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1.
  • Bökberg, Christina, et al. (author)
  • Omvårdnad av vuxna och äldre
  • 2017. - 2
  • In: Hemsjukvård. - 9789144115856 ; , s. 59-73
  • Book chapter (pop. science, debate, etc.)
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  • Drevenhorn, Eva, et al. (author)
  • Motiverande samtal
  • 2013. - 1
  • In: Omvårdnad i primärvården. - Stockholm : Studentlitteratur. - 9789144076881 ; , s. 101-111, s. 209-228
  • Book chapter (other academic/artistic)
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  • Drevenhorn, Eva, et al. (author)
  • Possibilities for patients with elevated blood pressure to achieve blood pressure control without affecting quality of life (the PEQ-study) – a study protocol.
  • 2017
  • In: International journal of cardiovascular research. - : OMICS Publishing Group. - 2324-8602. ; 6:1
  • Journal article (peer-reviewed)abstract
    • Several interventions on adherence have been tested in hypertension care but still the number of patients with well controlled blood pressure is not increasing. The aim is to get a deeper understanding of the patients’ reasons for not following their treatment as a base for in collaboration with the patients, developing effective interventions. A mixed methods design is to be used. Patients with hypertension who have considered changing lifestyle will be interviewed individually about their reasons for changing or not changing lifestyle and for taking or not taking medicines. Other patients, both those who do and those who do not have well-controlled blood pressure, treated at health centres and hospital clinics, will be asked to fill in instruments. The Exercise of Self Care Agency instrument gives information about the patients’ ability to perform self-care (change lifestyle) and the SF-36 is about health-related quality of life. Finally, patients will be asked to participate in focus-group interviews about how they want to be treated and what would be of help for them to achieve blood pressure control. From the findings we will create intervention/interventions without negative impact on quality of life together with the patients. These interventions are to be carried out and evaluated in real practice with patients with hypertension and other significant persons or health care personnel that may be involved.
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  • Gudnadottir, Gunnhildur, et al. (author)
  • The effect of telephone counseling and internet-based support on pain and recovery after tonsil surgery in children – a systematic review
  • 2021
  • In: International Journal of Nursing Studies Advances. - : Elsevier BV. - 2666-142X. ; 3
  • Journal article (peer-reviewed)abstract
    • Objectives: The recovery after tonsil surgery is often troublesome for children and caregivers often feel insecure regarding optimal post-operative care for their children at home. The aim was to study what the current literature reports regarding the effect of post-operative telephone counselling and Internet support on pain and recovery after paediatric tonsil surgery. Method: A systematic literature review was conducted where only randomised clinical trials were included. Outcome measures: Primary outcome measure was pain after surgery. Secondary outcomes also included nausea, anxiety, children's knowledge, use of analgesics, fluid intake and health care service use. Results: Only four studies fulfilled the inclusion criteria. The studies were heterogeneous, rendering a meta-analysis impossible. The results of the included studies showed a possible positive effect on postoperative pain, as well as level of anxiety, use of analgesics, fluid intake and health care service use. However, the studies were few with few included participants. Conclusion: There were indications, but no definitive evidence supporting the positive effect of telephone counselling or Internet-based support on pain and recovery after tonsil surgery in children. More research is needed to further examine these effects. ClinicalTrials.gov 12/03/2017 (NCT03292068). © 2021 The Author(s)
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  • Rosén, Helena, et al. (author)
  • Persons’ experiences of having hypertension – an interview study
  • 2022
  • In: International Journal of Nursing Studies Advances. - : Elsevier BV. - 2666-142X. ; 4
  • Journal article (peer-reviewed)abstract
    • Backgroundamong the 1–1.5 billion persons with hypertension globally only, 20–30% have controlled blood pressure (BP). The most important problem identified is non-adherence to treatment, i.e., failure to change lifestyle and to take prescribed medication. Knowledge about the reasons for this is limited.ObjectivesThe aim of the study was to explore people's experiences of having hypertension.DesignInductive design based on qualitative interviews.SettingsThe south of Sweden.ParticipantsTwelve adults diagnosed with hypertension and treated in primary care were interviewed.MethodsThe transcribed interviews were analysed using content analysis, which rendered three categories.ResultsThe individuals adapted to their diagnosis in different ways. Collaboration with the staff gave security, but the persons still perceived anxiety and uncertainty.ConclusionsTo meet the needs of people with hypertension, strategies such as person-centred counselling and care, using digital interventions, following national guidelines and starting nurse-led clinics, may be of help. These strategies can give a foundation for increased self-efficacy, which is crucial for persons to be able to change lifestyle and adhere to prescribed medication in order to achieve BP control.
