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Mårtensson, Jan
Publications (5 of 5) 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
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
Pihl, E., Jacobsson, A., Fridlund, B., Strömberg, A. & Mårtensson, J. (2005). Depression and health-related quality of life in elderly patients suffering from heart failure and their spouses: a comparative study. European Journal of Heart Failure, 7(4), 583-589
Open this publication in new window or tab >>Depression and health-related quality of life in elderly patients suffering from heart failure and their spouses: a comparative study
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2005 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 7, no 4, p. 583-589Article in journal (Refereed) Published
Abstract [en]

Background:

Little is known about the factors that influence the health outcome of elderly patients suffering from heart failure or the health of their spouses. The aim of this comparative study was to determine if older patients suffering from heart failure and their spouses experience similar levels of health-related quality of life (HRQOL) and depression. The aim was also to identify those factors that contribute to HRQOL and depression in patient-spouse pairs.

Methods:

Data were collected from 47 couples, using the Short Form 36 (SF-36) and Zung Self-rating Depression Scale (SDS) questionnaires.

Results:

Patients suffering from heart failure and their spouses differed significantly in their experience of the physical, but not the mental, health-related quality of life, with patients experiencing significantly worse physical functioning. Physical symptoms of heart failure seemed to dominate the experience of the patient and was positively related to mental health and inversely related to the New York Heart Association classification (NYHA class) and patients' depression. Depressive symptoms as reflected in SDS showed no significant difference between patients and spouses. Patients' depression was positively related to high NYHA class, while spouse depression was positively related with higher age of the patient.

Conclusion:

Physical symptoms seem to dominate the experience of heart failure.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2005
Keywords
Depression, Heart failure, Health-related quality of life, Patient-spouse pairs
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-3490 (URN)10.1016/j.ejheart.2004.07.016 (DOI)000229723900022 ()15921798 (PubMedID)2-s2.0-19544391782 (Scopus ID)
Available from: 2010-01-29 Created: 2009-12-01 Last updated: 2018-03-23Bibliographically approved
Mårtensson, J., Strömberg, A., Dahlström, U., Karlsson, J. E. & Fridlund, B. (2005). Patients with heart failure in primary health care: effects of a nurse-led intervention on health-related quality of life and depression. European Journal of Heart Failure, 7(3), 393-403
Open this publication in new window or tab >>Patients with heart failure in primary health care: effects of a nurse-led intervention on health-related quality of life and depression
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2005 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 7, no 3, p. 393-403Article in journal (Refereed) Published
Abstract [en]

Aim:

To determine the effects of a nurse-led intervention designed to improve self-management of patients with heart failure in a primary health care setting regarding health-related quality of life and depression.

Methods:

Patients at eight primary health care centres were screened by the Diagnosis Related Groups registry for the diagnosis of heart failure and eligibility for a cluster randomised study. A total of 153 patients were included (n = 78 in the intervention group, 54% males, mean age 79 years, 59% in New York Heart Association class III-IV). The intervention involved patient and family education about heart failure and self-management and monthly telephone follow-up during 12 months by a primary health care nurse.

Results:

The effects of the nurse-led intervention were limited. Significant differences were found in the physical dimension measured by the SF-36 health survey, and in depression measured by the Zung Self-rating Depression Scale. In comparison within groups at the 3 and 12-month follow-up, the intervention group significantly maintained their health-related quality of life measured by the SF-36 health survey, and their experience of depression measured by the Zung Self-rating Depression Scale to a greater extent than in the control group, especially among women.

Conclusion:

A nurse-led intervention directed toward patients with heart failure in a primary health care setting resulted in limited effects between the groups, although the physical and mental status were retained during 12 months of follow-up to a greater extent than in the control group.

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2005
Keywords
Heart failure, Nurse-led intervention, Follow-up, Self-management, Primary health care, Health-related quality of life
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-3474 (URN)10.1016/j.ejheart.2004.01.016 (DOI)000227367000014 ()15718180 (PubMedID)2-s2.0-13844296848 (Scopus ID)
Available from: 2010-02-10 Created: 2009-12-01 Last updated: 2018-03-23Bibliographically approved
Strömberg, A., Mårtensson, J., Fridlund, B., Karlsson, J. E., Levin, L. Å. & Dahlström, U. (2002). Follow up at a nurse-led heart failure clinic after hospitalization, effects on morbidity, mortality and self-care behavior. Results from a randomized study. Paper presented at American-Heart-Association Abstracts From Scientific Sessions, NOV 17-20, 2002, CHICAGO, ILLINOIS. Circulation, 106(19), 488-489
Open this publication in new window or tab >>Follow up at a nurse-led heart failure clinic after hospitalization, effects on morbidity, mortality and self-care behavior. Results from a randomized study
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2002 (English)In: Circulation, ISSN 0009-7322, E-ISSN 1524-4539, Vol. 106, no 19, p. 488-489Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Philadelphia, USA: Lippincott Williams & Wilkins, 2002
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hh:diva-18749 (URN)000179142702451 ()
Conference
American-Heart-Association Abstracts From Scientific Sessions, NOV 17-20, 2002, CHICAGO, ILLINOIS
Available from: 2012-07-12 Created: 2012-06-25 Last updated: 2018-03-22Bibliographically approved
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