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Sökning: LAR1:lu > Högskolan i Jönköping > (2005-2009) > Tidskriftsartikel > Engelska > Högskolan i Halmstad > Strömberg Anna

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1.
  • Mårtenson, J, et al. (författare)
  • Patients with heart failure in primary health care
  • 2005
  • Ingår i: European Journal of Heart Failure. - 1388-9842. ; 7:3 SPEC. ISS., s. 393-403
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims: To determine the effects of a nurse-led intervention designed to improve self-management of patients with heart failure in a primary health care setting regarding health-related quality of life and depression. Methods: Patients at eight primary health care centres were screened by the Diagnosis Related Groups registry for the diagnosis of heart failure and eligibility for a cluster randomised study. A total of 153 patients were included (n=78 in the intervention group, 54% males, mean age 79 years, 59% in New York Heart Association class III-IV). The intervention involved patient and family education about heart failure and self-management and monthly telephone follow-up during 12 months by a primary health care nurse. Results: The effects of the nurse-led intervention were limited. Significant differences were found in the physical dimension measured by the SF-36 health survey, and in depression measured by the Zung Self-rating Depression Scale. In comparison within groups at the 3 and 12-month follow-up, the intervention group significantly maintained their health-related quality of life measured by the SF-36 health survey, and their experience of depression measured by the Zung Self-rating Depression Scale to a greater extent than in the control group, especially among women. Conclusion: A nurse-led intervention directed toward patients with heart failure in a primary health care setting resulted in limited effects between the groups, although the physical and mental status were retained during 12 months of follow-up to a greater extent than in the control group. © 2004 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
2.
  • Pihl, Emma, et al. (författare)
  • Depression and health-related quality of life in elderly patients suffering from heart failure and their spouses
  • 2005
  • Ingår i: European Journal of Heart Failure. - Oxford, UK : Oxford University Press. - 1388-9842. ; 7:4, s. 583-589
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Little is known about the factors that influence the health outcome of elderly patients suffering from heart failure or the health of their spouses. The aim of this comparative study was to determine if older patients suffering from heart failure and their spouses experience similar levels of health-related quality of life (HRQOL) and depression. The aim was also to identify those factors that contribute to HRQOL and depression in patient-spouse pairs. Methods: Data were collected from 47 couples, using the Short Form 36 (SF-36) and Zung Self-rating Depression Scale (SDS) questionnaires. Results: Patients suffering from heart failure and their spouses differed significantly in their experience of the physical, but not the mental, health-related quality of life, with patients experiencing significantly worse physical functioning. Physical symptoms of heart failure seemed to dominate the experience of the patient and was positively related to mental health and inversely related to the New York Heart Association classification (NYHA class) and patients' depression. Depressive symptoms as reflected in SDS showed no significant difference between patients and spouses. Patients' depression was positively related to high NYHA class, while spouse depression was positively related with higher age of the patient. Conclusion: Physical symptoms seem to dominate the experience of heart failure. © 2004 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
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Mårtensson, Jan, (2)
Stromberg, A. (2)
Martensson, J, (2)
Dahlström, Ulf, 1946 ... (1)
Karlsson, J-E (1)
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Fridlund, B. (1)
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