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Ek, Anna-Christina
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Publikasjoner (10 av 118) Visa alla publikasjoner
Källman, U., Bergstrand, S., Ek, A.-C., Engström, M. & Lindgren, M. (2016). Nursing staff induced repositionings and immobile patients' spontaneous movements in nursing care.. International Wound Journal, 13(6), 1168-1175
Åpne denne publikasjonen i ny fane eller vindu >>Nursing staff induced repositionings and immobile patients' spontaneous movements in nursing care.
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2016 (engelsk)Inngår i: International Wound Journal, ISSN 1742-4801, E-ISSN 1742-481X, Vol. 13, nr 6, s. 1168-1175Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The aim of this study was to investigate nursing staff induced repositionings and the patients' spontaneous movements during the day and night among older immobile patients in nursing care. Furthermore, the aim was to identify factors associated with the nursing staff induced repositionings and the patients' spontaneous movement frequency. An observational cross-sectional design was used. Spontaneous movements among patients (n = 52) were registered continuously using the MovinSense monitoring system. The nursing staff documented each time they repositioned the patient. Patients spontaneous movements were compared with nursing staff induced repositionings. There were large variations in the patients' spontaneous repositioning frequency during both days and nights, which shows that, although immobilised, some patients frequently reposition themselves. Analgesics were positively related to the movement frequency and psycholeptics were negatively related. The nursing staff more often repositioned the patients who were assessed as high risk than those assessed as low risk, but the patients' spontaneous movement frequency was not correlated to the risk score. This may be important when planning repositioning schedules. A monitoring system may be useful in decision making with regard to planning repositioning and positions used in the prevention of pressure ulcers among elderly immobile patients.

sted, utgiver, år, opplag, sider
Wiley-Blackwell, 2016
Emneord
Nursing home residents, patient repositioning, pressure ulcer, interface pressure, skin temperature, tissue blood flow
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-117445 (URN)10.1111/iwj.12435 (DOI)000387664400011 ()25779932 (PubMedID)
Merknad

Funding agencies: Research Council Sodra Alvsborg Boras Sweden; Research Council ostergotland Linkoping Sweden; SwedBank Sjuharad foundation for research at the Sodra Alvsborg Hospital Boras Sweden; Sodra Alvsborgs Hospital Boras Sweden; King Gustaf V and Queen Victorias F

Tilgjengelig fra: 2015-04-27 Laget: 2015-04-27 Sist oppdatert: 2017-12-04bibliografisk kontrollert
Bergstrand, S., Källman, U., Ek, A.-C., Engström, M. & Lindgren, M. (2015). Microcirculatory responses of sacral tissue in healthy individuals and inpatients on different pressure-redistribution mattresses. Journal of Wound Care, 24(8), 346-358
Åpne denne publikasjonen i ny fane eller vindu >>Microcirculatory responses of sacral tissue in healthy individuals and inpatients on different pressure-redistribution mattresses
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2015 (engelsk)Inngår i: Journal of Wound Care, ISSN 0969-0700, E-ISSN 2052-2916, Vol. 24, nr 8, s. 346-358Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: The aim of this study was to explore the interaction between interface pressure and pressure-induced vasodilation and reactive hyperemia with different pressureredistribution mattresses.

Method: A cross-sectional study was performed with a convenience sample of 42 healthy individuals between 18 and 64 years of age, 38 healthy individuals 65 years or older, and 35 inpatients 65 years or older at a university hospital in Sweden. Blood flow was measured at depths of 1 mm, 2 mm, and 10 mm using a combined system of laser Doppler flowmetry and photoplethysmography. The blood flow, interface pressure and skin temperature were measured in the sacral tissue before, during, and after load while lying on one standard hospital mattress and three different pressure-redistribution mattresses.

Results: There were significant differences between the three foam mattresses with regard to average sacral pressure, peak sacral pressure, and local probe pressure with the lowest values at the visco-elastic foam/air mattress (23.5 ± 2.5 mmHg, 49.3 ± 11.1 mmHg, 29.2 ± 14.0 mmHg respectively). A greater proportion of subjects had affected blood flow in terms of lack of pressure-induced vasodilation on the visco-elastic foam/air mattress compared to the alternating pressure mattress at tissue depths of 2 mm (39.0% vs. 20.0%, respectively) and 10 mm (56.9 % vs. 35.1%, respectively). Eleven individuals, including subjects in all three subject groups were identified with no pressure-induced vasodilation or reactive hyperemia in any mattress, and this was considered a high-risk blood flow response.

