Wadensten, Barbro
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Caregivers working with older people experience work dissatisfaction and low self-esteem orginating from power relations in municipal care organization2009Ingår i: Tidsskrift for Sygeplejeforskning, ISSN 0900-3002, Vol. 25, nr 2, s. 27-33Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study explores how a combined gender and power perspective might explain and help us understand caregivers´ expressions of low self-esteem and dissatisfaction in their work with older people. The aim of the study was to discover whether caregivers’ experiences in the nursing home can be understood on the basis of Ås´ framework of the Five Master Techniques. The study was conducted within the municipal gerontological care system in Sweden and has an explorative, qualitative design. Twenty caregivers were interviewed, and the interviews were analysed using a qualitative content approach. Based on Ås´ theory of Five Master Techniques, the caregivers’ experiences of being made to feel invisible, ridiculed, deprived of information, receiving double punishment and feelings of guilt and shame emerged from the analyses. The study shows that the caregivers’ experiences, listed above, were all obvious at the nursing home and that these experiences also affected their feelings of work dissatisfaction and low self-esteem. The findings show the importance of using a gender perspective in caring, so that power relations in the organization can be explored, understood and combated.

  • 74.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Mbusa, Ester
    Kilimanjaro Christian Medical College, Tanzania.
    Wadensten, Barbro
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Nurses' workplace distress and ethical dilemmas in Tanzanian health care2008Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 15, nr 4, s. 478-491Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the study was to describe Tanzanian nurses’ meaning of and experiences with ethical dilemmas and workplace distress in different care settings. An open question guide was used and the study focused on the answers the 29 registered nurses’ supplied. The written answers were analysed with a phenomenological-hermeneutic method inspired by the philosophy of Ricoeur. From the findings the theme, ‘Tanzanian registered nurses’ invisible and visible expressions about existential conditions in care’, emerged from the interpretation of the following sub-themes, which appeared from the structural analysis: (1) ‘Suffering from workplace distress’; (2) ‘Suffering from ethical dilemmas’; (3) ‘Suffering from maintaining a good quality of nursing’; (4) ‘Suffering from the lack of respect, appreciation, and influence’; (5) ‘Suffering from a heavy workload does not prevent the registered nurses from struggling for better care for their patients’. In this study, the deep analysis of the Tanzanian nurses’ work situations shows that on a daily basis, they find themselves working on the edge of life and death, while they have few opportunities for doing anything about this situation. One of the conclusions is that the nurses need professional guidance so they can get insight into and also be able to reflect on the situations they are in, while also being made conscious of the fact that they do not have to overload themselves with ethical dilemmas and workplace distress.

  • 75.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Skovdahl, Kirsti
    Fläckman, Birgitta
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Kihlgren, Annica
    Kihlgren, Mona
    To feel betrayed and to feel that you are betraying the older residents: caregivers' experiences at a newly opened nursing home2004Ingår i: Journal of clinical nursing, Vol. 13, nr 6, s. 687-696Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    In Sweden and internationally, little research has focused on the working situation of Enrolled Nurses and Nurses' Aides who form the majority of workers in geriatric care today. With this in mind, it is important to focus on how these occupational groups experience their working situation with older residents in municipal care.

    AIMS AND OBJECTIVES:

    The aim of the study was to investigate the deeper meaning of work satisfaction and work dissatisfaction at a newly opened nursing home for older residents. The study focused on the narratives supplied by the caregivers at the nursing home. The participants included: one Registered Nurse, sixteen Enrolled Nurses, and three Nurses' Aides. All were directly involved in patient care.

    DESIGN:

    The present study is part of a larger longitudinal study within the municipal geriatric care system in Sweden, with a quasi-experimental design.

    METHOD:

    The interviews were analysed with a phenomenological-hermeneutic method inspired by the philosophy of Ricoeur.

    RESULT:

    The caregivers experiences of work satisfaction and work dissatisfaction was expressed in four themes: (i) 'Experience of betrayal' describes how the staff felt let down in several ways; (ii) 'Experience of failing others' describes how the staff felt that they did not pay enough attention to older people, in several different ways; (iii) 'Experience of insufficiency' describes how the staff encountered overwhelming demands from several directions; (iv) 'Experience of work satisfaction' describes how the staff felt that they were given support in various ways. Each theme emerged from several subthemes that originated from the caregivers' narratives.

    CONCLUSIONS:

    The study shows that the caregivers' experience of work dissatisfaction overshadows their experience of work satisfaction. It also suggests that their feelings of failing the older residents are connected to their own experiences of feeling betrayed.

