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Sökning: WFRF:(Nilsson Peter) > Högskolan i Gävle

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  • Stake-Nilsson, Kerstin, et al. (författare)
  • A qualitative study of complementary and alternative medicine use in persons with uninvestigated dyspepsia
  • 2009
  • Ingår i: Gastroenterology Nursing. - 1042-895X .- 1538-9766. ; 32:2, s. 107-114
  • Tidskriftsartikel (refereegranskat)abstract
    • Dyspepsia is a common disorder. A lack of effective therapies for managing dyspepsia may invite use of complementary and alternative medicine (CAM). The aim of this study was to elucidate CAM methods and their perceived effects in a middle-sized community in Sweden. Group interviews were used. Persons with uninvestigated dyspepsia, according to the Rome II criteria, were included. Data were studied systematically using manifest content analysis. A total of 25 persons (13 women and 12 men) were assigned to five different groups. The CAM methods used by participants were categorized as follows: (1) nutritional, (2) drug/biological, (3) spiritual/psychological, and (4) physical activity. In this study, 26 CAM methods associated with various effects were identified and all persons had used at least one method.
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  • Stake-Nilsson, Kerstin, et al. (författare)
  • Changes in symptoms and lifestyle factors in patients seeking healthcare for gastrointestinal symptoms : an 18-year follow-up study
  • 2013
  • Ingår i: European Journal of Gastroenterology and Hepathology. - 0954-691X .- 1473-5687. ; 25:12, s. 1470-1477
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Gastrointestinal symptoms and lifestyle change over time. The data from this 18-year longitudinal study are intended to further elucidate the long-term natural course of functional gastrointestinal (GI) symptoms and possible influencing factors.Aim: The aim of this study was to evaluate the correlation between lifestyle factors over time by reassessing symptom profiles in patients who presented with GI symptoms in 1990.MethodThe study population comprises a subset of individuals enrolled in the Swedish Dyspepsia Study, which commenced in 1990. In 1990, each participant in the Swedish Dyspepsia Study underwent physical assessment and completed a computer-based questionnaire on eight GI symptoms and lifestyle factors. An identical questionnaire was completed in 2008.Results: In total, 137 participants, 85 women and 52 men, were included in the follow-up study. None of the symptoms increased in frequency. Four of the symptoms decreased in frequency: abdominal pain [odds ratio (OR) 2.70], flatulence (OR 4.09), nausea (OR 3.05), and acid regurgitation (OR 1.59). Significant lifestyle changes included increased BMI (P<0.0001), decreased tobacco smoking (P<0.0001), and milk drinking (P=0.0080). Increased exercise was correlated with a decrease in acid regurgitation (OR 3.05) and vomiting (OR 7.38), but an increase in diarrhea (OR 0.23) and nausea (OR 0.33). Decreased smoking was correlated with a decrease in acid regurgitation (OR 3.45) and heartburn (OR 2.91).Conclusion: The results indicated that the lifestyle changes in the studied population followed the same pattern as seen in the general population, and changes in lifestyle factors may have an impact on GI symptoms and may guide symptom management in the patient, all in order to reduce personal suffering and healthcare costs in the form of fewer visits to the doctor and lower numbers of drug prescriptions. (C) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
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  • Stake-Nilsson, Kerstin, 1960-, et al. (författare)
  • Complementary and alternative medicine used by persons with functional gastrointestinal disorders to alleviate symptom distress
  • 2012
  • Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 21:5-6, s. 800-808
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim. The aim of this study was to describe the complementary and alternative medicine methods most commonly used to alleviate symptom distress in persons with functional gastrointestinal disorders. Background. People with functional gastrointestinal disorders face many challenges in their everyday lives, and each individual has his/her own way of dealing with this illness. The experience of illness often leads persons with functional gastrointestinal disorders to complementary and alternative medicine as a viable healthcare choice. Design. Quantitative and describing design. Method. A study-specific complementary and alternative medicine questionnaire was used, including questions about complementary and alternative medicine methods used and the perceived effects of each method. Efficacy assessments for each method were preventive effect, partial symptom relief, total symptom relief or no effect. Results. A total of 137 persons with functional gastrointestinal disorders answered the questionnaire, 62% (n = 85) women and 38% (n = 52) men. A total of 28 different complementary and alternative medicine methods were identified and grouped into four categories: nutritional, drug/biological, psychological activity and physical activity. All persons had tried at least one method, and most methods provided partial symptom relief. Conclusion. Persons with functional gastrointestinal disorders commonly use complementary and alternative medicine methods to alleviate symptoms. Nurses have a unique opportunity to expand their roles in this group of patients. Relevance to clinical practice. Increased knowledge of complementary and alternative medicine practices would enable a more comprehensive patient assessment and a better plan for meaningful interventions that meet the needs of individual patients.
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