| 501. |
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| 502. |
- Lind, Leili, 1954-
(författare)
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Towards Effortless Use of Information Technology in Home Healthcare with a Networked Digital Pen
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- When care is moved from the hospital to the home the demands for high quality care still remain. For problems arising from the geographical separation of patients and professional caregivers, information and communication technology may offer important solutions. The overall aim of this thesis was to describe relevant requirements, to design and implement an IT-based system, and finally to evaluate the system’s influence on symptom control and support for both patients/next-of-kin and professional caregivers in advanced home healthcare. Of importance were needs in basic as well as advanced home healthcare, as were usability perspectives of both patients and professional caregivers. Requirement areas such as security, mobility, and responsibility, which should be considered when monitoring patients in the home, were identified. A prototype system for everyday assistance for diabetes patients was designed, and a system for frequent pain assessment for palliative home healthcare patients using a pain diary, digital pen and mobile Internet technology, was developed and evaluated through a qualitative content analysis approach. Twelve palliative cancer patients and six professional caregivers participated. The data collected included an ease-of-use questionnaire, and interviews with patients, spouses and professional caregivers. Patients expressed increased and improved contact with the caregivers, increased participation in their own care, a sense of increased security, and easiness in using the equipment in spite of severe illness and difficulties in comprehending the technology and system intervention. The professional caregivers showed a shifting outlook towards the pain assessment method; an initial cautious outlook due to low expectations of the patients’ abilities to use the pain assessment method and the caregivers’ own reluctance to use the system and change their way-of-working. Despite this, the professional caregivers experienced positive outcomes in terms of an increased awareness of pain, and positive patient influences including increased participation in their care, increased security and improved changes in pain treatment as a response to reported pain assessments. In conclusion, the networked digital pen system provided an effortless method for pain assessment and had positive influences on the care. The results imply that digital pen technology is suitable for the assessment of symptoms by palliative patients since these patients often have a limited capacity to handle technology due to their state of health.
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| 503. |
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| 504. |
- Lindgren, Eva-Carin, 1962-, et al.
(författare)
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Influencing Exercise Adherence in Physically Non-active Young Women : Suggestion for a Model
- 1999
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Ingår i: Women in Sport & Physical Activity Journal. - Reston, United States : National Association for Girls and Women in Sport. - 1063-6161 .- 1938-1581. ; 8:2, s. 17-44
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to develop a theoretical understanding of what could influence exercise adherence in physically non-active young women. Interviews with twelve physically non-active young women werw strategically selected and analyzed by grounded theory. The results were that several factors could influence exercise adherence in physically non-active young women, and that these factors can be regarded as a number of interrelated dimensions. The influence was coming either from the exercise or from the environment connected to the exercise. The participants wanted to feel enjoyment and to learn something during the exercise (recreation/learning influence). They also wanted to feel belongingness during the exercise (social influence). An influence that promotes health or builds skills (investment influence) could be a trigger to start exercising among the participants, but not to maintain exercise adherence. Influence coming from the environment (enabling influence) was both important and stimulating for physically non-active young women in establishing regular exercise. It is important to present the model developed in this study to communities, sport federations and other authorities working with health promotion activities so that they can explore innovative ways to promote exercise adherence among physically non-active young women. Good examples could be to offer non-cometitive sports as well as to develop well-designed exercise programs for physically non-active young women.
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| 505. |
- Lindgren, Eva-Carin, 1962-, et al.
(författare)
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Motives for participation in sport and exercise among young women
- 2000
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Ingår i: Sport Psychology Conference in the New Millennium -A dynamic research-practice perspective, proceedings. - Halmstad : Centre for Sport Science [Centrum för idrottsvetenskap]. - 9163094649 ; , s. 254-258
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Konferensbidrag (refereegranskat)
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| 506. |
- Lindgren, Eva-Carin, 1962-, et al.
(författare)
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The impact of sport on young women’s attitude to physical activity in adult life
- 2000
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Ingår i: Women in Sport & Physical Activity Journal. - Champaign, United States : National Association for Girls and Women in Sport. - 1063-6161 .- 1938-1581. ; 9:1, s. 65-86
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Tidskriftsartikel (refereegranskat)abstract
- Sport participation or regular physical activity is often seen as a factor, which leads to better health and well being. Sport also has a social function, as most of the activities are performed together with other people. However, while club sports in Sweden have a stimulating effect on young men, there is a risk that they do not provide enough scope for young women. In particular, early specialization and a high level of seriousness do not suit all young sportswomen. The purpose of this study was to develop a theoretical understanding of the ways in which sport has influenced young women’s lifestyles in terms of their attitudes to physical activity in adult life. The data were collected using strategic interviews and analyzed using the grounded theory method. Based upon the results, young women’s physically active lifestyles varied depending on how they valued their sport in combination with how they handled their sport. Sport was regarded as having a positive effect on health and well-being. This led to the young women studied intending to pursue a physically active lifestyle also in adult life. They enjoyed participating in sport, but not particularly sport with a high level of seriousness or a high level of vigor, which is what characterizes most club sports today.
