hh.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Fridlund, Bengt
Publications (10 of 22) Show all publications
Pihl, E., Fridlund, B. & Mårtensson, J. (2011). Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure: A phenomenographic analysis. Scandinavian Journal of Caring Sciences, 25(1), 3-11
Open this publication in new window or tab >>Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure: A phenomenographic analysis
2011 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, no 1, p. 3-11Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to describe how patients suffering from chronic heart failure conceived their physical limitations in daily life activities. An explorative and qualitative design with a phenomenographic approach was chosen, a total of 15 patients were interviewed. The findings indicate that participants perceived a variety of structural aspects pertaining to physical limitations in activities of daily life which resulted in four referential aspects. Need of finding practical solutions in daily life focused on how life had to be changed and other ways of performing activities of daily life had to be invented. Having realistic expectations about the future was characterised by belief that the future itself would be marked by change in physical functioning, but an incentive to maintain functions and activities ensured good quality of or even increased capacity in daily life. Not believing in one's own ability included the perception of having no opportunity to improve ability to perform activities of daily life. There were perceptions of undesired passivity, undefined fear of straining themselves or performing activities that could endanger their health in addition to uncertainty about the future. In Losing one's social role in daily life, participants described losing their social network and their position in society and family because of limited physical capacity. A lack of important issues, mental and physical, occurred when physical capacity was lost. In conclusion, patients suffering from chronic heart failure found new solutions to manage activities in daily life, including willingness to change focus and identify other ways of doing important things. Patients had an incentive to maintain functions and activities to ensure a good quality of and strengthen their physical capacity in daily life. Inability to trust in their physical capacity in combination with experienced limitations in daily life prevented patients from attempting to increase activities.

Place, publisher, year, edition, pages
Oxford: Wiley-Blackwell, 2011
Keywords
activities of daily life, chronic heart failure, elderly, nursing care, phenomenography, physical limitations
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-16231 (URN)10.1111/j.1471-6712.2010.00780.x (DOI)000288571500002 ()20630034 (PubMedID)2-s2.0-79951529030 (Scopus ID)
Note

Ingår i avhandling: Pihl, Emma. The Couples' Experiences of Patients' Physical Limitation in Daily Life Activities and Effects of Physical Exercise in Primary Care when having Chronic Heart Failure. 2010.

Available from: 2011-09-14 Created: 2011-09-14 Last updated: 2018-03-22Bibliographically approved
Flemme, I., Fridlund, B. & Strömberg, A. (2010). Living with life-saving technology: long-term follow-up of recipients with implantable cardioverter defibrillator. Paper presented at Svenska kardiovaskulära vårmötet (Göteborg 2009). Linköping: Linköpings universitet
Open this publication in new window or tab >>Living with life-saving technology: long-term follow-up of recipients with implantable cardioverter defibrillator
2010 (English)Conference paper, Published paper (Refereed)
Abstract [en]