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  • Österlund Efraimsson, Eva, 1961-, et al. (author)
  • Primärvårdens mottagningar
  • 2013
  • In: Omvårdnad i primärvården. - Stockholm : Studentlitteratur. - 9789144076881 ; , s. 126-144
  • Book chapter (other academic/artistic)
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  • Bengtson, A, et al. (author)
  • Evidensbaserad omvårdnad, sjukvård och kunskap
  • 2002
  • In: Vård i Norden. - 0107-4083. ; 22:2, s. 48-51
  • Journal article (peer-reviewed)abstract
    • Research within nursing and medicine is moving at an increasing pace. This makes it difficult for the staff - involved with medical care to find the right path through all the new research and development. Working according to evidencebased procedures within both medicine and nursing means using in one’s work the recommendations which have been based on literature studies that have compiled, reviewed, assessed and interpreted the published research. The aim of a systematic literature review is to find the best scientific base for nursing and community care. The literature review according to SBU originates from Goodman’s definitions, which results in an order of precedence for the reviewed studies. Implementation at the work place is made easier by literature studies and discussions at meetings with the nurses. A literature review requires a structured way of working where the question is clearly defined, the project plan prepared and the literature search published. The relevant material is clearly defined, while the quality of the studies, precision and generalization taken from the results produces a combination and conclusion. To make the most of evidencebased methods in the daily work education of existing staff, courses integrated in the education of all nursing staff and an awareness when planning nationally, regionally and locally is essential.
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  • Bengtson, Ann, 1947, et al. (author)
  • The nurse's role and skills in hypertension care: a review.
  • 2003
  • In: Clinical Nurse Specialist. - 0887-6274. ; 17:5, s. 1-5
  • Journal article (peer-reviewed)abstract
    • The aim of this review was to examine studies on nursing in hypertension care to find out the nurse's role and skills. Articles were searched during the period 1966-1997. About 650 abstracts were read, and 148 were selected for examination. Forty-two articles were judged to be relevant for the study. The role of the nurse in programs was described as that of a team member, an educator in nonpharmacological treatment, and a translator for the physician with a holistic and psychosocial approach. A nurse participating in hypertension care promoted blood pressure reductions as the patients decreased their weight and sodium intake, stopped smoking, increased their physical activity, took their medication more correctly, and returned for follow-up visits more frequently, and the cost of drugs and visits to the physician decreased. Local programs for hypertension care should be developed with nurses' holistic and psychosocial approach and skills taken into account. More well-designed studies are needed to develop nursing care for hypertensive patients.
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  • Dahlén, Johanna, et al. (author)
  • Assessment fidelity of a language screening instrument for 4-year-olds
  • 2023
  • In: Logopedics Phoniatrics Vocology. - : Informa UK Limited. - 1401-5439 .- 1651-2022. ; 48:4, s. 189-196
  • Journal article (peer-reviewed)abstract
    • Aim: The aim of the study was to explore the assessment fidelity of Språkfyran, a language screening instrument for four-year-old children. Språkfyran is a mandatory part of the healthcare program within the Swedish Child Health Service (CHS) and is offered to all four-year-olds in the region Scania in Sweden. Methods: The study was based on structured observations of twenty-four specialist CHS nurses’ adherence to the Språkfyran protocol during screening. Results: All the observed nurses deviated from the test protocol. There was a large variation in the number of deviations from the test protocol per nurse, with the highest number of deviations occurring for three specific testing items. Significantly more deviations were made with four-year-old bilingual children as opposed to four-year-old monolingual children. Half of the nurses did not use the test protocol. Conclusions: There is a clear need to improve the assessment fidelity of Språkfyran. Both the training that the nurses are offered, and the development of the test, are essential in securing the aim of high-quality work within the CHS. Support from experts in child speech-language development and disorders is suggested to be available at the CHS in Sweden.
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  • Drevenhorn, Eva, 1954, et al. (author)
  • A content analysis of patient-centredness in hypertension care after consultation training for nurses .
