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  • Franzén, Kristofer, et al. (författare)
  • Impact of chronic heart failure on elderly persons' daily life : a validation study
  • 2006
  • Ingår i: European Journal of Cardiovascular Nursing. - 1474-5151 .- 1873-1953. ; 5:2, s. 137-145
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>BACKGROUND: Knowledge about how elderly persons perceive the impact of chronic heart failure (CHF) on daily life is important when planning nursing care. For this purpose, disease specific instruments are needed. However, few instruments have been developed or tested specifically on elderly persons. AIM: To validate a Swedish version of the Minnesota Living with Heart Failure Questionnaire (LHFQ) on elderly persons with CHF, and use it to describe the impact of CHF on daily life in the same population. METHODS: The sample comprised of 357 persons, aged between 65 and 99, diagnosed with CHF. A questionnaire including background data, the LHFQ and the SF-12 was used. RESULTS: A factor analysis resulted in four dimensions: physical, emotional, treatment and pleasure. LHFQ showed convergent validity and ability to discriminate between known groups. Cronbach's alpha for the total scale was 0.94. Impairments in the physical dimension were most common, especially fatigue (88%) and shortness of breath (87%). CONCLUSIONS: The LHFQ showed satisfying psychometric properties in an elderly Swedish population with CHF and can, with minor alterations, be recommended for research and clinical use. The impact of chronic heart failure on daily life was mostly physical, but other impairments were also common.</p>
  • Franzén, Kristofer, et al. (författare)
  • Predictors for health related quality of life in persons 65 years or older with chronic heart failure
  • 2007
  • Ingår i: European Journal of Cardiovascular Nursing. - 1474-5151 .- 1873-1953. ; 6:2, s. 112-120
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Background</p><p>A main goal in nursing care of persons with chronic heart failure (HF) is to strengthen their health related quality of life (HRQoL). This presupposes knowledge about the relation between heart failure and HRQoL. Existing studies have shown incongruent results about whether HRQoL is affected differently depending on age or sex of elderly persons with chronic HF.</p><p>Aim</p><p>This study aimed to investigate if age, sex, disease severity, comorbidity and living conditions predict health related quality of life among persons 65 years or older with chronic HF.</p><p>Methods</p><p>The study included a sample of 357 persons. HRQoL was measured by the Minnesota Living with Heart Failure Questionnaire and the Short Form-12 Health Survey Questionnaire. Multiple regression analyses were performed to analyse the relation between the predictors and HRQoL.</p><p>Results</p><p>The main finding was that self-rated disease severity was strongly associated with HRQoL, but also age, sex, diabetes and respiratory diseases was associated with some of the dimensions of HRQoL.</p><p>Conclusions</p><p>Interventions aimed at delaying the progress of the disease, assist persons' to cope with the disease and maintain the domains of HRQoL that are still feasible could be important to improve HRQoL in elderly persons with chronic HF.</p>
  • Johansson, Ingvor, et al. (författare)
  • Disturbed sleep, fatigue, anxiety and depression in myocardial infarction patients.
  • 2010
  • Ingår i: European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology. - 1873-1953. ; 9:3, s. 175-80
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Disturbed sleep has been linked to increased morbidity, mortality and depression and worsened health-related quality of life in patients with chronic illness. Few studies of readjustment after coronary artery disease have explicitly focused on sleep disturbance. AIM: To explore associations between disturbed sleep, fatigue, anxiety and depression, and to assess to what extent fatigue four months post-MI could be explained. METHOD: The sample included 204 consecutive patients, <or=80 years of age who answered questionnaires about disturbed sleep, fatigue, anxiety and depression four months after MI. RESULTS: The variables anxiety, depression and disturbed sleep were all associated with fatigue. The regression model accounted for 46% of the variance in fatigue with depression and disturbed sleep as predictors. Infarct size measured by conventional biochemical markers, left ventricle ejection fraction and history of previous MI were not correlated with disturbed sleep, fatigue, anxiety or depression. CONCLUSIONS: From knowledge about associations between disturbed sleep, fatigue, anxiety and depression after MI, cardiac nurses could be trained to observe such symptoms. Optimal care for sleep disturbance may include actions to reduce anxiety and depression as well as self-care advices about sleep hygiene in order to improve sleep quality and reduce fatigue.
