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- Bengtson, Ann, 1947, et al.
(författare)
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On the waiting list for possible coronary revascularisation. Symptoms relief during the first year and association between quality of life and the very long-term mortality risk
- 2008
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Ingår i: International Journal of Cardiology. - : Elsevier BV. - 1874-1754 .- 0167-5273. ; 123:3, s. 271-6
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To describe: a/ the improvement in quality of life (QoL) among patients on the waiting list for coronary revascularisation and b/ the association between QoL and very long-term mortality. PATIENTS: All patients on the waiting list for possible coronary revascularisation in western Sweden during one week in September 1990. METHODS: QoL was assessed at the start of the survey and one year later among patients who both were and were not revascularised. Survival data were gathered for the subsequent 14 years. RESULTS: From the start, 883 patients were evaluated in the survey. Among patients who were revascularised, an improvement was seen in all the aspects of QoL that were studied during the first year as compared with patients who were not revascularised, in whom only minor changes in QoL were seen during the first year. After one year, there were seven aspects of QoL which were significantly associated with the risk of death during the subsequent 14 years, when adjusting for age, sex, previous history and extent of coronary artery disease. They were: tiredness (OR=1.4), weakness (OR=1.5), lack of energy (OR=1.5), inability to react (OR=1.7), use of sedatives (OR=3.2), dyspnea when dressing (OR=2.1) and chest pain when dressing (OR=1.9). CONCLUSION: Among patients on the waiting list for possible coronary revascularisation, there was a marked improvement in QoL among those who were revascularised. In a variety of aspects of QoL, an association with the very long-term risk of death was observed.
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| 2. |
- Drevenhorn, Eva, 1954, et al.
(författare)
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A content analysis of patient-centredness in hypertension care after consultation training for nurses .
- 2007
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Ingår i: The Internet Journal of Advanced Nursing Practice. - : Internet Scientific Publications. - 1523-6064. ; 8:2
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Tidskriftsartikel (refereegranskat)abstract
- Lifestyle changes are important when it comes to reducing the risk factors for cardiovascular complications. There is evidence that these changes are more successful if counselling is conducted in a patient-centred way. The purpose was to analyse how nurses used patient-centred counselling with hypertensive patients after video-recorded consultation training. Nineteen nurses from nurse-led clinics in hypertension care at Swedish health centres participated in residential counselling. Two audio-recordings with hypertensive patients in regular practice were made before and after the training and analysed with the emphasis on patient centredness. Weighing up the pros and cons, the identification of beliefs about treatment and negotiations about the reasons for and where to begin behavioural change increased. A slight increase in reflections and pauses was observed. Expansive and provocative questions and the identification of goals or goal-setting were used sparsely. As a result of the training, the nurses gave individually-adapted information more frequently.
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| 5. |
- Drevenhorn, Eva, 1954, et al.
(författare)
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Counselling on lifestyle factors in hypertension care training on the Stages of Change-model
- 2007
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Ingår i: European Journal of Cardiovascular Nursing. - 1474-5151. ; 6:1, s. 46-53
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In assisting the nurse's counselling on lifestyle changes in hypertension care a behaviour model can be used. AIM: To analyse the effects of nurses' training on the use of the stages of change model when counselling hypertensive patients to perform lifestyle changes. METHODS: As part of a randomised, controlled trial, 19 nurses belonging to the intervention group took part in video-recorded consultation training with simulated patients. To evaluate the training, the nurses audio-recorded their consultations with two patients before and after the intervention. Analysis focused on the areas of non-pharmacological treatment and the nurses' attention to the patients' readiness for change. RESULTS: Patient participation in the consultations increased after the training. The importance of non-pharmacological treatment was mentioned more frequently for all areas of lifestyle behaviour, exercise, smoking, alcohol consumption, food and stress, and the nurses acquired a more distinct structure for their consultations. The mean length of the recorded consultations increased from 18 min to 20.5 min. All the criteria for fulfillment of attention to patient's readiness to change were met in nine consultations before the training and in seven after it. After the training, attention was paid to support more frequently than before in the action and maintenance stages and a great deal of information was provided. PMID: 16698320 [PubMed - as supplied by publisher]
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| 6. |
- Drevenhorn, Eva, 1954, et al.
