| 1. |
- Härdén, Marie, et al.
(författare)
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Responsiveness of AF6, a new, short, validated, atrial fibrillation-specific questionnaire--symptomatic benefit of direct current cardioversion.
- 2010
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Ingår i: Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing. - : Springer Science and Business Media LLC. - 1572-8595. ; 28:3, s. 185-191
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Tidskriftsartikel (refereegranskat)abstract
- Objectives To measure the effects on symptoms of electrical cardioversion (DC) in patients with atrial fibrillation (AF) by means of a new, short, validated, AF-specific questionnaire, the AF6. Methods One hundred eleven patients (67 ± 12 years, 89 men) were screened before and 12 ± 3 days after DC using AF6, covering ‘breathing difficulties at rest’, ‘breathing difficulties on exertion’, ‘limitations in day-to-day life due to atrial fibrillation’, ‘feeling of discomfort due to atrial fibrillation’, ‘tiredness due to atrial fibrillation’, and ‘worry/anxiety due to atrial fibrillation’. A single global score was calculated. The Toronto AF Symptoms and Severity Check List (AFSS) and the generic SF-36 were also administered. Patients in sinus rhythm at 12 ± 3 days (n = 56) were defined as responders and patients in AF (n = 55) as non-responders. Results The mean single global score decreased in all patients (18 ± 12.4 to 13 ± 11.6, p < 0.0001) and in responders (22 ± 14 vs. 12 ± 12, p < 0.01) but not in non-responders (14 ± 9 vs. 14 ± 11, N.S). The AFSS frequency scores decreased from 14.5 ± 7.7 to 9.5 ± 7.8 in responders, p = 0.001, but not in non-responders. There was a strong correlation between changes in the AF6 and the SF-36 regarding four of the six items. Effect sizes of AF6 ranged from 0 to 0.52 in all patients, in responders from 0.10 to 0.85 and in non-responders from −0.23 to 0.34, the highest figures consistently referring to ‘tiredness due to atrial fibrillation’. Conclusions The symptom scores measured by AF6 decreased significantly, especially in responders. AF6 demonstrated adequate responsiveness to change, and effect sizes were mostly moderate, in responders moderate to high.
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| 2. |
- Jood, Katarina, 1966, et al.
(författare)
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The psychosocial work environment is associated with risk of stroke at working age
- 2017
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Ingår i: Scandinavian Journal of Work Environment & Health. - : Scandinavian Journal of Work, Environment and Health. - 0355-3140 .- 1795-990X. ; 43:4, s. 367-374
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Tidskriftsartikel (refereegranskat)abstract
- Objective The aim of this study was to explore the relation between the risk of first-ever stroke at working age and psychological work environmental factors. Methods A consecutive multicenter matched 1:2 case control study of acute stroke cases (N=198, age 30-65 years) who had been working full-time at the time of their stroke and 396 sex- and age-matched controls. Stroke cases and controls answered questionnaires on their psychosocial situation during the previous 12 months. The psychosocial work environment was assessed using three different measures: the job control demand model, the effort reward imbalance (ERI) score, and exposures to conflict at work. Results Among 198 stroke cases and 396 controls, job strain [odds ratio (OR) 1.30, 95% confidence interval (95% CI) 1.05-1.62], ERI (OR 1.28, 95% CI 1.01-1.62), and conflict at work (OR 1.75, 95% CI 1.07-2.88) were independent risk factors of stroke in multivariable regression models. Conclusions Adverse psychosocial working conditions during the past 12 months were more frequently observed among stroke cases. Since these factors are presumably modifiable, interventional studies targeting job strain and emotional work environment are warranted.
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| 3. |
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| 4. |
- Medin, Jennie, 1972-, et al.
(författare)
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Begreppen Hälsa och Hälsofrämjande - en litteraturstudie.