    RELEVANCE TO CLINICAL PRACTICE:

    The findings can be used when other nursing homes in municipal care are opened, as a means of preventing work dissatisfaction and increasing work satisfaction among future employees.

  • 76.
    Häggström, Elisabeth
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Skovdahl, Kirsti
    Fläckman, Birgitta
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Kihlgren, Annica
    Kihlgren, Mona
    Work satisfaction and dissatisfaction: caregivers’ experiences after a two-year intervention in a newly opened nursing home2005Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 14, nr 1, s. 9-19Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Work satisfaction and dissatisfaction – caregivers’ experiences after a two-year intervention in a newly opened nursing home Aims and objectives. The aim of the study was to investigate, from the narratives of nine enrolled nurses and one nurses’ aide directly involved in patient care, the deeper meaning of work satisfaction and dissatisfaction when working with the older people.

    Background. Both nationally and internationally, there is little research documented regarding the working situation of the enrolled nurses and nurses’ aides who make upthe majority of care for older people today. With this in mind, it is important to focus on how these occupational groups experience their work with the older residents in municipal care, following a two-year intervention.

    Design. The study is part of a larger longitudinal study, with a quasi-experimental design within the municipal system of care for older people in Sweden. The investigation was carried out following a two-year intervention, which included: education, support and clinical supervision.

    Method. The interviews were performed 12 and 24 months after start of the intervention and were analysed with a phenomenological–hermeneutic method inspired by Ricoeur’s philosophy.

    Results. The findings from these narratives illustrated a change compared with the findings from the first interviews, when the nursing home had just opened. There was a 2005 Blackwell Publishing Ltd 9 shift from a dominance of dissatisfaction with work, to a dominance of work satisfaction and this was expressed in the following themes: experience of a changed perspective, experience of open doors, and experience of closed doors. Each theme emerged from several different subthemes and each subtheme that had been expressed in the caregivers’ narratives was interpreted.

    Conclusions. The study shows that the caregivers’ experience of work satisfaction in the workplace exceeded their experience of dissatisfaction and that the intervention, consisting of: education, support, and supervision might have facilitated this positive development where the older residents were prioritized. It also shows that communication and understanding between management and staff had increased as the nursing home had opened.

    Relevance to clinical practice. The findings can be used to help to prevent work dissatisfaction, and thereby increase work satisfaction for caregivers working in nursing homes.

  • 77.
    Jansson, Annika
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
     Attityder och kunskaper hos Sjuksköterskor till personer med alkoholproblem. -en litteraturstudie2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 78.
    Jansson, Helena
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Hammarberg, Marie
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    En studie om kvinnlig omsorgspersonals upplevelse av chefens stöd vid långtidssjukskrivning.2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 79.
    Jansson, Johanna
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Florén, Lina
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Föräldrar till barn med Downs syndrom: relationen med släkt och vänner2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Syftet med studien var att ta reda på om föräldrarnas relation med släkt och vänner påverkats efter att de fått ett barn med Downs syndrom och om/hur de anser att släkt och vänner kunnat visa sina känslor beträffande barnets funktionshinder. Ett annat syfte var också att jämföra om det fanns någon skillnad mellan mödrarnas och fädernas svar. Studien har en kvantitativ och jämförande design och redan gjorda och besvarade enkäter har använts. 207 föräldrar till barn med Downs syndrom från 10 slumpmässigt utvalda platser i Sverige tillfrågades och 165 valde att delta.

       Huvudresultatet från den här studien visade att de flesta föräldrarna inte upplevde att relationen till släkt och vänner förändrats efter att de fått ett barn med Downs syndrom. Föräldrarna upplevde också att släkt och vänner kunnat visa sina känslor beträffande barnets funktionshinder. Resultatet visade att det inte fanns några signifikanta skillnader mellan mödrarnas och fädernas svar när det gällde relationen till släkt och vänner och släktens känslor beträffande barnet. Det fanns en signifikant skillnad mellan mödrarna och fädernas svar, på frågan om vänner kunnat visa sina känslor beträffande barnet visade det sig att mödrarna upplevde att vänner kunnat visa sina känslor i större utsträckning än fäderna.

  • 80.
    Johansson, Hanna
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Eriksson, Sabina
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Patienters psykiska hälsa efter en hjärtinfarkt: En litteraturstudie2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Syftet med denna studie var att beskriva patienters psykiska hälsa efter en hjärtinfarkt.