Conclusion: Interface pressure magnitudes considered not harmful during pressure-exposure lying on different pressure-redistribution mattresses can affect the microcirculation in different tissue structures. Despite having the lowest pressure values compared to the other mattresses, the visco-elastic foam/air mattress had the highest proportion of subjects with decreased blood flow indicating a more affected blood flow. Three young healthy individuals were identified with the high-risk blood flow response, indicating an innate vulnerability to pressure exposure and may not benefit from pressure-redistribution mattresses. Finally it was shown that the evaluation of pressure-redistribution support surfaces in terms of mean blood flow during and after tissue exposure is not feasible but assessment of pressure-induced vasodilation and reactive hyperemia could be a new possibility to assess individualized physiological measurements of mechanisms known to be related to pressure ulcer development.

Emneord
interface pressure, pressure-induced vasodilation, pressure ulcer, reactive hyperemia, tissue blood flow
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-109951 (URN)10.12968/jowc.2015.24.8.346 (DOI)000359210200004 ()
Merknad

Vid tiden för disputationen var publikationen ett manuskript ("Exploring pressure-induced microcirculatory responses in sacral tissue in healthy individuals and inpatients on different pressure-redistribution mattresses")

Funding text: None declared. The study was funded by the Swedish Research Council, the Faculty of Health Sciences at Linkoping University, Region of Ostergotland., King GustafV and Queen Victoria's Freemason Foundation, NovaMedTech, and the European Union Regional Development Fund.

Tilgjengelig fra: 2014-08-29 Laget: 2014-08-29 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Källman, U., Bergstrand, S., Ek, A.-C., Engström, M. & Lindgren, M. (2015). Sacral pressure-induced blood flow responses at different tissue depths during one hour supine bedrest in nursing home residents.
Åpne denne publikasjonen i ny fane eller vindu >>Sacral pressure-induced blood flow responses at different tissue depths during one hour supine bedrest in nursing home residents
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2015 (engelsk)Manuskript (preprint) (Annet vitenskapelig)
Abstract [en]

Background. Pressure induced vasodilation (PIV) protects the skin from pressure induced ischemia. PIV responses at individual level during a long-term measurement period have not previously been described in an elderly population in a clinically relevant situation.

Aim. To describe individual PIV responses in a nursing home resident population for 1-hour periods of bed rest.

Method. From May 2011 to August 2012, blood flow at three tissue depths was measured for one hour over the sacrum in 0° supine position and 30° supine tilt position in 25 individuals aged 65 years or older while lying on a pressure redistributing mattress. Measurements were made using the non-invasive optical techniques Laser Doppler Flowmetry (LDF) and photoplethysmography. The individuals were divided into a PIV group and a non-PIV group based upon the LDF data.

Results. In the PIV group, the blood flow in almost all cases increased immediately and remained over baseline for the entire 60 minutes of loading in both positions, while the blood flow decreased immediately and remained below baseline in the non-PIV group. These blood flow patterns were also seen in deeper tissue layers although a PIV response was most common in the underlying tissue in both groups.

Conclusion. The cutaneous blood flow response among the nursing home residents was distinct, appeared early and remained during the one hour of loading in both the PIV and non-PIV group. The non-PIV group may be more vulnerable to pressure and thus may be at risk for pressure ulcer development. More research is needed in order to verify the results.

Emneord
Tissue blood flow, pressure-induced vasodilation, interface pressure, skin temperature, pressure ulcer, nursing home residents
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-117446 (URN)
Tilgjengelig fra: 2015-04-27 Laget: 2015-04-27 Sist oppdatert: 2015-04-27bibliografisk kontrollert
Källman, U., Engström, M., Bergstrand, S., Ek, A.-C., Fredrikson, M., Lindberg, L.-G. & Lindgren, M. (2015). The Effects of Different Lying Positions on Interface Pressure, Skin Temperature, and Tissue Blood Flow in Nursing Home Residents. Biological Research for Nursing, 17(2), 142-151
Åpne denne publikasjonen i ny fane eller vindu >>The Effects of Different Lying Positions on Interface Pressure, Skin Temperature, and Tissue Blood Flow in Nursing Home Residents
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2015 (engelsk)Inngår i: Biological Research for Nursing, ISSN 1099-8004, E-ISSN 1552-4175, Vol. 17, nr 2, s. 142-151Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Although repositioning is considered an important intervention to prevent pressure ulcers, tissue response during loading in different lying positions has not been adequately explored.

