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Sökning: swepub > Umeå universitet > Lundman Berit > Norberg Astrid

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1.
  • von Heideken Wågert, Petra, et al. (författare)
  • Morale in the oldest old : the Umeå 85+ study
  • 2005
  • Ingår i: Age and Ageing. - 0002-0729. ; 34:3, s. 249-255
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: to describe morale among the oldest old, and to investigate       which social, functional and medical factors are associated with morale in       this population. DESIGN: a cross-sectional study. SETTING: a       population-based study in the municipality of Umea, a city in Northern       Sweden. SUBJECTS: half of the 85-year-old population, and the total       population of 90-year-olds and > or = 95-year-olds (95-103) were asked to       participate (n = 319) and 238 were interviewed. METHODS: structured       interviews and assessments during home visits, interviews with relatives       and caregivers and review of medical charts. The 17-item Philadelphia       Geriatric Center Morale Scale (PGCMS) was used to measure morale.       Participants were assessed with the Barthel Activities of Daily Living       (ADL) Index, Geriatric Depression Scale (GDS-15), Mini-Mental State       Examination (MMSE), Mini Nutritional Assessment (MNA), and a symptom       questionnaire. Multiple regression analyses were conducted to find       independent factors to explain the variation in the PGCMS score. RESULTS:       eighty-four per cent (n = 199) of those interviewed answered the PGCMS.       Three-quarters had middle range or high morale. GDS score, type of       housing, previous stroke, loneliness and number of symptoms, adjusted for       age group and sex, explained 49.3% of the variance of total PGCMS score.       CONCLUSIONS: a large proportion of the oldest old had high morale. The       most important factors for high morale were the absence of depressive       symptoms, living in ordinary housing, having previously had a stroke and       yet still living in ordinary housing, not feeling lonely and low number of       symptoms. The PGCMS seems applicable in the evaluation of morale among the       oldest old.
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2.
  • von Heideken Wågert, Petra, et al. (författare)
  • Health status in the oldest old : Age and sex differences in the Umeå 85+ Study.
  • 2006
  • Ingår i: Aging Clinical and Experimental Research. - 1594-0667. ; 18:2, s. 116-126
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND AND AIMS: With an increasing population aged 85 years and over, the aim of this study was to describe health status and living conditions in the oldest old and to estimate age and sex differences in a Northern European population. METHODS: A population-based cross-sectional study, The Umeå 85+ Study, was carried out in the municipality of Umeå in northern Sweden. Out of 319 eligible participants aged 85, 90 and 95 years and over, 253 participated. Structured interviews and assessments were conducted with the participants in their homes, and data were also collected from relatives, caregivers and medical charts. Cognition was screened with the Mini-Mental State Examination (MMSE), depressive symptoms with the Geriatric Depression Scale-15 (GDS-15) and nutritional status with the Mini Nutritional Assessment (MNA). Activities of daily living (ADL) were assessed applying the Staircase of ADL (including Katz' Index of ADL) and morale with the Philadelphia Geriatric Center Morale Scale (PGCMS). Participants also rated their own health. RESULTS: Over half of the participants had hypertension, one out of four was depressed, and the same proportion had had a hip fracture; the mean number of drugs taken was 6.4+/-4.0. Younger participants had lower rates of diagnoses and prescribed drugs, and were less dependent in ADL and other functional variables; men had lower rates of diagnoses and reported symptoms. The majority of participants rated their general health and morale as good. CONCLUSIONS: There were large variations in social, medical and functional variables within and between age and sex groups. This northern population of the oldest old seems to have a very high prevalence of hypertension, depression, hip fractures, and many prescribed drugs.
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3.
  • Aléx, Lena, et al. (författare)
  • Balancing within various discourses--the art of being old and living as a Sami woman.
  • 2006
  • Ingår i: Health Care for Women International. - 0739-9332. ; 27:10, s. 873-92
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this part of the Umeå 85+ Study was to explore how indigenous women narrate their lives and their experience of being old as Sami women. Interviews with 9 old Sami women were analyzed using grounded theory. The categories identified were "reindeer as the basis of life," "longing for significant Sami values," "feeling valued as a Sami woman," and "changing for survival;" these evolved into the core category: "balancing within various discourses-the art of being old and living as a Sami woman." Knowing how to balance provided the ability to make use of available opportunities.
