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  • 51.
    Berglund, Helene
    et al.
    Sahlgrenska Academy at the University of Gothenburg, Sweden; Vårdalinstitutet, Swedish Institute for Health Sciences, Lund, Sweden.
    Duner, Anna
    University of Gothenburg, Sweden; Vårdalinstitutet, Swedish Institute for Health Sciences, Lund, Sweden.
    Blomberg, Staffan
    Lund University, Sweden; Vårdalinstitutet, Swedish Institute for Health Sciences, Lund, Sweden.
    Kjellgren, Karin
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Care planning at home: a way to increase the influence of older people?2012Inngår i: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 12Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Care-planning meetings represent a common method of needs assessment and decision-making practices in elderly care. Older peoples influence is an important and required aspect of these practices. This studys objective was to describe and analyse older peoples influence on care-planning meetings at home and in hospital. Methods: Ten care-planning meetings were audio-recorded in the older peoples homes and nine were recorded in hospital. The study is part of a project including a comprehensive continuum-of-care model. A qualitative content analysis was performed. Results: Care-planning meetings at home appeared to enable older peoples involvement in the discussions. Fewer people participated in the meetings at home and there was less parallel talking. Unrelated to the place of the care-planning meeting, the older people were able to influence concerns relating to the amount of care/service and the choice of provider. However, they were not able to influence the way the help should be provided or organised. Conclusion: Planning care at home indicated an increase in involvement on the part of the older people, but this does not appear to be enough to obtain any real influence. Our findings call for attention to be paid to older peoples opportunities to receive care and services according to their individual needs and their potential for influencing their day-to-day provision of care and service.

  • 52.
    Bergman, E.
    et al.
    County Hospital Ryhov, Jönköping, Sweden.
    Berterö, Carina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    You can do it if you set your mind to it: A qualitative study of patients with coronary artery disease2001Inngår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 36, nr 6, s. 733-741Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims of the study. To gain increased knowledge and understanding of what it means to be afflicted with coronary artery disease (CAD) and how it affects the life/ lifestyle of the individual. Background. Research has documented that education, counselling and behavioural interventions are important elements of cardiac rehabilitation and compliance with treatment. Compliance is generally better with medical treatment than with recommended lifestyle changes. Another influencing aspect is locus of control, i.e. people's own understanding of control is the foundation for the decisions patients make more or less consciously regarding compliance with caring/nursing, treatment and lifestyle changes. Methods. Eight individuals with diagnosed coronary artery disease were interviewed about their life situation, and the opportunities and obstacles they encountered in making lifestyle changes. These interviews were transcribed and then analysed using a hermeneutic approach. Findings. The findings included three areas: (1) The causes of coronary artery disease describing different factors, such as heredity, lifestyle and demands. (2) Difficulties in the work of rehabilitation, which was explained in terms of informants' feelings of confusion, uncertainty and sadness. (3) Successful rehabilitation consisted of two factors: the personality of the individual patient and external support. Conclusions. Patients may comply well with follow-up visits but less with lifestyle changes. By identifying different 'characteristics', 'prerequisites' and 'difficulties' that describe patients' compliance, it should be possible to make treatment more individual. Nurses have a significant role in supporting these patients since they are more accessible than physicians. Nurses also have a responsibility to work together with patients to empower them, in order to make their lifestyle changes and self-care activities manageable.

  • 53.
    Bergman, Eva
    et al.
    County Hospital Ryhov, Sweden .
    Franzén Årestedt, Kristofer
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Fridlund, Bengt
    Jonköping University, Sweden .
    Karlsson, Jan-Erik
    County Hospital Ryhov, Sweden .
    Malm, Dan
    County Hospital Ryhov, Sweden .
    The impact of comprehensibility and sense of coherence in the recovery of patients with myocardial infarction: a long-term follow-up study2012Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 11, nr 3, s. 276-283Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: After being through a myocardial infarction (MI), a severe recovery period ensues for the patient. Longterm follow-ups are helpful, but what this should include differs between patients. Today there is no established approach to identify needs for support after an MI. Aim: The aim was to describe sense of coherence (SOC) over time in relation to sex, as well as further SOC in relation to quality of life (QoL) and treatment satisfaction in patients with an MI. Methods. This study had an observational and longitudinal design and followed 18 women and 60 men with an acute MI for 49-67 months after the onset of MI. Instruments used were the SOC-13 and the Seattle Angina Questionnaire. Results: Women scored lower SOC than men. A main effect of time was shown for comprehensibility which increased significantly from baseline to the long-term follow-up. Women increased from a lower level to an equal level as men at the long-term follow-up. The total SOC was significantly associated with QoL and treatment satisfaction. Conclusion: High comprehensibility and high SOC give the patient a better basis to handle life after MI. Thus, healthcare professionals should keep in mind that SOC and especially comprehensibility have meaning for the patients ability to handle her or his recovery. Healthcare professionals need to together with the patient identify and work with lifestyle factors that contribute to increased comprehensibility about the disease, which gives the patient the foundation to preserve and promote her or his health both in the short and long term.

  • 54.
    Bergman, Eva
    et al.
    Internmedicin, Ryhovs länssjukhus, Jönköping.
    Malm, Dan
    Internmedicin Ryhovs länssjukhus Jönköping, Hälsohögskolan Jönköping.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Karlsson, Jan-Erik
    Internmedicin, Ryhovs länssjukhus, Jönköping.
    Does one's sense of coherence change after an acute myocardial infarction?: A two-year longitudinal study in Sweden.2011Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 13, nr 2, s. 156-163Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to assess changes in the sense of coherence of patients who had suffered their first myocardial infarction. Out of 100 patients at the start of the study, these changes were evaluated in 66 men and 18 women aged 36–70 years. Generally, the sense of coherence was found to be stable among the whole group, but there were significant individual variations in its development in some of the participants over the following years. Even the individuals with an initally high sense of coherence could experience a decrease in its level. The changes that were found in the men can be explained by their marital status, level of treatment satisfaction, disease perception/quality of life, physical limitation, and alcohol intake and/or tobacco use at the baseline. An unexpected finding was that the single men with an initially high sense of coherence experienced a decreased level over time. In order to maintain or increase patients' sense of coherence, it is important for nurses to help them identify their risk factors and to provide conditions for individualized cardiac rehabilitation in order to avoid another myocardial infarction.

  • 55.
    Bergman, Eva
    et al.
    City Hospital Ryhov.
    Malm, Dan
    City Hospital Ryhov.
    Karlsson, Jan-Erik
    City Hospital Ryhov.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Longitudinal study of patients after myocardial infarction: Sense of coherence, quality of life, and symptoms2009Inngår i: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 38, nr 2, s. 129-140Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Myocardial infarction has pronounced effects on an individual that demand changes in lifestyle. Health is influenced by whether the individual experiences the world as comprehensible, meaningful, and manageable, that is, has a sense of coherence (SOC). High SOC scores indicate that the individual probably manages the situation by understanding the context and connections: action and effect.

    OBJECTIVE: The study objective was to identify the SOC, assess the quality of life (Short Form-12 Health Survey Questionnaire), assess the symptoms using the Seattle Angina Questionnaire, and create health curves from a baseline for patients with a first myocardial infarction.

    METHODS: A longitudinal and predictive Study of 100 participants in the heart care unit of a county hospital in southern Sweden was performed.

    RESULTS: Women score lower on SOC than men. Persons with high SOC scores have fewer angina attacks, are more physically active, drink more alcohol, are more satisfied with their treatments, and have better disease perception.

    CONCLUSION: By following SOC scores, a trend emerges that Suggests it may be a useful tool for identifying those who will need extra support.

