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  • 1001.
    Wengström, Y
    et al.
    Karolinska Institutet.
    Häggmark, C
    Karolinska Institutet.
    Strander, H
    Karolinska Institutet.
    Forsberg, Christina
    Röda Korsets Högskola. Karolinska Institutet.
    Effects of a nursing intervention on subjective distress, side effects and quality of life of breast cancer patients receiving curative radiation therapy: A randomized study1999Inngår i: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 38, nr 6, s. 763-770Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this randomized study was to investigate whether a nursing intervention using Orem's self-care theory as a framework would affect subjective distress, side effects and quality of life as perceived by breast cancer patients receiving curative radiation therapy. The intervention consisted of five 30-min sessions once a week during the treatment period and two follow-up sessions after completion of treatment. The experimental group consisted of 67 patients, as did the control group. Measurements were collected five times: at baseline before commencement of treatment, at weeks 3 and 5 (completion of treatment) and follow-up periods of 2 weeks and 3 months. No measurable effect of the nursing intervention was found for side effects or quality of life but nursing intervention proved to have a positive effect in minimizing stress reactions (p = < 0.05). It is suggested that a nursing intervention should be implemented for breast cancer patients receiving curative radiation therapy.

  • 1002.
    Wennerström, Helena
    et al.
    Röda Korsets Högskola.
    Hybinette, Karl
    Röda Korsets Högskola.
    Sjuksköterskearbetet på en neonatal intensivvårdsavdelning: en tidsstudie2010Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Risken för att drabbas av stressrelaterade sjukdomar är hög bland sjukvårdspersonal bland annat då kraven på kvalitet, effektivitet och arbetstempo har ökat. I diskussionen kring sjuksköterskors arbetssituation är saknas det aktuell kunskap om hur sjuksköterskor inom den neonatala intensivvården fördelar sin tid under arbetsdagen och vilka arbetsmoment som sjuksköterskorna utför i sitt dagliga arbete. Syftet med studien var att undersöka vilka arbetsmoment en sjuksköterska på neonatalintensiven utför under ett arbetspass samt kartlägga hur tidsåtgången fördelade sig mellan dessa arbetsmoment. En strukturerad tidsstudie genomfördes därför på en neonatal intensivvårdsavdelning i Sverige. Resultatet visade hur sjuksköterskorna fördelar sin tid mellan 69 olika arbetsmoment i 23 kategorier inom åtta kompetensområden samt hur omvårdnadsarbetet fördelade sig tidsmässigt mellan den direkt patientnära kontakten och övriga patientrelaterade uppgifter. 54 procent av den totalt arbetade tiden ägnades åt indirekt omvårdnad som förberedande arbete, hantering av material och samverkan i vårdkedjan medan 35 procent ägnas åt patientnära omvårdnad. Sjuksköterskearbetet är uppdelat mellan många olika arbetsmoment och arbetsområden, det är hög tid att se över sjuksköterskerollen och de uppgifter hon tilldelas som leder iväg från patientsängen.

    Fulltekst (pdf)
    FULLTEXT01
  • 1003.
    Wennman-Larsen, Agneta
    et al.
    Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet; Sophiahemmet University.
    Nilsson, Marie
    Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet; Department of Social Work, Karolinska University Hospital; Division of Social Work, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Saboonchi, Fredrik
    Röda Korsets Högskola, Avdelningen Medicin och Folkhälsa. Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet.
    Olsson, Mariann
    Division of Social Work, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
    Alexanderson, Kristina
    Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet.
    Fornander, Tommy
    Department of Oncology-Pathology, Karolinska Institutet; Department of Oncology, Karolinska University Hospital.
    Sandelin, Kerstin
    Department of Molecular Medicine and Surgery, Karolinska Institutet; Department of Breast and Endocrine Surgery, Karolinska University Hospital.
    Petersson, Lena-Marie
    Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet.
    Can breast cancer register data on recommended adjuvant treatment be used as a proxy for actually given treatment?2016Inngår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 22, s. 1-7Artikkel i tidsskrift (Fagfellevurdert)
  • 1004.
    Westring, Anna
    et al.
    Röda Korsets Högskola.
    Lisinski, Mikela
    Röda Korsets Högskola.
    Kultursäker vård?: – Hur patienter i minoritetsställning upplever sig bli bemötta i hälso- och sjukvården.2012Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: I Sverige och globalt rapporteras att minoritetsgrupper med avseende på kultur och språk är socioekonomiskt utsatta och har sämre hälsa än majoriteten. Diskriminering och misstro till hälso- och sjukvården är faktorer som påverkar huruvida individer i dessa grupper söker vård eller ej. I Sverige föreskrivs en hälso- och sjukvård på lika villkor för alla individer. Hälso- och sjukvårdspersonalen ansvarar för att vårdrelationen är respektfull och patientcentrerad. Kulturellt säker vård innebär att patientens kulturella identitet, rättigheter och behov respekteras. Huruvida vården är kulturellt säker definieras av patienten.

    Syfte: Syftet med studien är att belysa hur patienter som är i minoritetsställning, med avseende på kultur och språk, upplever sig bli bemötta i hälso- och sjukvården.

    Metod: Studien är en litteraturöversikt av 12 vetenskapliga artiklar med kvalitativ metod. Artiklarna analyserades med avseende på likheter och skillnader i resultatet.

    Resultat: Tre teman framkom; Välbefinnande, Lidande och Hinder och glapp. Huvudresultatet visar på upplevelser av maktlöshet, stereotypisering och språkliga och kulturella skillnader som skapade svårigheter i mötet med vårdpersonalen. Upplevelser av respektfullt och kompetent bemötande framkom också.

    Slutsats: I många fall låg missförstånd, oförståelse, stereotypisering och diskriminering till grund för lidandet. Detta visar att den kulturella säkerheten behöver stärkas inom hälso- och sjukvården och att behov av ökad kulturell kompetens föreligger.

    Klinisk betydelse: Genom diskussion och utbildning med teorin om kulturell säkerhet som utgångspunkt kan den kulturella medvetenheten och sensitiviteten höjas. På så sätt skapas förutsättningar för höjd kulturell säkerhet inom hälso- och sjukvården.

    Fulltekst (pdf)
    fulltext
  • 1005.
    Wettergren, L
    et al.
    Uppsala University / Karolinska Institute.
    Björkholm, M
    Karolinska University Hospital and Karolinska Institute.
    Langius-Eklöf, Ann
    Röda Korsets Högskola. Karolinska Institute.
    Validation of an extended version of the SEIQoL-DW in a cohort of Hodgkin lymphoma' survivors2005Inngår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 14, nr 10, s. 2329-2333Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Individual measures of quality of life (QoL) have been initiated to overcome the possible limitations with standardized measures using predefined domains for evaluation. The Schedule for the Evaluation of Individual Quality of Life-Direct Weighting (SEIQoL-DW) uses personal interviews to explore the five most important areas in life, both positive and negative, crucial for QoL. The nominated areas are rated regarding satisfaction and weighted to capture the importance of each selected area. The Swedish version has been extended with a disease-specific module, which evaluates the areas in life influenced by disease. The aim of this study was to validate the disease-specific SEIQoL-DW and furthermore, to evaluate the influence of the importance ratings on the overall index score in a cohort of Hodgkin lymphoma survivors. The results support the construct validity of the disease-specific SEIQoL-DW and indicate that the instrument appears to be a sensitive measure with ability to differentiate between groups with disparate subjective health status. The SEIQoL-DW succeeds to capture both positive and negative areas in life influenced by disease. The present study gave no evidence that the weighting procedure has any impact on the total index. The results support the use of the new extended version including a disease-specific module.

  • 1006.
    Wettergren, L.
    et al.
    Karolinska Institutet / Uppsala University.
    Sprangers, M.
    Karolinska Institutet / Academic Medical Center, Amsterdam, Netherlands .
    Björkholm, M.
    Karolinska University Hospital / Karolinska Institute.
    Langius-Eklöf, Ann
    Röda Korsets Högskola. Karolinska Institutet.
    Quality of life before and one year following stem cell transplantation using an individualized and a standardized instrument2008Inngår i: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 17, nr 4, s. 338-346Artikkel i tidsskrift (Fagfellevurdert)
  • 1007.
    Wiberg, Michael
    et al.
    Karolinska Institutet.
    Murley, Chantelle
    Karolinska Institutet.
    Tinghög, Petter
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Alexanderson, Kristina
    Karolinska Institutet.
    Palmer, Edward
    Uppsala University.
    Hillert, Jan
    Karolinska Institutet.
    Stenbeck, Magnus
    Karolinska Institutet / Swedish Social Insurance Agency.
    Friberg, Emilie
    Karolinska Institutet.
    Earnings among people with multiple sclerosis compared to references, in total and by educational level and type of occupation: a population-based cohort study at different points in time.2019Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, nr 7, artikkel-id e024836Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: To investigate earnings among people with multiple sclerosis (PwMS) before and after MS diagnosis compared with people without MS, and if identified differences were associated with educational levels and types of occupations. Furthermore, to assess the proportions on sickness absence (SA) and disability pension (DP) in both groups.

