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- Gosman-Hedström, Gunilla, 1947, et al.
(author)
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Stroke hos äldre och anhörigas situation
- 2004
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In: 6:e Stroke-Team-Kongressen. Örebro 7-9 Oktober Sweden 2004. (Invited speaker).
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Conference paper (peer-reviewed)
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| 2. |
- Abzhandadze, Tamar, 1980, et al.
(author)
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LIFE SATISFACTION IN SPOUSES OF STROKE SURVIVORS AND CONTROL SUBJECTS: A 7-YEAR FOLLOW-UP OF PARTICIPANTS IN THE SAHLGRENSKA ACADEMY STUDY ON ISCHAEMIC STROKE
- 2017
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In: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977. ; 49:7, s. 550-557
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Journal article (peer-reviewed)abstract
- Objective: To investigate life satisfaction in spouses of middle-aged stroke survivors from the long-term perspective and to identify factors that explain their life satisfaction. Subjects: Cohabitant spouses of survivors of ischaemic stroke aged < 70 years at stroke onset (n = 248) and spouses of controls (n = 246). Methods: Assessments were made 7 years after inclusion to the study. Spouses' life satisfaction was assessed with the Fugl-Meyer's Life Satisfaction Check-List (LiSAT 11). Stroke-related factors were examined with the National Institutes of Health stroke scale, Mini-Mental State Examination, Barthel Index and modified Rankin Scale. Results: Spouses of stroke survivors had significantly lower satisfaction with general life, leisure, sexual life, partner relationship, family life, and poorer somatic and psychological health than spouses of controls. Caregiving spouses had significantly lower scores on all life domains except vocation and own activities of daily living than non-caregiving spouses. Spouses' satisfaction on different life domains was explained mainly by their age, sex, support given to the partner, and the survivor's level of global disability, to which both physical and cognitive impairments contributed. Conclusion: Seven years after stroke, spouses of stroke survivors reported lower life satisfaction compared with spouses of controls. Life satisfaction in stroke survivors' spouses was associated with spouses' age, sex, giving support, and the stroke survivors' level of global disability.
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| 3. |
- Alt Murphy, Margit, 1970, et al.
(author)
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Implementation of evidence-based assessment of upper extremity in stroke rehabilitation: From evidence to clinical practice
- 2021
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In: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977 .- 1651-2081. ; 53:1
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Journal article (peer-reviewed)abstract
- Objective: There is an evidence-practice gap in assessment of the upper extremities during acute and subacute stroke rehabilitation. The aim of this study was to target this gap by describing and evaluating the implementation of, and adherence to, an evidence-based clinical practice guideline for occupational therapists and physiotherapists. Methods: The upper extremity assessment implementation process at Sahlgrenska University Hospital comprised 5 stages: mapping clinical practice, identifying evidence-based outcome measures, development of a guideline, implementation, and evaluation. A systematic theoretical framework was used to guide and facilitate the implementation process. A survey, answered by 44 clinicians (23 physiotherapists and 21 occupational therapists), was used for evaluation. Results: The guideline includes 6 primary standardized assessments (Shoulder Abduction, Finger Extension (SAFE), 2 items of the Actions Research Arm Test (ARAT-2), Fugl-Meyer Assessment of Upper Extremity (FMA-UE), Box and Block Test (BBT), 9-Hole Peg Test (9HPT), and grip strength (Jamar hand dynamometer)) performed at specified time-points post-stroke. More than 80% (35 to 42) clinicians reported reported being content with the guideline and the implementation process. Approximately 60-90% of the clinicians reported good adherence to specific assessments, and approximately 50% reported good adherence to the agreed time-points. Comprehensive scales were more difficult to implement compared with the shorter screening scales. High levels of work rotation among staff, and the need to prioritize other assessments during the first week after stroke, hindered to implementation. Conclusion: The robustness of evidence, adequate support and receptive context facilitated the implementation process. The guideline enables a more structured, knowledge-based and consistent assessment, and thereby supports clinical decision-making and patient involvement.
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| 6. |
- Carlsson, Gunnel, 1950, et al.
(author)
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Comparison of life satisfaction within couples one year after a partner's stroke
- 2007
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In: J Rehabil Med. - : Medical Journals Sweden AB. - 1650-1977. ; 39:3, s. 219-24
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Journal article (peer-reviewed)abstract
- OBJECTIVE: To compare life satisfaction within couples one year after a partner's stroke and with norm values and social factors. SUBJECTS AND METHODS: A total of 56 couples were consecutively included. The respondents estimated life satisfaction using the Life Satisfaction Checklist 9-item version. Patients' impairments, self-care ability and handicap were assessed. Social characteristics were registered. Non-parametrical statistical methods were used for analyses. RESULTS: Patients were physically mildly disabled by their stroke. The most common symptom was mental fatigability. Patients were, in general, less satisfied than spouses. The couples were less satisfied than norms. Satisfaction with life as a whole, leisure and sex life were most affected for both patients and spouses. Relationship with partner was the only domain in which patients were more satisfied than their spouses and almost equally satisfied compared with norms. The proportion of couples in which both partners agreed they were satisfied, for the following domains was: leisure time 20%, sex life 25%, vocation/occupation 29%, life as a whole 30%, finances 47%, social contacts 48%, relationship with partner 60%, family life 66% and ability in self-care 66%. CONCLUSION: Life satisfaction was negatively affected in both partners, although in different life domains. Support should address the different needs of patients and spouses as well as their mutual needs.
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| 7. |
- Forsberg-Wärleby, Gunilla, 1953
(author)
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Anhöriga. Livsförändring och stödbehov i anpassningsprocessen
- 2015
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In: Rehabiliteringsmedicin teori och praktik. Uppl. 1.1 Jörgen Borg, Kristian Borg, Björn Gerdle, Katharina Stibrant Sunnerhagen (red.). - Lund : Studentlitteratur. - 9789144101965 ; , s. 85-88
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Book chapter (other academic/artistic)
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| 8. |
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| 9. |
- Forsberg-Wärleby, Gunilla, 1953
(author)
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"Det har skett ett paradigmskifte"
- 2009
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In: Tidskriften Arbetsterapeuten. ; 2009:5, s. 15-16
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Journal article (other academic/artistic)abstract
- Det har skett ett paradigmskifte i samhället under de senaste tio, femton åren när det gäller synen på de anhörigas delaktighet, ansvar och rättigheter till stöd. Från att ha setts som samhällets ansvar att ge den enskilde det stöd som han/hon behöver i sitt vardaglig liv, har de anhöriga fått ta över allt mer av detta ansvar. Vikten av de anhörigas delaktighet i vård- omsorg och rehabilitering lyfts fram allt mer. Sedan den 1 juli har de lagstadgat rätt till att få det stöd de behöver i sin anhörigroll. Hur möter vi arbetsterapeuter detta?
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