The evidence that treatment of life-threatening arrhythmia (LTA) with an Implantable Cardioverter Defibrillator (ICD) can prolong life is convincing. Living with a lifelong heart disease will gradually influence the everyday life and encompasses some or all aspects of life. In order to influence health outcomes, the impact of the ICD must be considered in a broader context including not only the physical, but also the psychological and social functioning of the individual.The general aim of this thesis was to describe everyday life in recipients living with an ICD in a longterm perspective. The aim in Paper I was to describe changes in the life situation of recipients’ with an ICD over a period of 1 year. The aim in Paper II was to describe quality of life (QOL) and uncertainty in recipients who have an ICD and to predict QOL at long-term follow-up. Fifty-six recipients participated (I) and 35 of these recipients, who had survived at least five years, were further included (II). The Quality of Life Index-Cardiac version (I, II), Mishel Uncertainty in Illness Scale-Community version (I, II), Patient ICD Questionnaire (I) and multiple regression analysis (II) were used. Higher scores indicate higher QOL and uncertainty. The questionnaires were completed before implantation, three and twelve months after implantation (I) and also five years after implantation i.e. long-term follow up (II). At the long-term follow up, the average ICD recipient had lived with an ICD for six years and nine months (6.9 years). The results showed the overall QOL and QOL in the health/functioning domain were unchanged over time. QOL in the socio-economic (p= .002) and psychological/spiritual domains (p= .012) decreased in the first year. From baseline to long-term follow up, the QOL in the family domain (p= .011) and overall uncertainty (p= .002) decreased. Uncertainty related to the information decreased at year 1 in relation to baseline (p= .001).The aim in Paper III was to illuminate the main concern of recipients living with an ICD and how they handle this in their daily life. Sixteen recipients who had lived with an ICD between six to twenty-four months were interviewed. Data was collected and analysed in a simultaneous process according to guidelines for classical grounded theory. In the analysis, a substantive theory was generated explaining the main concern of ICD recipients and how they handle this in their daily life. The core category, labelled “Striving to resume command”, illuminates the main concern of ICD recipients. To manage this main concern, the recipients used the following strategies: Economizing resources, Distracting oneself, Submitting to one’s fate and Re-evaluating life.The aim in Paper IV was to explore relationships between OQL, coping strategies, anxiety, depression and perceived control in recipients living with an ICD and to compare those having received an ICD less or more than one year ago and those with a primary or secondary preventive indication. A cross-sectional, correlational, multicenter design was used, and 147 recipients who had lived with an ICD between six to twenty-four months completed Quality of Life Index-Cardiac version, Jalowiec Coping Scale, Hospital Anxiety and Depression Scale and Control Attitude Scale. The results showed that anxiety, depression and perceived control were predictors of QOL. Anxiety was also a predictor of coping with optimistic coping being the most used coping strategy. There was no relationship between QOL and coping. No differences were found in QOL, coping, anxiety, depression and perceived control between recipients implanted either on a primary or secondary preventive indication or having the device less or more than one year.In this thesis, it was concluded that the ICD recipients strived to resume command over their life (III) and the more control the recipients perceived the more satisfied they were with their QOL (IV) and the more symptoms of anxiety, depression and uncertainty they experienced the less satisfied they were with their QOL (II, IV). Coping strategies were used more frequently by ICD recipient perceiving more anxiety (IV). QOL was fairly good 6,9 years after implantation and ICD recipients felt less uncertain once they had passed the first year of their illness.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2010. p. 61
Series
Linköping University medical dissertations, ISSN 0345-0082 ; 1116
Keywords
Activities of daily living, Arrhythmias, cardiac therapy, Attitude to health, Defibrillators, Implantable psychology, Health status, Life change events, Quality of life, Uncertainty, Tachycardia, ventricular psychology, Tachycardia, ventricular therapy, Ventricular fibrillation therapy
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-6125 (URN)978-91-7393-654-5 (ISBN)
Conference
Svenska kardiovaskulära vårmötet (Göteborg 2009)
Available from: 2010-10-14 Created: 2010-10-14 Last updated: 2018-03-23Bibliographically approved
Pihl, E., Fridlund, B. & Mårtensson, J. (2010). Spouses' experiences of impact on daily life regarding physical limitations in the loved one with heart failure: A phenomenographic analysis. Canadian Journal of Cardiovascular Nursing, 20(3), 9-17
Open this publication in new window or tab >>Spouses' experiences of impact on daily life regarding physical limitations in the loved one with heart failure: A phenomenographic analysis
2010 (English)In: Canadian Journal of Cardiovascular Nursing, ISSN 0843-6096, Vol. 20, no 3, p. 9-17Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Physical limitation is a great burden for patients with heart failure, but little is known about how that affects spouses. Beneficial effects of support on the prognosis for the patient with chronic heart failure may come at a psychological and physical cost to the person providing the support. PURPOSE: The aim of this study was to explore and describe how spouses conceive the physical limitations in patients with heart failure and the impact these limitations have on the daily life of the spouse. DESIGN: A qualitative design with a phenomenographic approach was chosen for the study. FINDINGS: The informants were 15 spouses of heart failure patients. The spouses perceived a variety of aspects pertaining to how they conceive the physical limitations in the loved one with heart failure and the implication this had on their daily life. The referential aspects were: Losing self-containment, Missing communality, Accommodating to the situation and Finding satisfaction in life. IMPLICATIONS AND CONCLUSIONS: Awareness must be raised among health care professionals about the profound impact heart failure in loved ones has on the spouses and explore how the spouses' needs can be appropriately met. Since spouses have an important role to play in the management of heart failure, it is of great importance that nurses identify and support spouses to manage daily life activities. Taking care of the good days in order to have a rich life and to help spouses see possibilities is necessary since it is difficult to predict the future.