    DESIGN: Population-based longitudinal cohort study, 10 years before until 5 years after MS diagnosis.

    SETTING: Working-age population using microdata linked from nationwide Swedish registers.

    PARTICIPANTS: Residents in Sweden in 2004 aged 30-54 years with MS diagnosed in 2003-2006 (n=2553), and references without MS (n=7584) randomly selected by stratified matching.

    OUTCOME MEASURES: Quartiles of earnings were calculated for each study year prior to and following the MS diagnosis. Mean earnings, by educational level and type of occupation, before and after diagnosis were compared using t-tests. Tobit regressions investigated the associations of earnings with individual characteristics. The proportions on SA and/or DP, by educational level and type of occupation, for the diagnosis year and 5 years later were compared.

    RESULTS: Differences in earnings between PwMS and references were observed beginning 1 year before diagnosis, and increased thereafter. PwMS had lower mean earnings for the diagnosis year (difference=SEK 28 000, p<0.05), and 5 years after diagnosis, this difference had more than doubled (p<0.05). These differences remained after including educational level and type of occupation. Overall, the earnings of PwMS with university education and/or more qualified occupations were most like their reference peers. The proportions on SA and DP were higher among PwMS than the references.

    CONCLUSIONS: The results suggest that the PwMS' earnings are lower than the references' beginning shortly before MS diagnosis, with this gap increasing thereafter. Besides SA and DP, the results indicate that educational level and type of occupation are influential determinants of the large heterogeneity of PwMS' earnings.

    Fulltekst (pdf)
    fulltext
  • 1008.
    Wickham, Emma
    et al.
    Röda Korsets Högskola.
    Schmidt, Ingela
    Röda Korsets Högskola.
    Att leva med epilepsi: En litteraturstudie om livskvalitet hos personer med diagnosen epilepsi2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Att leva med epilepsi har en fysisk och psykisk påverkan på livet. Huvudfokus har länge legat på att behandla själva anfallen men hur livet och livskvaliteten påverkas i ett heltäckande perspektiv är lika viktigt. Det finns ett kunskapsglapp om epilepsi som leder till osäkerhet kring diagnosen och bidrar till att fördomar, diskriminering och stigmatisering lever kvar. Vi vill undersöka hur personer med epilepsi upplever att leva med diagnosen, för att bidra till ett bättre bemötande och en ökad livskvalitet. Syfte: Studiens syfte är att undersöka hur människors livskvalitet påverkas av att leva med epilepsi. Metod: Litteraturöversikt med kvalitativa och kvantitativa vetenskapliga artiklar. Artiklarna analyserades med WHO:s definition av livskvalitet med dess sex olika domäner som utgångspunkt. Resultat: Livskvaliteten påverkades negativt för personer med epilepsi inom samtliga domäner. Positiva aspekter återfanns under flera domäner men inte i samma omfattning som de negativa. Det psykiska välbefinnandet var den viktigaste komponenten för livskvalitet. De övriga domänerna hade en viktig roll i hur utfallet för det psykiska välbefinnandet blev. Slutsats: Livskvalitet för personer med epilepsi är beroende av det psykiska välbefinnandet, positiva och negativa aspekter påverkar det psykiskt välbefinnande och därmed livskvaliteten. Förändring av epilepsisjukvården med ett större fokus på det psykiska välbefinnandet skulle öka livskvaliteten för många personer med epilepsidiagnos.

    Fulltekst (pdf)
    fulltext
  • 1009.
    Wiechel, Ewa
    et al.
    Röda Korsets Högskola.
    Englund, Karin
    Röda Korsets Högskola.
    Patientreaktioner i samband med isärkoppling av respiratorkretsen vid inhalation och filterbyte2011Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Respiratorbehandling är vanligt hos intensivvårdspatienter. Positive end-expiratory pressure används för att förbättra syresättningen och hålla lungan öppen. Isärkoppling av respiratorslangar under respiratorbehandling innebär risk för försämrat gasutbyte och infektion. Dessutom orsakar det obehagliga upplevelser för patienten. Studien syftar till att kartlägga patientreaktioner före, under och efter isärkoppling av respiratorslangarna. Studien är genomförd som en strukturerad observationsstudie i två delar. Filter- och inhalationsmomentet samt frekvens av isärkopplingar har studerats. Medelvärdet för isärkopplingar under 24 timmar var åtta per patient. Hos tre (n=21) av observationerna sågs direkta reaktioner i samband med filterbyte. Hos 13 (n=18) av observationerna sågs direkta reaktioner i samband med något eller båda momenten av inhalation. Innan filterbyte och inhalation visade inte någon observation på en saturation < 95 %. Vid registrering 30 minuter efter filterbyte sågs två (n=21) i observationer en saturation < 95 % (93 %). 30 minuter efter inhalation sågs fem (n=17) observationer med en saturation < 95 % (91-94 %). Materialet är för litet för att dra några slutsatser men det är möjligt att en minimering av antalet isärkopplingar från respiratorn är till fördel för patienterna.

  • 1010.
    Wigander, Helena
    et al.
    Karolinska Institutet / Karolinska University Hospital.
    Nisell, Margret
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Frenckner, Björn
    Karolinska Institutet / Karolinska University Hospital.
    Wester, Tomas
    Karolinska Institutet / Karolinska University Hospital.
    Brodin, Ulf
    Karolinska Institutet.
    Öjmyr-Joelsson, Maria
    Karolinska Institutet / Karolinska University Hospital.
    Quality of life and functional outcome in Swedish children with low anorectal malformations: a follow-up study.2019Inngår i: Pediatric surgery international (Print), ISSN 0179-0358, E-ISSN 1437-9813, Vol. 35, nr 5, s. 583-590Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The aim was to investigate the quality of life and bowel function in children with low anorectal malformations (ARM).

    ADDITIONAL AIM: To evaluate the Swedish version the Hirschsprung's Disease/Anorectal Malformation Quality of life Questionnaire (HAQL).

    METHODS: Forty-four children and their parents were invited to complete the HAQL and the Bowel Function Score (BFS). Healthy children participated as controls and completed the HAQL.

    RESULTS: Seventeen children and 18 mothers completed the HAQL. The children reported impaired function in the physical symptom (PH) fecal continence (FC) and laxative diet (LD) domains compared to controls. Compared with their mothers, they reported impaired physical function and more symptoms in the emotional functioning (EMF) and PH domains. 27 families completed the BFS; 63% reported normal bowel function, 33% moderate outcome and one patient, comprising 4%, poor outcome. Evaluation of the HAQL, FC, EMF and PH domains showed no obvious conflicts.

    CONCLUSIONS: The children did not differ much regarding their QoL, even though they appeared to have impaired bowel function and worse emotional functioning compared to controls. The mothers underestimated their children's physical symptoms and overestimated their emotional functioning. Evaluated domains in the HAQL appear to work as intended, but the questionnaire needs further development.

    Fulltekst (pdf)
    fulltext
  • 1011.
    Wigander, Helena
    et al.
    Karolinska Institutet / Karolinska University Hospital.
    Öjmyr-Joelsson, Maria
    Karolinska Institutet / Karolinska University Hospital.
    Frenckner, Björn
    Karolinska Institutet / Karolinska University Hospital.
    Wester, Tomas
    Karolinska Institutet / Karolinska University Hospital.
    Nisell, Margret
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. Karolinska Institutet.
    Impact of Low Anorectal Malformation on Parenting Stress: A Mixed-Method Study2018Inngår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 42, s. e45-e51Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to investigate parenting stress among parents of children with low ARM.

    STUDY AIMS: 1) Compare parenting stress among parents of children with low ARM, with parents of healthy children using questionnaires. 2) Identify subscales within the questionnaire which needed to be further explored. 3) Use semi-structured interviews with parents of children with low ARM, to explore parenting stress and to explain, expand and or support the quantitative findings.

    DESIGN AND METHODS: An explanatory sequential mixed methods design was used in this follow up study. The parents completed the Swedish Parenthood Stress Questionnaire (SPSQ), semi-structured interviews were conducted.

    RESULTS: Fifteen mothers and 13 fathers of children with low ARM age 8-18, returned completed questionnaires. A control group of 17 mothers and 6 fathers of healthy children age 8-18 that had visited the hospital for a minor procedure was recruited for comparison purposes. There were no significant differences found between index group and controls except in the subscale Incompetence, where parents of children with low ARM reported lower levels of stress compared to controls. Nine semi-structured interviews were conducted with parents of children with low ARM. Qualitative content analysis was used and revealed three themes - Communication between parents, Expectations of parenthood, and Challenges concerning parenthood.

    CONCLUSIONS: Parents of children with low ARM did not report high levels of stress. When interviewed, they told about earlier experiences of emotional stress, feelings of guilt, and chaos at the time the child was born and during infancy.

