| 1. |
- Engström, Gabriella, 1965-, et al.
(författare)
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Prevalence of Three Lower Urinary Tract Symptoms in Men –a Population-Based Study.
- 2003
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Ingår i: Family Practice. - : Oxford University Press (OUP). - 0263-2136 .- 1460-2229. ; 20:1, s. 7-10
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Tidskriftsartikel (refereegranskat)abstract
- Background. Lower urinary tract symptoms are a common and costly public health issue. In earlier studies, the prevalence of urinary symptoms can be seen to fluctuate because there is no consensus about how to define and categorize the severity of the symptoms. Objectives. The study was undertaken in order to investigate the prevalence of three common lower urinary tract symptoms (urgency, stress incontinence and post-micturition dribbling) and analyse health care-seeking behaviour. Methods. A self-administered questionnaire was developed to investigate all men aged 40-80 years residing in the community of Surahammar, Sweden. The questionnaire included items on three specific urinary symptoms: urgency, stress incontinence and post-micturition dribbling, and one question about health care-seeking behaviour. Results. A response rate of 86% was obtained in the questionnaire study. The overall prevalence of the lower urinary tract symptoms was 24%. The prevalence increased from 20% in the group aged 40-49 years to 28% in the group aged 70-80 years (P < 0.01). Post-micturition dribbling (21%) was the most frequent symptom, and stress incontinence (2.4%) was the least frequent symptom. The number of participants who sought health care was low (4%) and increased significantly with age (P < 0.001). Conclusions. The present study showed that 24% of the Swedish cohort of men of 40-80 years of age reported at least one of the following symptoms: urgency, stress incontinence or postmicturition dribbling. This study is consistent with other research regarding the low consultation frequency for these symptoms. Moreover, the study is also in accord with those findings indicating that for the majority of men with urinary symptoms, their health care providers are not aware of their problem.
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| 2. |
- Engström, Gabriella, 1965-, et al.
(författare)
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Attitudes Towards Older People among Swedish Health Care Students and Health Care Professionals Working in Elder Care
- 2011
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Ingår i: Nursing Reports. - : Frontiers Media SA. - 2039-4403. ; 1:1, s. e2-
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Tidskriftsartikel (refereegranskat)abstract
- The proportion of older people in the general population has increased and will continue to increase during the coming decade. Therefore, a positive attitude towards older people is important. The aim of the study was to gain knowledge about attitudes towards older people among health care students and health care staff in Swedish elder care settings. The study includes a convenience sample of 928 respondents comprised of health care students and three groups of professional caregivers [registered nurses (RNs) with university degrees, certified nursing assistants (CNAs), nurses] in a variety of health care settings in Sweden. The participants completed the Kogan’s Old People (KOPS) Scale with 17 positive (OP+) and 17 negative (OP–) statements. The statements score ranged from 17 to 85 respectively. A significant (P<0.05) difference in both positive and negative scores was observed among the three professional caregiver groups. RNs had the highest positive score (OP+:64) as well as the lowest negative score (OP–:36). Health care students in semester one had the most unfavourable attitude toward older people (OP–:41) while students in semester two had the most favourable attitude toward older people (OP+:62). RNs reported both a higher positive score as well as lower negative score compared to nurses without an academic degree and CNAs. In addition, we found that progression in one’s health care education contributes to reduce unfavourable attitudes toward older people. Health care professionals need to have the right skills to manage a more demanding role in the future in order to offer effective services for older people. A skilled workforce of health professionals is therefore very necessary.
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| 3. |
- Engström, Gabriella, 1965-
(författare)
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Distress from Lower Urinary Tract Symptom and its Effect on the Quality of Life in Swedish men
- 2009
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Ingår i: Journal of Men's Health. - : IMR Press. - 1875-6867. ; 6:2, s. 114-122
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Tidskriftsartikel (refereegranskat)abstract
- Background Lower urinary tract symptoms (LUTS) are common in men and while symptoms have been described as being associated with distress less attention has been paid to Quality of Life (QoL) The aim of this study was to describe how distress from LUTS affects QoL in men Methods The study included 1008 40-80 year-old men living in a municipality in Sweden Participants completed the SF-36 Health Survey and the Danish Prostate Symptom Score (DAN-PSS) The SF-36 questionnaire measures health status in eight general areas and the DAN-PSS questionnaire measures severity frequency and distress resulting from LUTS Results In all 63% of the men reported that they experienced some degree of distress related to LUTS The mean SF-36 scores were significantly lower in all the dimensions evaluated among men who experienced low distress from nocturia daytime frequency straining and post micturition dribbling than among men without distress from these symptoms Furthermore men with low distress from weak stream reported lower SF-36 scores for all evaluated dimensions except for physical functioning (PF) than men without distress from weak stream Men with moderate/major distress from incomplete emptying had a decreased QoL compared to men with low distress from incomplete emptying Conclusions Distress from lower urinary tract symptoms reduced QoL in men Even when low distress is experienced QoL is reduced Identification of the distress impact on QoL is warranted to restore QoL, but also to identify optimal treatment.
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| 4. |
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| 5. |
- Engström, Gabriella, 1965-, et al.
