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- Petrov, Kristian, 1975-, et al.
(författare)
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Evidensparadigmet
- 2020
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Annan publikation (populärvet., debatt m.m.)abstract
- Evidens har blivit ett allt trendigare ord inom många sektorer. Det talas om evidensbaserat ledarskap, evidensbaserad personaladministration (HR), evidensbaserat lärande, ja, rent av om evidensbaserad politik. Men som med alla trender finns ett behov av reflektion, då det annars finns en risk att barnet kastas ut med badvattnet. I det följande anlägger idéhistorikern Kristian Petrov och sjukgymnasten Karolina Petrov Fieril ett kritiskt perspektiv på evidensbasering utifrån en vetenskapsteoretisk och kulturhistorisk utgångspunkt.
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| 2. |
- Eriksson Crommert, Martin, 1974-, et al.
(författare)
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Women's experiences of living with increased inter-recti distance after childbirth : an interview study
- 2020
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Ingår i: BMC Women's Health. - : BioMed Central. - 1472-6874. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Although an increased inter-recti distance, also known as diastasis recti, is common after pregnancy, evidence-based knowledge about the condition is relatively limited. In particular, little is known about the consequences as perceived by the women. The objective of the present study was to describe how postpartum women with increased inter-recti distance experience the condition as well as the contacts they have had with healthcare providers regarding their symptoms.METHODS: A purposeful sampling approach was used to recruit 19 participants from an existing study cohort of 144 women. All participants had an inter-recti distance of at least two finger widths and at least one child, with the youngest child between the ages of 1 and 6 years. Individual interviews based on a semi-structured interview guide were performed and subsequently analysed using qualitative content analysis.RESULTS: Four categories emerged from the interviews: the body's function and ability has changed; the body does not look like it used to; uncomprehending attitudes and treatment in their surroundings; and trying to acquire an understanding of and strategies to cope with the diastasis. The findings reveal that women with increased inter-recti distance might experience fear of movement and engage in avoidance behaviour. In combination with feelings of physical instability in the midsection of their bodies and body dissatisfaction, many of the women restrict their everyday lives and physical activities.CONCLUSIONS: The findings indicate that increased inter-recti distance is a complex phenomenon that affects the women in a multitude of ways, highlighting the importance of considering the condition for each individual in her own context from a biopsychosocial perspective.
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| 3. |
- Petrov Fieril, Karolina, et al.
(författare)
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Experiences of a lifestyle intervention in obese pregnant women – A qualitative study
- 2017
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 44, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Objective to describe obese women's experiences of participating in a lifestyle intervention and its experienced impact on health and lifestyle. Design qualitative method with a phenomenological lifeworld approach. The interviews were analyzed in accordance with the phenomenological method. Participants and setting 11 women who had participated in a lifestyle intervention project, targeting pregnant women with BMI ≥30 in southwestern Sweden, were interviewed a few weeks before delivery. Findings the essence of these women's experiences was expressed as: implementing new habits required support, from midwives, partners, relatives, friends, or obese pregnant women in the same situation, or by participating in the intervention itself. The support had to be non-judgmental and with a balanced outlook on weight. Participation had taught them about weight gain control. The women were motivated to try to control their gestational weight gain, although not all of them were initially convinced that this would be possible. The essential structure of participation can be described with the following constituents: ‘‘pregnancy encourages change’’, ‘‘to be supported by non-judgmental people’’, ‘‘from bad habits to conscious choices’’ and; ‘‘barriers to change’’. Key conclusions in order to implement new habits, participants expressed a need for support, given with a non-judgmental attitude and a balanced outlook on weight. The women experienced that the lifestyle changes could be less burdensome than previously imagined, and that slight changes could yield unexpectedly successful results. In order to maintain a lifestyle change, obese women must perceive some kind of results, i.e. increased quality of life or weight gain control. Implications for practice non-judgmental support from midwives is crucial. Affinity with other pregnant obese women in an exercise group or dietary group setting is supportive. © 2016 Elsevier Ltd
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| 4. |
- Petrov Fieril, Karolina, et al.