    Studien genomfördes som en litteraturstudie. Sökorden myocardial infarction, mental health, experience, psychological health och quality of life kombinerades för att hitta artiklar. Arton artiklar inkluderades i studien och hittades i databaserna PubMed och Cinahl och genom andra artiklars referenslista. Undersökningarna i artiklarna var genomförda med intervjuer, enkäter och observationer. Resultatet visade att män upplevde en bättre hälsorelaterad livskvalitet än kvinnor samt att kvinnors psykiska hälsa påverkades mer efter en hjärtinfarkt. Kvinnorna ansåg det var svårare att göra livsstilsförändringar än männen, de förmodade att deras förändringar kunde ha negativ inverkan på familjen. Undersökningarna i artiklarna visade att det är vanligt med depressioner efter hjärtinfarkt och att många upplever det som arbetsamt att göra livsstilsförändringar. Patienterna ansåg att det är viktigt att ha nära relationer med deras anhöriga för att få det stöd de behöver under tillfrisknandet.

  • 81.
    Johansson, Tommy
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Netterström, Johan
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Livskvalitet efter PCI-Behandling: en litteraturstudie2009Självständigt arbete på grundnivå (yrkesexamen), 15 poäng / 22,5 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med den här litteraturstudien var att beskriva män och kvinnors förändrade livskvalitet efter en PCI behandling. Litteratursökningen genomfördes i databaserna Academic search elite, Chinal och Pubmed. Nitton artiklar som motsvarade urvalskriterierna valdes ut och granskades. Samtliga artiklar var kvantitativa. Resultatet visade att den stora fördelen med PCI behandling är att patienterna fick en minskad frekvens av angina vilket gjorde att både den fysiska och psykiska hälsan ökade. PCI behandlingen gav en ökad överlevnad och minskade lidandet hos hjärtsjuka patienter. Även äldre som genomgick en PCI behandling fick en signifikant bättre livskvalitet och därför är ålder inget hinder för behandling. Det fanns en skillnad i mäns och kvinnors upplevda livskvalitet efter PCI behandlingen där män hade kvarstående besvär i form av rastlöshet, nervositet var lättirriterade. Kvinnor hade oftare sämre fysisk funktion och mer somatiska symtom än män. Kvinnor upplevde det sociala stödet lägre och hade mer hälsorelaterade problem gällande hushållet medan män upplevde mer hälsorelaterade problem gällande sexlivet. De som genomgick och fullföljde hjärt- rehabiliteringsprogrammet fick sjukdomskunskap, självkontroll och förstod vikten av egenvård och höjde sin livskvalitet signifikant och minskade därmed risken för ytterligare hjärtkomplikationer. Livsstilsförändringar som var viktigast var rökstopp då det visade sig att rökare fick en signifikant sämre livskvalitet efter PCI behandlingen.

  • 82.
    Jonsson, Ann-Sofie
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Roos, Peter
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Livskvalitet hos patienter med pankreascancer: -en litteraturstudie2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna studie var att beskriva livskvalitet hos patienter med pankreascancer och att undersöka om det fanns några faktorer som kunde påverka patientens livskvalitet. Sökningar genomfördes i databaserna Academic Search Elite och Medline. De sökord som användes var pancreatic cancer, quality of life och pancreatic neoplasms. Tretton vetenskapliga artiklar valdes ut till studiens resultat. Dessa artiklar granskades, analyserades och sammanställdes. Resultatet visade att livskvalitet var signifikant försämrad hos patienter med pankreascancer jämfört med en generell population. Patienterna upplevde flera besvärande symtom. Utmattning och smärta var bland de mest förekommande symtomen och dessa kunde även kopplas till försämrad livskvalitet. Trots olika åtgärder och behandlingar upplevde inte många av patienterna någon förbättrad livskvalitet. Några patienter som stabiliserade sin vikt upplevde bättre livskvalitet och överlevde längre än de som fortsatte att minska i vikt. En patientgrupp med lokal cancer som genomgick kirurgi visade en signifikant ökad livskvalitet efter behandlingen. De patienter som fick strålbehandling med ett radioaktivt läkemedel visade också en signifikant förbättrad livskvalitet. Mera forskning behövs för att få kunskaper om hur denna patientgrupp upplever sin livskvalitet och för att kunna erbjuda åtgärder som kan ge en ökad livskvalitet.