Aim: To compare the effects of different lying positions on interface pressure, skin temperature, and tissue blood flow in nursing home residents.

Method: From May 2011 to August 2012, interface pressure, skin temperature, and blood flow at three tissue depths were measured for 1 hr over the sacrum in 30 supine tilt and 0 supine positions and over the trochanter major in 30lateral and 90lateral positions in 25 residents aged 65 years or older. Measurement of interface pressure was accomplished using a pneumatic pressure transmitter connected to a digital manometer, skin temperature using a temperature sensor, and blood flow using photoplethysmography and laser Doppler flowmetry.

Results: Interface pressure was significantly higher in the 0supine and 90lateral positions than in 30supine tilt and 30 lateral positions. The mean skin temperature increased from baseline in all positions. Blood flow was significantly higher in the 30 supine tilt position compared to the other positions. A hyperemic response in the post pressure period was seen at almost all tissue depths and positions.

Conclusion: The 30supine tilt position generated less interface pressure and allowed greater tissue perfusion, suggesting that this position is the most beneficial.

sted, utgiver, år, opplag, sider
Sage Publications, 2015
Emneord
nursing home residents, patient repositioning, pressure ulcer, interface pressure, skin temperature, tissue blood flow
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-109318 (URN)10.1177/1099800414540515 (DOI)000349332300003 ()25037449 (PubMedID)
Merknad

The author(s) disclosed receipt of the following financial support for the research, authorship and/or publication of this article: This research project was funded by the Research Council, Sodra Alvsborg Hospital, Boras, Sweden [VGFOUSA-318701]; the Research Council, Ostergotland, Linkoping, Sweden [LIO-197101]; the Dermatology Department Research Foundation at Sodra Alvsborg Hospital, Boras Sweden [April 01, 2010]; the SwedBank Sjuharad Foundation for Research at the Sodra Alvsborg Hospital, Boras, Sweden [October 10, 2011]; the Sodra Alvsborg Hospital, Boras, Sweden [April 01, 2011]; the King Gustaf V and Queen Victoria's Freemason Foundation [December 2011]; the NovaMedTech and European Union-European Regional Development Fund [September 29, 2011]; Faculty of Health Science Linkoping University, Linkoping, Sweden [LIO-200671].

Tilgjengelig fra: 2014-08-12 Laget: 2014-08-12 Sist oppdatert: 2017-12-05
Bergstrand, S., Källman, U., Ek, A.-C., Lindberg, L.-G., Engström, M., Sjöberg, F. & Lindgren, M. (2014). Pressure-induced vasodilation and reactive hyperemia at different depths in sacral tissue under clinically relevant conditions. Microcirculation, 21(8), 761-771
Åpne denne publikasjonen i ny fane eller vindu >>Pressure-induced vasodilation and reactive hyperemia at different depths in sacral tissue under clinically relevant conditions
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2014 (engelsk)Inngår i: Microcirculation, ISSN 1073-9688, E-ISSN 1549-8719, Vol. 21, nr 8, s. 761-771Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: To characterize pressure-induced vasodilatation and reactive hyperemia at different sacral tissue depths in different populations under clinically relevant pressure exposure.

METHODS: Forty-two subjects (< 65 years), 38 subjects (≥ 65 years), and 35 patients (≥ 65 years) participated. Interface pressure, skin temperature, and blood flow at tissue depths of 1 mm, 2 mm, and 10 mm (using laser Doppler flowmetry and photoplethysmography) were measured in the sacral tissue before, during, and after load in a supine position.

RESULTS: pressure-induced vasodilatation and reactive hyperemia were observed at three tissue depths. At 10 mm depth, the proportion of subjects with a lack of pressure-induced vasodilatation was higher compared to superficial depths. The patients had higher interface pressure during load than the healthy individuals, but there were no significant differences in blood flow. Twenty-nine subjects in all three study groups were identified with a lack of pressure-induced vasodilatation and reactive hyperemia.