  • 1012.
    Wijk, Maksim
    et al.
    Röda Korsets Högskola.
    Bulanova, Yulia
    Röda Korsets Högskola.
    Hot och våld inom akut beroendevård: Sjuksköterskors erfarenheter av utlösande faktorer och förebyggande arbete2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syfte var att undersöka sjuksköterskors erfarenhet av utlösande faktorer för hot och våld inom akut beroendevård och hur dessa kan förebyggas. Metod kvalitativ metod med semistrukturerade intervjuer tillämpades. Huvudfynd resultatet visar att sjuksköterskor upplever hög arbetsbelastning och felbehandlingar som organisationsbaserade utlösande faktorer. Patientbundna utlösande faktorer kunde härledas till olika missbrukssubstanser, känsla av att vara inlåst, samt att inte beviljas den vård man är ute efter. Det proaktiva arbetet för att minska hot eller våld inom akut beroendevård enligt sjuksköterskorna grundade sig på ett bra bemötande, kommunikation och vårdrelation. Personliga färdigheter, arbetslivserfarenhet och teamarbete är också en väsentlig del i tidig identifiering och hantering och av hotfulla situationer samt upprätthållandet av säkerheten på arbetsplatsen. Slutsatser Hot och våld inom vården är vanligt förekommande, i synnerhet inom akut beroendevård. Olika missbrukssubstanser kan bevisligen orsaka aggressivt beteende, hämningslösande effekter och psykotiska episoder. Detta är också den primära populationen som beroendevården hanterar. Avvikande verklighetsuppfattning hos dessa patienter leder till att personalens välmening och hjälp tolkas som angrepp. Förslag på fortsatt forskning Författarna föreslår att man studerar vidare på karakteristika och underliggande mekanismer i hotfulla och våldsamma utbrott. Man bör också granska fler preventiva metoder i sammanhanget

    Fulltekst (pdf)
    fulltext
  • 1013.
    Wille, Nora
    et al.
    Department of Psychosomatics in Children and Adolescents, Research Unit Child Public Health, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
    Badia, Xavier
    Health Economics & Outcomes Research, IMS Health, Doctor Ferran 25-27, 2, 08034, Barcelona, Spain.
    Bonsel, Gouke
    Department of Prenatal Medicine and Obstetrics (Location Woudenstein, L3-060), Erasmus Medical Centre, Institute of Health Policy & Management, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands.
    Burström, Kristina
    Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Nobels väg 15a, 171 77, Stockholm, Sweden.
    Cavrini, Gulia
    Department of Statistics, University of Bologna, Via delle Belle Arti 41, 40126, Bologna, Italy.
    Devlin, Nancy
    Office of Health Economics & Senior Associate, King’s Fund, 12 Whitehall, London, SW1A2DY, UK.
    Egmar, Ann-Charlotte
    Röda Korsets Högskola.
    Greiner, Wolfgang
    Department for Health Economics and Health Care Management, University of Bielefeld, School of Public Health, P.O. Box 10 01 31, 33501, Bielefeld, Germany.
    Gusi, Narcis
    University of Extremadura, Faculty of Sport Sciences, Avda Universidad, 10071, Caceres, Spain.
    Herdman, Michael
    CIBER en Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain.
    Jelsma, Jennifer
    Division of Physiotherapy, University of Cape Town, School of Health and Rehabilitation Sciences, Anzio Road Observatory, Cape Town, 7925, South Africa.
    Kind, Paul
    Centre for Health Economics, Alcuin College, University of York, York, YO10 5DD, UK.
    Scalone, Luciana
    Department of Clinical Medicine and Prevention, Research Centre On Public Health, University of Milano – Bicocca, Villa Serena, Via Pergolesi 33, 20052, Monza, Italy.
    Ravens-Sieberer, Ulrike
    Department of Psychosomatics in Children and Adolescents, Research Unit Child Public Health, University Medical Center Hamburg-Eppendorf, Martinistr. 52, 20246, Hamburg, Germany.
    Development of the EQ-5D-Y: a child-friendly version of the EQ-5D2010Inngår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 19, nr 6, s. 875-886Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Purpose

    To develop a self-report version of the EQ-5D for younger respondents, named the EQ-5D-Y (Youth); to test its comprehensibility for children and adolescents and to compare results obtained using the standard adult EQ-5D and the EQ-5D-Y.

    Methods

    An international task force revised the content of EQ-5D and wording to ensure relevance and clarity for young respondents. Children’s and adolescents’ understanding of the EQ-5D-Y was tested in cognitive interviews after the instrument was translated into German, Italian, Spanish and Swedish. Differences between the EQ-5D and the EQ-5D-Y regarding frequencies of reported problems were investigated in Germany, Spain and South Africa.

    Results

    The content of the EQ-5D dimensions proved to be appropriate for the measurement of HRQOL in young respondents. The wording of the questionnaire had to be adapted which led to small changes in the meaning of some items and answer options. The adapted EQ-5D-Y was satisfactorily understood by children and adolescents in different countries. It was better accepted and proved more feasible than the EQ-5D. The administration of the EQ-5D and of the EQ-5D-Y causes differences in frequencies of reported problems.

    Conclusions

    The newly developed EQ-5D-Y is a useful tool to measure HRQOL in young people in an age-appropriate manner.

  • 1014.
    Wimo, A
    et al.
    Alzheimer Disease Research Center (KI-ADRC), Karolinska Institutet, Stockholm.
    Sjölund, B. M.
    Aging Research Center (ARC), Karolinska Institutet, Stockholm.
    Sköldunger, A
    Aging Research Center (ARC), Karolinska Institutet, Stockholm.
    Johansson, L
    Aging Research Center (ARC), Karolinska Institutet, Stockholm.
    Nordberg, G
    Aging Research Center (ARC), Karolinska Institutet, Stockholm.
    von Strauss, Eva
    Röda Korsets Högskola. Aging Research Center (ARC), Karolinska Institutet, Stockholm.
    Incremental patterns in the amount of informal and formal care among non-demented and demented elderly persons: results from a 3-year follow-up population-based study2011Inngår i: International Journal of Geriatric Psychiatry, ISSN 0885-6230, E-ISSN 1099-1166, Vol. 26, nr 1, s. 56-64Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective

    Elderly care includes complex interactions between formal services, informal care, morbidity and disabilities. Studies of the incremental effects of formal and informal care are rare and thus the objective was to describe the longitudinal patterns in formal and informal care given to non-demented and demented persons living in a rural area in Sweden.

    Methods

    Transitions in the Kungsholmen–Nordanstig Project (n = 919) was followed up 3 years later (n = 579), presented as different combinations of informal and formal care, institutionalization and mortality. Number of hours spent on care was examined by the Resource Utilization in Dementia instrument (RUD). Bootstrapped descriptive statistics and regression models were applied.

    Results

    The overall mortality during follow-up was 34%, and 15% had been institutionalized. Of those who lived at home, those receiving only formal care had been institutionalized to the greatest extent (29%; p < 0.05). In terms of hours, informal care decreased amongst demented. The ratio between demented and non-demented was greater at baseline, both regarding informal care (10:1 and 3:1, respectively) and formal care (5:1 and 4:1, respectively). People with mild cognitive decline and no home support at baseline had a great risk of being receiver of care (formal or informal) or dead at follow-up.

    Conclusions

    The amount of informal care was lower for demented persons still living at home at follow-up than at baseline, probably due to selection effects (institutionalization and mortality). Mild cognitive decline of non-users of care at baseline was strongly associated with receiving care or being dead at follow-up.

  • 1015.
    Wimo, Anders
    et al.
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University / Uppsala University.
    Sjölund, Britt-Marie
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University / University of Gävle.
    Sköldunger, Anders
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
    Qiu, Chengxuan
    Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
    Klarin, Inga
    Karolinska University Hospital / Karolinska Institutet.
    Nordberg, Gunilla
    The Swedish Dementia Centre.
    Strauss, Eva von
    Röda Korsets Högskola, Avdelningen Medicin och Folkhälsa. Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
    Cohort Effects in the Prevalence and Survival of People with Dementia in a Rural Area in Northern Sweden2015Inngår i: Journal of Alzheimer's Disease, ISSN 1387-2877, E-ISSN 1875-8908, Vol. 50, nr 2, s. 387-396Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Recent studies suggest that trends in cardiovascular risk may result in a decrease in age-specific prevalence of dementia. Studies in rural areas are rare.

    OBJECTIVES: To study cohort effects in dementia prevalence and survival of people with dementia in a Swedish rural area.

    METHODS: Participants were from the 1995-1998 Nordanstig Project (NP) (n = 303) and the 2001-2003 Swedish National study on Aging and Care in Nordanstig (SNAC-N) (n = 384). Overall 6-year dementia prevalence and mortality in NP and SNAC-N were compared for people 78 years and older. Logistic regression analyses were used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for dementia occurrence using the NP study population as the reference group. Cox regression models were used to analyze time to death.