  • 56.
    Bergman, Eva
    et al.
    County Hospital Ryhov, Sweden .
    Malm, Dan
    County Hospital Ryhov, Sweden Jonköping University, Sweden .
    Ljungquist, Birgit
    Jonköping University, Sweden .
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Karlsson, Jan-Erik
    County Hospital Ryhov, Sweden Jonköping University, Sweden .
    Meaningfulness is not the most important component for changes in sense of coherence2012Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 11, nr 3, s. 331-338Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Sense of coherence is a theoretical construct which is used to measure the degree to which a person finds the world comprehensible, manageable and meaningful. Aim: The main aim of the present study was to assess the hypothesis of Antonovsky that meaningfulness is the most crucial component in sense of coherence. The second aim was to explore the importance of its components and factors at baseline on sense of coherence changes and if the findings can be used in cardiac rehabilitation. Methods: One hundred patients, who suffered a primary myocardial infarction were followed during two years. The instruments used were; sense of coherence questionnaire-13, 12-item short-form health survey questionnaire, the Seattle Angina Questionnaire and Health Curve. Results: Thirty-nine percent of the participants fulfilled Antonovskys hypothesis. Comprehensibility and the baseline factors of smoking, alcohol use, marital status and disease perception proved to be of importance for sense of coherence changes over time. Conclusion: The hypothesis that meaningfulness is the most crucial component in sense of coherence is rejected for patients with primary myocardial infarction. Comprehensibility is more important than meaningfulness for changes in sense of coherence. Nurses therefore have an important task to increase comprehensibility and sense of coherence by providing information and knowledge about myocardial infarction and lifestyle changes at an early stage. The information should be given in an individualized and easily understandable way from a salutogenic perspective, which means to identify and work with factors that can contribute to preserving and promoting health.

  • 57.
    Bergqvist, Anette
    et al.
    Psykiatriska kliniken, Länssjukhuset Ryhov, Jönköping.
    Karlsson, Maria
    Psykiatriska kliniken, Länssjukhuset Ryhov, Jönköping.
    Foldemo, Anniqa
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Wärdig, Rikard
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Hultsjö, Sally
    Psykiatriska kliniken, Länssjukhuset Ryhov, Jönköping.
    Preventing the development of metabolic syndrome in people with psychotic disorders-difficult, but possible: experiences of staff working in psychosis outpatient care in sweden2013Inngår i: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 34, nr 5, s. 350-358Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore mental health staffs' experiences of assisting people with psychotic disorders to implement lifestyle changes in an effort to prevent metabolic syndrome. Qualitative interviews were conducted with 12 health care professionals working in psychosis outpatient care in Sweden. Data were analysed using a qualitative content analysis. The results illustrate that implementation of lifestyle changes among people with psychotic disorders was experienced as difficult, but possible. The greatest obstacles experienced in this work were difficulties due to the reduction of cognitive functions associated with the disease. Guidelines available to staff in order to help them identify and prevent physical health problems in the group were not always followed and the content was not always relevant. Staff further described feelings of uncertainty about having to motivate people to take anti-psychotic medication while simultaneously being aware of the risks of metabolic deviations. Nursing interventions focusing on organising daily routines before conducting a more active prevention of metabolic syndrome, including information and practical support, were experienced as necessary. The importance of healthy eating and physical activity needs to be communicated in such a way that it is adjusted to the person's cognitive ability, and should be repeated over time, both verbally and in writing. Such efforts, in combination with empathic and seriously committed community-based social support, were experienced as having the best effect over time. Permanent lifestyle changes were experienced as having to be carried out on the patient's terms and in his or her home environment.

  • 58. Bestill onlineKjøp publikasjonen >>
    Bergstrand, Sara
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Tissue Blood Flow Responses to External Pressure Using LDF and PPG: Testing a System Developed for Pressure Ulcer Research2009Licentiatavhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background: Pressure ulcers are a problem for immobile individuals, and having pressure ulcers impact and restrict the daily and are often associated with pain. Pressure ulcers occur frequently and cause high costs for the health care system. The prevention of pressure ulcers by focussing on different mattresses and overlays aimed to reduce the interface pressure or the pressure exposure of the tissue. The problem is the poor evaluation of this type of equipment. There are important factors regarding pressure ulcer development, pressure, shear, temperature and humidity. People are affected by external pressure in different ways and therefore it is preferable to measure the effect of pressure as a complement to the pressure measurement and thus we consider blood flow measurements to be a suitable method.

    Aims: The aim of Study I, the first part in this thesis was to investigate the existence of sacral tissue blood flow at different depths in response to external pressure in elderly individuals as a part of evaluation of a. newly developed system. The aim of Study II, the second part was to evaluate a multiparametric system combining LDF and photoplethysmography into a single probe, for the simultaneous measurement of blood flow at different depths in the sacral tissue when the tissue is exposed to external load. This new system will be used to facilitate the understanding of pressure ulcer formation.

    Methods: To be able to observe tissue blood flow, the non-invasive optical methods laser Doppler flowmetry and photoplethysmography were used. In this thesis a newly developed prototype probe was used, combining the two methods. Green light and infrared light were used in the PPG instrument for penetrating the depths of approximately 2 mm, 8 mm and 20 mm depths. A HeNe laser was used to measure the superficial skin blood flow, <1 mm depth. The prototype probe, made of silicone was fixed in a stiff 10×10 cm plate.

    Seventeen active individuals over the age of 60 were recruited for the two studies. In Study I, the subject´s sacral blood flow and tissue thickness (using ultrasound) were measured in unloaded position and in supine position loading the area with their own body weight. In Study II, the sacral area was provoked with external load at 37.5 mmHg and 50.0 mmHg and the relative change in blood flow at different depths was observed before, during and after load.

    Results: Study I showed that the sacral tissue in elderly individuals is highly affected by load and is compressed by 60.3 ± 11.9%. The mean sacral tissue thickness was 26 ± 13 mm in unloaded tissue and 10 ± 6 mm in loaded tissue. Correlations were found between BMI and tissue thickness: both TTunload r=0.68 (p=0.003) and TTload r=0.68 (p=0.003). Almost all subjects had affected blood flow superficially but only occasionally deeper in the tissue and findings may indicate that the blood flow is occluded in the superficial layer before it is occluded deeper in the tissue structure. The most common response in Study II was an increase in blood flow while loading. In those occasions when the blood flow decreased, it was mostly affected at the skin surface and the reactive hyperaemia occurred more frequently in the superficial tissue structures. The blood flow responses may be different in the different tissue layers.

    Conclusions: The newly developed system was found to be suitable for measuring tissue blood flow at different depths; however the prototype probe had some limitations that will be solved in the further development of the system into a thin flexible probe with ability to measure a larger area.