- 2001
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Begreppen hälsa och hälsofrämjande används alltmer i olika måldokument på lokal, nationell och internationell nivå. Det är dock sällan som begreppen definieras. Detta har inneburit en stor osäkerhet kring vad som egentligen avses med dessa begrepp och denna osäkerhet har ibland skapat irritation över vad som uppfattats som ”flummigt” och vagt kring hälsa.Denna bok är en litteraturgenomgång av olika teorier om och definitioner av hälsa och hälsofrämjande. Teorier och definitioner förklaras och klassificeras utifrån termer som holistisk, biostatistisk, teleologisk, strategi, handling o.s.v. Vi belyser frågor som: Är hälsa motsatsen till sjukdom? Är hälsa något annat än frånvaro av sjukdom? Går den att förklara med termer som handlingsförmåga, välbefinnande eller mening? Finns det någon skillnad mellan hälsofrämjande och prevention? Vad kan olika hälsosyner ha för inverkan på mötet med patienter, klienter etc.Målgruppen omfattar blivande och praktiserande läkare, sköterskor, folkhälsovetare, arbetsterapeuter, socionomer och andra yrkesgrupper som professionellt arbetar med hälsa och hälsofrämjande.
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| 5. |
- Medin, Jennie, 1972-, et al.
(författare)
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Health promotion and rehabilitation : a case study
- 2003
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Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 25:16, s. 908-915
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Tidskriftsartikel (refereegranskat)abstract
- Background: Since the number of people in Sweden on long-term sick leave has rapidly increased since 1996, new non-biomedical models of occupational rehabilitation are at stake. A group of seven women who had finished medical treatment and rehabilitation but were still on sick leave or temporary disability pension for several years, worked in a problem-based rehabilitation group for 6 months. Focus for the group was on a process of change towards health and work ability.Purpose: The aim of this case study was to improve understanding of effects of a problem-based rehabilitation model (PBR) on health promoting processes amongst a group of women on long-term sick leave. Method: Data source was a focus group interview. The analysis follows the guidelines of qualitative analysis that emerges from grounded theory. Results: The pedagogical model of PBR enhanced the participant's internal resources such as self-confidence and ability to act in a social setting. External resources such as social support were improved. An individual follow-up was conducted 2 years after the rehabilitation process and four out of seven women had returned to work.Conclusion: Among this group of women PBR launched health-promoting processes. When the more medically oriented treatment is finished or is not able to contribute further to the individual's recovery, other aspects of the individuals abilities and health resources will be focused upon.
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| 6. |
- Medin, Jennie, 1972-
(författare)
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Hälsa, folkhälsa och intervention.
- 2005
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X. ; 82, s. 198-209
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 7. |
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| 8. |
- Medin, Jennie, et al.
(författare)
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Increasing stroke incidence in Sweden between 1989 and 2000 among persons aged 30 to 65 years : evidence from the Swedish Hospital Discharge Register
- 2004
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Ingår i: Stroke. - 0039-2499 .- 1524-4628. ; 35:5, s. 1047-1051
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Tidskriftsartikel (refereegranskat)abstract
- Background and Purpose— Stroke mortality is decreasing in Sweden, as is the case in other Western European countries. However, both decreases and increases have been reported in Sweden for persons younger than age 65 years. The aim of this study was to compare the incidence of stroke in Sweden between the periods 1989 and 1991 and 1998 and 2000 in persons aged 30 to 65 years.Methods— All first-ever stroke patients aged 30 to 65 years in the Swedish Hospital Discharge Register between 1989 and 2000 were included.Results— The age-standardized, 3-year average incidence increased by 19%, from 98.9 to 118.0 per 100 000 among men, and by 33%, from 48.4 to 64.4 among women, between 1989 and 1991 and 1998 and 2000. The largest increase was seen among those younger than 60 years. On a county level, the change in age-standardized stroke incidence varied from small decreases (−3%) to large increases (82%).Conclusion— Stroke incidence increased in Sweden for both men and women between 1989 and 2000. The increase was larger among women. This calls for action when it comes to studying risk factors and planning for prevention and health promotion and indicates the need for gender-specific studies.
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