(författare)
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Evaluation of consultation training in hypertension care
- 2009
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Ingår i: European Journal of Cardivascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 8:5, s. 349-354
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Tidskriftsartikel (refereegranskat)abstract
- Background Nurses in hypertension care play an important role in minimising the risk factors for cardiovascular diseases, but this care can be improved. Aim To evaluate the content of nurses' consultations with hypertensive patients before and after consultation training. Methods Nineteen nurses from a randomised study of nurse-led hypertension clinics at health centres received three days of residential training in patient-centred counselling and cardiovascular prevention. To assess the result, two consultations with hypertensive patients in clinical practice before and after the training were audio-recorded. Content analysis was used for the analysis. Results Diet and exercise were the most frequent topics in the consultations both before and after the training. Discussions about alcohol and the patient's responsibility for treatment increased after the training. The time spent talking about various issues, other health problems, history and appointment scheduling decreased in the consultations after the training. Conclusion After the consultation training, the nurses succeeded in emphasising important issues for risk factor control to a greater extent.
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| 7. |
- Drevenhorn, Eva, 1954, et al.
(författare)
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Outcomes following a programme for lifestyle changes with people with hypertension.
- 2007
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Ingår i: Journal of clinical nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 16:7B, s. 144-51
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The purpose of the study was to explore the effects of using a structured nursing intervention programme in hypertension care. BACKGROUND: Counselling on lifestyle changes to address hypertension helps patients reduce risk factors such as smoking, high alcohol consumption, overweight, dyslipidemia, negative stress and physical inactivity. DESIGN: The study was performed as a pre-test-post-test study. METHODS: All 177 patients diagnosed with hypertension visiting a health centre in Southern Sweden were invited to be counselled by a public health nurse about hypertension, cardiovascular risk factors and non-pharmacological treatment with 15 months follow up. RESULTS: One hundred patients participated in the study. Systolic blood pressure decreased overall (p < 0.01), three patients with high alcohol consumption were identified, two smokers stopped smoking, two new diabetics were discovered, physical activity increased (p = 0.035) and one-third of the patients changed their medication. CONCLUSION: The level of exercise increased and a reduction in systolic blood pressure and in women's weight were the most obvious results of this intervention study. The study elucidates the challenge of executing health behaviour changes. RELEVANCE TO CLINICAL PRACTICE: Counselling following a hypertension programme gives hypertensive patients a chance to execute lifestyle changes and have their medication adjusted to achieve goals for blood pressure control. Further prospective studies in this area, with well-defined intervention approaches and several years of follow up, are necessary.
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| 9. |
- Härdén, Marie, 1964, et al.
(författare)
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Validity and reliability of a new, short symptom rating scale in patients with persistent atrial fibrillation
- 2009
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Ingår i: Health and Quality of Life Outcomes. ; 7:65, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Background: Symptoms related to atrial fibrillation and their impact on health-related quality of life (HRQoL) are often evaluated in clinical trials. However, there remains a need for a properly validated instrument. We aimed to develop and validate a short symptoms scale for patients with AF. Methods: One hundred and eleven patients with a variety of symptoms related to AF were scheduled for DC cardioversion. The mean age was 67.1 ± 12.1 years, and 80% were men. The patients completed the new symptoms scale, the Toronto Symptoms Check List (SCL) and the generic Short Form 36 (SF-36) the day before the planned DC cardioversion. Compliance was excellent, with only 1 of 666 answers missing. Results: One item, 'limitations in working capability', was deleted because of a low numerical response rate, as many of the patients were retired. The internal consistency reliability of the remaining six items was 0.81 (Cronbach's α). Patients scored highest in the items of 'dyspnoea on exertion', 'limitations in daily life due to AF' and 'fatigue due to AF', with scores of 4.5, 3.3 and 4.5, respectively. There was a good correlation to all relevant SF-36 domains and to the relevant questions of the SCL. The Rasch analyses showed that the items are unidimensional and that they are clearly separated and cover an adequate range. Test-retest reliability was performed in patients who failed DC and was adequate for three of six items, >0.70. Conclusion: The psychometric characteristics of the new short symptoms scale were found to have satisfactory reliability and validity.
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| 10. |
- Lundén, Maud, 1959, et al.
(författare)
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Hours During and after Coronary Intervention and Angiography
- 2006
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Ingår i: CLINICAL NURSING RESEARCH. ; 15:4, s. 1-16
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to describe patients experience during and after coronary angiography and percutaneous coronary intervention. Data were collected by interviews with fourteen patients. A qualitative content analysis approach was used. Four main categories were identified which describe patients experience of the hours during and following intervention: emotional thoughts; bodily sensations; nursing intervention of importance; and personal strategies. All patients made a comment on staff conduct and pointed out that even minor nursing actions may be of great importance. Patients were most positive towards the transradial approach. Even though approach via arteria radialis will increase, many patients will still have their procedure done via arteria femoralis. In spite of all research and technical developments, the patients experience from intervention via arteria femoralis is pretty much the same as it was 1997.
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