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4.
  • Aléx, Lena, 1948-, et al. (författare)
  • Construction of masculinities among men aged 85 and older in the north of Sweden.
  • 2008
  • Ingår i: Journal of Clinical Nursing. - 0962-1067. ; 17:4, s. 451-9
  • Tidskriftsartikel (refereegranskat)abstract
    • AIM: The aim was to analyse the construction of masculinities among men aged 85 and older. BACKGROUND: All societies have a gender order, constructed from multiple ideas of what is seen as feminine and masculine. As the group of men aged 85 and older is increasing in size and their demand for care will increase, we must recognize the importance of studying these men and various discourses of masculinities. DESIGN: Qualitative explorative. METHODS: Qualitative content analysis was used to analyse thematic narratives. Masculinity theories provided the point of departure for the analysis. RESULTS: The analysis coalesced into three masculinities. 'Being in the male centre', developed from subthemes as: taking pride in one's work and economic situation; being in the centre in relation to others; regarding women as sexual objects; and belonging to a select group. 'Striving to maintain the male facade' developed from subthemes as: emphasizing 'important' connections; having feelings of loss; striving to maintain old norms and rejecting the fact of being old. 'Being related' was formulated from subthemes as: feeling at home with domestic duties; being concerned; accepting one's own aging; and reflecting on life. CONCLUSIONS: Our study indicates the importance of being aware of the existence of multiple masculinities, in contrast to the generally unproblematic and unsubtle particular healthcare approaches which consider men as simply belonging to one masculinity. Relevance to clinical practice. Diverse masculinities probably affect encounters between men and healthcare providers and others who work with an older population and therefore our results are of importance in a caring context.
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5.
  • Aléx, Lena, et al. (författare)
  • Constructions of various femininities among the oldest old women
  • 2006
  • Ingår i: Health Care for Women International. - Washington, D.C. : Hemisphere. - 0739-9332. ; 27:10, s. 853-872
  • Tidskriftsartikel (refereegranskat)abstract
    • This study forms part of the Ume<img src="http://www.informaworld.com/cache/entities/14/000000/ffffff/arial/md/00e5.png" /> 85+ Study, and the aim was to explore various gendered constructions of femininities among the oldest old women. Femininities are seen as various ways of shaping oneself as a woman in relation to the impact of historical, social, and cultural circumstances. Thematic narratives were analyzed using qualitative content analysis. Through interpreting these narratives in the light of gender theories, we were able to discern four femininities: “being connected,” “being an actor,” “living in the shadow of others,” and “being alienated.” The oldest old women displayed complex outlooks on femininities, and no femininity was interpreted as being in the center related to the other femininities. Further research is needed in order to disclose the complexity of femininities related to factors such as social class, ethnicity, and financial situation among the oldest old, and to acquire a greater knowledge of various femininities.
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6.
  • Choowattanapakorn, Tassana, et al. (författare)
  • Resilience among women and men aged 60 years and over in Sweden and in Thailand.
  • 2010
  • Ingår i: Nursing and Health Sciences. - 1441-0745. ; 12:3, s. 329-335
  • Tidskriftsartikel (refereegranskat)abstract
    • The purpose of this study was to compare the level of resilience of people aged &gt; or = 60 years in Sweden and Thailand. In a randomized sample of 422 people in Sweden and a convenience sample of 200 people in Thailand, the level of resilience was measured by using the Resilience Scale. A chi(2)-analysis was used for the differences between proportions. The relationships between the background variables and the resilience scores were analyzed by using stepwise multiple linear regression. The mean scores of resilience were 144 for the Swedish participants and 146 for the Thai participants. The two samples differed in their background characteristics. The Thai participants were more likely to be women, to be widowed, and to have more children, while among the Swedish participants, more women were married and more participants were aged &gt; or = 80 years. Despite different background characteristics, the Swedish and the Thai participants' scores were almost the same on the Resilience Scale. More studies are necessary to address aspects of gender and ethnicity in relation to resilience.
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7.
