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- Havstam Johansson, Lena, 1963, et al.
(författare)
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Vision-related quality of life among 70-year-olds diagnosed with glaucoma.
- 2024
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Ingår i: Acta ophthalmologica. - 1755-3768. ; 102:2, s. 201-207
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Tidskriftsartikel (refereegranskat)abstract
- To evaluate the effect of glaucoma on vision-related quality of life (VRQoL), lifestyle, physical factors and socioeconomic status in a 70-year-old population in Gothenburg, Sweden.Responses to questionnaires (N=1182) between groups with and without self-reported glaucoma were analysed. Questionnaires included National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25), Short-Form Health Survey (SF-36), physical activity, socioeconomics, alcohol and tobacco consumption. Balance test and body mass index were also included. About half of the participants were randomized to ophthalmic examination (N=560), variables were analysed separately according to known and confirmed glaucoma, ocular hypertension and/or cases of previously unknown glaucoma.Both conventional and Rasch analysis of the NEI VFQ-25 showed that VRQoL was lower for individuals self-reporting glaucoma (p=0.003/p=0.024). Regarding general QoL, the participants did not differ apart from people self-reporting glaucoma reported worse general health (p=0.01). Using logistic regression with lower VRQoL as the dependent variable glaucoma was not a significant predictor of poor VRQoL, odds ratio (OR) 1.83 (95% confidence interval (CI) 0.76-4.39, p=0.18). Low household income was associated with lower VRQoL (OR 1.63, 95% CI 1.14-2.33, p=0.01). Socioeconomics, physical activity and lifestyle factors were comparable between the groups (N=915). Among participants who underwent ophthalmic examination no significant differences were found between glaucoma cases and non-glaucoma cases in relation to VRQoL (N=560).Patients with self-reported glaucoma assessed a lower VRQoL but not lower general quality of life. Poorer household income was associated with worse VRQoL. General health was reported low in the glaucoma population but lifestyle or physical factors did not diverge.
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| 2. |
- Zidén, Lena, et al.
(författare)
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Person-centered care as a tool to reduce behavioral and psychological symptoms in older adults with dementia living in residential care facilities
- 2024
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Ingår i: Geriatric Nursing. - 1528-3984 .- 0197-4572. ; 57, s. 51-57
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Tidskriftsartikel (refereegranskat)abstract
- Among older adults living in dementia residential care facilities (RCF) behavioral and psychological symptoms (BPSD) are common, affecting the quality of life (QOL) for the residents as well as being challenging for the staff. The person-centered care (PCC) approach addresses BPSD by giving trained staff mandate to focus on the relation and to adapt the encounter and the environment to increase QoL for the person with dementia. The aims with this study were to improve PCC, decrease BPSD and improve QOL among older persons with dementia living in RCFs, and to explore leaders' and healthcare staff's experiences of a PCC intervention. An educational program was implemented at two RCFs. Data was collected through questionnaires, from national quality registries and through focus group interviews. A significant increase in PCC and QOL at three months was seen. However, no significant difference in BPSD was seen. The interviews showed the importance of a trust-based relationship, and support from an active management to improve PCC, as well as changing old patterns and recognising competence among staff. Factors that affect implementation of PCC in RCF are discussed in the article.
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