  • 83.
    Jonsson, Pernilla
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Nilsson, Agneta
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Stomiopererades upplevelse av livskvalitet och sexualitet:  en litteraturstudie2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning

    Bakgrund: Varje år stomiopereras ca 20 000 personer i Sverige av olika bakomliggande orsaker. Detta ingrepp påverkar individens livskvalitet och sexualitet på flera olika sätt. Vanligt förekommande är rädsla för lukt och läckage. För sjuksköterskan är insikt i stomibärarens livssituation viktigt för att kunna identifiera problem, och se patientens vårdbehov. Syftet med studien var att beskriva hur vuxna stomibärare upplever livskvalitet och sexualitet. Metod: En beskrivande litteraturstudie användes som metod för att svara på syftet. Sökningar utfördes i databaserna CINAHL och PubMed. Funna artiklar kvalitetsgranskades och analyserades. Resultat: Personer med stomi upplever problem med lukter, gaser och läckage. Problemen skapar begränsningar i arbetet förlust av yrkesidentitet och socialt liv och dessutom upplevde många sig hindrade till att delta i aktiviteter och resor. Stomin ledde också till förändringar av kost och klädval. Förändrad kroppsbild minskar upplevelsen av att vara attraktiv och sexuallivet påverkas. Kvinnor och män upplever situationen olika. Sjuksköterskans förmåga att informera har betydelse för livskvaliteten i vardagslivet. Slutsats: Att få en stomi innebär stor förändring i livet, stomi påverkar inte bara det fysiska utan även det psykiska, sociala och det sexuella.

  • 84.
    Kaltenbrunner, Petra
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Sjuksköterskans arbete och upplevelser av arbetet med att motivera patienter att göra livsstilsförändringar.2009Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning

    Syftet med studien var att beskriva hur sjuksköterskor på diabetes- och blodtrycksmottagningar på vårdcentraler arbetar med att motivera patienter att göra livsstilsförändringar och att beskriva sjuksköterskornas upplevelser av arbetet med att motivera patienter att göra livsstilsförändringar. Ännu ett syfte var att beskriv vilka hinder och möjligheter de upplever i det arbetet. Tio sjuksköterskor på sex hälsocentraler i Mellansverige intervjuades. Intervjuerna analyserades utifrån kvalitativ innehållsanalys. Resultatet redovisas i fem kategorier och 14 subkategorier. Kategorin att identifiera livsstil beskriver hur sjuksköterskorna identifierade patienternas livsstil och riskbeteenden. Kategorin behandlingsstrategi beskriver hur sjuksköterskorna arbetade utifrån patientcentrerade samtal, motiverande samtal, förskrivning av fysisk aktivitet på recept, samarbetet med sjukgymnast, dietist och arbetsterapeut och uppföljning av patienterna. Kategorierna hinder och möjligheter beskriver hur patientens motivation och arbetsmetoder kan vara både hinder och möjlighet. Att verksamheten inte kunde erbjuda patientgrupper beskrev som ett hinder. Kategorin en utmaning beskriver sjuksköterskornas upplevelser av arbetet.

    Nyckelord; livsstilsförändring, motivation, sjuksköterska, motiverande samtal

  • 85. Karlsson, Bengt
    et al.
    Gustafsson, Jan
    Hedov, Gerth
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Ivarsson, S A
    Annerén, Göran
    Thyroid dysfunction in Down's syndrome: relation to age and thyroid autoimmunity.1998Ingår i: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 79, nr 3, s. 242-245Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The prevalence of thyroid disease is increased in Down's syndrome. Most available data come from cross sectional studies. AIMS: To study longitudinally thyroid function in patients with Down's syndrome in Uppsala county (85 patients) up to the age of 25 years. METHODS: Observational study based on yearly follow up in a children's clinic. Thyroid function tests were performed at each visit to the clinic. RESULTS: Hypothyroidism was found in 30 and hyperthyroidism was found in two of the 85 patients. No sex difference was seen. Half of the patients with hypothyroidism acquired the condition before the age of 8 years, but only one of them displayed thyroid autoantibodies at diagnosis. Most patients who developed hypothyroidism after this age had thyroid autoantibodies. In the prepubertal patients with hypothyroidism, growth velocity was lower during the year before the start of thyroxine treatment than during the year after treatment began; it was also lower than that of sex and age matched euthyroidic children with Down's syndrome. CONCLUSION: Thyroid dysfunction in patients with Down's syndrome is common in childhood. Consequently, annual screening is important. Autoimmune thyroid disease is uncommon in young children with Down's syndrome but is common after 8 years of age.