Place, publisher, year, edition, pages
Ottawa: Canadian Council of Cardiovascular Nurses, 2010
Keywords
adaptive behavior, aged, article, attitude to health, chronic disease, cost of illness, daily life activity, female, heart failure, home care, human, male, needs assessment, nurse attitude, nursing assessment, nursing methodology research, psychological aspect, qualitative research, quality of life, questionnaire, satisfaction, social support, spouse, Sweden
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-16232 (URN)20718235 (PubMedID)2-s2.0-77956629429 (Scopus ID)
Projects
Ingår i avhandling: Pihl, Emma. The Couples' Experiences of Patients' Physical Limitation in Daily Life Activities and Effects of Physical Exercise in Primary Care when having Chronic Heart Failure. 2010.
Available from: 2011-09-14 Created: 2011-09-14 Last updated: 2018-03-22Bibliographically approved
Ziegert, K., Fridlund, B. & Lidell, E. (2009). "Time for dialysis as time to live": Experiences of time in everyday life of the Swedish next of kin of hemodialysis patients. Nursing and Health Sciences, 11(1), 45-50
Open this publication in new window or tab >>"Time for dialysis as time to live": Experiences of time in everyday life of the Swedish next of kin of hemodialysis patients
2009 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 11, no 1, p. 45-50Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to explore the content of time in everyday life as experienced by the next of kin of patients on hemodialysis in Sweden. Chronic renal disease often requires hemodialysis, which is a time-consuming treatment that makes it necessary to carefully plan everyday life and involves the next of kin to a large degree. This study used a descriptive design with a content analysis approach. The analysis of the data from the twenty interviews revealed the experiences of time in the everyday lives of the next of kin of a patient on hemodialysis. The content of time in everyday life can be described as follows: fragmented time, vacuous time, and uninterrupted time. The findings show how everyday life time for the next of kin is minimized and that the common life space is contracted. The next of kin must be provided with supervision in order to provide them with more of their own time in everyday life, which can benefit their health.

Place, publisher, year, edition, pages
Richmond, Australia: Wiley-Blackwell, 2009
Keywords
experience of time, hemodialysis, next of kin, content analysis
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-2420 (URN)10.1111/j.1442-2018.2009.00429.x (DOI)000264083800007 ()19298308 (PubMedID)2-s2.0-62749162639 (Scopus ID)2082/2822 (Local ID)2082/2822 (Archive number)2082/2822 (OAI)
Available from: 2009-03-24 Created: 2009-03-24 Last updated: 2018-03-23Bibliographically approved
Johansson, E., Roxberg, Å. & Fridlund, B. (2008). Nurse’s consolation: A grounded theory study. Vård i Norden, 28(2), 19-22
Open this publication in new window or tab >>Nurse’s consolation: A grounded theory study
2008 (English)In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 2, p. 19-22Article in journal (Refereed) Published
Abstract [en]