(författare)
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Experiences of exercise during pregnancy among women who perform regular resistance training: A qualitative study
- 2014
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Ingår i: Physical Therapy. - : Oxford University Press (OUP). - 0031-9023 .- 1538-6724. ; 94:8, s. 1135-1143
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Tidskriftsartikel (refereegranskat)abstract
- Background. Women who are pregnant and healthy are recommended to do 30 minutes or more of light to moderate exercise a day on most, if not all, days of the week. However, only 1 of 6 pregnant women in the United States and northern Europe follows these recommendations. Little attention has been given to the experience of exercise in pregnancy. Objectives. The aim of the study was to describe experiences of exercise during pregnancy among women who performed regular resistance training. Design. This was a qualitative, inductive content analysis study. Methods. Seventeen pregnant women who exercised on a regular basis participated in individual semistructured, face-to-face interviews that were recorded, transcribed, coded, and condensed into subcategories and categories. Results. Four categories emerged (subcategories within parentheses): (1) positive impact on body and mind (reduced pregnancy-related problems, increased self-confidence and sense of control, immediate positive feedback, and effects on lifestyle and quality of life); (2) expected benefits and facilitators (knowledge of health benefits, part of one's lifestyle, preventing pregnancy-related problems, social support, staying in good shape, and healthy living with regard to the fetus); (3) new exercise barriers (physical limitations, taking care not to harm oneself or the fetus, uncertainty or lack of knowledge, sense of exclusion at the fitness center, lack of understanding on the part of others, and the pregnancy itself provided an easy excuse); and (4) overcoming exercise barriers (lowering the intensity of exercise, modifying the type of exercise, changing exercise goals, and being extra attentive during exercise). Conclusion. Pregnant women strived to exercise if the exercise facilitators outweighed the barriers. As the study described facilitators, barriers, and strategies for how to overcome exercise barriers, the results can be useful in exercise promotion in healthy pregnancy. © 2014 American Physical Therapy Association.
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| 5. |
- Petrov Fieril, Karolina, et al.
(författare)
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Hemodynamic responses to single sessions of aerobic exercise and resistance exercise in pregnancy
- 2016
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Ingår i: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349 .- 1600-0412. ; 95:9, s. 1042-1047
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Previous research on maternal hemodynamic responses to a single exercise session during pregnancy is sparse, especially considering immediate responses to resistance exercise. The aim of the study was to examine blood pressure, heart rate, body temperature, and Rating of Perceived Exertion in healthy pregnant women during single sessions of continuous submaximal exercise in pregnancy week 21. Material and methods: A cross-over design was used. Twenty healthy pregnant women from four prenatal clinics in Gothenburg, Sweden, were included. On day 1, the women did 30min of aerobic exercise and on day 3 they did 30min of resistance exercise. Blood pressure, heart rate, and Rating of Perceived Exertion were measured after 15 and 30min of exercise. Results: After 15 and 30min of exercise, there was a significant increase in systolic blood pressure and heart rate (p<0.001). Diastolic blood pressure increased slightly more after 15 and 30min of aerobic exercise (p=0.01) than resistance exercise (p=0.03). Resistance exercise was perceived as more intense than aerobic exercise after 15min (p=0.02) and 30min (p=0.001) of exercise. Five minutes after completing the exercise, blood pressure quickly reverted to normal although heart rate was still increased (p=0.001). There was no correlation between heart rate and Rating of Perceived Exertion (rs=0.05–0.43). Conclusions: Maternal hemodynamic responses were essentially the same, regardless of whether the exercise was submaximal aerobic or resistance exercise, although resistance exercise was perceived as more intense. Aerobic and resistance exercise corresponding to “somewhat hard” seems to have no adverse effect with regard to maternal hemodynamic responses in healthy pregnancy. © 2016 Nordic Federation of Societies of Obstetrics and Gynecology
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