  • 86.
    Keinström, Emelie
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi. Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    How the nurses in Kilifi (Kenya) experience their work with children that suffer from severe disease/illness: A Minor Field Study at a sub-Saharan district hospital in Kenya2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 87.
    Keinström, Emelie
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    How the nurses in Kilifi (Kenya) experience their work with children that suffer from severe disease/illness: A Minor Field Study at a sub-Saharan district hospital in Kenya2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 88.
    Kempe-Kropf, maria
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Peltonen, Satu
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Följsamhet gällande handhygien bland vårdpersonal: - en litteraturstudie2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Syftet med denna litteraturstudie var att beskriva varför följsamheten gällande handhygien ofta är låg bland vårdpersonal, samt hur man kan öka följsamheten för handhygien bland vårdpersonal. Metoden som använts var en litteraturstudie. Datainsamling skedde via databaserna Medline (PubMed), Cinahl (EBSCO host) och Academic Search Elite. Sökorden som använts: prevention, hand disinfection, hand washing, infection control, nosocomial infection och education. Totalt användes 15 vetenskapliga artiklar. Resultatet delades in i två huvudrubriker: Orsaker till att följsamheten ofta är låg bland vårdpersonal och faktorer som kan öka följsamheten gällande handhygien bland vårdpersonal. De två huvudrubrikerna delades in i sex underrubriker: tidsbrist, hudbekymmer, kunskapsbrist, utbildning, affisch/posters och tillgänglighet. Resultatet visade att det finns många anledningar till att följsamheten för handhygien är låg. Studien visar att tidsbrist, hudbekymmer samt kunskapsbrist gällande hand hygien är de vanligaste orsakerna. Utbildning tillsammans med affischer/posters samt ökad tillgänglighet vad gäller material har visat sig vara det mest effektiva sättet att öka följsamheten av handhygien.

    Nyckelord

    .

    : prevention, hand disinfection, hand washing, infection control, nosocomial infection och education.

  • 89.
    Kihlander, karin
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Persson, stina
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Hur kvinnor med fibromyalgi upplever sin livskvalitet- en litteraturstudie2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 90.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Commentary on Kristofferzon M-L, Lofmark R & Carlsson M (2007) Striving for balance in daily life experiences of Swedish women and men shortly after a myocardial infarction. Journal of Clinical Nursing 16, 391-401 - Response2008Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, nr 8, s. 1106-1106Artikel i tidskrift (Refereegranskat)
  • 91.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Health-related quality of life over the first year after myocardial infarction2006Ingår i: New Frontiers in Cardiac Care: Bergen, Norway 5–6th May 2006, 2006, s. s40-s41Konferensbidrag (Refereegranskat)
    Abstract [en]

    Purpose: The aim of the study was to compare healthrelated quality of life (HRQoL) in patients 1, 4 and 12 months after myocardial infarction with regard to (1) differences over time and (2) differences between younger (42–64 years old) and older (65–90 years old) patients.

    Methods: A longitudinal, descriptive and comparative design was used for the study, which included 69 younger (39% women) and 79 older (42% women) patients. Data were collected with the SF-36 Health Survey during the period 1999–2001.

    Results: Table 1 displays main effects of time and groups. No group-by-time interaction effects emerged. HRQoL increased in younger patients for physical functioning, bodily pain, vitality and social functioning scales between 1 and 4 months, which remained at 12 months. There was also an increase for role-physical and role-emotional scales between 1 and 4 months and a further increase between 4 and 12 months. In older patients the increase for rolephysical, vitality, social functioning and role-emotional scales was found between 1 and 4 months, which remained at 12 months. Moreover, an improvement in the physical functioning scale was found between 4 and 12 months and for the bodily pain scale between 1 and 4 months. An increase for mental health scale in the study group was evident between 4 and 12 months, but when the study group was divided into younger and older patients the change over time disappeared. The general health scale was stable over time. Compared with older patients, younger patients rated higher HRQoL for the physical functioning scale at 1, 4 and 12 months, for the social functioning scale at 1 and 12 months, for the roleemotional scale at 4 and 12 months and for the rolephysical scale at 12 months.

    Conclusion: There was an improvement in HRQoL in both younger and older patients, but the improvement was more obvious in younger patients. In addition, younger patients perceived higher HRQoL than older patients in several dimensions and at several points in time. This was most evident at 12 months.

  • 92.
    Kristofferzon, Marja-Leena
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Life after myocardial infarction in women and men: coping, social support and quality of life over the first year2006Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Aims : The general aim of this thesis was to describe the life situation of women and men during their first year after myocardial infarction (MI) with regard to problems in daily life, how they coped with them, the social support available and the patients’ perceived quality of life (QoL). An additional aim was to examine differences over time and between women and men in coping, social support and QoL.