  • Årestedt, Kristofer, et al. (författare)
  • Social support and its association with health-related quality of life among older patients with chronic heart failure
  • 2013
  • Ingår i: European Journal of Cardiovascular Nursing. - 1474-5151 .- 1873-1953. ; 12:1, s. 69-77
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Background: Social support is generally known to influence health-related quality of life (HRQoL), but this association is not well explored among older patients with chronic heart failure.</p><p>Aims: (1) To describe social support in older patients with chronic heart failure in relation to gender. (2) To investigate if age, gender, cohabitation, perceived financial situation, and disease severity are associated with social support. (3) To investigate if social support is associated with HRQoL after controlling for age, gender, and disease severity.</p><p>Methods: Data were collected in a sample of 349 patients (≥65 years) with chronic heart failure. Patients’ HRQoL was measured with the Minnesota Living with Heart Failure Questionnaire and the Short Form-12 Health Survey Questionnaire. The Interview Schedule for Social Interaction measured social support. Data were analysed with descriptive statistics, repeated-measure ANOVA, and multiple linear regression analyses with robust standard errors.</p><p>Results: Social support was generally rated high, although being a man, living alone, perceiving a problematic financial situation, and high disease severity (NYHA) were associated with lower levels of social support. Age was not associated with social support. Social support was generally associated with HRQoL, in particular the emotional dimensions.</p><p>Conclusion: Taking social support into account when caring for older patients with heart failure can be of importance for improving or maintaining HRQoL.</p>
  • Rojas, Yerko, 1978-, et al. (författare)
  • Early life circumstances and male suicide : A 30-year follow-up of a Stockholm cohort born in 1953
  • 2010
  • Ingår i: Social Science and Medicine. - 0277-9536 .- 1873-5347. ; 70:3, s. 420-427
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>This study analyses the relationship between early life circumstances and suicide during adolescence and young adulthood among men in a Stockholm birth cohort born in 1953. Relevant variables were derived from Durkheim's proposition of social integration and suicide and Merton's strain theory of deviance. The links between our background variables and suicide were estimated with rare events logistic regression, a statistical method specially developed for situations in which rare events are endemic to the data. We found that self-rated loneliness at age 12–13 as an indicator of social isolation, school absenteeism at the same age as an indicator of school integration, and growing up in a family which received means-tested social assistance at least once during the period 1953–1965 as an indicator of childhood poverty, were statistically related to subsequent suicide risk between 1970 and 1984. Furthermore, following Bourdieu's rereading of Durkheim's <em>Suicide</em>, we argue that social isolation and school integration can be seen as important forms of deprivation, since “social integration” can also be understood in terms of “social recognition”. This view emphasises the importance of taking the emotional and social poverty of children just as seriously as their material poverty when it comes to suicide.</p>
  • Berndtsson, Ina, 1953-, et al. (författare)
  • Work-integrated learning as a pedagogical tool to integrate theory and practice in nursing education : An integrative literature review
  • 2020
  • Ingår i: Nurse Education in Practice. - Churchill Livingstone. - 1471-5953 .- 1873-5223.
  • Forskningsöversikt (refereegranskat)abstract
    • <p>It can be challenging for nursing students to navigate between theory and practice and to implement theoretical knowledge in real work situations and vice-versa. Work-integrated learning can support the students by enabling them to combine theoretical studies with practical work experience during their clinical placement. The aim of this integrative literature review was to identify models for the integration of theory and practice during clinical placements in nursing education by using work-integrated learning. Sixteen articles were found and analyzed using an integrative review method. Three themes were identified: 1) Supervisor support to enable students to develop a professional identity 2) Variety of modalities for teaching and 3) Collaboration between academic lecturers and clinical supervisors aimed at integrating theoretical and practical knowledge. Work-integrated learning enables students to integrate theory and practice, develop skills for knowledge-in practice and prepares them for working life. It also supports the sharing of experiences between various healthcare professionals. This review identified a need for further research on work-integrated learning as a method for enhancing nursing students’ workplace learning.</p>
  • Björn, Inger, 1953-, et al. (författare)
  • Drug related negative side effects is a common reason for poor compliance in hormone replacement therapy
  • 1999
  • Ingår i: digitalisering@umu. - Elsevier.
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><em>Objectives:</em> The reasons for poor compliance with hormone replacement therapy (HRT) and, in particular drug-related reasons, have not yet been fully elucidated. In this study, a cohort of peri- or postmenopausal women—mainly workers from a small town and surrounding rural area—was studied. The aim of the study was to investigate why some women never start or discontinue HRT, even when great effort has been made to inform and fulfill the demands of the patient. <em>Methods:</em> All women who were given a HRT prescription at a gynecological practice between September 1991 and December 1992 participated in a longitudinal study. A written questionnaire was mailed to these patients in 1996. Data from the questionnaire was supplemented with information from the medical records. Care of patients included initial information, follow-up within 4 months, yearly visits supplemented with contacts on demand. <em>Results:</em> 356 women received the questionnaire, among which 92% replied. A total of 2% never started HRT. Seventy-five percent continued the therapy for more than 3 years. Reasons for discontinuing HRT were negative side-effects (35%), desire to find out if climacteric symptoms had ended (26%), fear of cancer and thrombosis (25%), weariness of bleeding (19%) and a wish to deal with the problems ‘naturally’ (15%). <em>Conclusions:</em> Compliance with HRT can be high if adequate information is given and follow-ups are made. The main reason for poor compliance was negative side-effects, most likely progestin-related. The results of this study suggest that the future challenge will be to minimize negative side-effects of HRT.</p>
  • Bladh, Mats, 1953-, et al. (författare)
  • Towards a bright future? Household use of electric light : A microlevel study.
  • 2008
  • Ingår i: Energy Policy. - 0301-4215 .- 1873-6777. ; 36:9, s. 3521-3530
  • Tidskriftsartikel (refereegranskat)abstract
    • <p> This paper addresses the problem of energy saving in the residential sector and its relation to behavior. However, we know little about the mechanisms explaining consumption and use. The aim is to explore the behavioral elements behind patterns of use, so that consumption can be explained and saving possibilities identified. The study is based on detailed, metered data from an ongoing monitoring study. A larger sample from that study made testing of two hypotheses possible. Yet, many factors remain hidden and must be traced among the habits of households. The major part of the article is devoted to an exploration into what other variables are at work. This was done by studying the electricity consumption of seven households closely. Here, different sources of information from each household were combined: detailed, metered data for each lamp or fixture; data from interviews regarding habits; and observations of natural light and lighting equipment at visits. This information from combined sources was used to detect meanings of use and relationships with consumption. What has been found here must be translated to measurable variables and tested on representative samples of populations. This study offers information on these variables identified and how to interpret them.</p>
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