    RESULTS: The crude prevalence of dementia was 21.8% in NP and 17.4% in SNAC-N. When the NP cohort was used as the reference group, the age- and gender-adjusted OR of dementia was 0.71 (95% CI 0.48-1.04) in SNAC-N; the OR was 0.47 (0.24-0.90) for men and 0.88 (0.54-1.44) for women. In the extended model, the OR of dementia was significantly lower in SNAC-N than in the NP cohort as a whole (0.63; 0.39-0.99) and in men (0.34; 0.15-0.79), but not in women (0.81; 0.46-1.44). The Cox regression models indicated that the hazard ratio of dying was lower in the SNAC-N than NP population.

    CONCLUSIONS: Trends toward a lower prevalence of dementia in high-income countries seem to be evident in this Swedish rural area, at least in men.

  • 1016.
    Wrede, Stefan
    et al.
    Röda Korsets Högskola.
    Norefors, Karl
    Röda Korsets Högskola.
    Sjuksköterskans uppfattning om tvångsåtgärders inverkan på omvårdnadsrelationen: en intervjustudie2011Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Lagen om psykiatrisk tvångsvård och Lagen om rättspsykiatrisk vård ger rätt att vårda patienter mot deras vilja. I psykiatrisk vård förekommer specifika omvårdnadsåtgärder som bältesläggning, tvångsmedicinering och avskiljning. Dessa väcker många känslor och kräver att sjuksköterskan arbetar med hänsyn och respekt. Relationen är en central del inom psykiatrisk omvårdnad och ska baseras på tillit och empati. Syfte: Att belysa sjuksköterskors uppfattning om tvångsåtgärders inverkan på omvårdnadsrelationen. Metod: Semi-strukturerade intervjuer med hjälp av en intervjuguide genomfördes med yrkesverksamma sjuksköterskor på en psykiatrisk klinik. Data bearbetades med en kvalitativ manifest innehållsanalys. Resultat: Studien resulterade i sex kategorier; professionellt förhållningssätt, vårdande samtal, tillitsfull relation, tvång som maktmedel, sjuksköterskans uppfattning av patientens känslor och sjuksköterskans känslor. Slutsats: Tvångsåtgärder väckte flera känslor hos sjuksköterskan. Med hjälp av ett professionellt förhållningssätt och vårdande samtal skapades en tillitsfull relation med patienten. Detta medförde att tvångsåtgärderna inte hade en negativ inverkan på omvårdnadsrelationen. 

    Fulltekst (pdf)
    fulltext
  • 1017.
    Xu, Weili
    et al.
    Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, China; Aging Research Center (ARC), Department Neurobiology, Health Care Sciences and Society, Karolinska Institutet and Stockholm University.
    Zhang, Hua
    School of Nursing, Tianjin Medical University, Tianjin, China.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Avdelningen Medicin och Folkhälsa.
    Zhu, Hong
    Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, University, Tianjin, China.
    Qi, Xiuying
    Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin, University, Tianjin, China.
    Rizzuto, Debora
    Aging Research Center (ARC), Department Neurobiology, Health Care Sciences and Society, Karolinska Institutet and Stockholm University.
    Prevalence of Overweight and Obesity among Chinese Adults: Role of Adiposity Indicators and Age.2016Inngår i: Obesity Facts, ISSN 1662-4025, E-ISSN 1662-4033, Vol. 9, nr 1, s. 17-28Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVES: The role of different body fat indicators and age in assessing the prevalence of obesity is unclear. We aimed to examine to what extent different body fat indicators including BMI, waist circumference (WC) and waist-to-hip ratio (WHR) affect the prevalence of overweight and obesity among Chinese adults taking age into account.

    METHODS: This population-based cross-sectional study included a random sample of 7,603 adults aged 20-79 years across entire Tianjin, China. BMI, WC, and WHR were used to define overweight and obesity following standard criteria. Prevalence rates were calculated and standardized using local age- and gender-specific census data. Logistic regression was used in data analysis.

    RESULTS: Using the combination of BMI, WC, and WHR, the prevalence of overweight and obesity was 69.8%, and increased with age till the age of 60 and a decline thereafter. The prevalence of overweight assessed by BMI was higher than that assessed by WC and WHR, while the prevalence of obesity defined by BMI was much lower than that defined by WC or WHR.

    CONCLUSION: The prevalence of overweight and obesity is about 70% among Chinese adults. Adiposity indicators and age play an important role in the prevalence of overweight and obesity.

  • 1018. Xu, WL
    et al.
    von Strauss, Eva
    Röda Korsets Högskola.
    Qiu, CX
    Winblad, B
    Fratiglioni, L
    Uncontrolled diabetes increases the risk of Alzheimer's disease: a population-based cohort study2009Inngår i: Diabetologia, ISSN 0012-186X, E-ISSN 1432-0428, Vol. 52, nr 6, s. 1031-1039Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    AIMS/HYPOTHESIS: Diabetes has been related to Alzheimer's disease with inconsistent findings. We aimed to clarify the association of diabetes with different dementing disorders taking into account glycaemic control, and to explore the link between glucose dysregulation and neurodegeneration.

    METHODS: A dementia-free cohort (n = 1,248) aged >or=75 years was longitudinally examined to detect dementia, Alzheimer's disease and vascular dementia (VaD) cases (Diagnostic and Statistical Manual of Mental Disorders, revised third edition [DSM-III-R] criteria). The Alzheimer's disease diagnoses were subdivided into Alzheimer's disease with stroke and Alzheimer's disease without hypertension, heart disease and stroke. Diabetes was ascertained based on medical history, or hypoglycaemic medication use, or a random blood glucose level >or=11.0 mmol/l, which included undiagnosed diabetes when neither a history of diabetes nor hypoglycaemic drugs use was present. Uncontrolled diabetes was classified as a random blood glucose level >or=11.0 mmol/l in diabetic patients. Borderline diabetes was defined as a random blood glucose level of 7.8-11.0 mmol/l in diabetes-free individuals. Cox models were used to estimate HRs.

    RESULTS: During the 9 year follow-up, 420 individuals developed dementia, including 47 with VaD and 320 with Alzheimer's disease (of the 320 Alzheimer's disease cases, 78 had previous, temporally unrelated stroke, and 137 had no major vascular comorbidities). Overall diabetes was only related to VaD (HR 3.21, 95% CI 1.20-8.63). Undiagnosed diabetes led to an HR of 3.29 (95% CI 1.20-9.01) for Alzheimer's disease. Diabetic patients with random blood glucose levels <7.8 mmol/l showed no increased dementia risk. Uncontrolled and borderline diabetes were further associated with Alzheimer's disease without vascular comorbidities.

    CONCLUSIONS/INTERPRETATION: Uncontrolled diabetes increases the risk of Alzheimer's disease and VaD. Our findings suggest a direct link between glucose dysregulation and neurodegeneration.

  • 1019.
    Zander, Viktoria
    et al.
    Department of Women's and Children's Health, Karolinska Institutet, Elevhemmet H2:00, Karolinska University Hospital Solna; Centre for Clinical Research Sörmland, Uppsala University.
    Eriksson, Henrik
    Röda Korsets Högskola, Avdelningen Vård och Omvårdnad.
    Christensson, Kyllike
    Department of Women's and Children's Health, Karolinska Institutet, Elevhemmet H2:00, Karolinska University Hospital Solna.
    Müllersdorf, Maria
    School of Health, Care, and Social Welfare, Mälardalen University.
    Development of an Interview Guide Identifying the Rehabilitation Needs of Women from the Middle East Living with Chronic Pain2015Inngår i: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 12, nr 10, s. 12043-56Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to develop an interview guide for use by primary healthcare professionals to support them in identifying the rehabilitation needs of forced resettled women from the Middle East living with chronic pain. Previous findings together with the existing literature were used as the basis for developing the interview guide in three steps: item generation, cognitive interviews, and a pilot study. The study resulted in a 16-item interview guide focusing on patients' concerns and expectations, with consideration of pre-migration, migration, and post-migration factors that might affect their health. With the help of the guide, patients were also invited to identify difficulties in their daily activities and to take part in setting goals and planning their rehabilitation. The current interview guide provides professional guidance to caretakers, taking a person-centered participative point of departure when meeting and planning care, for and together, with representatives from dispersed ethnic populations in Sweden. It can be used together with the patient by all staff members working in primary healthcare, with the aim of contributing to continuity of care and multi-professional collaboration. 

  • 1020.
    Zander, Viktoria
    et al.
    Department of Women's and Children's Health , Karolinska Institutet , Stockholm; Centre for Clinical Research Sörmland, Uppsala University.
    Eriksson, Henrik
    Röda Korsets Högskola, Avdelningen Vård och Omvårdnad.
    Christensson, Kyllike
    Department of Women's and Children's Health , Karolinska Institutet , Stockholm.
    Müllersdorf, Maria
    School of Health, Care, and Social Welfare, Eskilstuna, Västerås.
    Rehabilitation of Women From the Middle East Living With Chronic Pain-Perceptions From Health Care Professionals.2015Inngår i: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 36, nr 11, s. 1194-1207Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Meeting patients from other countries constitutes a challenge for health care. The purpose of this study was to increase knowledge about tacit understandings of treatment in practice by determining the perceptions of chronic pain and rehabilitation directed to resettled women from the Middle East, from a variety of health care professionals within primary care. Based on the results, we find a need to support and increase knowledge among health care professionals to involve the patient and consider her beliefs, expectations, background, current life situation, and spirituality, and to involve family in rehabilitation.