    Delarbeid
    1. Existence of Tissue Blood Flow in Response to External Pressure in the Sacral Region of Elderly Individuals - Using an Optical Probe Prototype
    Åpne denne publikasjonen i ny fane eller vindu >>Existence of Tissue Blood Flow in Response to External Pressure in the Sacral Region of Elderly Individuals - Using an Optical Probe Prototype
    2010 (engelsk)Inngår i: MICROCIRCULATION, ISSN 1073-9688, Vol. 17, nr 4, s. 311-319Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Pandgt;Objective: The aim was to investigate the existence of sacral tissue blood flow at different depths in response to external pressure and compression in elderly individuals using a newly developed optical probe prototype. Methods: The tissue blood flow and tissue thickness in the sacral area were measured during load in 17 individuals using laser Doppler flowmetry and photoplethysmography in a combined probe, and digital ultrasound. Results: The mean age was 68.6 +/- 7.0 years. While loading, the mean compression was 60.3 +/- 11.9%. The number of participants with existing blood flow while loading increased with increased measurement depth. None had enclosed blood flow deep in the tissue and at the same time an existing more superficial blood flow. Correlation between tissue thickness and BMI in unloaded and loaded sacral tissue was shown: r = 0.68 (P = 0.003) and r = 0.68 (P = 0.003). Conclusions: Sacral tissue is highly compressed by external load. There seems to be a difference in responses to load in the different tissue layers, as occluded blood flow in deeper tissue layers do not occur unless the blood flow in the superficial tissue layers is occluded.

    sted, utgiver, år, opplag, sider
    Taylor and Francis, 2010
    Emneord
    pressure ulcer, photoplethysmography, laser Doppler flowmetry, non-invasive, tissue blood flow
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-56449 (URN)10.1111/j.1549-8719.2010.00027.x (DOI)000277123800008 ()
    Merknad
    This is an electronic version of an article published in: Sara Bergstrand, Toste Länne, Maria Linden and Margareta Lindgren, Existence of Tissue Blood Flow in Response to External Pressure in the Sacral Region of Elderly Individuals - Using an Optical Probe Prototype, 2010, MICROCIRCULATION, (17), 4, 311-319. MICROCIRCULATION is available online at informaworldTM: http://dx.doi.org/10.1111/j.1549-8719.2010.00027.x Copyright: Taylor and Francis http://www.tandf.co.uk/journals/default.asp Tilgjengelig fra: 2010-05-17 Laget: 2010-05-17 Sist oppdatert: 2017-03-27
    2. Blood flow measurements at different depths using photoplethysmography and laser Doppler techniques
    Åpne denne publikasjonen i ny fane eller vindu >>Blood flow measurements at different depths using photoplethysmography and laser Doppler techniques
    Vise andre…
    2009 (engelsk)Inngår i: Skin research and technology, ISSN 0909-752X, E-ISSN 1600-0846, Vol. 15, nr 2, s. 139-147Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background/purpose: This study has evaluated a multi-parametric system combining laser Doppler flowmetry and photoplethysmography in a single probe for the simultaneous measurement of blood flow at different depths in the tissue. This system will be used to facilitate the understanding of pressure ulcer formation and in the evaluation of pressure ulcer mattresses.

    Methods: The blood flow in the tissue over the sacrum was measured before, during and after loading with 37.5 mmHg, respectively, 50.0 mmHg. The evaluation of the system consisted of one clinical part, and the other part focusing on the technicalities of the probe prototype.

    Results: An increase in blood flow while loading was the most common response, but when the blood flow decreased during loading it was most affected at the skin surface and the blood flow responses may be different due to depths of measurement. Reactive hyperaemia may occur more frequently in the superficial layers of the tissue.

    Conclusion: The study showed that the new system is satisfactory for measuring tissue blood flow at different depths. The laser Doppler complements the photoplethysmography, and further development of the system into a thin flexible probe with the ability to measure a larger area is required.

    sted, utgiver, år, opplag, sider
    Wiley-Blackwell, 2009
    Emneord
    pressure ulcers, blood flow, photoplethysmography, laser Doppler flowmetry, non-invasive
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-18018 (URN)10.1111/j.1600-0846.2008.00337.x (DOI)
    Merknad

    This is the authors’ version of the following article: Sara Bergstrand, Lars-Göran Lindberg, Anna-Christina Ek and Margareta Lindgren, Blood flow measurements at different depths using photoplethysmography and laser Doppler techniques, 2009, SKIN RESEARCH AND TECHNOLOGY, (15), 2, 139-147. which has been published in final form at: http://dx.doi.org/10.1111/j.1600-0846.2008.00337.x Copyright: Blackwell Publishing Ltd http://www.blackwellpublishing.com/

    Tilgjengelig fra: 2009-05-26 Laget: 2009-05-04 Sist oppdatert: 2017-12-13bibliografisk kontrollert
    Fulltekst (pdf)
    Tissue blood flow responses to external pressure using LDF and PPG: Testing system developed for pressure ulcer research
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  • 59.
    Bergstrand, Sara
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Lindberg, Lars-Göran
    Linköpings universitet, Tekniska högskolan. Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik.
    Ek, Anna-Christina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Akutkliniken.
    Lindgren, Margareta
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Blood flow at different depth in the tissue measured with PPG and laser Doppler technique2008Inngår i: Third Congress of the World Unionof Wound Healing Societies,2008, 2008, s. 31-31Konferansepaper (Annet vitenskapelig)
    Abstract [en]

       

  • 60.
    Bergstrand, Sara
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Lindberg, Lars-Göran
    Linköpings universitet, Institutionen för medicinsk teknik, Fysiologisk mätteknik. Linköpings universitet, Tekniska högskolan.
    Ek, Anna-Christina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Närsjukvården i centrala Östergötland, Akutkliniken.
    Lindén, Maria
    Mälardalen University, Västerås, Sweden.
    Lindgren, Margareta
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Blood flow measurements at different depths using photoplethysmography and laser Doppler techniques2009Inngår i: Skin research and technology, ISSN 0909-752X, E-ISSN 1600-0846, Vol. 15, nr 2, s. 139-147Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background/purpose: This study has evaluated a multi-parametric system combining laser Doppler flowmetry and photoplethysmography in a single probe for the simultaneous measurement of blood flow at different depths in the tissue. This system will be used to facilitate the understanding of pressure ulcer formation and in the evaluation of pressure ulcer mattresses.

    Methods: The blood flow in the tissue over the sacrum was measured before, during and after loading with 37.5 mmHg, respectively, 50.0 mmHg. The evaluation of the system consisted of one clinical part, and the other part focusing on the technicalities of the probe prototype.

    Results: An increase in blood flow while loading was the most common response, but when the blood flow decreased during loading it was most affected at the skin surface and the blood flow responses may be different due to depths of measurement. Reactive hyperaemia may occur more frequently in the superficial layers of the tissue.

    Conclusion: The study showed that the new system is satisfactory for measuring tissue blood flow at different depths. The laser Doppler complements the photoplethysmography, and further development of the system into a thin flexible probe with the ability to measure a larger area is required.

    Fulltekst (pdf)
    FULLTEXT01
  • 61.
    Bergstrand, Sara
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Lindberg, Lars-Göran
    Linköpings universitet, Institutionen för medicinsk teknik. Linköpings universitet, Hälsouniversitetet.
    Lindén, Maria
    n/a.
    Ek, Anna-Christina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Länne, Toste
    Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Hälsouniversitetet.
    Lindgren, Margareta
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Tissue blood flow responses to external pressure in the sacral region using PPG and laser Doppler technique.2009Inngår i: European Pressure Ulcer Advisory Panels, Amsterdam., 2009Konferansepaper (Fagfellevurdert)
  • 62.
    Bergstrand, Sara
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Länne, Toste
    Linköpings universitet, Institutionen för medicin och hälsa, Fysiologi. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärtcentrum, Thorax-kärlkliniken.
    Linden, Maria
    Mälardalen University.
    Lindgren, Margareta
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Existence of Tissue Blood Flow in Response to External Pressure in the Sacral Region of Elderly Individuals - Using an Optical Probe Prototype2010Inngår i: MICROCIRCULATION, ISSN 1073-9688, Vol. 17, nr 4, s. 311-319Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Pandgt;Objective: The aim was to investigate the existence of sacral tissue blood flow at different depths in response to external pressure and compression in elderly individuals using a newly developed optical probe prototype. Methods: The tissue blood flow and tissue thickness in the sacral area were measured during load in 17 individuals using laser Doppler flowmetry and photoplethysmography in a combined probe, and digital ultrasound. Results: The mean age was 68.6 +/- 7.0 years. While loading, the mean compression was 60.3 +/- 11.9%. The number of participants with existing blood flow while loading increased with increased measurement depth. None had enclosed blood flow deep in the tissue and at the same time an existing more superficial blood flow. Correlation between tissue thickness and BMI in unloaded and loaded sacral tissue was shown: r = 0.68 (P = 0.003) and r = 0.68 (P = 0.003). Conclusions: Sacral tissue is highly compressed by external load. There seems to be a difference in responses to load in the different tissue layers, as occluded blood flow in deeper tissue layers do not occur unless the blood flow in the superficial tissue layers is occluded.