CONCLUSIONS: pressure-induced vasodilatation and reactive hyperemia can be measured at different tissue depths. A lack of these responses was found in healthy individuals as well as in patients indicating an innate susceptibility in some individuals, and are potential important factors to evaluate in order to better understand the etiology of pressure ulcers.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2014
Emneord
Pressure ulcer, photoplethysmography, laser Doppler flowmetry, non-invasive, tissue blood flow
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-109950 (URN)10.1111/micc.12160 (DOI)000344789400010 ()25100630 (PubMedID)
Tilgjengelig fra: 2014-08-29 Laget: 2014-08-29 Sist oppdatert: 2017-12-05bibliografisk kontrollert
Källman, U., Bergstrand, S., Ek, A.-C., Engström, M., Lindberg, L.-G. & Lindgren, M. (2013). Different lying positions and their effects on tissue blood flow and skin temperature in older adult patients. Journal of Advanced Nursing, 69(1), 133-144
Åpne denne publikasjonen i ny fane eller vindu >>Different lying positions and their effects on tissue blood flow and skin temperature in older adult patients
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2013 (engelsk)Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, nr 1, s. 133-144Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim. To report a study to compare the effects of different lying positions on tissue blood flow and skin temperature in older adult patients. This article reports the evaluation of study design and procedures. Background. To reduce risk of pressure ulcers, repositioning of immobile patients is a standard nursing practice; however, research into how different lying positions effect tissue microcirculation is limited. Design. Descriptive comparative design. Methods. From MarchOctober 2010, 20 inpatients, aged 65 years or older, were included in the study. Tissue blood flow and skin temperature were measured over bony prominences and in gluteus muscle in four supine and two lateral positions. Results. The blood flow over the bony prominence areas was most influenced in the superficial skin and especially in the 30 degrees lateral position, where the blood flow decreased significantly in comparison with the supine positions. There were significant individual differences in blood flow responses, but no common trend was identified among the patients considered at risk for pressure ulcer development. The study procedure worked well and was feasible to perform in an inpatient population. Conclusion. The lying positions seem to influence the tissue blood flow over the bony prominences in different ways in older adult inpatients, but further study is needed to confirm the results and to make recommendations to clinical practice. The study procedure worked well, although some minor adjustments with regard to heat accumulation will be made in future studies.

sted, utgiver, år, opplag, sider
Blackwell Publishing, 2013
Emneord
nursing, older adults, patient repositioning, pressure ulcer, prevention, skin temperature, tissue blood flow
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-87459 (URN)10.1111/j.1365-2648.2012.06000.x (DOI)000312550600013 ()
Merknad

Funding Agencies|Research Council South Alvsborg||South Alvsborg Hospital and Dermatology Department Research Foundation||South Alvsborg Hospital, Boras||Swed Bank Sjuharads foundation for research at the hospital of South Alvsborg, Boras, Sweden||Swedish Research Council||Faculty of Health Sciences, Linkoping, Sweden||

Tilgjengelig fra: 2013-01-18 Laget: 2013-01-18 Sist oppdatert: 2017-12-06
Engström, M., Flensner, G., Landtblom, A.-M., Ek, A.-C. & Karlsson, T. (2013). Thalamo-striato-cortical determinants to fatigue in multiple sclerosis. Brain and Behavior, 3(6), 715-728
Åpne denne publikasjonen i ny fane eller vindu >>Thalamo-striato-cortical determinants to fatigue in multiple sclerosis
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2013 (engelsk)Inngår i: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 3, nr 6, s. 715-728Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background

The aim was to explore the thalamo-striato-cortical theory of central fatigue in multiple sclerosis (MS) patients with self-reported fatigue. If the theory correctly predicted fatigue based on disruptions of the thalamo-striato-cortical network, we expected altered brain activation in this network in MS participants while performing a complex cognitive task that challenged fatigue.

Methods

MS participants with self-reported fatigue were examined by functional magnetic resonance imaging (fMRI) during the performance of a complex working memory task. In this task, cognitive effort was challenged by a parametric design, which modeled the cerebral responses at increasing cognitive demands. In order to explore the theory of central fatigue in MS we also analyzed the cerebral responses by adding perceived fatigue scores as covariates in the analysis and by calculating the functional connectivity between regions in the thalamo-striatocortical network. The main findings were that MS participants elicited altered brain responses in the thalamo-striato-cortical network, and that brain activation in the left posterior parietal cortex and the right substantia nigra was positively correlated to perceived fatigue ratings. MS participants had stronger cortical-to-cortical and subcortical-to-subcortical connections, whereas they had weaker cortical-to-subcortical connections.