  • 1021.
    Zander, Viktoria
    et al.
    Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden .
    Müllersdorf, Maria
    School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås, Sweden.
    Christensson, Kyllike
    Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden.
    Eriksson, Henrik
    Röda Korsets Högskola. Mälardalen University.
    Struggling for sense of control: Everyday life with chronic pain for women of the Iraqi diaspora in Sweden2013Inngår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 41, nr 8, s. 799-807Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: As dispersed ethnic populations in Swedish society expand, the healthcare system need to adapt rehabilitation services according to their needs. The experiences of trauma and forced resettlement have a continuing impact on health and musculoskeletal pain, as well as the intersecting structures that prerequisite the possibilities in the new country. To understand the specific needs of women from the Iraqi diaspora in Sweden, there is a need to elucidate the effects of pain on their everyday life. Aims: To elucidate everyday life with chronic pain from the perspective of women from the Iraqi diaspora in Sweden. Methods: Qualitative interview study according to Glaser’s grounded theory. Results: The results from 11 interviews suggest that pain was associated with dependency on society as well as on family. It resulted in a struggle for sense of control, framed by faith in God, influenced by the healthcare system, and with support from family. The women’s testimony of lack of continuity of care, resulting in recollection of lived traumas in every visit, is a vital sign of the unconscious power relations within health care and how representatives from health care, instead of being the ones who help the women forward, become the ones who hold them back. Conclusions: The results show the importance of challenging the normative assumptions embedded in health care and treatment for patients with chronic pain and of including the voice of “others”.

  • 1022.
    Zarins, Kristina
    Röda Korsets Högskola.
    Family involvement in nurs¡ng care - a resource or burden?: from the perspective of Tanzanian nurses2010Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    The health of the individual affects all family members, and families influence the process and outcome of healthcare. Nurses attitudes about the importance of involving the patients families in nursing care, greatly influences the quality of the meeting between the family and the nurse. Nurses working inTanzania feel they can not provide adequate healthcare due to heavy work load and limited resources. Tanzanian nurses and patients are highly dependent on the help of the patients' families. The aim of the study was to investigate Tanzanian nurses' attitudes towards involvement of patients' families in nursing care. In this quantitative, descriptive study, a questionnaire called "Families'importance in NursingCare-Nurses'Attitudes" (FINC-NA) was handed out to registered nurses working at a regional hospital inTanzania in 2009. The results were analysed and presented by descriptive statistics such as charts, tables and central values. The 47 nurses who answered the questionnaire had in general supportive attitudes towards the involvement of the patients' family in nursing care. One fifth of the nurses however viewed the patients' families as a burden. One third of the nurses feel that the presence of the patients' families holds them back in their work. Nurses above 40 years of age and nurses with no experience of a familymember being seriously ill had less supportive attitudes towards patients family involvement compared to other subgroups in this study. The nurses with least years of nursing experience had the most supportive attitudes of all the subgroups. Besides nurses own experience of an ill familymember, this study suggests that attitudes are affected by culture, working environment and education.

    Fulltekst (pdf)
    fulltext
  • 1023.
    Zava, Elena
    et al.
    Röda Korsets Högskola.
    Zuckerman, Amanda
    Röda Korsets Högskola.
    Livet efter förlossningen: Förlossningsskador ur kvinnors perspektiv2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    BACKGROUND: Among childbirth injuries the most common described symptoms are urine and faecal incontinence, pain during intercourse and perineal pain after rupture and suture. For those women who seek care for lasting nuisance are the routines for follow-up, diagnoses and treatment of childbirth injuries experience insufficient.

    AIM: The aim of this study was to illuminate women’s experience after of a childbirth injury and encounter the healthcare. 

    METHOD: A litterateur review based on six articles with qualitative data. 

    RESULT: Two categories with five subcategories are presented; To live with a childbirth injury- physical and emotional limitations of everyday life, normalization of injuries after childbirth and Encounter the healthcare- insufficient information and follow-up, encounter from the healthcare. 

    CONCLUSIONS: Women normalize their difficulties today after childbirth causing them not to seek help. The stigma surrounding the nuisance is also a contributing factor for women to contact the health care. Furthermore they experience to get dismissed by the healthcare professionals and not been taken seriously. Caregivers should inform the women about the concerning nuisance that can occur and give information where to seek help.

    Fulltekst (pdf)
    fulltext
  • 1024.
    Zhang, H
    et al.
    School of Public Health, Tianjin Medical University, Tianjin, China; School of Nursing, Tianjin Medical University, Tianjin, China.
    Deng, M
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Xu, H
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Wang, H
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Song, F
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Bao, C
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Avdelningen Medicin och Folkhälsa.
    Xu, W
    School of Public Health, Tianjin Medical University, Tianjin, China; Karolinska Institutet; Stockholm University.
    Qi, X
    School of Public Health, Tianjin Medical University, Tianjin, China.
    Pre- and undiagnosed-hypertension in urban Chinese adults: a population-based cross-sectional study.2017Inngår i: Journal of Human Hypertension, ISSN 0950-9240, E-ISSN 1476-5527, Vol. 31, nr 4, s. 263-269Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Hypertension is common in adults and often undiagnosed, and the prevalence of pre- and undiagnosed-hypertension remains unclear. We aimed to investigate the prevalence of pre- and undiagnosed-hypertension and their correlates among urban Chinese adults. A total of 7435 participants aged 20-79 were included in this study. Data on demographics, lifestyle and medical history were collected through a structured interview. Pre- and undiagnosed-hypertension was defined as systolic blood pressure/ diastolic blood pressure (SBP/DBP) of 120-139/80-89 mm Hg and SBP⩾140 mm Hg and/or DBP⩾90 mm Hg, respectively, in participants without a history of hypertension and use of antihypertensive medication. Prevalence rates were calculated and standardized using local age- and gender-specific census data. Data were analysed using multinomial logistic regression with adjustment for potential confounders. Of all the participants, 2726 (36.7%) were diagnosed with pre-hypertension and 919 (12.3%) with undiagnosed-hypertension. Undiagnosed-hypertension accounted for 37.3% of all participants with hypertension. The prevalence of pre-hypertension gradually decreased with age, while undiagnosed-hypertension increased, although presenting different changing patterns among men and women. In a fully adjusted multinomial logistic regression, age, male sex, low socio-economic status (SES), abdominal obesity, alcohol drinking, physical inactivity and type 2 diabetes mellitus (T2DM) were significantly associated with increased odds of pre- and undiagnosed-hypertension. In conclusions, the prevalence of pre- and undiagnosed-hypertension was ~50% among urban Chinese adults. Abdominal obesity, low SES, alcohol drinking, physical inactivity and T2DM may be indicators for pre- and undiagnosed-hypertension.

  • 1025.
    Zhang, Hua
    et al.
    Tianjin Medical University, Tianjin, PR, China.
    Xu, Hui
    Tianjin Medical University, Tianjin, PR, China.
    Song, Fei
    Tianjin Medical University, Tianjin, PR, China.
    Xu, Weili
    Tianjin Medical University, Tianjin, PR, China / Karolinska Institute / Stockholm University.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Avdelningen Medicin och Folkhälsa.
    Qi, Xiuying
    Tianjin Medical University, Tianjin, PR, China.
    Relation of socioeconomic status to overweight and obesity: a large population-based study of Chinese adults2017Inngår i: Annals of Human Biology, ISSN 0301-4460, E-ISSN 1464-5033, Vol. 44, nr 6, s. 495-501Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: China has been going through significant changes in social and economical aspects and with great socioeconomic disparity in different regions. However, data on the association between socioeconomic status (SES) and obesity are not available in Tianjin, China.

    AIM: We aimed to investigate the association between SES and high adiposity among the adult population in Tianjin.

    SUBJECTS & METHODS: A total of 7351 individuals aged 20-79 were included in this study. Socioeconomic information was collected through the interview following a structured questionnaire. Waist circumference, body weight and height were measured following standard procedures. Overweight and obesity were defined according to the criteria of the Working Group on Obesity in China. Data were analysed using multinomial logistic regression with adjustment for potential confounders.

    RESULTS: Stratified analysis showed that higher monthly income and education were related to decreased odds of abdominal overweight/obesity in women, while high education was associated with increased odds of general overweight/obesity in men. Retirement increased the odds of abdominal overweight and obesity, and nonmanual work was associated with low odds of abdominal obesity in women.

    CONCLUSIONS: SES was associated with general and abdominal overweight/obesity and sex may play a role in such an association.