To date, consolation has not been clearly defined in nursing science. The purpose of this study was to identify the phenomenon of consolation from the perspective of practising nurses. Data from interviews with 21 nurses were analysed by means of the grounded theory approach. Consolation comprised supportive consolation, avoiding consolation, insufficient consolation and inaccessible consolation, which were integrated into the nurses’ professional approach and personal outlook. More basic research is required in order to illuminate the meaning of the phenomenon of consolation with focus on supportive consolation as well as the non-consolation phenomenon comprising the so-called avoiding, insufficient and inaccessible consolation. In order for nurses to be able to prescribe, carry out and evaluate consoling care which alleviates patient suffering, there is a need for further knowledge of what constitutes and does not constitute consolation.

Place, publisher, year, edition, pages
London: Sage Publications, 2008
Keywords
caring, consolation, grounded theory, nursing, suffering
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
urn:nbn:se:hh:diva-30443 (URN)10.1177/010740830802800205 (DOI)
Available from: 2011-05-04 Created: 2016-03-03 Last updated: 2018-03-22Bibliographically approved
Baigi, A., Hildingh, C., Virdhall, H. & Fridlund, B. (2008). Sense of coherence as well as social support and network as perceived by patients with a suspected or manifest myocardial infarction: a short-term follow-up study. Clinical Rehabilitation, 22(7), 646-652
Open this publication in new window or tab >>Sense of coherence as well as social support and network as perceived by patients with a suspected or manifest myocardial infarction: a short-term follow-up study
2008 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 22, no 7, p. 646-652Article in journal (Refereed) Published
Abstract [en]

Objective:

To compare sense of coherence as well as social support and network as perceived by ischaemic heart disease patients at baseline and two weeks post-discharge in terms of age, sex, educational and marital status.

Design:

Multicentre study with a prospective short-term follow-up design.

Setting:

A university hospital, a central hospital and a district hospital in southern Sweden.

Subjects:

Consecutive sample of 246 patients with a suspect or manifest myocardial infarction.

Main measures:

The Lubben Social Network Scale (LSNS-R), the Medical Outcome Study (MOS) Social Support Survey and the Sense of Coherence Scale were included in a self-administered questionnaire and answered twice, together with sociodemographic variables.

Results:

Bivariate analyses indicated changes in social support (practical support increased in men and decreased in women; both P= 0.003) and social network (family network increased among >65 year olds; P= 0.001, men; P= 0.013, and women; P= 0.033, those with a low; P=0.017, and intermediate; P= 0.033, educational level, as well as those cohabiting; P= 0.0001), but did not reveal any difference in sense of coherence.

Conclusions:

Sociodemographic variables have no influence on sense of coherence but do affect social support (i.e. practical support and social network, family). Ischaemic heart disease patients' short stay in hospital implies that the network outside the hospital has to assume responsibility, but at the same time it is important for health care professionals to have sufficient knowledge to be able to support the specific needs of patients and their family members.

Place, publisher, year, edition, pages
London: Sage Publications, 2008
Keywords
social support, patients, myocardial infarction
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-2795 (URN)10.1177/0269215507086237 (DOI)000257907800008 ()18586816 (PubMedID)2-s2.0-55249121176 (Scopus ID)2082/3197 (Local ID)2082/3197 (Archive number)2082/3197 (OAI)
Available from: 2009-08-14 Created: 2009-08-14 Last updated: 2018-03-23Bibliographically approved
Jormfeldt, H., Svedberg, P., Fridlund, B. & Arvidsson, B. (2007). Perceptions of the concept of health among nurses working in mental health services: a phenomenographic study. International Journal of Mental Health Nursing, 16(1), 50-56
Open this publication in new window or tab >>Perceptions of the concept of health among nurses working in mental health services: a phenomenographic study
2007 (English)In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 16, no 1, p. 50-56Article in journal (Refereed) Published
Abstract [en]