Conclusions

The findings of the present study indicate that the thalamo-striato-cortical network is involved in the pathophysiology of fatigue in MS, and provide support for the theory of central fatigue. However, due to the limited number of participants and the somewhat heterogeneous sample of MS participants, these results have to be regarded as tentative, though they might serve as a basis for future studies.

sted, utgiver, år, opplag, sider
John Wiley & Sons, 2013
Emneord
Basal ganglia, functional magnetic resonance imaging, parietal cortex, substantia nigra, working memory
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-99384 (URN)10.1002/brb3.181 (DOI)000346972200012 ()
Tilgjengelig fra: 2013-10-17 Laget: 2013-10-17 Sist oppdatert: 2017-12-06bibliografisk kontrollert
Dini, F., Capuano, R., Strand, T., Ek, A.-C., Lindgren, M., Paolesse, R., . . . Lundström, I. (2013). Volatile Emissions from Compressed Tissue. PLoS ONE, 8(7)
Åpne denne publikasjonen i ny fane eller vindu >>Volatile Emissions from Compressed Tissue
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2013 (engelsk)Inngår i: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 8, nr 7Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Since almost every fifth patient treated in hospital care develops pressure ulcers, early identification of risk is important. A non-invasive method for the elucidation of endogenous biomarkers related to pressure ulcers could be an excellent tool for this purpose. We therefore found it of interest to determine if there is a difference in the emissions of volatiles from compressed and uncompressed tissue. The ultimate goal is to find a non-invasive method to obtain an early warning for the risk of developing pressure ulcers for bed-ridden persons. Chemical analysis of the emissions, collected in compresses, was made with gas-chromatography – mass spectrometry and with a chemical sensor array, the so called electronic nose. It was found that the emissions from healthy and hospitalized persons differed significantly irrespective of the site. Within each group there was a clear difference between the compressed and uncompressed site. Peaks that could be certainly deemed as markers of the compression were, however, not identified. Nonetheless, different compounds connected to the application of local mechanical pressure were found. The results obtained with GC-MS reveal the complexity of VOC composition, thus an array of non-selective chemical sensors seems to be a suitable choice for the analysis of skin emission from compressed tissues; it may represent a practical instrument for bed side diagnostics. Results show that the adopted electronic noses are likely sensitive to the total amount of the emission rather than to its composition. The development of a gas sensor-based device requires then the design of sensor receptors adequate to detect the VOCs bouquet typical of pressure. This preliminary experiment evidences the necessity of studies where each given person is followed for a long time in a ward in order to detect the insurgence of specific VOCs pattern changes signalling the occurrence of ulcers.

sted, utgiver, år, opplag, sider
Public Library of Science, 2013
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-97248 (URN)10.1371/journal.pone.0069271 (DOI)000321736900145 ()
Merknad