    Methods : A consecutive series of 74 women and 97 men were selected 1 month after MI and followed over the first year. A qualitative approach was used to describe experiences of everyday life of 20 women and 19 men from the study group, from the onset of MI through the first months after the event (retrospectively). Focus was on managing problems and support from the network (I). Also experiences at 4 to 6 months and expectations of the future were explored (II). Coping, social support and QoL were compared between women and men both with a cross-sectional (at 1 month; 74 women and 97 men; III) as well as with a longitudinal design (at 1, 4 and 12 months; 60 women and 88 men; IV).

    Findings : Physical symptoms and emotional distress were the most commonly described problems during the first months after MI. The patients managed the problems by negotiating with themselves, relying on their own capabilities, changing attitudes and behaviour and taking their own decisions. The network was generally supportive but also communication problems were described (I). Many of the patients had not established a stable health condition after 6 months. They managed the consequences of their disease, found a meaning in what had happened, and confidence in the future. The support from their social network encouraged them to move on (II). Women used more evasive and supportive coping than men 1 month after MI. More women perceived support being available from grandchildren and friends and more men from their partners. Compared with men, women rated lower health-related QoL and QoL (III). Coping and social support were stable over time, women used more evasive coping than men and health-related QoL increased for both women and men. (IV).

    Conclusions : The first month after MI seems to be a vulnerable period especially for women. They had difficulties interpreting their heart symptoms, did not want to bother others with their worries and rated lower QoL than men. Patients redefined normal life, found hopes for the future and women did not demonstrate a poorer QoL profile than men over time.

  • 93.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Lindqvist, Ragny
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Nilsson, Annika
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Living with chronic illness2009Ingår i: The 2nd International Research Seminar on Salutogenesis: Helsinki, May 14-16, 2009, 2009Konferensbidrag (Refereegranskat)
    Abstract [en]

    Aim: To study differences between two groups, end-stage renal disease (ESRD) and chronic heart failure (CHF), regarding sense of coherence (SOC), General Self-efficacy (GSE), and quality of life (QoL) as well as relationships between these variables. 

    Design: Descriptive, comparative and correlative design.  

    Sample: A Swedish sample of 100 patients (59 CHF and 41 ESRD) was included. The mean age was 68 years (46 – 80 years).  

    Measures: Data were collected with the SOC, the GSE and the Life Satisfaction Questionnaire (LSQ). Age, sex, educational level and living area were also examined.    

    Data analysis: Differences were tested with chi-square and Mann-Whitney U-test and correlations with Pearson’s correlation coefficient. 

    Results: Both SOC (r=0.58, P<0.01) and GSE (r=0.46, P=<0.01) were positively correlated with LSQ. No significant differences between the two groups were found for the study variables. Older persons (>65 years) rated their personal relationships within QoL higher (P=0.045) and older ESRD patients their SOC stronger (P=0.049). Men with CHF rated their self-efficacy higher (P=0.034).

    Conclusions: Our preliminary results indicate that it seems more important how the individual tackle their present situation than what chronic illness they have.  

     

  • 94.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Löfmark, Rurik
    Länssjukhuset Gävle-Sandviken.
    Carlsson, Marianne
    Uppsala universitet.
    Coping, social support and quality of life over time after myocardial infarction2005Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 52, nr 2, s. 113-124Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. This paper describes gender differences in perceived coping, social support and quality of life 1, 4 and 12 months after myocardial infarction.

    Background. There is a shortage of studies with a longitudinal research design investigating coping, social support and quality of life in women and men after myocardial infarction.

    Methods. A longitudinal, descriptive and comparative design was used for the study, which included 74 women and 97 men. At 12 months, 60 women and 88 men remained. Data were collected using the Jalowiec Coping Scale, a social support questionnaire, the SF-36 Health Survey (health-related quality of life) and the Quality of Life Index-Cardiac version (quality of life). The data were collected during the period 1999–2001.

    Results. No statistically significant changes over time in coping assessments emerged in the study group, except for fatalistic coping, which diminished over time in men. Women used more evasive coping than men at 4 and 12 months. The perceived efficiency in coping with physical aspects of the heart disease increased. More women than men perceived available support from grandchildren and staff of the church. Health-related quality of life increased in women and men in physical functioning, role-physical, vitality, social functioning, and role-emotional scales.

    Moreover, an improvement in the mental health scale was evident in women and a reduction in pain in men. No statistically significant gender differences were found for quality of life at any point in time.

    Conclusions. The findings can be used to inform caregivers that optimistic, selfreliant and confrontational coping were the most frequently used by both women and men over the first year after myocardial infarction, and that confrontational coping has been shown to have positive outcomes in the longer term. Nurses should tell women about the importance of seeking prompt treatment and discuss health problems with caregivers and significant others. Care planning should include family members and significant others so that they can support and encourage patients to cope with problems in daily life.