  • 2007
  • In: The Internet Journal of Advanced Nursing Practice. - : Internet Scientific Publications. - 1523-6064. ; 8:2
  • Journal article (peer-reviewed)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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  • Drevenhorn, Eva (author)
  • A Proposed Middle-Range Theory of Nursing in Hypertension Care
  • 2018
  • In: International Journal of Hypertension. - : Hindawi Limited. - 2090-0384 .- 2090-0392. ; 2018, s. 1-11
  • Research review (peer-reviewed)abstract
    • Nursing in hypertension care comprises counselling about lifestyle changes, blood pressure measurement, and being a translator for the physician. For the patient, changing lifestyle means performing self-care. As not much in the form of research and guidelines for nurses is available, a middle-range theory of nursing in hypertension care was developed to guide nurses in their practice, in order to improve the nursing of patients and design studies for investigating nursing in hypertension care. Concepts are presented related to the patient (attitude and beliefs regarding health and sickness, autonomy, personality and traits, level of perceived vulnerability, hardiness, sense of coherence, locus of control, self-efficacy, and access to social support and network) and the nursing (applying theories and models for behavioural change in the consultation and using counselling skills, patient advocacy, empowerment, professional knowledge and health education, and supporting the patient). Then the concepts related to the consultation (communication, shared decision-making, concordance, coping, adherence, and self-care) are integrated with Orem's theory of nursing. Clinical and research implications of the theory are discussed.
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  • Drevenhorn, Eva, 1954, et al. (author)
  • Assessment of hypertensive patients' self-care agency after counseling training of nurses
  • 2015
  • In: Journal of the American Association of Nurse Practitioners. - : Ovid Technologies (Wolters Kluwer Health). - 2327-6886 .- 2327-6924. ; 27:11, s. 624-630
  • Journal article (peer-reviewed)abstract
    • PurposeThe aim of the study was to assess hypertensive patients' self-care agency and any correlation with the patient's lifestyle changes and the nurse's degree of patient centeredness after counseling training. Data sourcesNurses in the intervention group (IG; n = 19) working at nurse-led clinics at health centers were trained in patient centeredness (motivational interviewing) and the stages of change model and included 137 patients. Nurses in the control group (CG; n = 14) included 51 patients. The Exercise of Self-Care Agency (ESCA) instrument was used. There was a significant difference from baseline to the 2-year follow-up in the ESCA score (IG, p = .0001). An increase in ESCA score was correlated with an increased level of physical activity after 2 years (IG, p = .0001; CG, p = .040). ConclusionsThe counseling training gave an increase in the patients' self-care agency scores, which was significantly correlated with increased physical activity. Implications for practiceIn clinical practice it is important for nurses to be patient centered in their counseling to affect patients' self-care agency in a positive direction.
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  • Drevenhorn, Eva, et al. (author)
  • Blood pressure measurement--an observational study of 21 public health nurses
  • 2001
  • In: Journal of Clinical Nursing. - : Wiley. - 1365-2702 .- 0962-1067. ; 10:2, s. 189-194
  • Journal article (peer-reviewed)abstract
    • The purpose of this study was to observe how public health nurses perform blood pressure measurement. Structured observations were made of 21 randomly selected public health nurses while they performed three blood pressure measurements. The public health nurses used an overall correct method for blood pressure measurement. Five nurses out of 21 used the Tri-cuff but the soft cuff was most frequently used. When choosing the breadth of the cuff, 10 nurses decided by eye and not by the marks on the cuff. To ensure a completely correct method additional information is needed by nurses.
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  • Drevenhorn, Eva, et al. (author)
  • Consultation training of nurses for cardiovascular prevention - A randomized study of 2 years duration
  • 2012
  • In: Blood Pressure. - : Informa Healthcare. - 0803-7051 .- 1651-1999. ; 21:5, s. 293-299
  • Journal article (peer-reviewed)abstract
    • The aim of this study was to increase patients adherence to the treatment of hypertension through the consultation training of nurses. Thirty-three nurses were included in the study. In the intervention group (IG), 19 nurses took part in a 3-day residential training course on the Stages of Change model, Motivational Interviewing and guidelines for cardiovascular prevention, and recruited 153 patients. Sixteen nurses in the control group (CG) recruited 59 patients. A decrease in systolic and diastolic blood pressure and total cholesterol was noticed in both groups over the 2 years. Heart rate (p = 0.027), body mass index (p = 0.019), weight (p = 0.0001), waist (p = 0.041), low-density lipoprotein-cholesterol (p = 0.0001), the waist-hip ratio (p = 0.024), and perceived stress (p = 0.001) decreased to any great extent only in the IG. After 2 years, 52.6% of the patients in the IG (p = 0.13) reached the target of andlt;= 140/90 mmHg in blood pressure compared with 39.2% in the CG. For self-reported physical activity, there was a significant (p = 0.021) difference between the groups. The beneficial effects of the consultation training on patients weight parameters, physical activity, perceived stress and the proportion of patients who achieved blood pressure control emphasize consultation training and the use of behavioural models in motivating patients to adhere to treatment.