A new understanding of the concept of health is needed to meet the goal of mental health nursing, which besides reducing disease is to strengthen the patient's health. The aim of the present study was to describe perceptions of the concept of health among nurses working in mental health services. Twelve Swedish nurses working in mental health services were interviewed and data were analysed with a phenomenographic approach. The nurses expressed 10 perceptions, which constituted three description categories: autonomy, process, and participation. The result showed that health was more than absence of disease. Simultaneously, perceptions were expressed indicating that health was viewed as absence of disease, which implies that the concept is not sufficiently defined. The result emphasizes the need to clarify the concept of health if it is to be used as a goal in mental health nursing and to integrate a clarified definition of health at all hierarchical levels in mental health care services.

Place, publisher, year, edition, pages
Oxford: Blackwell Publishing, 2007
Keywords
Health, Nurse, Perception, Phenomenography, Psychiatry, adult, attitude to health, education, female, freedom, health personnel attitude, health status, human, human development, male, mental health, mental health service, middle aged, nurse attitude, nursing methodology research, nursing staff, organization and management, philosophy, psychiatric nursing, psychological aspect, psychological model, qualitative research, questionnaire, self concept, Sweden, trust, Attitude of Health Personnel, Health Knowledge, Attitudes, Practice, Middle Aged, Models, Psychological, Nurse's Role, Nursing Methodology Research, Nursing Staff
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-509 (URN)10.1111/j.1447-0349.2006.00444.x (DOI)000208492900008 ()17229275 (PubMedID)2-s2.0-33846233778 (Scopus ID)2082/849 (Local ID)2082/849 (Archive number)2082/849 (OAI)
Available from: 2007-02-13 Created: 2007-02-13 Last updated: 2018-03-23Bibliographically approved
Fridlund, B., Hildebrandt, L., Hildingh, C. & Lidell, E. (2007). Status and trends in Swedish dissertations in the area of cardiovascular nursing. European Journal of Cardiovascular Nursing, 6(1), 72-76
Open this publication in new window or tab >>Status and trends in Swedish dissertations in the area of cardiovascular nursing
2007 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 6, no 1, p. 72-76Article in journal (Refereed) Published
Abstract [en]

In Europe, cardiovascular nursing (CVN) is a young branch of nursing science. The explicit knowledge contained in CVN dissertations has, so far, not been studied in Europe, and this is especially true in the case of Sweden. Accordingly, the aim of this literature study was to describe the status of and compare trends in Swedish dissertations in the area of CVN in terms of organisational structure, approach, research strategy, social orientation and socio-demographic aspects. The literature search resulted in 29 dissertations and a 26-item questionnaire that illuminated the problem areas. Most dissertations were produced in the universities of Göteborg, Halmstad and Linköping; a minority had a nurse as main supervisor; rehabilitation was the most common CVN approach; very few of the dissertations had an experimental design; and the majority was hospital-based. The main trends were (A) an increase in dissertations that were written during the last 6 years, (B) an increased number of nurses as main supervisors as well as publication in nursing journals, (C) an increase in hospital care settings while a decrease in community settings, and finally, (D) an increased number of dissertations addressing the issues of tertiary prevention as well as focusing on patients and next-of-kin as target groups. An important implication is to stimulate nurse-led interventions at all preventative levels in order to maintain or improve the cardiac health of both healthy and sick individuals, but also in order to visualize CVN and distinguish it from cardiology.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2007
Keywords
Swedish dissertations, Cardiovascular nursing, Nursing science, Nursing research
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
urn:nbn:se:hh:diva-1355 (URN)10.1016/j.ejcnurse.2006.04.005 (DOI)16782406 (PubMedID)2-s2.0-33847119457 (Scopus ID)2082/1734 (Local ID)2082/1734 (Archive number)2082/1734 (OAI)
Available from: 2008-04-24 Created: 2008-04-24 Last updated: 2018-03-23Bibliographically approved
Hildingh, C., Fridlund, B. & Lidell, E. (2007). Women's experiences of recovery after myocardial infarction: a meta-synthesis. Heart & Lung, 36(6), 410-417
Open this publication in new window or tab >>Women's experiences of recovery after myocardial infarction: a meta-synthesis
2007 (English)In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 36, no 6, p. 410-417Article in journal (Refereed) Published
Abstract [en]