  • 95.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Löfmark, Rurik
    Centre for Bioethics, Karolinska Institutet, Uppsala University, Solna, Sweden.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Managing consequences and finding hope: experiences of Swedish women and men 4-6 months after myocardial infarction2008Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, nr 3, s. 367-375Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Research has focused more on symptoms, risk factors and treatment, than on individuals’ experiences of illness and recovery after myocardial infarction (MI). Therefore, the aim of the study was to describe the experiences of present everyday life of women and men 4–6 months after MI and their expectations for the future. Semi-structured interviews were conducted with 20 women and 19 men from January 2000 to November 2001. Data were analysed with content analysis. Two themes, ‘Managing consequences of MI’ and ‘Finding a meaning in what had happened’, were generated. The first theme reveals that many of the patients had not established a stable health condition, even if symptoms and emotional distress had diminished over time. They had to manage health problems, lifestyle modifications, emotional reactions and changes in social life. The support from their social network encouraged them to move on. The second theme shows that patients also found positive consequences of what they had gone through, new life values and hopes in the future. The conclusions were that most of the patients moved on and began to regain a balance in everyday life, but some patients still struggled hard to find this balance. Those patients experienced large difficulties with managing their everyday life and felt a lack of support from their social network. Health professionals can be an important resource in helping patients in their adaptation to changes if they are more sensitive to patients’ needs of support both in a short- and long-term perspective.

  • 96.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Löfmark, Rurik
    Länssjukhuset Gävle-Sandviken.
    Carlsson, Marianne
    Uppsala universitet.
    Myocardial infarction: gender differences in coping and social support2003Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 44, nr 4, s. 360-374Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. The aim of this review is to summarize current knowledge about gender differences in perceptions of coping and social support among patients who have experienced myocardial infarction.

    Rationale. Women with coronary heart disease have physical, social and medical disadvantages compared with their male counterparts, which can influence their perception of recovery after cardiac events. No review has been found which focuses

    on gender differences in coping and social support in myocardial infarction patients.

    Method. A computerized search was conducted using the keywords ‘myocardial infarction’, ‘coping’, ‘gender differences’ and ‘social support’. Forty-one articles, published between 1990 and October 2002, were scrutinized.

    Findings. Two studies report that women used more coping strategies than men. Several qualitative studies found that women used a variety of coping strategies. Women minimized the impact of the disease, tended to delay in seeking treatment

    and did not want to bother others with their health problems. Household activities were important to them and aided their recovery. Men were more likely to involve their spouses in their recovery, and resuming work and keeping physically fit were

    important to them. Women tended to report that they had less social support up to 1 year after a myocardial infarction compared with men. They received less information

    about the disease and rehabilitation and experienced lack of belief in their heart problems from caregivers. Further, they received less assistance with household duties from informal caregivers. Men tended to report more support from their

    spouses than did women.

    Conclusions. Traditional gender-role patterns may influence the recovery of patients who have experienced myocardial infarction. Caregivers may need to be more sensitive to gender-specific needs with regard to risk profiles, social roles, and the patient’s own role identity. For many women, especially older ones, household duties and family responsibilities may be an opportunity and a base for cardiac rehabilitation.

  • 97.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Löfmark, Rurik
    Länssjukhuset Gävle-Sandviken.
    Carlsson, Marianne
    Uppsala universitet.
    Perceived coping, social support, and quality of life 1 month after myocardial infarction: A comparison between Swedish women and men2005Ingår i: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 34, nr 1, s. 39-50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The study objective was to compare coping, social support, and quality of life in Swedish women and men 1 month after myocardial infarction.

    DESIGN: The study design was cross-sectional and descriptive-comparative.

    SETTING: The study took place in 1 hospital service area in the middle of Sweden.

    SUBJECTS: The sample consisted of 74 women and 97 men.

    INSTRUMENTS: The Jalowiec Coping Scale, the Social Network and Social Support Questionnaire, the Short Form-36 Health Survey, and the Quality of Life Index-Cardiac Version were used.

    RESULTS: Compared with men, women used more evasive and supportive coping and rated psychologic aspects of the heart disease as more problematic to manage. More women perceived available support from friends and grandchildren, and more men perceived available support from their partner. Women rated lower levels in physical and psychologic dimensions of quality of life.

    CONCLUSION: The first month after myocardial infarction is a susceptible period especially for women. They used more evasive and supportive coping and experienced a lower quality of life compared with men.