(författare)
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The Impact of Singing in Caring for a Person With Dementia : Single Case Analysis of Video Recorded Sessions
- 2011
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Ingår i: Music and Medicine. - : International Association for Music and Medicine. - 1943-863X .- 1943-8621. ; 3:2, s. 95-101
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Tidskriftsartikel (refereegranskat)abstract
- Music Therapeutic Caregiving (MTC), when a caregiver sings for or together with a resident with dementia, has been used to enhance communication between caregivers and residents. This single case study measured communication in a resident with dementia during “usual” and MTC morning care. Video observations of 8 weekly sessions, consisting of 4 recordings of usual morning care and 4 recordings of morning care with MTC intervention provided the data. The Verbal and Nonverbal Interaction scale was used for analysis. Under the MTC condition, the resident’s positive verbal and nonverbal communication increased by 23%. Furthermore, negative verbal and nonverbal communication, decreased by 80%, compared to the “usual” morning care sessions. Under the MTC condition, the resident was able to remember words to songs and singing with the caregiver occurred in 39 of the 40 observed minutes. The findings indicate that MTC could be an effective nursing intervention in dementia care.
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| 6. |
- Hain, Deb, et al.
(författare)
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What Matters Most to Carers of People with Mild to Moderate Dementia as Evidence for Transforming Care
- 2010
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Ingår i: Alzheimer's Care Today. - 1936-3001. ; 11:3, s. 162-171
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Tidskriftsartikel (refereegranskat)abstract
- There is little evidence on the experience and needs of carers of people with early-stage dementia and few evidence-based interventions to guide them. A qualitative research design was used to explore what matters most to carers of people with mild to moderate dementia to design individualized interventions. A descriptive phenomenological approach was used to analyze transcribed interviews. Three themes captured the essence of what matters most to 10 community dwelling carers. The findings reveal the importance of considering the unique and ongoing needs of carers throughout their journey as health care professionals strive to develop appropriate interventions.
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| 7. |
- Lyckner, Sara, et al.
(författare)
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Critical pathway for patients undergoing aortic-surgery : impact on postoperativecare at an intensive care unit in Sweden
- 2010
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Ingår i: International Journal of Care Pathways. - : SAGE Publications. - 2040-4034 .- 2040-4026. ; 14:1, s. 10-14
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to identify and describe intensive care nurses’different conceptions of a critical pathway in caring for patients that have undergone aorticsurgery.Individual semi-structured interviews with eight specialist registered nurses at aSwedish intensive care unit were conducted and phenomenographically analysed. Three descriptivecategories, with a total of five sub-categories, constituted the outcome-space of how thepathway was conceived of in caring: as a guide open to individual patients needs (clinical judgementgoverns caring and patient autonomy governs caring), as an instrument to promote patientsafety (a source of knowledge, a planning tool and a reference standard) and as a source ofsupport for professional confidence.In accordance with current literature, the nurses in the present study identified a number ofadvantages in applying the pathway in caring even if they were also conscious that the use of apathway can give rise to unreflective standardisation. The nurses’ conceptions indicate that thepathway prescribed for managing patients who have undergone aortic surgery is supportive andfacilitates patient safety without jeopardising respect for the patient’s individual care needs.This insight may be used to influence a thoughtful dialogue about the practice of pathways inintensive care.
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| 8. |
- Marmstål Hammar, Lena, et al.
(författare)
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The impact of caregivers' singing on expressions of emotion and resistance during morning care situations in persons with dementia : an intervention in dementia care
- 2011
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 20:7-8, s. 969-978
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Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: The aim was to describe expressions of emotions and resistiveness to care among persons with dementia (PWD), during morning care situations without and with music therapeutic caregiving (MTC). BACKGROUND: Effective caregiving is dependent on the interpersonal relationship between nurse and patient. PWD suffer from major cognitive impairment, making interaction with others problematic. Such patients often react with problematic behaviours such as resistance and anger towards the care activity and the caregiver. Earlier research suggests that MTC - when caregivers sing for or together with PWD during caregiving - can reduce resistance and evoke positive emotions in PWD. DESIGN: This was an intervention study whereby MTC was implemented during morning care situations while PWD were being cared for. METHOD: The study included ten, 66-92-year-old men and women with severe dementia living in a nursing home in Sweden. Video observations of eight weekly sessions, consisting of four recordings of usual morning care and four recordings of morning care with MTC, provided data. The resistiveness to care scale and the observed emotion rating scale were used for analysis. RESULTS: Pull away was the most common resistant behaviour under both conditions. The PWDs' expressions of resistant behaviour, such as pull away, grab object and adduction, were significantly reduced under the intervention situation. Positively expressed emotions, specifically pleasure and general alertness, significantly increased under the MTC intervention compared with the 'usual' morning care sessions. CONCLUSIONS: MTC can be an effective nursing intervention to provide PWD a more pleasant experience of morning care situations as it decreases resistant behaviour and increases positive emotions. RELEVANCE TO CLINICAL PRACTICE: MTC offers a potential non-pharmacologic treatment that can be used in caring for PWD.
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| 9. |
- Tappen, Rut, et al.
(författare)
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Evaluation of the Functional Activities Questionnaire (FAQ) in Cognitive Screening across Four American Ethnic Groups
- 2010
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Ingår i: Clinical neuropsychologist. - : Informa UK Limited. - 0920-1637 .- 1385-4046 .- 1744-4144. ; 24:4, s. 646-661
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to examine the performance of the Functional Activities Questionnaire (FAQ) in four American ethnic groups (N = 691), evaluate the influence of demographic factors and depressive symptoms on the FAQ and compare its performance with two cognitive screening measures, the Mini-Cog and the MMSE. Half of FAQ items were less frequently done by men than women. FAQ total scores did not differ across the four ethnic groups but regression analyses indicated effects for age, education and depressive symptoms. The Mini-Cog and MMSE evidenced demographic and depressive symptom effects. FAQ performed well across the ethnic groups. Development of age and education corrections for the FAQ is recommended as is a screen for depression in cognitive screening batteries.
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