  • 1026.
    Zubair, Muhammad
    et al.
    Swedish University of Agricultural Sciences.
    Nybom, Hilde
    Swedish University of Agricultural Sciences.
    Lindholm, Christina
    Röda Korsets Högskola.
    Rumpunen, Kimmo
    Swedish University of Agricultural Sciences.
    Major polyphenols in aerial organs of greater plantain (Plantago major L.), and effects of drying temperature on polyphenol contents in the leaves2011Inngår i: Scientia Horticulturae, ISSN 0304-4238, E-ISSN 1879-1018, Vol. 128, nr 4, s. 523-529Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Plantago major L (common plantain) has been used in folk medicine all over the world, mainly for the healing of wounds. This species already has a high market demand in Asia, and attempts to domesticate P. major as a medicinal crop in horticulture are emerging also in Europe. Both polysaccharides and polyphenols have been proposed to have bioactive effects. In this study, major phenols were analysed in leaves, flower stalks and seeds of P. major plants from five homogenous offspring families, as verified by DNA-marker analysis. Furthermore, leaves were harvested and dried at different temperatures. The contents of plantamajoside, verbascoside and a hitherto unidentified compound, P1, differed greatly between plant organs. Degradation of leaf polyphenols increased with an increase in drying temperature, and consequently, freeze-drying resulted in the highest content of phenols. Thus it is important to select plant material of a suitable organ or combination of organs, and to use the lowest possible drying temperature to obtain a high content of a specific phenolic compound in P. major.

  • 1027.
    Åbergh, Camilla
    et al.
    Röda Korsets Högskola.
    Eriksson, Marie
    Röda Korsets Högskola.
    Inhalationssedering på CIVA: en retrospektiv beskrivning2010Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Patienter som ventilatorvårdas på intensivvårdsavdelning behöver ofta någon form av lätt sömn (sedering) för att tolerera endotrachealtuben och ventilatorbehandling. De traditionella intravenösa läkemedel som ges har lång halveringstid och det är stor risk för kvardröjande effekter. Syfte: Denna pilotstudie syftar till att studera sederingsdjupet enligt MAAS hos de patienter som blivit sederade med inhalationsgas, kontrollera vakenhetsgraden enligt GCS hos dessa patienter efter avslutad sedering, samt beskriva vilka patientgrupperna är som fått inhalationssedering. Metod: Journalgranskning där resultatet har analyserats och kategoriserats, därefter har en sambandsanalys gjorts. Resultat: I resultatet identifierades 3 patientkategorier som fått isofluransedering: patienter med hotad luftväg som förväntats behöva kort sederingstid och snabb väckning, patienter som var svåra att sedera optimalt med intravenös metod samt patienter med organsvikt där risk för ackumulation och/ eller förlängd elimination av läkemedel förelåg. Något samband mellan MAAS 12 timmar före extubation och GCS- värde efter väckning hos de 14 patienter som ingick i studien har inte kunna styrkas. Konklusion: Inhalationssedering med isofluran förefaller vara en effektiv sederingsmetod när en lättstyrd sederingssituation med möjlighet till snabb väckning prioriteras, samt när man strävar efter att patienten ska uppnå 14-15 i GCS- värde så snart som möjligt efter väckning och extubation.

    Fulltekst (pdf)
    fulltext
  • 1028.
    Åhs, Jill
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Ranheim, Albertine
    Mazaheri, Monir
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Distant Suffering in Modern Times2019Konferansepaper (Fagfellevurdert)
  • 1029.
    Åhs, Jill
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mazaheri, Monir
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Eriksson, Henrik
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Ranheim, Albertine
    Distant suffering in the Global Village2019Konferansepaper (Fagfellevurdert)
  • 1030.
    Åkerlund, Joar
    Röda Korsets Högskola.
    En god död: En litteraturstudie om betydelsen av sjuksköterskans omvårdnad2019Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund:Patienteni livets slutskedeställs inför faktum att vårdens inriktning ej är kurativ. Palliativ vård är en specialiserad vårdform ochbör ges till alla svårt sjuka och döende patienter oavsett vart de erhåller vård. Värdet av en individualiserad och personcentrerad vård i livets slutskede blir mer aktuell för att lindra den existentiella kris som kan uppstå hos patienten.

    Syfte: Att beskriva hur sjuksköterskans omvårdnad, genom interaktion och intersubjektivt utbyte,kan lindra existentiell kris och bidra till en god död för svårt sjuka och döende patienter.

    Metod: En allmän litteraturstudieav tolv vetenskapliga artiklar. Resultat:Tre teman identifieradesvidinnehållsanalysav artiklarna:kommunikation, relationer och utbildning. Relevansen av att sjuksköterskors omvårdnadskompetens och interaktion blev framträdande i mötet med svårt sjuka och döende patienter.

    Slutsats: Bekräftelse av patientens autonomi och värdighet emedan denne erhöll omvårdnad av sjuksköterskan påvisadesminska patientersexistentiella kriser. Detta ökade även möjligheten till en god död.

    Klinisk betydelse: Litteraturstudien påvisadeatt det existerar ett behov av att sjuksköterskor erhåller vidareutbildning och stöd i sitt arbete. Sjuksköterskor som möter svårt sjuka och döende patienter behöver en ökad insikt och förståelse i värdet av att ett holistiskt perspektiv av patienten kanresultera ien mer patientsäker och ökad person centrerad vårdvilket kan kopplas tillökad möjlighet till lindrad existentiell kris och en god död.

    Fulltekst (pdf)
    God död
  • 1031.
    Åkerström, Justina
    et al.
    Röda Korsets Högskola. justina.katarina@gmail.com.
    Blomstedt, Marie
    Röda Korsets Högskola.
    Upplevelser hos föräldrar till barn med medfödda hjärtfel: En litteraturstudie2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Varje år föds 1 % av alla barn i Sverige med medfött hjärtfel. Barnet med denna diagnos och dess föräldrar är i stort behov av omvårdnad. Viktiga komponenter i denna omvårdnad är stöd och uppmuntran, information på rätt nivå för mottagaren och att frågor blir besvarade. Föräldrar till barn med medfött hjärtfel lider i större mån än andra föräldrar av någon form av psykosocial stress eller ångest relaterat till barnets diagnos. Syfte: Syftet var att beskriva föräldrars upplevelser av att ha barn med medfödda hjärtfel. Metod: En litteraturstudie baserad på kvalitativa vetenskapliga artiklar. Artiklarna hittades via sökningar i CINAHL Complete, MEDLINE, Academic Search Elite och CINAHL with Full Text där tio artiklar inkluderades efter kvalitetsgranskning. Resultat: I studiens analys av artiklarna framkom fyra teman som präglade föräldrarnas upplevelser under barnens uppväxt. Dessa var; känslan av otillräcklighet och osäkerhet, en ny komplex situation, stress samt stöd och tillit. Slutsats: När ett barn får diagnosen medfött hjärtfel står hela familjen inför en ny situation som innebär stora omställningar i vardagen. Stress var en konstant börda och föräldrarna upplevde att de kände sig otillräckliga och osäkra i föräldrarollen. Behovet av stöd och tillit, från både vårdpersonal, släkt och vänner, var stort för att orka med situationen. Klinisk betydelse: Resultatet i denna litteraturstudie kan bidra med kunskap om föräldrars upplevelser av att ha ett barn med medfött hjärtfel. Studien kan medvetandegöra behoven hos denna grupp föräldrar, vilket kan vara till hjälp för utformning av riktlinjer inom denna ram för omvårdnad.

    Fulltekst (pdf)
    fulltext
  • 1032.
    Åling, Maria
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Identifying nursing care needs for patients in forensic psychiatry: in search for a sustainable and co-created person centred care2018Konferansepaper (Annet vitenskapelig)
  • 1033.
    Åling, Maria
    Röda Korsets Högskola, Avdelningen Teknik och Välfärd.
    Implementation of Nursing Diagnosis (i.e. NANDA) in a Forensic Psychiatric setting2016Inngår i: Abstracts: Narrative Nursing: Nordic Conference Of Mental Health Nursing: 14-16 September 2016 Börshuset – Malmö, Malmö: Psykiatriska riksföreningen för sjuksköterskor , 2016, s. 36-Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The Swedish legislation indicates that patients in the forensic psychiatric setting should be re-integrated into society through rehabilitative measures including nursing care. This was recognized by the National Board of Health and Welfare (i.e. Socialstyrelsen) in 2002, but concluded that there is a vast knowledge gap regarding the aim and the content of nursing care in forensic psychiatric settings. Still nursing care in forensic psychiatry is sparsely described. Recent research confirms this description of a knowledge gap and adds that there is a lack of structured nursing care in forensic psychiatry (Hörberg, 2012). Nonetheless, the content and outcome of nursing care in the forensic psychiatric setting is hard to visualize. The actual patient needs and problems has to be identified and defined. To meet this knowledge gap, structured and categorized descriptions of the patients’ nursing care needs need to be described. Frauenfelder et al., 2014) claims that NANDA could be the tool to label problems and risk diagnoses, although they call for further research.

