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- Mårtensson, Jan, et al.
(författare)
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Decisive situations influencing spouses' support of patients with heart failure : A critical incident technique analysis
- 2001
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Ingår i: Heart & Lung. - Amsterdam : Elsevier. - 0147-9563 .- 1527-3288. ; 30:5, s. 341-350
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE:The aim of this study was to describe decisive situations experienced by spouses of patients with heart failure that could potentially affect their ability to provide social support to the patient.METHODS:A qualitative descriptive design with a critical incident technique was used. Twenty-three informants, 15 women and 8 men, who were spouses of patients with severe heart failure were strategically chosen to ensure maximal variation in sociodemographic data and experiences as a spouse.RESULTS:Decisive situations influenced the experience of spouses of patients with heart failure in a manner that was either positive (involvement with others) or negative (feeling like an outsider). When spouses were given attention and treated like persons of value, they experienced involvement with others. In these cases, spouses had someone to turn to and were included in the physical care. In contrast, when spouses were kept at a distance by the patient, were socially isolated, and received insufficient support from children, friends, and health care professionals, they experienced feeling like an outsider.CONCLUSIONS:By identifying spouses' experiences, health care professionals can assess which kind of specific interventions should be used to improve the life situation of the patient with heart failure and his or her spouse.
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- Mårtensson, Jan, et al.
(författare)
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Living with heart failure : Depression and quality of life in patients and spouses
- 2003
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Ingår i: The Journal of Heart and Lung Transplantation. - Amsterdam : Elsevier. - 1053-2498 .- 1557-3117. ; 22:4, s. 460-467
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Tidskriftsartikel (refereegranskat)abstract
- Background: Although spouses are a key support for patients with heart failure, and help them remain in the community, no one has studied patient–spouse pairs to determine the nature of their experience. Therefore, we conducted a study of patients and spouses to compare their levels of depression and health-related quality of life (HRQOL), and to identify factors that contribute to depression and HRQOL in patient–spouse pairs. Methods: Forty-eight couples, in which all patients were men with heart failure, were recruited from a university-affiliated, outpatient heart failure clinic. Data were collected using the Beck Depression Inventory, the 12-item Short Form (that measures physical and mental components of QOL), and the 6-minute walk test. Results: Patients with heart failure were significantly more depressed and had poorer physical quality of life compared with spouses. Patients’ depression was correlated with their own functional status and mental quality of life, with the combination of 6-minute walk distance and mental QOL contributing 51% of the variance in patient depression. Spouse depression and HRQOL did not significantly influence patient depression. In contrast, spouses’ depression was related to their husbands’ functional status and employment, as well as their own mental QOL. The mental component of spouse QOL and the age of the patient accounted for 33% of the adjusted variance in spousal depression. Conclusions: Patients with heart failure and their spouses experience significantly different levels of depression and physical QOL. In developing interventions, it may be important to take these differences into account and focus on their unique needs as well as those issues that affect the couple together. Interventions that improve patient functional status may result in decreased depression and improved HRQOL on the part of both patients and spouses.
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- Strömberg, Anna, 1967-, et al.
(författare)
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Gender differences in patients with heart failure
- 2003
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Ingår i: European Journal of Cardiovascular Nursing. - Oxford : Oxford University Press. - 1474-5151 .- 1873-1953. ; 2:1, s. 7-18
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)
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- Strömberg, Anna, 1967-, et al.
(författare)
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Nurse-led heart failure clinics in Sweden
- 2001
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Ingår i: European Journal of Heart Failure. - Amsterdam : Elsevier. - 1388-9842 .- 1879-0844. ; 3:1, s. 139-44
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Tidskriftsartikel (refereegranskat)
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