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| 507. |
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| 508. |
- Lundén, Karin, et al.
(författare)
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Coronary care unit nurses' outlook on death - their own thoughts as well as those of their patients : a pilot study
- 2007
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Ingår i: Vård i Norden. - Oslo : Sykepleiernes Samarbeid i Norden (SSN). - 0107-4083 .- 1890-4238. ; 27:3, s. 9-12
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Tidskriftsartikel (refereegranskat)abstract
- No studies have examined the level of preparedness of CCU nurses to deal with cardiac patients’ death issues. Accordingly, the aim of this pilot study was to explore and describe CCU nurses’ outlook on their own as well as their patients’ thoughts about death. A pilot study was conducted in 2005 at a University Hospital in southern Sweden. The 63 (93%) nurses answered a newly established 18-item questionnaire regarding their own and their patients’ thoughts about death. Descriptive statistics revealed that 90% of nurses believed that patients often thought about death. Regarding their outlook on death issues, 41% were aware of their personal standpoint, 63% were clear about their plan of action, 34% showed openness towards their patients and 26% expressed educational adequacy. These low figures pertaining to both personal and professional awareness indicate a lack of knowledge and competence. Clinical implications are the provision of various forums at CCUs on this subject and the creation of awareness at all levels of nursing education. Research implications are to further develop the instrument and implement an intervention at the CCU of how to care for dying cardiac patients in a professional manner.
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| 509. |
- Malm, Dan, 1954-, et al.
(författare)
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Effects of brief mindfulness-based cognitive behavioural therapy on health-related quality of life and sense of coherence in atrial fibrillation patients
- 2018
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Ingår i: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 17:7, s. 589-597
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this study was to evaluate the effects of a brief dyadic cognitive behavioural therapy (CBT) programme on the health-related quality of life (HRQoL), as well as the sense of coherence in atrial fibrillation patients, up to 12 months post atrial fibrillation.Methods: A longitudinal randomised controlled trial with a pre and 12-month post-test recruitment of 163 persons and their spouses, at a county hospital in southern Sweden. In all, 104 persons were randomly assigned to either a CBT (n=56) or a treatment as usual (TAU) group (n=55). The primary outcome was changes in the HRQoL (Euroqol questionnaire; EQ-5D), and the secondary outcomes were changes in psychological distress (hospital anxiety and depression scale; HADS) and sense of coherence (sense of coherence scale; SOC-13).Results: At the 12-month follow-up, the CBT group experienced a higher HRQoL than the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.015; P=0.02). The sense of coherence improved in the CBT group after the 12-month follow-up, compared to the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.16; P=0.04). The association between the intervention effect and the HRQoL was totally mediated by the sense of coherence (z=2.07, P=0.04).Conclusions: A dyadic mindfulness-based CBT programme improved HRQoL and reduced psychological distress up to 12 months post atrial fibrillation. The sense of coherence strongly mediated the HRQoL; consequently, the sense of coherence is an important determinant to consider when designing programmes for atrial fibrillation patients.
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| 510. |
- Malm, Dan, 1954-, et al.
(författare)
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Impact of a cognitive behavioral intervention on quality of life and psychological distress in patients with atrial fibrillation : the importance of relatives
- 2017
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Ingår i: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 16:Suppl. 1, s. S49-S50
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Tidskriftsartikel (refereegranskat)abstract
- Background: Although there is an evidence to support the efficacy of cognitive behavioral therapy (CBT) in improving quality of life and decreasing psychological distress in patients with cardiovascular diseases but involving patient’s and relatives in the CBT and its effect on patient’s general health, has not been evaluated.Aim: The aim was to determine whether involving the relatives in CBT for patients with Atrial Fibrillation (AF) enhances treatment outcomes relative to treatment as usual group (TAU).Method: In a randomized controlled trial, 78 patients diagnosed with AF were randomly assigned to experimental (EXP) or TAU groups. In the EXP group, patients and relative participated in a 6-week program while the patient in the TAU group received standard care. Short Form 36(SF-36), Hospital Anxiety and Depression Scale (HADS),Euro-QoL 5-Dimension Self-Report Questionnaire (EQ-5D) and Sense of Coherence (SOC-13) were completed at baseline and at 12-month follow-up. Results: In all 78 patients completed the assessment at 12 months. The two groups were similar for sociodemographic and clinical variables at baseline. The EXP group reported significantly higher scores in EQ-5D (F= 6.18, p = 0.01) and SOC (F= 4.15, p = 0.04) than TAU group. Compared with TAU group, patients in EXP group reported significantly lower depression (F= 4.58, p = 0.04). Thirteen percent of Indirect effect of the intervention on improving patient’s quality of life in the EXP group was related to the SOC improvement (z = 11.83, p < .01).Conclusions: This study provides evidence that patients and their relatives’ involvement is more effective in improving quality of life and decreasing psychological distress than those who receiving standard care. Our results also indicate that interventions should initially focus on increasing patient’s sense of coherence.
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