| 1. |
- Backe, Marita, et al.
(författare)
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Patients’ conceptions of their life situation within the first week after a stroke event : A qualitative analysis
- 1996
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Ingår i: Intensive & Critical Care Nursing. - London : Churchill Livingstone. - 0964-3397 .- 1532-4036. ; 12:5, s. 285-294
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to find out how stroke patients conceived their life situation within the first week of the acute care phase as seen from the nurses’ viewpoint. Six patients were interviewed within 3 weeks from their first stroke, using questions based on a holistic philosophy and analysed with the phenomonographic approach. Two main categories emerged from the results: the feeling of unreality and the awareness of a changed role in life, together with six subcategories; feeling of a changed perception of the body; feeling of being confused; loss of capability; awareness of confined life space; the importance of support and encouragement; and the will to look for new opportunities. The study concludes that the body change resulting from a stroke leads to both physical and psychological trauma, in which the psychological crisis can be very deep and best described as a personal catastrophe. The patient’s capability to receive and understand information becomes blocked, which influences both the nurse and the patient’s next of kin with regard to their care of the patient. Conversations with the patient must be frequent so that the acute care can be evaluated and agreement reached between the patient’s wishes and the nurses’ objectives. The results indicate the significance of intervention programmes based on crisis theory within the first week of a stroke event.
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| 2. |
- Björklund, Margereth, et al.
(författare)
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Cancer patients' experiences of nurses' behaviour and health promotion activities : a critical incident analysis
- 1999
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Ingår i: European Journal of Cancer Care. - Oxford : Blackwell Publishing. - 0961-5423 .- 1365-2354. ; 8:4, s. 204-212
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Tidskriftsartikel (refereegranskat)abstract
- Patients with head and neck cancer report several disease- and health-related problems before, during and a long time after completed treatment. Nurses have an important role in educating/supporting these patients about/through the disease and treatment so that they can attain well-being. This study describes the cancer patients' experiences of nurses' behaviour in terms of critical incidents after nurses had given them care to promote health. The study had a qualitative, descriptive design and the method used was the critical incident technique. Twenty-one informants from the Nordic countries diagnosed with head and neck cancer were strategically selected. It was explained to the informants what a critical incident implies before the interviews took place; this was defined as a major event of great importance, an incident, which the informants still remember, due to its great importance for the outcome of their health and well-being. The nurses' behaviour was examined, and critical incidents were involved in 208 cases-150 positive and 58 negative ones-the number of incidents varying between three and 20 per informant. The nurses' health promotion activities or lack of such activities based on the patients' disease, treatment and symptoms, consisted of informing and instructing the patients as well as enabling their participation. Personal consideration and the nurses' cognisance, knowledge, competence, solicitude, demeanour and statements of understanding were found to be important. Continuous health promotion nursing interventions were of considerable value for the majority of this group of cancer patients. Oncology nurses could reconfirm and update the care of head and neck cancer patients by including health promotion activities in individual care plans. By more frequent use of health promotion models, such as the empowerment model, the nurses could identify and focus on those individuals who needed to alter their Life-style as well as tailor their approach towards these patient by setting goals for well-being and a healthy life-style.
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| 3. |
- Hildingh, Cathrine, 1949-, et al.
(författare)
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Social network and experiences of social support among women 12 months after their first myocardial infarction
- 1997
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Ingår i: International Journal of Rehabilitation and Health. - New York, NY : Kluwer Academic Publishers. - 1068-9591 .- 1573-1537. ; 3:2, s. 131-142
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Tidskriftsartikel (refereegranskat)abstract
- Few studies exist concerning the situation of women after a myocardial infarction (MI). The aim of this longitudinal study was to map out women’s social network and social support 12 months after a first MI. A sample of 200 consecutively chosen female patients below 70 years of age (ranges 35-70 years) answered a similar questionnaire on different occasions: before hospital discharge and at 3 and 12 months after the MI event. We analyzed the data with descriptive and inferential statistics. The results showed that 90% of the women had network members available who provided them with support. The strongest bonds existed between patient and close relatives, such as children, parents, or siblings, and then with spouse and intimate friends, in that order. The bonds between patients and health care professionals were not strong at the time of the MI, but subjects reported a significant increase (p < .0007) during the following 12 months. The need for material support was highest directly after the MI and for informational support 3 months later, and after 12 months the need for belonging dominated. More than half of the women had participated in secondary prevention programs. Further research is necessary to be able to understand enabling and limiting aspects of social support in connection with recovery from MI. © 1997 Springer Nature Switzerland AG. Part of Springer Nature.