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  • Drevenhorn, Eva, et al. (author)
  • Counseling Hypertensive patients: an observational study of 21 public health nurses
  • 2001
  • In: Clinical Nursing Research. - : SAGE Publications. - 1054-7738 .- 0000-0000. ; 10:4, s. 369-386
  • Journal article (peer-reviewed)abstract
    • This study observed the public health nurse's and the patient's activity level during blood pressure measurement and the kind of nonpharmacological treatment that was given. Using the Nurse Practitioner Rating Form, three structured observations were made of 21 public health nurses at their offices at health care centers. The nurses were randomly selected from 22 health care centers in Southern Sweden. The public health nurses used nonpharmacological treatment at 18 out of 63 visits, mainly diet and physical activity. The nonpharmacological conversation had a psychosocial aspect at 15 observations. During the visits, most of the facts and advice concerned somatic aspects of health promotion. Almost all patients were asked about their medication. At more than half of the observations, the nurses and the patients met at the same medium or high communication level. The nurses need training and information about nonpharmacological treatment to practice health promotion in hypertension care.
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  • Drevenhorn, Eva, 1954, et al. (author)
  • Counselling on lifestyle factors in hypertension care training on the Stages of Change-model
  • 2007
  • In: European Journal of Cardiovascular Nursing. - 1474-5151. ; 6:1, s. 46-53
  • Journal article (peer-reviewed)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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  • Drevenhorn, Eva, 1954 (author)
  • Counselling Patients with Hypertension at Health Centres - a Nursing Perspective
  • 2006
  • Doctoral thesis (other academic/artistic)abstract
    • Counselling in hypertension care relating to lifestyle changes, i.e. non-pharmaco-logical treatment regarding smoking, alcohol, weight, diet, physical activity and stress, aims to reduce complications such as stroke and myocardial infarction. Many patients have several risk factors to deal with. There are few studies of nursing in hypertension care in Sweden and this issue therefore needs to be investigated in greater detail. The aims of this thesis were to analyse the communication between patients and nurses about lifestyle changes in hypertension care at health centres and to evaluate the effects of nursing interventions. In the first study, the Nurse Practitioner Rating Form was used to explore what 21 randomised public-health nurses discussed with hypertensive patients and their communication. In the second study, variables from 100 patients were collected to explore the effectiveness of using a hypertension nursing programme at a nurse-led clinic. The third study comprised consultation training for 19 randomised nurses, at nurse-led clinics in southern Sweden, with audio-recorded consultations with 36 patients before the training and 35 after the training. The recordings were analysed using content analysis. The results reveal that non-pharmacological treatment was not provided to any great extent during visits for blood pressure measurement with public-health nurses at open hours, but a great deal of information and advice was provided. One significant correlation was, however, found. The more years the nurses had been working, the more likely it was that their health promotion was psychosocially oriented in the consultations. The patients and nurses generally met at an equal communication level in their conversations. Starting a nurse-led hypertension clinic following a hypertension nursing programme resulted in many medication adjustments when assessing the patients? treatment and blood pressure levels. The most positive changes were seen in blood pressure, blood lipids and exercise. Consultation training on the stages of change model and patient centredness resulted in the nurses acquiring a more distinct structure for their consultations and relevant information was supplied in a more individually adapted way. The number of words and turns increased in the consultations. The nurses paid attention to support more frequently, irrespective of the stage of behavioural change the patient had reached. Negotiations about reasons for and where to begin behavioural change increased in the consultations. A model for nurses counselling patients in hypertension care was suggested, applying Orem?s self-care deficit theory of nursing. It is concluded that public-health nurses in normal practice at health centres did not perform counselling on non-pharmacological treatment to any great extent. Applying a hypertension nursing programme resulted in positive changes in patients? blood pressure, blood lipids and exercise. After consultation training, the nurses acquired a more distinct structure for their counselling, with more words and turns, and negotiations about reasons for and where to begin behavioural change increased. The results of this thesis could be of help when planning and starting nurse-led clinics in hypertension care and when developing a national hypertension nursing program. To improve the care for hypertensive patients it is suggested that nurses at nurse-led clinics should have the opportunity for recurrent counselling training and education in the cardiovascular area.
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36.
  • Drevenhorn, Eva, et al. (author)
  • Effects on hypertensive patients' satisfaction with information about their medication after nurses' consultation training
  • 2014
  • In: Pragmatic and Observational Research. - : Dove Press. - 1179-7266. ; 5, s. 35-41
  • Journal article (peer-reviewed)abstract
    • Background: There is a well-known problem in hypertension care with patients' adherence to treatment. Patients who score high in answering the instrument Satisfaction with Information about Medicine Scale are reported to have greater adherence to their medication.Aim: To explore how hypertensive patients' satisfaction with information about their medicines was affected by nurses' education in Motivational Interviewing.Material and methods: The Stages of Change model and Motivational Interviewing was the theoretical base for consultation training for nurses. Nineteen nurses attended 3 days of video-recorded consultation training with simulated patients. They were updated in hypertensive medication and were trained in motivating patients to improve their self-management as well as adherence to lifestyle changes and medication. The satisfaction with information instrument identifies patients' satisfaction with information about the action and usage of medication as well as potential problems with it. The instrument was used to assess how well the needs of individual patients for medicine information were met at baseline and 2 years after the training. The 19 trained nurses in the intervention group worked with 137 patients, and a control group of 16 nurses, who gave normal care, worked with 51 patients.Results: There was a difference between the intervention and control group in total score (P=0.028) 2 years after the intervention. Patients in the intervention group perceived higher satisfaction with the action and usage of their medication (P=0.001) and a lower degree of potential problems with their medication (P=0.001). Patients in the control group also perceived a lower degree of potential problems with their medication (P=0.028).Conclusion: We suggest that consultation training for nurses with the aim of motivating patients to be more self-directed in their self-care improves satisfaction with information about medication.
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  • Drevenhorn, Eva, 1954, et al. (author)
  • Evaluation of consultation training in hypertension care
  • 2009
  • In: European Journal of Cardivascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 8:5, s. 349-354
  • Journal article (peer-reviewed)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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  • Drevenhorn, Eva, et al. (author)
  • Folkhälsa, förebyggande vård
  • 2013
  • In: Omvårdnad på avancerad nivå. - 9789144071459
  • Book chapter (other academic/artistic)
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  • Drevenhorn, Eva, 1954, et al. (author)
  • Outcomes following a programme for lifestyle changes with people with hypertension.
  • 2007
  • In: Journal of clinical nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 16:7B, s. 144-51
  • Journal article (peer-reviewed)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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  • Drevenhorn, Eva, et al. (author)
  • Risk för ohälsa
  • 2016
  • In: Omvårdnad och medicin. - : Studentlitteratur AB. - 9789144076645 ; , s. 73-92
  • Book chapter (other academic/artistic)abstract
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  • Drevenhorn, Eva (author)
  • Samtal om livsstilsförändring med patient med hypertoni
  • 2005
  • Other publication (other academic/artistic)abstract
    • Agerar som distriktssköterska i filmen under egen regi. Filmen utformad för att demonstrera Motiverande samtal och förflyttning i Stages of change model i undervisning i samtalsmetodik.
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  • Drevenhorn, Eva, 1954, et al. (author)
  • To be motivated or only comply - patients' views of hypertension care after consultation training for nurses
  • 2015
  • In: Health Education Journal. - : SAGE Publications. - 0017-8969 .- 1748-8176. ; 74:1, s. 28-36
  • Journal article (peer-reviewed)abstract
    • Objective: This paper reports on patients' perspectives on the nurse management of hypertension following consultation training, elicited as part of a randomised controlled study. Method: Telephone interviews were conducted with 16 patients in an intervention group (IG) and eight patients in a control group (CG), 3 years after nurses' consultation training in primary health care. By means of a 3-day course, nurses were educated in patient centredness, Motivational Interviewing, the Stages of Change model, guidelines for cardiovascular prevention, lifestyle changes and pharmacological treatment. In addition, they took part in video-recorded consultation training with simulated patients. A specially designed educational booklet was developed for patients in the IG. Results: Of the 16 patients in the IG, 13 reported that their views and former experiences were taken into account and all eight patients in the CG reported the same. Patients in the IG reported that the nurse listened and they had been guided and motivated to perform lifestyle changes. The booklet in the IG was reported to have been read several times, but a few patients did not remember receiving it. There were more informed thoughts about how to manage lifestyle in the IG. Patients in the CG were less detailed in their descriptions. Conclusion: Patients in both IG and CG reported to have made efforts to change lifestyle, and patients in the IG reported that they had been coached and motivated by their nurses to do so.
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