Background: Women report lower well-being, compared with men, during recovery after myocardial infarction (MI). To support women in their recovery it is important to understand their experiences from their own perspective. However, a single study using a qualitative method does not have the potential to contribute to evidence-based nursing practice, and it is therefore important to synthesize findings from several qualitative studies. Objectives: The aim of this study was to perform a meta-synthesis of findings of women's experiences of recovery after MI. Methods: A meta-synthesis with seven qualitative studies, including a total of 70 women, was performed. Results: Recovery was characterized by subordination and superordination. The women strived to preserve their self, and at the same time they were strongly oriented toward other people. Four concepts emerged: protecting, adjusting, downgrading, and succumbing. Conclusion: Women oscillate between subordination and superordination. Protecting the matriarchy and being a victim of the patriarchy shed light on this ambivalence in the same way as adjusting to the situation and succumbing to the disease do.

Place, publisher, year, edition, pages
St. Louis, MO: Mosby Inc., 2007
Keywords
myocardial infarction, recovery, women, experiences, ambivalence, article, experience, health behavior, heart infarction, human relation, priority journal, self concept, adult, aged, 80 and over, female, humans, life style, middle aged, sex factors, stress, psychological
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-1332 (URN)10.1016/j.hrtlng.2007.02.008 (DOI)000251115300003 ()18005802 (PubMedID)2-s2.0-36049022875 (Scopus ID)2082/1711 (Local ID)2082/1711 (Archive number)2082/1711 (OAI)
Available from: 2008-04-16 Created: 2008-04-16 Last updated: 2018-03-23Bibliographically approved
Arvidsson, B., Petersson, A., Nilsson, I., Andersson, B. I., Petersson, I. F. & Fridlund, B. (2006). A nurse-led rheumatology clinic’s impact on empowering patients with rheumatoid arthritis: A qualitative study. Nursing and Health Sciences, 8(3), 133-139
Open this publication in new window or tab >>A nurse-led rheumatology clinic’s impact on empowering patients with rheumatoid arthritis: A qualitative study
Show others...
2006 (English)In: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 8, no 3, p. 133-139Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe a nurse-led rheumatology clinic’s impact on empowering patients with rheumatoid arthritis (RA). Rheumatoid arthritis is a chronic, inflammatory disease that attacks many joints, causing considerable functional restrictions for patients. Consequently, these patients are dependent on a wide variety of health-care services. A descriptive, qualitative design inspired by phenomenography was chosen. The conceptions were collected through interviews with 16 strategically selected patients with RA. Three descriptive categories comprising eight conceptions emerged: teaching (gaining insight and receiving information), regular review (receiving security, realizing regularity, and achieving accessibility), and attention (getting a holistic assessment, receiving coordinated care, and getting sufficient time). A nurse-led rheumatology clinic can be a source for empowering patients with RA to adopt new stances to alternative actions and achieve a higher level of faith in their own abilities.

Place, publisher, year, edition, pages
Richmond, Australia: Wiley-Blackwell, 2006
Keywords
Empowering, Nurse-led rheumatology clinic, Patient, Phenomenography
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-1315 (URN)10.1111/j.1442-2018.2006.00269.x (DOI)16911172 (PubMedID)2-s2.0-33746592105 (Scopus ID)2082/1694 (Local ID)2082/1694 (Archive number)2082/1694 (OAI)
Available from: 2008-04-15 Created: 2008-04-15 Last updated: 2018-03-23Bibliographically approved
Organisations

Search in DiVA

Show all publications