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| 4. |
- Lidell, Evy, 1942-, et al.
(författare)
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A myocardial infarction patient’s current anxiety : Assessed with a phenomenological method
- 1997
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Ingår i: International Journal of Rehabilitation and Health. - Dordrecht : Kluwer Academic Publishers. - 1068-9591 .- 1573-1537. ; 3:3, s. 205-218
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to illustrate how a patient with a myocardial infarction history may experience current anxiety. We conducted the assessment using a phenomenological method. The participant was a 62-year old man, chronically ill due to two myocardial infarctions and heart failure. Five categories emerged from the data: distress, worthlessness, insecurity, indifference, and lack of strength, illustrating feelings embedded in the current anxiety. These feelings relate to past and present experiences as well as to an insecure future. The findings are not generalizable in a statistical manner, but they are an illustration of the importance of identifying a cardiac patient’s current anxiety from a holistic perspective, in order to understand what is occurring emotionally and to understand the need for emotional support. Qualities in the caring relationship may create possibilities for this patient to receive and perceive emotional support. © 2019 Springer Nature Switzerland AG. Part of Springer Nature.
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| 5. |
- Marklund, Bertil, et al.
(författare)
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A primary preventive coronary health survey among a finnish immigrant population in Sweden
- 1999
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Ingår i: Coronary Health Care. - Amsterdam : Elsevier. - 1362-3265 .- 1532-2025. ; 3:1, s. 32-37
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Tidskriftsartikel (refereegranskat)abstract
- Primary prevention strategies aimed at immigrants are insufficiently documented in primary health care services and, in Sweden, this is especially true regarding coronary health care with a gender perspective. The aim of this study was to examine the coronary health condition among a Finnish immigrant population in Sweden in terms of gender differences. Immigrated Finns (256 men and women aged 25-64) belonging to one primary health care centre were invited to participate in a coronary health survey. The instruments used, comprising a well-established self-rated questionnaire as well as tests forming a coronary heart disease (CHD) risk index, were analysed using descriptive and inferential statistics. The findings show that 23% were at high risk; more men than women (P<0.015). Men indicated more problems in food (e.g. fibre intake P<0.012) and drink (e.g. alcohol use P<0.000) habits while women indicated more psychosocial problems (e.g. psychosocial strain P<0.020). Furthermore, male and female Finnish immigrants are at least at an equal risk of CHD compared to their Swedish and Finnish counterparts, due to a high smoking rate (42% and 43%). Both genders show higher body mass index and waist-hip ratio figures compared to Swedish people on average. Establishing permanent connections with immigrant organizations and finding key persons anchored both among the immigrants and in the primary health care are important tasks in order to reach compliance in coronary health care. An important research implication would be to implement a primary prevention clinical trial based partly on the general findings of risk indicators and partly on gender differences among the risk indicators with regard to language obstacles.
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| 6. |
- Marklund, Bertil, et al.
(författare)
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Promoting medical self-care : evaluation of a family intervention implemented in the primary health care by pharmacies
- 1999
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Ingår i: Family Practice. - : Oxford University Press. - 0263-2136 .- 1460-2229. ; 16:5, s. 522-527
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Tidskriftsartikel (refereegranskat)abstract
- Background: Medical self-care is the range of behaviours undertaken by people to promote or restore health when dealing with a medical problem.Objectives: The aim of the study was to evaluate medical self-care effects of a family intervention implemented in primary health care by pharmacies, in terms of non-professional and professional involvement.Methods: The intervention was implemented in one of two primary health care areas during a 4-month period and involved consecutive families acting as an intervention (IG, n = 94) or a control (CG, n = 93) group. Eight telephone interviews were conducted with each family. The families were asked about complaints of illness, how long they prevailed and how they were treated.Results: The results showed (P < 0.05–0.0001) that the IG had more medical problems (931 versus 621) compared with the CG, were less hospitalized (4 versus 10), stayed at home more to take care of sick children (84 versus 40), read more medical brochures (121 versus 31), tried more non-medical treatments (228 versus 116), and had fewer visits to the department of paediatrics but more visits to primary health care (69 and 98 versus 90 and 68).Conclusions: Due to the non-randomization procedure, some caution with regard to generalization of the results must be taken, but they are in concordance with established knowledge of the usefulness of medical self-care. The results indicate that a brief intervention for families can change the use of health authorities. It therefore seems meaningful to implement the intervention in a more comprehensive way in the primary health care setting, while at the same time trying to implement it as a large-scale randomized experimental study, comprising aspects such as the individual's need for care, the use of the right organization level and the assessment of economic costs and savings.
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| 7. |
- Månsson, J., et al.
(författare)
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Evaluation of an educational programme for the early detection of cancer
- 1999
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Ingår i: Patient Education and Counseling. - Amsterdam : Elsevier. - 0738-3991 .- 1873-5134. ; 37:3, s. 231-242
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Tidskriftsartikel (refereegranskat)abstract
- Avoiding patient's and doctor's delay is important for the detection of cancer. In order to study the possibilities for shortening the delay, without causing anxiety, an educational programme for early detection of cancer (EPEDC) was worked out, aimed to be evaluated at the community level. A community with 77 100 inhabitants, was informed about cancer symptoms in a letter. Participants who observed the cancer symptoms, described in the letter, were invited to visit the health centres, where they were interviewed and examined according to a specially designed schedule. Guidelines for taking care of these participants were also worked out. Fifteen previously unknown cancers were detected. By means of a telephone interview and a questionnaire the reactions to the EPEDC were studied. The results indicate that it is possible to inform and educate the population about cancer symptoms without causing anxiety on condition that there is an organisation which can be contacted without delay by subjects with potential cancer symptoms. (C) 1999 Elsevier Science Ireland Ltd. All rights reserved.
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| 8. |
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| 9. |
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| 10. |
- Mårtensson, Lena, 1953, et al.
(författare)
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Patients with fibromyalgia and their conception of health after an intervention programme
- 1995
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Ingår i: Scandinavian Journal of Occupational Therapy. - Abingdon : Informa UK Limited. - 1103-8128 .- 1651-2014. ; 2, s. 113-120
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Tidskriftsartikel (refereegranskat)abstract
- Fibromyalgia is a well-known syndrome interpreted as general muscular pain in the whole body and as pressure soreness in the so-called tender points. The cause of the syndrome is not yet clear and it has therefore been difficult to find proper treatment. The aim of this study was to describe how patients with fibromyalgia conceived their health after having taken part in an intervention programme based on ego-strengthening psychotherapy and the salutogenetic model. The intervention was performed by an occupational therapist and a physiotherapist. In this study, 10 patients were interviewed and data were analysed by the phenomenographic method. Four different catagories of health conceptions became evident as a result of the intervention; receiving confirmation, creating distance to things, gaining insight, and gaining control. The results showed that the patients had increased their sense of meaningfulness, comprehensibility and manageability of the pain syndrome, which led to improved health. Due to the fact that this kind of intervention requires comparatively small resources in terms of staff and financial expenditure it is suitable in small clinics, e.g. health care centres. Further research should be aimed at finding out whether this intervention also suits patients with other diagnoses or whether treatment in larger groups might produce equally favourable results. © 1995 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
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