  • 98.
    Kristofferzon, Marja-Leena
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap. Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Löfmark, Rurik
    Centre for Bioethics at Karolinska Institutet and Uppsala University, Solna, Sweden.
    Carlsson, Marianne
    Department of Public Health and Caring Sciences, Section of Caring Sciences, Uppsala University, Uppsala, Sweden.
    Striving for balance in daily life: experiences of Swedish women and men shortly after myocardial infarction2007Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 2, s. 391-401Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim is to describe experiences of daily life of women and men during the first four to six months after a myocardial infarction. The focus is on problems, managing problems and support from their network.

    Background: A cardiac event is traumatic and may influence well-being during a significant period of time. Few qualitative studies have investigated experiences of both women and men after a myocardial infarction and remarkably little research has been conducted on men’s experiences.

    Design: The study design was descriptive, retrospective and qualitative.

    Methods: Semi-structured interviews were conducted with 20 women and 19 men from January 2000 to November 2001. Data were analysed using qualitative content analysis.

    Results: Three themes were generated from the analysis; ‘Threatening ordinary life’, ‘Struggling for control’ and ‘The ambiguous network’. Physical symptoms and emotional distress were the most commonly described problems during the first months after a myocardial infarction. The informants manage the problems by negotiating with themselves, relying on their own capabilities, changing attitudes and behaviours and taking their own decisions and actions. The network was generally supportive but rather often the informants also experienced communication problems when they interacted with their network.

    Conclusions: Women and men strive for balance between problems and resources in daily life after a myocardial infarction. How well they succeeded depends on how secure they feel how well they communicate their needs to their network and how sensitive their network is to their spoken and unspoken needs.

    Relevance to clinical practice: The findings provide an insight into what kind of problems women and men may experience after myocardial infarction and how caregivers can aid them to increase security in their daily life. Some risk characteristics that may have increased their problems in daily life are suggested, for women and men respectively.

  • 99.
    Käll, stefan
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Leinonen, Fredrik
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Samband mellan bmi och långvarig smärta hos patienter som genomgått ett beteendemedicinskt rehabiliteringsprogram: en beskrivande studie2009Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Abstract

    Purpose: The purpose of this study was to see if there was any correlation between BMI and chronic pain among participants who underwent a behavioural medicine rehabilitation program at a pain clinic in the central part of Sweden. Method: The study was conducted as a quantitative descriptive study context and has used medical records with documented data from the participants who were part of a pain clinic rehabilitation programs in the years 2004-2005. Altogether there were 76 participants in these years and excluded was nine participants with BMI measurements were not included in the documentation. Main Results: Regarding the relationship between BMI and chronic pain there was no significant relationships. Participants who completed the behavioural medicine rehabilitation program, however, showed a lower value of BMI and the estimated pain in VAS from the first to the third which is the last time of measuring. The estimated pain and the BMI measurements among the participants with chronic pain show compliance without that no significant relationships could be seen.

     

    Keywords: BMI, VAS, Chronic pain.

  • 100.
    Lagergren Strindberg, Sofie
    et al.
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Mohamed Farah, Asha
    Högskolan i Gävle, Institutionen för vårdvetenskap och sociologi, Ämnesavdelningen för vårdvetenskap.
    Vårdpersonalens kommunikation och bemötande av personer med demenssjukdom: En Litteraturstudie2009Självständigt arbete på grundnivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Syftet med studien var att utifrån vetenskaplig litteratur beskriva hur vårdpersonalen på ett professionellt sätt kan bemöta och kommunicera med personer med demenssjukdom. Metoden var en beskrivande litteraturstudie. Artiklarna analyserades beroende på om de handlade om Verbal och Icke-verbal kommunikation och bemötande samt Faktorer som påverkar kommunikation. I resultatet framkom det att när vårdgivaren visade respekt, omtanke, såg patienten som en individ, stöttade dess förmågor, gav kort och tydlig information, använde ögonkontakt, hade kunskap om patientens livshistoria och intressen samt använde sig av beröring ledde det till en förbättring av kommunikation och bemötande. Episoder av klarhet ledde till en tillfällig förbättrad kommunikation. Men när vårdgivaren ljög, var stressad, ställde för svåra frågor, ändrade samtalsämne för hastigt och gav för många olika budskap påverkade det kommunikationen med patienten med demenssjukdom på ett negativt sätt. Faktorer som påverkade kommunikationen var stunder av klarhet, resurser, tid och bakgrundsmusik. Slutsatsen var att det krävs en speciell kunskap, tålamod samt att yttre faktorer spelade in för att kunna bemöta och kommunicera med patienter med demenssjukdom på ett professionellt sätt. 

                                                       

     

                                                       

12345 51 - 100 av 208
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf