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- von Vogelsang, Ann-Christin, et al.
(författare)
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Patient information after ruptured intracranial aneurysm rupture
- 2004
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Ingår i: Journal of Advanced Nursing. - Oxford : Wiley-Blackwell. - 0309-2402 .- 1365-2648. ; 48:6, s. 551-559
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Tidskriftsartikel (refereegranskat)abstract
- Aim. This paper reports an investigation into the effects of increased information for patients treated for intracranial aneurysm rupture.Background. Intracranial aneurysm rupture is a grave condition that requires immediate care. It can be treated in two different ways, by surgery or by endovascular procedure. Intracranial aneurysm rupture can mean great changes in life, both for the patient and their spouse or relatives.Methods. An intervention study was conducted using a quasi-experimental design. Participants were recruited consecutively over a period of 12 months and consisted of 62 patients treated for intracranial aneurysm rupture at a Swedish neurosurgical clinic. They were divided into two groups: an intervention group, who received written and oral information, and a comparison group, who received only oral information.Instruments. Self-report questionnaires were sent to patients’ homes 1–3 months after the aneurysm rupture. The questionnaires consisted of one study-specific instrument with questions about understanding of the information given and the State-Trait Anxiety Inventory, which measures worry or anxiety.Findings. The intervention group considered that the information that they received was somewhat easier to understand and that it corresponded more closely to their needs, compared with the comparison group. The majority of patients in both groups expressed a need for more and improved information. Levels of anxiety were high for the majority of patients, but no significant difference was evident between groups. Furthermore, the results showed that the majority of patients were given information without their spouse or relatives being present.Conclusion. Increased information seems to be needed for these patients. There is a need to continue the work to improve information-giving to them and their relatives.
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| 3. |
- Wengström, Yvonne, 1959-, et al.
(författare)
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Coping with radiation therapy : effects of a nursing intervention on coping ability for women with breast cancer
- 2001
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Ingår i: International Journal of Nursing Practice. - : Wiley. - 1322-7114 .- 1440-172X. ; 7:1, s. 8-15
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Tidskriftsartikel (refereegranskat)abstract
- A randomized study was carried out to investigate whether a nursing intervention, using Orem's self-care theory as a framework, would affect the coping ability of women with breast cancer during and following radiation therapy. The intervention consisted of promoting of behaviours to support the patient to restore, maintain or increase their abilities to interact with the situation and adapt to the demands of radiation treatment. The control and experimental groups both consisted of 67 patients. The Wheel Questionnaire was used to evaluate the effect of the intervention. Our results showed that the intervention provided patients older than 59 years the ability to cope with the treatment (df = 2, F = 3.463, P = > 0.05). The present study supports the idea that individual interventions aimed at improving well-being helps patients. It also highlights the fact that individual approaches to improving well-being are needed. Such interventions should be directed to patients at risk for poor adjustment, such as those older than 50 years of age.
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| 4. |
- Wengström, Yvonne, 1959-, et al.
(författare)
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Coping with radiation therapy : Strategies used by women with breast cancer
- 2001
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Ingår i: Cancer Nursing. - : Ovid Technologies (Wolters Kluwer Health). - 0162-220X .- 1538-9804. ; 24:4, s. 264-271
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this qualitative study was to describe coping strategies used by women with breast cancer during and after radiation therapy. Content analysis was used to structure the statements provided by the patients in the Wheel Questionnaire. The patients used several problem- and emotion-focused strategies to cope with the treatment, and the strategies changed over time. Family and friends had a positive impact on the coping process for the three points of measurement: before treatment started, on completion of treatment, and 3 months after treatment. Contact with colleagues at work also provided the women with a sense of normalcy. The women used a broad spectrum of own activities to aid recovery, instead of leaving their treatment solely to medicine. The women also found that a hopeful and optimistic attitude was a helpful strategy for coping with the treatment.
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| 5. |
- Wengström, Yvonne, 1959-, et al.
(författare)
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Perceived symptoms and quality of life in women with breast cancer receiving radiation therapy
- 2000
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Ingår i: European Journal of Oncology Nursing. - : Elsevier BV. - 1462-3889 .- 1532-2122. ; 4:2, s. 78-88
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to describe symptoms, side-effects and quality of life (QoL) of women with breast cancer during and following treatment with radiation therapy. The sample consisted of 134 women with breast cancer. Symptoms were measured using a modified version of the Oncology Treatment Toxicity Tool (OTTAT) and QoL was measured using the Cancer Rehabilitation Evaluation System-short form (CARES-sf). The results showed an increase in experienced symptoms and their severity as the treatment progressed. QoL was perceived as poorest at baseline before treatment had started. During the treatment, QoL scores leveled out and an improvement could be seen after completion of treatment. The study findings provide directions and suggestions for assessment and management of perceived symptoms for women receiving radiation therapy for breast cancer from the second week and up to 2 weeks after completion of therapy is the critical time-period for targeting interventions for experienced symptoms and side-effects from radiation therapy.
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| 6. |
- Wengström, Yvonne, 1959-, et al.
(författare)
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Quantitative assessment of skin erythema due to radiotherapy : evaluation of different measurements
- 2004
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Ingår i: Radiotherapy and Oncology. - : Elsevier BV. - 0167-8140 .- 1879-0887. ; 72:2, s. 191-197
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Tidskriftsartikel (refereegranskat)abstract
- Background and purpose: Visual assessment is the most common clinical investigation of skin reactions in radiotherapy. Due to the unquantitative and subjective nature of this method additional non-invasive methods are needed for more accurate evaluation of the visible acute adverse skin reactions due to radiotherapy. The purpose of this study was to evaluate a new objective measure with regard to reliability and validity and compare it with an established objective measure and a visual assessment. Patients and methods: A sample of 53 consecutive patients commencing curative tangential radiation therapy to the breast parenchyma were included in the study. The skin area of the treated breast was divided into five sections and assessed individually at 0, 24 and 50 Gy. The RTOG scoring system was used for the visual assessment of the skin reactions. The first objective measure included reflectance spectrometry (DermaSpectrometer) measures at fixed points within the treatment area. For the second objective measure digital images (Camera) were taken with a system using a digital camera and software. The images were analyzed using the Adobe Photoshop 5.0 software program. Results: The results provided significant evidence of the test-retest reliability of the camera. The correlation between the objective measures proved to be significant as the treatment progressed. Conclusions: The results suggest that the camera may be used in a reliable and valid way to measure skin erythema due to radiotherapy. (C) 2004 Published by Elsevier Ireland Ltd.
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| 7. |
- Wengström, Yvonne, 1959-, et al.
(författare)
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Quantitative assessment of skin erythema following breast cancer RT
- 2003
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Ingår i: Radiotherapy and Oncology. - 0167-8140 .- 1879-0887. ; 68, s. S20-S20
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Tidskriftsartikel (refereegranskat)abstract
- Visual assessment is the most common clinical investigation of skin reactions in radiotherapy. Due to the unquantitative and subjective nature of this method additional non-invasive methods are needed for more accurate evaluation of the visible acute adverse skin reactions due to radiotherapy• The purpose of this study was to evaluate a new objective measure with regard to reliability and validity and compare it with an established objective measure and a visual assessment.Material and Methods: A sample of fifty-three consecutive patients commencing curative tangential radiation therapy to the breast parenchyma was included in the study• The skin area of the treated breast was divided into five sections and assessed individually at 0 Gy, 24 Gy and 50 Gy. The RTOG scoring system was used for the visual assessment of the skin reactions. The first objective measure included reflectance spectrometry (DermaSpectrometer) measures at fixed points within the treatment area. For the second objective measure digital images were taken with a system using a digital camera and software. The images were analyzed using the Adobe Photoshop 5•0 software program•Results: The results provided significant evidence of the test-retest reliability of the camera• The correlation between the objective measures proved to be significant as the treatment progressed• The results suggest that the Camera may be used in a reliable and valid way to measure skin erythema due to radiotherapy•
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| 9. |
- Wissing, Ulla, 1945-, et al.
(författare)
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Can individualised nutritional support improve healing in therapy-resistant leg ulcers?
- 2002
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Ingår i: Journal of wound care. - : Mark Allen Group. - 0969-0700 .- 2052-2916. ; 11:1, s. 15-20
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: This study investigated whether an individually designed programme of nutritional support can improve healing in otherwise therapy-resistant venous leg ulcers. METHOD: Six primary health-care patients, aged between 79 and 93 years, with venous ulcers that had been open for one year or more (range: 1.5-8 years) were recruited into the study. The patients were asked to follow an individualised diet plan which included the use of liquid dietary supplements. Ulcer area, anthropometric and biochemical variables, and energy and nutrient intake were assessed before intervention and then regularly for nine months.RESULTS: At nine months ulcer healing had occurred in two patients, of whom one had had ulcers on both legs. In a third patient the ulceration on one leg had healed and that on the other leg had almost healed. In a fourth patient, the ulcer area reduced by approximately 90%.CONCLUSION: The use of nutritional support might have assisted the wound healing in these patients. Although the relationship between nutritional supplementation and wound healing is not well defined, an appropriate nutritional plan is recommended if undernourishment is suspected and leg ulcers are not healing.
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