    The implementation of nursing diagnoses according to NANDA started in 2011, one year after Forensic Psychiatry Care Stockholm became one department, and the implementation process is still on-going. Previously, the forensic psychiatric care in Stockholm had been spread out over three different departments with dissimilar culture. The new management wanted a “unified department”, and one way to achieve this was to use NANDA as a tool for a common language in nursing care. The implementation started with a meeting with the ward managers and Registered Nurses. A project plan for the implementation was presented and discussed. The project leader met all RNs in the department in small groups to describe and motivate the use of NANDA. Up till now eleven wards have been involved and at least two meetings have been held at each ward. The project leader has participated at ward rounds and supervised the RNs in the use of NANDA. In conclusion, more RNs need to be engaged to continue the progress of the project. Another task is to find a less time consuming implementation process and to evaluate the implementation to this point. It is also important, further down the line, to introduce the tools Nursing Diagnoses Interventions (NIC) and Nursing Diagnoses Outcome (NOC) in the forensic psychiatric setting. Apart from a common nursing language, the use of standardized descriptions, actions and goals would fill the knowledge gap regarding aim and content of nursing care in forensic psychiatric settings (Escalada-Hernandez et. al., 2015).

    Fulltekst (pdf)
    fulltext
  • 1034.
    Åling, Maria
    et al.
    Röda Korsets Högskola, Avdelningen Teknik och Välfärd.
    Kasel, Daniel
    LWL-MRVK Forensic Hospital Herne, Germany.
    Peternelj-Taylor, Cindy
    University of Saskatchewan, Canada.
    What is your story?: The experiences of patients and nurses in secure forensic environments2016Inngår i: Abstracts: Narrative Nursing: Nordic Conference Of Mental Health Nursing: 14-16 September 2016 Börshuset – Malmö, Malmö: Psykiatriska riksföreningen för sjuksköterskor , 2016, s. 35-Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Nurses who work in forensic environments, practice at the shifting interface of the criminal justice system and the health care system.  How they view those in their care, and more importantly, how they engage those in their care, is a significant concern for nursing.  Forensic clients are members of a highly stigmatized and stereotyped population. The ability of forensic mental health nurses to provide competent and ethical nursing care is often compromised by personal, social, and political animosity regarding crime, criminality, and mental disorder.  Pausing to reflect on the stories of clients and nurses, within a narrative context, evokes understanding, and contributes to the creation of person centered care.

    In paper one, the coercive treatments experienced by a man who has spent many years in compulsory care in a variety of secure psychiatric settings is explored in response to his confession “I don’t dare to tell them I feel okay!” In paper two, how nurses transition to their roles as forensic nurses is considered as they straddle the custodial and therapeutic aspects of their work, often expressing concerns with their perceptions of “education of the fly” or “faking it ‘til you make it.” In paper three, the mental health contributions of nurses who practice in prisons and correctional institutions is captured in the words “that’s why I bought into this profession, to instill hope and recovery.”

    Through the examination of these vignettes that have emerged through research and practice, participants will be engaged in an interactive discussion as we consider the implications of narrative nursing vis-à-vis the vast tensions that exist between theory, practice, and research in forensic mental health nursing.  Finally, the universal nature of these issues, highlighting contributions from Sweden, Germany and Canada will be illustrated.

     

    Fulltekst (pdf)
    fulltext
  • 1035.
    Åling, Maria
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Nilsson, Evelina R
    European Medicines Agency.
    Garpstål, Björn
    Capio S:t Görans Sjukhus.
    Strömberg, Lars
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Nursing Diagnoses Panorama in a Swedish Forensic Psychiatric Setting Using NANDA-International Taxonomy2018Inngår i: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 14, nr 3, s. 141-147Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    More than 1,000 Swedish hospital beds are occupied by patients in forensic psychiatric settings; their average length of hospitalization is 3-7 years. In this context, nursing diagnoses could be extremely useful to make nursing care structured, measurable, and internationally comparable. The study aimed to describe nursing diagnoses in a Swedish forensic psychiatric setting.

    METHODS: Data were collected from electronic patient records of 55 patients in a medium-secure forensic psychiatric setting in Sweden. Anonymized data were entered into a database where entries were transformed into figures. Descriptive statistics were used, and frequencies, means, and percentages were calculated. The variables employed were characteristics and related factors, according to NANDA-International (NANDA-I) and International Statistical Classification of Dieseases and Related Heatlh Problems, 10th Revision (ICD-10), diagnoses.

    RESULTS: The patients had between 1 and 13 NANDA-I diagnoses each. Forty-one of the 55 patients had psychosis as the primary ICD-10 code. The identified nursing diagnoses described the patients' status upon arrival in the forensic psychiatric setting. Of the 55 patients, entries in the patient records describing 300 signs and symptoms (i.e., characteristics and related factors) were found. From these signs and symptoms, 371 entries that fit NANDA-I diagnoses were identified, representing 20 different NANDA-I diagnoses.

    CONCLUSION: NANDA-I diagnoses individualize patient care, making care person centered. NANDA-I is used all over the world and has the potential to make nursing care structured, measurable, and internationally comparable.

  • 1036.
    Öhrner, Kristina
    et al.
    Röda Korsets Högskola.
    Al-Malah, Suraa
    Patientens upplevelse av egenvård vid typ 2-diabetes: En litteraturöversikt2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Typ 2-diabetes är en kronisk sjukdom som står för 90 procent av alla diabetesfall i världen och beräknas öka de kommande åren, på grund av bland annat ohälsosamma levnadsvanor såsom kost och fysisk aktivitet. Egenvård innebär att patienten tar ansvar och för att hantera det behövs kunskap och stöd från vårdpersonalen. Syfte: att beskriva upplevelser av egenvården vid typ 2-diabetes, med fokus på livsstilsförändringar. Metod: En allmän litteraturöversikt baserad på tolv kvalitativa vetenskapliga artiklar genomfördes. Resultat: Det har framkommit olika upplevelser av egenvården och dessa har kategoriserats i teman med subteman: 1) Känsla av kontroll: Olika uppfattningar av betydelsen av typ 2-diabetes, 2) Upplevelser av livsstilsförändringar: Kostomläggning och Fysisk aktivitet och 3) Upplevelser av omvårdnadsåtgärder: Rådgivning, Motiverande samtal, MI och Gruppbaserad patientutbildning. Slutsats: Att ändra på sin livsstil kan upplevas som krävande och omställningen behöver stödjas och anpassas utefter patientens behov. Klinisk betydelse: Patientens upplevelser av egenvård med behov, krav och brister kan fungera som ett kunskapsverktyg för vårdpersonalen vid omvårdnaden av typ 2-diabetes. 

    Fulltekst (pdf)
    fulltext
  • 1037.
    Öst, Elin
    et al.
    Karolinska Institutet / Karolinska University Hospital, Astrid Lindgren Children’s Hospital.
    Frenckner, Björn
    Karolinska Institutet / Karolinska University Hospital, Astrid Lindgren Children’s Hospital.
    Nisell, Margret
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Burgos, Carmen Mesas
    Karolinska Institutet / Karolinska University Hospital, Astrid Lindgren Children’s Hospital.
    Öjmyr-Joelsson, Maria
    Karolinska Institutet / Karolinska University Hospital, Astrid Lindgren Children’s Hospital.
    Health-related quality of life in children born with congenital diaphragmatic hernia2018Inngår i: Pediatric surgery international (Print), ISSN 0179-0358, E-ISSN 1437-9813, Vol. 34, nr 4, s. 05-414Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The aim of this study was to examine health-related quality of life (HRQoL) in children born with congenital diaphragmatic hernia (CDH).

    METHODS: Between 1993 and 2003, a total of 102 children born with CDH were treated at Astrid Lindgren Children's hospital in Stockholm. In 2012, long-term survivors (n = 77) were asked to participate in the present study, which resulted in a 46% (n = 35) response rate. The KIDSCREEN-52 questionnaire was used for measuring HRQoL and a detailed review of medical records was performed.

    RESULTS: The study participants did not differ from the non-participants in terms of prenatal diagnosis, gender, side of lesion, method of surgical repair, time to intubation, need for ECMO support, or way of discharge from the hospital. Children born with CDH considered themselves to have a good HRQoL, as good as healthy Swedish children. There were only a few significant HRQoL differences within the group of children with CDH, although several median scores in ECMO-treated patients were somewhat lower. Correlations between child and parent scores on HRQoL were low.

    CONCLUSIONS: Health-related quality of life in children born with CDH is good overall, however, a correlation between the severity of the malformation and HRQoL cannot be excluded.

    Fulltekst (pdf)
    fulltext
  • 1038.
    Öst, Elin
    et al.
    Karolinska Institutet / Karolinska University Hospital.
    Nisell, Margret
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Burgos, Carmen Mesas
    Karolinska Institutet / Karolinska University Hospital.
    Frenckner, Björn
    Karolinska Institutet / Karolinska University Hospital.
    Öjmyr-Joelsson, Maria
    Karolinska Institutet / Karolinska University Hospital.
    Behavioral, emotional and social functioning in children born with congenital diaphragmatic hernia2018Inngår i: Pediatric surgery international (Print), ISSN 0179-0358, E-ISSN 1437-9813, Vol. 34, nr 6, s. 653-661Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The aim was to investigate social competence and behavioral and emotional problems in children and adolescents born with CDH.