    Fulltekst (pdf)
    FULLTEXT01
  • 63.
    Berkius, J
    et al.
    Västervik, Sweden .
    Engerström, L
    Östergötlands Läns Landsting, Anestesi- och operationscentrum, Anestesi- och intensivvårdskliniken VIN.
    Orwelius, Lotti
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Sjöberg, Folke
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Brännskadevård. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Sinnescentrum, Hand- och plastikkirurgiska kliniken US. Östergötlands Läns Landsting, Sinnescentrum, Anestesi- och operationkliniken US.
    HEALTH RELATED QUALITY OF LIFE IN COPD PATIENTS FOLLOWED 24 MONTHS AFTER ICU CARE in INTENSIVE CARE MEDICINE, vol 36, issue , pp S228-S2282010Inngår i: INTENSIVE CARE MEDICINE, Springer Science Business Media , 2010, Vol. 36, s. S228-S228Konferansepaper (Fagfellevurdert)
    Abstract [en]

    n/a

  • 64.
    Berterö, Carina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    A mixed methods study of lung cancer diagnosis affecting quality of life2008Inngår i: RECIIS : electronic journal of communication information & innovation in health, ISSN 1981-6286, Vol. 2, nr 1, s. 38-47Artikkel i tidsskrift (Fagfellevurdert)
  • 65.
    Berterö, Carina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Affected self-respect and self-value: Breast cancer treatments impact on the QOL2000Inngår i: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 9, nr 5, s. 151-Konferansepaper (Annet vitenskapelig)
  • 66.
    Berterö, Carina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Affected self-respect and self-value: The impact of breast cancer treatment on self-esteem and QoL2002Inngår i: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 11, nr 4, s. 356-364Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is a need to understand and explain the impact of breast cancer on women's self-esteem and quality of life. The purpose of the present study was to identify and describe, from the perspective of the women's lived experiences, the impact of breast cancer on women's self-esteem and elucidate its impact on their quality of life. Thirteen women diagnosed as having breast cancer were interviewed about these phenomena. The narrated interviews, tape-recorded and transcribed verbatim were analysed and interpreted using a qualitative text analysis, based on the following question: What sense of satisfaction and importance is there with respect to the women's value and preferences? The findings were interpreted as affected self-respect and self-value, which were found to be important aspects affecting the quality of life of these women, within this lies the satisfaction of desire, to be respected and loved as the women they are. Concerns related to their quality of life seemed to be heightened when treatment has been completed, i.e. when the psychological effects of the treatment experience become a reality. Health professional need to be aware of how to recognise these women, in order to provide them with support to maintain a positive self-esteem to enhance quality of life as a caring outcome. Copyright © 2002 John Wiley & Sons, Ltd.

  • 67.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Affected self-respect and self-value: Breast cancer treatments impact on the QOL.2000Konferansepaper (Fagfellevurdert)
  • 68.
    Berterö, Carina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Altered sexual patterns after treatment for prostate cancer2001Inngår i: Cancer Practice, ISSN 1065-4704, E-ISSN 1523-5394, Vol. 9, nr 5, s. 245-251Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: The purpose of this study was to identify and describe the impact of prostate cancer and its treatment on men's sexuality and intimate relationships from the perspective of the men's lived experience. DESCRIPTION OF STUDY: Ten men diagnosed with prostate cancer were interviewed. Verbal transcripts were analyzed using an interpretive phenomenological approach based on Heidegger's philosophy RESULTS: "Altered sexual patterns" was identified as the major theme, which in turn was influenced by five minor themes: choice of consequences, age affecting sexual life, hope of improvement, acceptance of altered sexual life, and image of manliness. Choice of consequences showed that survival is paramount, as interviews often felt that they were choosing between death or sexual dysfunction. Age affecting sexual life identified sexual dysfunction as caused by natural effects of aging. Hope of improvement showed that several men hoped for improvement in sexual function, although it had been years since their treatment Acceptance of altered sexual life illustrated that the men often felt the need to accept their altered sex life, with their wives playing an important role in this acceptance. Finally, the theme image of manliness showed the men's attempts to acknowledge and cope with the changes in their self-image. CLINICAL IMPLICATIONS: It is important that healthcare professionals adopt a comprehensive approach in communicating information about prostate cancer treatment choices and potential side effects that includes the patient and his partner. Communication and counselling about treatment options, potentials side effects, and potential strategies to manage side effects should be offered both of the time of diagnosis and at post-treatment follow-up.

  • 69.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Development of strategies  for research projects and publication in international collaboration.2004Konferansepaper (Fagfellevurdert)
  • 70.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Fatigue the most common problem within people afflicted with cancer; challenge for health care professionals. Widening our perspectives on existential issues.2009Inngår i: Australian-Asian Journal of Cancer, ISSN 0972-2556, Vol. 8, s. 195-197Artikkel i tidsskrift (Fagfellevurdert)
  • 71.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Grounded theory methodology - has it become a movement?2012Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, s. 18571-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There is an ongoing debate regarding the nature of grounded theory, and an examination of many studies claiming to follow grounded theory indicates a wide range of approaches. In 1967 Glaser and Strauss’s ‘‘The Discovery of Grounded Theory; Strategies for Qualitative Research’’ was published and represented a breakthrough in qualitative research; it offered methodological consensus and systematic strategies for qualitative research practice. The defining characteristics of grounded theory include: simultaneous involvement in data collection and analysis, construction of analytic codes and categories from data (not from preconceived logical hypotheses), use of the constant comparative method/analysis that involves making comparisons during all steps of the analysis, developing theory during each step of data collection and analysis, memo-writing to elaborate categories, etc., theoretical sampling aiming toward theory construction (not representativeness), and conducting a literature review after performing the analysis and developing theory. When developing a theory, identification of a core category is central for the integration of other categories into a conceptual framework or theory grounded in the data. Most grounded theories are substantive theories because they address delimited problems in specific substantive areas.