Funding Agencies|NovaMedTech, a regional program within biomedical engineering||

Tilgjengelig fra: 2013-09-05 Laget: 2013-09-05 Sist oppdatert: 2017-12-06
Flensner, G., Landtblom, A.-M., Soderhamn, O. & Ek, A.-C. (2013). Work capacity and health-related quality of life among individuals with multiple sclerosis reduced by fatigue: a cross-sectional study. BMC Public Health, 13
Åpne denne publikasjonen i ny fane eller vindu >>Work capacity and health-related quality of life among individuals with multiple sclerosis reduced by fatigue: a cross-sectional study
2013 (engelsk)Inngår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Among individuals diagnosed with the chronic neurologic disease, multiple sclerosis (MS), a majority suffers from fatigue, which strongly influences their every-day-life. The aim of this study was to investigate work capacity and health-related quality of life (HRQoL) in a group of MS patients and also to investigate if work capacity and HRQoL could be predicted by background factors, fatigue, heat sensitivity, cognitive dysfunction, emotional distress or degree of disability. less thanbrgreater than less thanbrgreater thanMethods: A descriptive, cross-sectional, designed survey was undertaken A questionnaire was sent to 323 individuals diagnosed with MS, aged between 20 and 65 years, with physical disability on the expanded disability status score (EDSS) in the interval 0 andgt;= EDSS andlt;= 6.5, living in sterg"tland county in eastern Sweden. Questions on background factors, occupation and work, together with the health-related quality of life short form instrument (SF-36), the fatigue severity scale (FSS), the perceived deficit questionnaire (PDQ) and the hospital anxiety depression scale (HAD) were posed. Associations between variables were analyzed using Pearsons and Spearmans correlations. Differences between groups were tested using the Chi-square test, the Mann Whitney U-test, and the Students t-test. Predictive factors were analyzed using multiple linear and multiple logistic regression analysis. less thanbrgreater than less thanbrgreater thanResults: Of those who completed the questionnaire (n = 257, 79.6%), 59.8% were working. Work capacity was found significantly more among men (p andlt; 0.005), those with a higher level of education (p andlt; 0.001), those reporting less fatigue (p andlt; 0.001), and those having no heat sensitivity (p = 0.004). For work capacity, significant predictors were low physical disability (EDSS), low fatigue, higher level of education, male sex and lower age. Those with work capacity showed significantly higher HRQoL than those who had no work capacity (p andlt; 0.001). Levels of fatigue, cognition and emotional distress were found to be major contributing factors for HRQoL. less thanbrgreater than less thanbrgreater thanConclusions: Work capacity and HRQoL among individuals diagnosed with MS are highly influenced by fatigue which can be considered as a key symptom. Work capacity was influenced by heat-sensitivity, cognitive difficulties and emotional distress and significant predictive factors besides fatigue, were physical disability (EDSS), age, sex, and level of education. Remaining at work also gives a better HRQoL.

sted, utgiver, år, opplag, sider
BioMed Central, 2013
Emneord
Cognition, Education, Emotional distress, Heat sensitivity, Regression analysis
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-92615 (URN)10.1186/1471-2458-13-224 (DOI)000317116400001 ()
Merknad

Funding Agencies|Swedish Research Council||University West||

Tilgjengelig fra: 2013-05-16 Laget: 2013-05-14 Sist oppdatert: 2017-12-06
Fex, A., Flensner, G., Ek, A.-C. & Söderhamn, O. (2012). Self-Care Agency and Perceived Health Among Persons Using Advanced Medical Technology at Home. Journal of Advanced Nursing, 68(4), 806-815
Åpne denne publikasjonen i ny fane eller vindu >>Self-Care Agency and Perceived Health Among Persons Using Advanced Medical Technology at Home
2012 (engelsk)Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, nr 4, s. 806-815Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim. This paper is a report of a study of self-care agency and perceived health in a group ofpersons using advanced medical technology at home.

Background. An increasing number of persons are using medical technology for self-care. Few studies describe daily life in this context at an overriding level, irrespective of the specific sort of technology. A connection between self-care, perceived health and sense of coherence has previous been implied.

Methods. A descriptive, comparative, cross-sectional quantitative design was used. Data were collected from a questionnaire in the winter 2009/2010. The questionnaire addressed perceiveed health and daily life with medical technology, and applied Swedish versions of the Appraisal of Self-care Agency scale and the 13-item version of Antonovsky’s sense of coherence scale.

Results. The questionnaire was answered by 180 adults performing self-care at home involving long-term oxygen, a ventilator, peritoneal or blood dialysis. Health-related and technology-related variables in daily life were rated as satisfactory to a high extent. Perceived health was rated significantly lower among participants using long-term oxygen. Sufficient sense of coherence and knowledge of how to use technology, close contacts with other persons, and not feeling helpless contributed positively as factors for self-care agency. Positive factors for perceived health were being satisfied with life, having an active life, and not feeling helpless, while age was a negative factor.

Conclusion. Daily life is manageable for persons using these types of technology. Long-term oxygen treatment and advanced age can be seen as risk factors for perceiving ill health.

Emneord
Appraisal of self-care agency scale, high-tech care; home ventilator; home dialysis; long-term oxygen; nursing; sense of coherence
HSV kategori
Identifikatorer
urn:nbn:se:liu:diva-63741 (URN)10.1111/j.1365-2648.2011.05781.x (DOI)000301426000009 ()
Merknad
Funding Agencies|Department of Nursing, Health and Culture, University West||Division of Nursing Science, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linkoping University||University of Agder||University West, Sweden||University of Agder, Norway||Tilgjengelig fra: 2011-01-03 Laget: 2011-01-03 Sist oppdatert: 2017-12-11bibliografisk kontrollert
Organisasjoner