    METHODS: All children born with CDH, treated in Stockholm 1990-2009, were invited to participate. After written consent, the Child Behavior Checklist or Adult Self-Report questionnaires were sent to participants. Of the 145 long-term survivors, 51% returned a completed questionnaire. Both the syndrome and competence scales were used and open-ended questions were analyzed with manifest content analysis.

    RESULTS: All parents of children aged 1.5-5 years and 90% of parents of children aged 6-18 years reported a normal range on the syndrome scale. Five parents indicated internalizing, but none externalizing behavior. All young adults achieved a normal score on the syndrome scale. Eighty-five percent had normal school achievement, 79% had normal social scores and 40% had normal activity levels. Significantly fewer boys (23%) were in the normal activity range compared with 67% of girls.

    CONCLUSIONS: The vast majority of all parents of children born with CDH scored no behavioral or emotional problems, furthermore, they reported normal social and school competence. However, the activity levels seemed to be reduced in children born with CDH.

    Fulltekst (pdf)
    fulltext
  • 1039.
    Öst, Elin
    et al.
    Karolinska Institutet / Astrid Lindgren Children’s Hospital.
    Nisell, Margret
    Röda Korsets Högskola, Avdelningen Teknik och Välfärd.
    Frenckner, Björn
    Karolinska Institutet / Astrid Lindgren Children’s Hospital.
    Mesas Burgos, Carmen
    Karolinska Institutet / Astrid Lindgren Children’s Hospital.
    Öjmyr-Joelsson, Maria
    Karolinska Institutet / Astrid Lindgren Children’s Hospital.
    Parenting stress among parents of children with congenital diaphragmatic hernia2017Inngår i: Pediatric surgery international (Print), ISSN 0179-0358, E-ISSN 1437-9813, Vol. 33, nr 7, s. 761-769Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The aim of this study was to examine parental stress among parents of children with congenital diaphragmatic hernia (CDH).

    METHODS: Between 2005 and 2009, a total of 51 children with CDH were treated at Astrid Lindgren Children's Hospital. The survival rate at discharge was 86% and long-term survival rate 80%. One parent each of the long-term survivors (41 children) was included in the present study, and 34 parents (83%) agreed to participate. Participants received the Swedish Parenthood Stress Questionnaire (SPSQ). The questionnaire was supplemented by data from case records.

    RESULTS: Parents of children with CDH, who had been supported by ECMO or had a long hospital stay, showed significantly higher overall parental stress. Mothers scored an overall higher parental stress compared with fathers. A prenatal diagnosis of CDH or lower parental educational level resulted in significantly higher parental stress in some of the factors.

    CONCLUSIONS: Parental stress in parents of children with CDH seems to increase with the severity of the child's malformation. Mothers tend to score higher parental stress than fathers.

  • 1040.
    Östbring, Anna
    et al.
    Röda Korsets Högskola.
    Frisén, Gunilla
    Röda Korsets Högskola.
    Flytten till Nya Karolinska Solna: Från en öppenvårdmiljö till enskilda vårdrum2018Independent thesis Advanced level (degree of Master (Two Years)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: På ECMO-centrum behandlas patienterna med hjälp av hjärt-lungmaskin. De har ofta multiorgansvikt vilket ställer höga krav på sjuksköterskorna då de ansvarar för patienternas totala omvårdnadsbehov. I och med flytten till NKS förändrades vård- och arbetsmiljön då man gått från öppen vårdmiljö till enskilda vårdrum.

    Syftet med studien är att beskriva ECMO-sjuksköterskors uppfattningar om hur vård- och arbetsmiljö har påverkats efter flytten till NKS.

    Metod: Arbetet genomfördes med en kvalitativ metod, med induktiv ansats. För att besvara studiens syfte valde författarna att använda sig av fokusgruppsintervjuer med sjuksköterskor anställda vid ECMO-centrum. Två intervjutillfällen genomfördes under november 2017. Intervjuerna transkriberades ordagrant av båda författarna och analyserades med en kvalitativ innehållsanalys.

    Resultat: I den nya vård och arbetsmiljön uppfattade sjuksköterskorna att lokalernas utformning utgjorde ett hinder för att bedriva god och säker omvårdnad. Att arbeta i enskilda vårdrum har lett till ökat ensamarbete och möjlighet till rast och kunskapsutbytet har försämrats. En sorg och frustration finns över att inte ha fått ha möjligheten att påverka vård och arbetsmiljö.

    Slutsats: Vikten av att känna delaktighet och möjligheten att kunna påverka är en förutsättning för att skapa en bra vård- och arbetsmiljö.

    Fulltekst (pdf)
    fulltext
  • 1041.
    Östgård, Malin
    et al.
    Röda Korsets Högskola.
    Damström Gereben, Elisabeth
    Röda Korsets Högskola.
    Processen att försöka göra barn: kvinnors upplevelse av att genomgå IVF- behandling2010Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Infertilitet är en utbredd problematik som drabbar många par världen över. Olika behandlingsformer finns att tillgå för att hjälpa infertila par att uppnå en graviditet. IVF-behandling är en vanlig behandlingsform. Många studier visar att IVF-behandling påverkar kvinnan mer än mannen psykiskt. Syftet med denna studie var att beskriva hur kvinnor upplever processen att genomgå IVF-behandling. Metod: En litteraturstudie gjordes på tio kvalitativa artiklar för att besvara syftet. En innehållsanalys gjordes på dessa artiklar, där meningsbärande enheter identifierades i artiklarnas resultat. Dessa enheter kondenserades, grupperades och formade sub-kategorier och teman. Livsvärldsperspektivet användes som en teoretisk referensram. Resultatet av denna litteraturstudie blev sju teman; Tro på behandlingen; Okunskap; Påverkan på vardagen; Bemötande i relationer; Negativ hantering; Rädsla, samt Väntan. Slutsatser som drogs av denna litteraturstudie var att kvinnornas upplevelser var övervägande negativt präglade, men en tro på behandlingen var ändå en central upplevelse. Det är viktigt för berörda kvinnors omgivning att inneha ett livsvärldsperspektiv inför kvinnornas upplevelser av behandlingen. En ökad förståelse från kvinnornas omgivning skulle kunna ge kvinnorna bättre upplevelser av att genomgå behandlingen.

    Fulltekst (pdf)
    FULLTEXT01
  • 1042.
    Östlund, Britt
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen. KTH.
    Björling, Gunilla
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mattsson, Janet
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Stridh, Sara
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Sahlström, Madeleine
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Technology in Health Care: A new research and teaching subject in collaboration between nursing science and engineering2017Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Today, health care systems face a number of challenges related to technological developments. This work in progress is a new Swedish initiative for collaboration between nursing science and engineering focusing digitization, demographics and participation. The initiative aims at understanding how digitization affects patients and health care professionals and the role of engineers and how this collaboration proactively contributes to systems that support caring and nursing. The presentation expects input on the programs substance and boundaries and whether this initiative is fruitful to create sustainable health care systems.

  • 1043.
    Östlund, Britt
    et al.
    KTH.
    Björling, Gunilla
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Stridh, Sara
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Sahlström, Madeleine
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Mattsson, Janet
    Röda Korsets Högskola, Hälsovetenskapliga institutionen.
    Digitizing Health Care in Collaboration Between Nursing and Engineering: Two cases of strategic learning and implementationof robots in the homes of elderly people2018Inngår i: International Journal On Advances in Life Sciences, ISSN 1942-2660, E-ISSN 1942-2660, Vol. 10, nr 1 & 2, s. 11-22Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Digitization exceeds the limits of healthcare meetings, which gives renewed relevance to examine the collaboration between engineers and nurses. Caring for people is no longer just something going on in the hospital but at new arenas at home and in the middle of people's everyday lives. In caring situations nurse's responsibility is, unlike the physician, to make observations and to follow in detail the patient's caring needs, and where engineers provide technological devices to support and monitor the course of the disease. When digitizing the caring situation person-centered care gets a new meaning. For engineers the understanding of how technology is contextualized and domesticated becomes even more important to make applications and systems work outside laboratories. This paper presents two cases of interaction between engineers and nurses aimed at improving the implementation of robots and sensorsin elderly people ́s homes; and learning how to improve patient safety in hospitals.The result shows that conflicting epistemologies, differences in professional languages and lack of joint learning opportunities are factors that create obstacles for interactions. The conclusionsreject the idea of linear innovation processes and showthat successful ccollaborationtake more than just adding two and two together. Especially digitization is breaking up traditional barriers and hierarchies. For nurses to be proactive requires knowledge about technological developments and the ability toparticipate in design and innovation processes. For engineers a more thorough understanding of caring situations and users will contribute to a more reliable provision of digitalsolutions and point at new ideas leading up to innovations. The main output of the paper is that it is deepening the understanding of what factors leading to successfulcollaborations between nursing and engineering and what are the missing links.

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