    Fulltekst (pdf)
    fulltext
  • 72.
    Berterö, Carina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Living with Social Anguish: Shame and Guilt in Lung Cancer Patients2008Inngår i: Open area studies journal, ISSN 1874-9143, Vol. 1, s. 26-30Artikkel i tidsskrift (Fagfellevurdert)
  • 73.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Living with social anguish: shame and guilt in lung cancer patients.2008Inngår i: The 15th International Conference on Cancer Nursing, 2008Konferansepaper (Fagfellevurdert)
  • 74.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Men Experiencing Life Changes After Prostate Cancer Treatment.2001Konferansepaper (Fagfellevurdert)
  • 75.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Palliative care: A Scandinavian perspective.2003Konferansepaper (Fagfellevurdert)
  • 76.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Reflection in and on nursing practices - how nurses reflect and develop knowledge and skills during their nursing practice.2010Inngår i: International Journal of Caring Sciences, ISSN 1792-037X, Vol. 3, nr 3, s. 85-90Artikkel i tidsskrift (Fagfellevurdert)
  • 77.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Reflection in nursing practices - how nurses reflect and develop knowledge and skills during their nursing practice2009Konferansepaper (Fagfellevurdert)
  • 78.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Socialt stöd och självkänsla hos patienter med en behandlad cancersjukdom.2004Konferansepaper (Fagfellevurdert)
  • 79.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Strategies for definition of research priorities in nursing on woman's and child's health - The Scandinavian experience2004Konferansepaper (Fagfellevurdert)
  • 80.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    The advisor's role in research projects development and interstutitional cooperation.2004Konferansepaper (Fagfellevurdert)
  • 81.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    The contribution of nursing research for the woman's and child's health: the reality of Sweden.2004Konferansepaper (Fagfellevurdert)
  • 82.
    Berterö, Carina
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    What do women think about menopause? A qualitative study of women's expectations, apprehensions and knowledge about the climacteric period2003Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 50, nr 2, s. 109-118Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: To identify and describe expectations, apprehensions and knowledge about the menopausal period and climacteric symptoms. Method: Data were collected by semi-structured interviews/discussions with a convenience sample of 39 women, all 47 years of age. Data interpretation and analysis were based on content analysis, but influenced by a qualitative approach. Findings: These included women's expectations and feelings of freedom. Apprehensions were described as different climacteric symptoms, which were well known to the women through their own or other's experiences. The women were, to some extent, aware of the physical and psychological changes that follow the menopause. However, the women lacked knowledge about these changes or self-care activities that could prevent problems or mitigate symptoms. Key conclusions and implications for practice: Discussions on health with premenopausal women can increase their knowledge about a natural phase of life, the climacteric period. The study showed that nurses/midwives who have regular contact with some women during their life have an important role to play in providing information, as well as in the treatment of climacteric symptoms.

  • 83.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Andersson-Svärd, S
    n/a.
    Att som kvinna leva med stomi; dess inverkan på livssituationen2004Konferansepaper (Fagfellevurdert)
  • 84.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Carlsson, Per
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Lundgren, Fredrik
    Linköpings universitet, Institutionen för medicin och hälsa, Fysiologi. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärtcentrum, Kardiologiska kliniken.
    Screening for abdominal aortic aneurysm, a one-year follow up: An interview study2010Inngår i: Journal of Vascular Nursing, ISSN 1062-0303, E-ISSN 1532-6578, Vol. 28, nr 3, s. 97-101Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of the present study was to investigate whether screening for abdominal aortic aneurysm (AAA) and the finding of an enlarged aorta cause worries and affect the living situations of men with aneurysms or of their families within a 12-month follow-up period. Men invited to ultrasound screening and having an enlarged aorta (>/=30 mm) were invited for an interview. In total, 10 men were interviewed. The semi-structured interview was conducted by using an interview guide. Data was analyzed by using an interpretative phenomenological method. Three themes were identified: (i) feeling secure being under superintendence; (ii) living as usual, but repressing thoughts; and (iii) feeling disillusionment due to negative outcome. Being given the message that an enlarged aorta was discovered at the screening was manageable; hence, continuing growth of the aorta led to some unpleasant feelings. The men were living as usual; however, they all had some reflections about having an AAA and that something could happen when they least expected it. They reported thoughts about the consequences of the enlarged aorta itself and the surgery. In a one-year retrospective interview, men who have had an aneurysm detected in a screening program for AAA reported feeling secure being under superintendence. The one finding in our study concerning worries and effects on life situation could be interpreted as disillusionment due to negative outcomes. Decisions to introduce screening for AAA in Sweden and other countries with ongoing programs should be considered to include guidelines for how to handle disillusionment.

  • 85.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Carlsson, Per
    Linköpings universitet, Institutionen för medicin och hälsa, Utvärdering och hälsoekonomi. Linköpings universitet, Hälsouniversitetet.
    Lundgren, Fredrik
    Linköpings universitet, Institutionen för medicin och hälsa, Fysiologi. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärtcentrum, Thorax-kärlkliniken.
    The Lived Experience of 65-year-old Men Being Screened for Abdominal Aortic aneurysm; a Short-Term Perspective2009Inngår i: PRO-Newsletter, nr 41, s. 1-5Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose was to investigate whether screening for abdominal aortic aneurysm and the finding of an enlarged aorta in those men causes worries and affects the life-situation. Men at the age of 65 years were invited to ultrasound screening and they who had an enlarged aorta (≥30 mm), were invited for a qualitative interview analyzed by interpretive phenomenological method. Totally 11 men were interviewed. Three themes were identified: be under superintendence; affected, but live as usual; and hereditariness leading to fatalism. Although not unaffected by the screening result the men carry on with their life as usual. However, the need for a long term study to confirm the results is now in accomplishment.

  • 86.
    Berterö, Carina
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Chamberlain, Wilmoth M.
    Chamberlain Wilmoth, M., School of Nursing, College of Health and Human Services, UNC Charlotte, Charlotte, NC, United States.
    Breast cancer diagnosis and its treatment affecting the self: A meta-synthesis2007Inngår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 30, nr 3, s. 194-202Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    There has been a great deal of qualitative research conducted that has examined the impact of breast cancer on the Self, however, there has been little effort to analyze these findings from a meta-perspective. This study sought to fill this gap by conducting a meta-synthesis of the qualitative research on breast cancer and its treatments affecting the Self. Meta-method and meta-synthesis techniques were used to integrate findings across 30 qualitative research reports conducted between 1990 and 2003 with a total of 795 women, from several different countries.The fusions identified from this meta-synthesis revealed 4 aspects of the Self affected by the diagnosis of breast cancer and its treatment: awareness of their own mortality, living with an uncertain certainty, attachment validation, and redefinition of Self. These findings were validated through use of a comparison study. The women adapt to being a breast cancer patient, redefining their lives and their self. This study highlights the existential process that women of many cultures move through as they incorporate the meaning of breast cancer into their lives. Nurses who are aware of these processes are better able to link women with resources to help them in their adaptation to living with breast cancer. © 2007 Lippincott Williams & Wilkins, Inc.

  • 87.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Hjelm, Katarina
    Institutionen för hälso och vårdvetenskap, Linnéuniversitetet Växjö, Växjö, Sverige.
    Social support as described by foreign-born persons diagnosed with type 2 diabetes mellitus and living in Sweden.2010Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 12, nr 4, s. 507-514Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore and describe the meaning of support and its impact on the life situation of foreign-born persons diagnosed with type 2 diabetes mellitus and living in Sweden in relation to gender, age, and the duration of the disease. Mixed methods were used on a purposive sample of 34 foreign-born adults who had been diagnosed with type 2 diabetes mellitus. Qualitative data were collected by semi-structured interviews and quantitative data were collected by the Norbeck Social Support Questionnaire (NSSQ). The meaning of “support” was described by the participants as medical support, information support, and aiding support to learn to manage diabetes. Support influenced the participants' entire life and their need for it was related to the severity of the diabetes and differences regarding age and gender. The participants scored low on the NSSQ regarding total emotional support, total aid, and total function and 42% had lost an important relationship during the last year. Their marital status had no impact on emotional support but aid was significant. Medical support, with regular follow-up and information, is important in obtaining affirmation and aids in learning to manage diabetes mellitus.