  • Det goda åldrandet
  • 2012
  • Samlingsverk (redaktörskap) (övrigt vetenskapligt)abstract
    • Boken syftar till att belysa ett gott åldrande och hot mot ett gott åldrande ur ett salutogent perspektiv samt till att spegla komplexiteten i åldrandet.Huvudbudskapet är att många äldre personer har det bra under åldrandet, men att det är möjligt att främja upplevelse av hälsa även hos de som lever med olika former av illabefinnande i samband med förluster, ohälsa eller under den sista tiden i livet. Att främja hälsa handlar om att ta tillvara yttre och inre resurser hos äldre personer, hos deras närmaste och i samhället samt att ge adekvat vård och omsorg, medicinsk behandling och rehabilitering.I boken medverkar 13 forskare inom arbetsterapi, geriatrik, omvårdnad och sjukgymnastik. Alla har omfattande erfarenhet av forskning om äldre personer. De olika perspektiven ger en bild av aktuell forskning om äldre personers situation.Boken är i första hand avsedd för studenter på grundläggande nivå och för vidareutbildning av personal inom vård och omsorg, men den är också lämplig att använda inom praktisk verksamhet.
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8.
  • Fischer, Regina Santamäki, et al. (författare)
  • Embracing opposites : meanings of growing old as narrated by people aged 85
  • 2008
  • Ingår i: The International Journal of Aging & Human Development. - 0091-4150. ; 67:3, s. 259-71
  • Tidskriftsartikel (refereegranskat)abstract
    • Many old people suffer from prolonged and multiple bodily ailments, new diseases, and increased risk for disadvantages and losses in life. Aging also means becoming mature and wise. This study illuminates the meaning of the lived experience with respect to changes in late life. Using a phenomenological hermeneutic method, this study analyzes transcribed interviews of 15 85-year-old people. Four themes were formulated: embracing weakness and strength, embracing slowness and swiftness of time, embracing reconciliation and regret, and embracing connectedness and loneliness. From these analyses, growing old was described as--maintaining one's identity in spite of the changes that come with aging and, embracing opposites--being changed and feeling being the same.
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9.
  • Fischer, Regina Santamäki, et al. (författare)
  • Feeling whole : The meaning of being consoled narrated by very old people
  • 2010
  • Ingår i: The Journal of Pastoral Care & Counseling. - 1542-3050. ; 64:1, s. 1-12
  • Tidskriftsartikel (refereegranskat)abstract
    • Interviews with 13 people, over 85 years, with high scored Self-transcendence, were analyzed using a phenomenological hermeneutic method. The meaning of being consoled was interpreted to Feeling whole, an immediate experience of: being carried and embraced by God (Feeling connected to God), supported by the loving care and affection from others (Feeling connected to fellow beings and the world), being relaxed, peaceful and full of joy and experiencing hope (Being connected to self).
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10.
  • Lundman, Berit, et al. (författare)
  • Development and psychometric properties of the Inner Strength Scale
  • 2011
  • Ingår i: International Journal of Nursing Studies. - Elsevier. - 0020-7489. ; 48:10, s. 1266-1274
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Four dimensions of inner strength were previously identified in a meta-theoretical analysis: firmness, creativity, connectedness, and flexibility.OBJECTIVE: The aim of this study was to develop an Inner Strength Scale (ISS) based on those four dimensions and to evaluate its psychometric properties.METHOD: An initial version of ISS was distributed for validation purpose with the Rosenberg Self-Esteem Scale, the resilience scale, and the sense of Coherence Scale. A convenience sample of 391 adults, aged 19-90 years participated. Principal component analysis (PCA) and confirmatory factor analysis (CFA) were used in the process of exploring, evaluating, and reducing the 63-item ISS to the 20-item ISS. Cronbach's alpha and test-retest were used to measure reliability.RESULTS: CFA showed satisfactory goodness-of-fit for the 20-item ISS. The analysis supported a fourfactor solution explaining 51% of the variance. Cronbach's alpha on the 20-item ISS was 0.86, and the test-retest showed stability over time (r=0.79).CONCLUSION: The ISS was found to be a valid and reliable instrument for capturing a multifaceted understanding of inner strength. Further tests of psychometric properties of the ISS will be performed in forthcoming studies.
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