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Effects of brief mi...
Effects of brief mindfulness-based cognitive behavioural therapy on health-related quality of life and sense of coherence in atrial fibrillation patients
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- Malm, Dan, 1954- (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare),Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
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- Fridlund, Bengt, 1952- (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT
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- Ekblad, Helena (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad
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- Karlström, Patric (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
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- Hag, Emma (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,Department of Internal Medicine, County Hospital Ryhov, Jönköping, Sweden
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- Pakpour, Amir H. (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
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(creator_code:org_t)
- 2018-03-01
- 2018
- Engelska.
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Ingår i: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 17:7, s. 589-597
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background: The aim of this study was to evaluate the effects of a brief dyadic cognitive behavioural therapy (CBT) programme on the health-related quality of life (HRQoL), as well as the sense of coherence in atrial fibrillation patients, up to 12 months post atrial fibrillation.Methods: A longitudinal randomised controlled trial with a pre and 12-month post-test recruitment of 163 persons and their spouses, at a county hospital in southern Sweden. In all, 104 persons were randomly assigned to either a CBT (n=56) or a treatment as usual (TAU) group (n=55). The primary outcome was changes in the HRQoL (Euroqol questionnaire; EQ-5D), and the secondary outcomes were changes in psychological distress (hospital anxiety and depression scale; HADS) and sense of coherence (sense of coherence scale; SOC-13).Results: At the 12-month follow-up, the CBT group experienced a higher HRQoL than the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.015; P=0.02). The sense of coherence improved in the CBT group after the 12-month follow-up, compared to the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.16; P=0.04). The association between the intervention effect and the HRQoL was totally mediated by the sense of coherence (z=2.07, P=0.04).Conclusions: A dyadic mindfulness-based CBT programme improved HRQoL and reduced psychological distress up to 12 months post atrial fibrillation. The sense of coherence strongly mediated the HRQoL; consequently, the sense of coherence is an important determinant to consider when designing programmes for atrial fibrillation patients.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- atrial fibrillation
- Cognitive behavioural therapy
- health-related quality of life
- intervention
- randomised controlled trial
- sense of coherence
- spouse
- aged
- Article
- cognitive behavioral therapy
- controlled study
- distress syndrome
- dyspnea
- female
- Hospital Anxiety and Depression Scale
- hospital discharge
- human
- Likert scale
- longitudinal study
- major clinical study
- male
- priority journal
- quality of life
- questionnaire
- randomized controlled trial
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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