    Fulltekst (pdf)
    FULLTEXT01
  • 88.
    Berterö, Carina
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Johansson, G.
    Univ. College of Health Sciences, Jönköping, Sweden.
    Compliance with hormone replacement therapy among Swedish women2001Inngår i: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 48, nr 4, s. 224-232Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    By means of a simple postal questionnaire, all women registered as hormone therapy patients (n = 241) at a gynaecological clinic were screened for reasons for receiving hormone therapy. They were also screened for their compliance in following the midwife's advice and information, as well as the gynaecologist's prescriptions. The majority of the women participating in this study contacted the clinic for climacteric symptoms. The time duration for using hormone therapy ranged from 1 month to 6 years. Those using a plaster or gel were asked why they should take progesterone pills. Forty per cent gave erroneous answers or did not know. Of these, 62% reported that they understood the oral information, whereas 60% reported that they understood the written information. Fifty-three per cent of the women stated that they would stop their hormone therapy if they did not feel well or increased in weight. New discoveries or information about benefits or risks were given by 22% as reasons affecting their decision. Compliance demands well-motivated and well-informed patients. The implication of the study result for practice is that there must be dialogue between the women and their midwife/ gynaecologist. It is important that the women feel they are receiving treatment which they have given their consent to, and that they feel and know that they are performing self-care. Midwives have recurrent contact with women during their life and have already established a relationship with them, which facilitates an individualized communication.

  • 89.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Kapborg, I
    n/a.
    Swedish beginner student nurses' image of caring2001Konferansepaper (Fagfellevurdert)
  • 90.
    Berterö, Carina
    et al.
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad.
    Vanhanen, Maria
    Linköpings universitet, Hälsouniversitetet. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Östergötlands Läns Landsting, Hjärtcentrum, Thorax-kärlkliniken.
    Appelin, Gunilla
    Högskolan Jönköping.
    Receiving a diagnosis of inoperable lung cancer: Patients' perspectives of how it affects their life situation and quality of life2008Inngår i: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 47, nr 5, s. 862-869Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Lung cancer is a disease with many biomedical and psychological symptoms. The diagnosis and treatment of lung cancer induces adverse effects. Having an inoperable lung cancer there are few possibilities of being cured. Management of patients with inoperable disease is directed at relieving local or systemic symptoms. The purpose of this study is to describe how it affects the patients' life situation and quality of life. Data was collected by qualitative interviews where the patient's lived experiences were articulated. Twenty-three Swedish patients diagnosed and starting palliative treatment for inoperable lung cancer were interviewed. The interviews were audio-taped and transcribed verbatim. Data were interpreted trough interpretive phenomenology. Six themes were identified that were important for the informants' experience of their life situation and quality of life. The themes were: Experience of uncertainty, including time of waiting and thoughts, experience of hope, about a prolonged life, network as support, being treated as the person they are thoughts of death, is there time to conclude their lives?, feelings of shame and guilt, they have caused the disease by themselves and next of kin reactions, sadness, guilt, worries and anger. These six themes gave a structure presenting the essence: Living as usual. Maintaining independency and integrity were important, as well as maintaining status, being treated as the person they always had been and that they experience that they had a meaning to fulfill in life. They were living as usual. The findings of this study point out the importance of improving the care of people afflicted with lung cancer, as well as promoting support for the next of kin, since they are significantly important for these patients' experiences of quality of life. This knowledge and understanding will be useful for development of interventions and guidelines for treatment. © 2008 Taylor & Francis.

  • 91.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Wilmoth, Margaret C
    n/a.
    Breast Cancer and it's treatment affecting women's Self: A Meta-Synthesis of the Qualitative Literature 1990-2003.2006Konferansepaper (Fagfellevurdert)
  • 92.
    Berterö, Carina
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Wilmoth, Margaret C
    n/a.
    Breast cancer and its treatment affecting women's 'Self'. A Metha-Synthesis of the Qualitative Literature 1990-20032005Konferansepaper (Fagfellevurdert)
  • 93.
    Björkander, Janne
    et al.
    Internmedicin, Ryhovs Länssjukhus.
    Berterö, Carina
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Does Advoy.com TM help patients with primary immunodeficiency diseases; experience that their life situation has improved?2010Inngår i: RECIIS Electronic Journal of Communication Information & Innovation in Health, ISSN 1981-6286, Vol. 4, nr 2, s. 3-8Artikkel i tidsskrift (Fagfellevurdert)
  • 94.
    Björkman, Ida
    et al.
    Linköpings universitet, Institutionen för klinisk och experimentell medicin, Kirurgi. Linköpings universitet, Hälsouniversitetet.
    Karlsson, Frida
    Linköpings universitet, Institutionen för medicin och hälsa, Kardiologi. Linköpings universitet, Hälsouniversitetet.
    Lundberg, Ann
    Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Magtarmmedicinska kliniken. Linköpings universitet, Hälsouniversitetet.
    Hollman Frisman, Gunilla
    Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Magtarmmedicinska kliniken. Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Gender differences when using sedative music during colonoscopy2013Inngår i: Gastroenterology Nursing, ISSN 1042-895X, E-ISSN 1538-9766, Vol. 36, nr 1, s. 14-20Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Colonoscopy is a procedure often experienced as uncomfortable and worrying. Music has been reported to reduce discomfort during colonoscopy; however, no study in a Swedish setting has been found. The purpose of this randomized controlled trial was to analyze the effects of sedative music on patients' experience of anxiety, pain, relaxation, and well-being during colonoscopy. Prior to colonoscopy, adult patients (n = 120), aged 18–80 years, were randomly assigned to either an intervention group (n = 60) who listened to sedative instrumental music with 60–80 beats per minute during the colonoscopy or a control group. After the colonoscopy, both groups completed a questionnaire on anxiety, the State Trait Anxiety Inventory, and an anxiety Visual Analogue Scale. Pain, relaxation, and well-being were also measured with Visual Analogue Scales. Women in the intervention group had a lower level of anxiety during the colonoscopy than those in the control group (p = .007) and well-being was significantly higher in the intervention group, especially among men, than in the controls (p = .006 and p = .025, respectively). Men in the intervention group were more relaxed during the colonoscopy than those in the control group (p = .065). Listening to sedative music decreased anxiety among women and increased well-being among men during colonoscopy.

    Fulltekst (pdf)
    fulltext
  • 95.
    Blackburn, S
    et al.
    Adelphi Values, England .
    Humphrey, L
    Adelphi Values, England .
    Maguire, L
    Adelphi Values, England .
    Deschasaux, C
    Novartis, Switzerland .
    Strömberg, Anna
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    The Caregiver Burden Questionnaire for Chronic Heart Failure (CBQ-CHF): Development and Validation in JOURNAL OF CARDIAC FAILURE, vol 18, issue 8, pp S83-S832012Inngår i: JOURNAL OF CARDIAC FAILURE, Elsevier , 2012, Vol. 18, nr 8, s. S83-S83Konferansepaper (Fagfellevurdert)
    Abstract [en]

    n/a

  • 96.
    Blomberg, A-C
    et al.
    Karlstad Universitet.
    Möller, Gudrun
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Björn, C
    Gävleborgs Landsting.
    Olsson, L
    Lindwall, L
    Karlstad Universitet.
    The specialist Nursing Education in Operating Theatre Nursing2011Konferansepaper (Annet vitenskapelig)
  • 97.
    Bolse, K
    et al.
    Halmstad University.
    Johansson, Ingrid
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Strömberg, Anna
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet. Östergötlands Läns Landsting, Hjärt- och Medicincentrum, Kardiologiska kliniken US.
    Organisation of care for swedish patients with an implantable cardioverter defibrillator, a national survey in EUROPEAN HEART JOURNAL, vol 31, issue , pp 236-2362010Inngår i: EUROPEAN HEART JOURNAL, Oxford University Press , 2010, Vol. 31, s. 236-236Konferansepaper (Fagfellevurdert)
    Abstract [en]

    n/a

  • 98. Bestill onlineKjøp publikasjonen >>
    Bolse, Kärstin
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Caring for patients with an Implantable Cardioverter Defibrillator: Experiences of patients and healthcare professionals2009Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Background: An Implantable Cardioverter Defibrillator (ICD) is a technical device used in the treatment of ventricular arrhythmias. After the implantation of an ICD the entire life situation can be affected with psychological and social consequences for the patient and his/her next of kin. The healthcare professionals play a vital role in providing educational information, support, and technical follow-up of the device. During recent years more and more hospitals have introduced a more team based organisation where the physicians collaborate with specialised ICD nurses.

    Aim: The overall aim of the thesis was to explore how patients with an ICD experienced their life situation and howhealthcare professionals described their experiences of delivering care to ICD patients.

    Methods: The design was descriptive, combining both quantitative and qualitative approaches, and the data was collected from Sweden and the USA. The Uncertainty of Illness Scale (MUIS-C) and Quality of life Index (QLI) instruments were used to determine the level of uncertainty and satisfaction with life (I), in-depth interviews with a phenomenographic approach was used to describe how Swedish and US patients living with an ICD conceived their life situation (II, III) and how healthcare professionals’ experienced delivering care to patients with an ICD, (IV). Finally, to explore clinical aspects of ICD care in Sweden, the Delivery of ICD Questionnaire (DOIQ) was used to describe the healthcare professionals’ experiences and a content analysis was used to describe the written educational information material provided to patients (V).

    Results: There were no differences in uncertainty between pre and post ICD implantation either in Swedish or the US patients. Satisfaction with life was significantly higher among US patients compared to Swedish patients both before and after ICD implantation within the health-functioning, socio-economic and psychological-spiritual domains. The Swedish ICD patients experienced a significantly higher satisfaction with life within the socioeconomic domain after 3 months. (I). The patients felt safe in having an ICD implanted, but the conceptions varied from seeing the device as a life saver to being worried about what could happen. Gratitude at having an ICD varied from happiness at being alive to something that was alien and disturbed the patient. Being more or less dependent included how patient experienced feelings from well-being to grief. Having a network varied from having sufficient support to loneliness. Having a belief in the future ranged from having confidence to look forward to resignation. Gaining awareness described patients’ adaptation to living with an ICD and limitations due to the ICD (II). The patients also underwent a transition from becoming aware of the restriction in the life situation through a process of adaption and having trust in the ICD. This phase was followed by a reorientation phase where they adapted to their life situation and the patient and his/her family regained of their lives (III). The healthcare professionals strove to provide competent and individualised care and infuse confirmation to the patients in form of information, education and support. They gave the patients tools to handle their life situation, through existential support and mediating security (IV). Half of the hospitals had nurse-based clinic and others planned to introduce them. Three hospitals performed follow-up in the form of remote home monitoring. The nurse had specific ICD education from ICD companies and/or various university courses. In the educational information material the biophysical dimensions dominated while the emotional dimension was scarcely described, and the spiritual-existential was not referred to at all (V).

    Conclusions: This thesis offers a further contribution to the scholarly discussion about the relationship between technology and human existence and how to cope with this transition. Our studies revealed that the embodiment of the ICD reflects a merger of experiences about its presence and potential from both patients’ and healthcare professionals’ perspective. This research hopefully encourages healthcare professionals to carefully reflect on what it is like to live with an ICD and to consider practice improvement for the patients’ and the next of kin.

    Delarbeid
    1. Life situation related to the ICD implantation: self-reported uncertainty and satisfaction in Swedish and US samples
    Åpne denne publikasjonen i ny fane eller vindu >>Life situation related to the ICD implantation: self-reported uncertainty and satisfaction in Swedish and US samples
    Vise andre…
    2002 (engelsk)Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 1, nr 4, s. 243-251Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    The aim of the study was to describe changes in the life situation related to the ICD implantation of Swedish and US samples with regard to uncertainty and satisfaction. The life situation was measured by reference to the uncertainty caused by the condition and satisfaction with the life situation. Inferential statistics were used to analyse changes within and between the Swedish and US samples. Uncertainty showed a statistically significant difference between the Swedish and US samples before as well as after the ICD implantation. A higher level of uncertainty was indicated for the US sample prior to the ICD implantation and for the Swedish sample following the implantation. In the Swedish sample, satisfaction with life showed a statistically significant difference within the socio-economic domain, indicating a higher degree of satisfaction 3 months after implantation. Satisfaction within the domains of health and functioning, socio-economics and psychological-spiritual showed a statistically significant difference between the Swedish and US samples both before and after ICD implantation, indicating a higher degree of satisfaction in the US sample. The previous study shows that the ICD-patient's life situation is changed after the implantation and that it is necessary to provide the patient with information and education based on their own preconditions. The fact that US sample was investigated at a later stage after ICD implantation than the Swedish sample may have influenced the results of the study.

    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-26818 (URN)10.1016/S1474-5151(02)00048-8 (DOI)11431 (Lokal ID)11431 (Arkivnummer)11431 (OAI)
    Tilgjengelig fra: 2009-10-08 Laget: 2009-10-08 Sist oppdatert: 2017-12-13bibliografisk kontrollert
    2. Patients with implantable cardioverter-defibrillators and their conceptions of the life situation: a qualitative analysis
    Åpne denne publikasjonen i ny fane eller vindu >>Patients with implantable cardioverter-defibrillators and their conceptions of the life situation: a qualitative analysis
    Vise andre…
    2000 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 9, nr 1, s. 37-45Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    • The implantable cardioverter-defibrillator (ICD) is today widely used for the treatment of sudden cardiac near-death episodes as a result of malignant ventricular dysrhythmia.

    • After examining the literature, only four descriptive studies, all carried out in the USA, with a qualitative analysis based on ICD-patients’ own perspectives on their life situation have been found.

    •  The aim of this study was to describe how patients living with an ICD-device in south-western Sweden conceive their life situation.

    •  As the focus was on patients’ conceptions seen from a holistic perspective, an analysis inspired by phenomenography was employed on a strategic sample of 15 ICD-patients.

    • Six categories emerged: a feeling of safety, a feeling of gratitude, a feeling of being, having a network, having a belief in the future, and gaining awareness.

    • Although the findings cannot be generalized because of the descriptive research design, they illuminate the beneficial as well as intrusive effects of such a device, and emphasize the need for support groups for patients and families as well as further education for personnel in hospital and primary health care.

    Emneord
    Coronary heart disease, implantable cardioverter de®brillator, life situation, phenomenography, qualitative analysis
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-51799 (URN)10.1046/j.1365-2702.2000.00335.x (DOI)
    Tilgjengelig fra: 2009-11-18 Laget: 2009-11-18 Sist oppdatert: 2017-12-12bibliografisk kontrollert
    3. Ways of Experiencing the Life Situation Among United States Patients With an Implantable Cardioverter-Defibrillator: A Qualitative Study
    Åpne denne publikasjonen i ny fane eller vindu >>Ways of Experiencing the Life Situation Among United States Patients With an Implantable Cardioverter-Defibrillator: A Qualitative Study
    Vise andre…
    2004 (engelsk)Inngår i: Progress in Cardiovascular Nursing, ISSN 0889-7204, E-ISSN 1751-7117, Vol. 20, nr 1, s. 4-10Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    The purpose of this paper is to describe how a selected group of United States patients with an implantable cardioverter- defibrillator perceived their life situation. A qualitative design based on the phenomenographic approach was chosen to describe the patients' conceptions of their life situation. Fourteen patients—eight men and six women, aged 21–84—were strategically selected to obtain as broad a variation as possible. The descriptive categories to emerge from the analysis of the interviews were trust, adaptability, and empowerment. The category labeled trust describes how patients trusted in the organization around them. The category labeled adaptability describes how patients adapted to living with an implantable cardioverter-defibrillator device. The category entitled empowerment describes how patients considered that they received support from family and friends as well as from health care professionals. This study suggests the need for a holistic intervention program comprising family, work, and leisure, focusing on patients' future life situation.

    sted, utgiver, år, opplag, sider
    Wiley InterScience, 2004
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-51802 (URN)10.1111/j.0889-7204.2005.03797.x (DOI)
    Tilgjengelig fra: 2009-11-18 Laget: 2009-11-18 Sist oppdatert: 2017-12-12bibliografisk kontrollert
    4. Experiences of delivering care to patients with an Implantable Cardioverter Defibrillator from the perspective of health care professionals
    Åpne denne publikasjonen i ny fane eller vindu >>Experiences of delivering care to patients with an Implantable Cardioverter Defibrillator from the perspective of health care professionals
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    Objective: To describe healthcare professionals’ experiences of delivering care to patients with an Implantable Cardioverter Defibrillator (ICD).

    Methods: A qualitative, descriptive design based on a phenomenographic approach. Data was collected between October and December 2007 through interviews with 24 healthcare professionals representing all 16 implanting ICD centres in Sweden.

    Results: Two descriptive categories comprising seven subcategories emerged. Striving to provide competent care comprised: providing access to care, improving one’s quantifications, individualising care and Striving to infuse confirmation involved: promoting independence providing existential support, mediating security and comprising needs of next of kin.

    Conclusion: The healthcare professional striving to provide competent and confirming care based on a holistic perspective. The results describe a variation of how healthcare professionals’ strive to be professional in clinical care in order to give the patient tools to handle their life situation.

    Practice Implications: The findings from healthcare professionals’ experiences can complement studies from the patients’ perspective and are important when improving care or ICD patients. This study can serve as a base for developing and redefining holistic follow-up programmes for ICD patients.

    Emneord
    Education, follow up, Implantable Cardioverter Defibrillator, organisation of care, phenomenography
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-51805 (URN)
    Tilgjengelig fra: 2009-11-18 Laget: 2009-11-18 Sist oppdatert: 2013-09-12bibliografisk kontrollert
    5. Organisation of care for Swedish patients with an Implantable Cardioverter Defibrillator, a national survey
    Åpne denne publikasjonen i ny fane eller vindu >>Organisation of care for Swedish patients with an Implantable Cardioverter Defibrillator, a national survey
    2011 (engelsk)Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, nr 17-18, s. 2600-2608Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Aim: To describe the clinical aspects of Implantable Cardioverter Defibrillators (ICD) care in Sweden with focus on organisation, the role and education of nurses, patient information and education, and areas in need of improvement.

    Background: ICD implantations have developed rapidly in recent years and is now an established arrhythmia treatment. The expanding indication for ICD implantation demands new competencies and resources in the ICD team members.

    Methods: Participants were recruited among physicians and nurses in all of the hospitals implanting ICDs (N=16). Data was collected by a questionnaire. Additionally, all written educational materials provided to patients pre- and post-implant were collected from all 16 hospitals. Deductive content analysis using Sarvimäki and Stenbock-Hult’s five holistic dimensions was employed to ascertain how information was provided in brochures and information materials.

    Results: Half of the hospitals (n=8) had nurse-based outpatient clinics and several others planned to introduce them. Three hospitals carried out distance follow-ups by means of telemonitoring. The nurses had received specific ICD education from ICD companies and/or various university courses. The biophysical dimension dominated in the information material while the emotional, intellectual, and socio-cultural dimensions were scarcely described, and the spiritual- existential was not referred to at all.

    Conclusion: Holistic care of ICD patients can be achieved by means of a multi-disciplinary ICD team and more patient-centred educational strategies. In Sweden, the organisation of ICD care and follow-up is developing towards more nurse-based clinics.

    Relevance to clinical practice: Development and implementation of structured care programmes with a more holistic approach, can improve future ICD care. The content of the written educational materials need to be more holistic, rather than mainly focusing on the biophysical and technical aspects of living with an ICD.

    sted, utgiver, år, opplag, sider
    Blackwell Publishing, 2011
    Emneord
    Implantable Cardioverter Defibrillator, care, nursing, organisation, follow-up, patient education
    HSV kategori
    Identifikatorer
    urn:nbn:se:liu:diva-51807 (URN)10.1111/j.1365-2702.2010.03540.x (DOI)000293748900024 ()
    Merknad
    Funding agency|School of Social and Health Sciences, Halmstad University||Department of Medicine and Health Sciences, Division of Nursing Science, Linkoping University||Tilgjengelig fra: 2009-11-18 Laget: 2009-11-18 Sist oppdatert: 2017-12-12bibliografisk kontrollert
    Fulltekst (pdf)
    Caring for Patients with an Implantable Cardioverter Defibrillator Experiences of Patients and Healthcare Professionals
    Download (pdf)
    Cover
  • 99.
    Bolse, Kärstin
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Hamilton, Glenys
    Rikshospitalet, Oslo.
    Flanagan, Jane
    University of Massachusetts.
    Carroll, Diane L
    University of Massachusetts.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Ways of Experiencing the Life Situation Among United States Patients With an Implantable Cardioverter-Defibrillator: A Qualitative Study2004Inngår i: Progress in Cardiovascular Nursing, ISSN 0889-7204, E-ISSN 1751-7117, Vol. 20, nr 1, s. 4-10Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this paper is to describe how a selected group of United States patients with an implantable cardioverter- defibrillator perceived their life situation. A qualitative design based on the phenomenographic approach was chosen to describe the patients' conceptions of their life situation. Fourteen patients—eight men and six women, aged 21–84—were strategically selected to obtain as broad a variation as possible. The descriptive categories to emerge from the analysis of the interviews were trust, adaptability, and empowerment. The category labeled trust describes how patients trusted in the organization around them. The category labeled adaptability describes how patients adapted to living with an implantable cardioverter-defibrillator device. The category entitled empowerment describes how patients considered that they received support from family and friends as well as from health care professionals. This study suggests the need for a holistic intervention program comprising family, work, and leisure, focusing on patients' future life situation.

  • 100.
    Bolse, Kärstin
    et al.
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Johansson, Ingela
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Strömberg, Anna
    Linköpings universitet, Institutionen för medicin och hälsa, Omvårdnad. Linköpings universitet, Hälsouniversitetet.
    Experiences of delivering care to patients with an Implantable Cardioverter Defibrillator from the perspective of health care professionalsManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    Objective: To describe healthcare professionals’ experiences of delivering care to patients with an Implantable Cardioverter Defibrillator (ICD).

    Methods: A qualitative, descriptive design based on a phenomenographic approach. Data was collected between October and December 2007 through interviews with 24 healthcare professionals representing all 16 implanting ICD centres in Sweden.

    Results: Two descriptive categories comprising seven subcategories emerged. Striving to provide competent care comprised: providing access to care, improving one’s quantifications, individualising care and Striving to infuse confirmation involved: promoting independence providing existential support, mediating security and comprising needs of next of kin.

    Conclusion: The healthcare professional striving to provide competent and confirming care based on a holistic perspective. The results describe a variation of how healthcare professionals’ strive to be professional in clinical care in order to give the patient tools to handle their life situation.

    Practice Implications: The findings from healthcare professionals’ experiences can complement studies from the patients’ perspective and are important when improving care or ICD patients. This study can serve as a base for developing and redefining holistic follow-up programmes for ICD patients.

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