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  • 101.
    Nederfors, T.
    et al.
    Cent Hosp, Dept Hosp Dent, Halmstad, Sweden.
    Isaksson, R.
    Cent Hosp, Dept Hosp Dent, Halmstad, Sweden.
    Paulsson, Gun
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Attitudes to the importance of preserving own teeth in an adult Swedish population1998Inngår i: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 77, nr 5, s. 1335-1335Artikkel i tidsskrift (Annet vitenskapelig)
  • 102.
    Nederfors, T.
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Paulsson, Gun
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Isaksson, R.
    Oral Health Centre, Central Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Ability to estimate oral health status and treatment need in elderly receiving home nursing - a comparison between a dental hygienist and a dentist2000Inngår i: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 79, nr 5, s. 1291-1291Artikkel i tidsskrift (Annet vitenskapelig)
  • 103.
    Nederfors, Tommy
    et al.
    Oral Health Centre, Central Hospital, Halmstad, Sweden.
    Paulsson, Gun
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Isaksson, Rita
    Oral Health Centre, Central Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Ability to estimate oral health status and treatment need in elderly receiving home nursing: a comparison between a dental hygienist and a dentist2000Inngår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 24, nr 3, s. 105-116Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to compare the estimation ability of a dental hygienist to that of a dentist when, independently, recording the oral health status and treatment need in a population of elderly, receiving home nursing. Seventy-three persons, enrolled in a home nursing long-time care programme, were recruited. For the oral examination a newly developed protocol with comparatively blunt measurement variables was used. The oral examination protocol was tested for construct validity and for internal consistency reliability. Statistical analyses were performed using Wilcoxon matched pairs signed rank sum test for testing differences, while inter-examiner agreement was estimated by calculating the kappa-values. Comparing the two examiners, good agreement was demonstrated for all mucosal recordings, colour, form, wounds, blisters, mucosal index, and for the palatal but not the lingual mucosa. For the latter, the dental hygienist recorded significantly more changes. The dental hygienist also recorded significantly higher plaque index values. Also regarding treatment intention and treatment need, the dental hygienist's estimation was somewhat higher. In conclusion, when comparing the dental hygienist's and the dentist's ability to estimate oral health status, treatment intention, and treatment need, some differences were observed, the dental hygienist tending to register "on the safe side", calling attention to the importance of inter-examiner calibration. However, for practical purpose the inter-examiner agreement was acceptable, constituting a promising basis for future out-reach activities.

  • 104.
    Nilsson, Sverker
    et al.
    Department of Primary Health Care, Falkenberg.
    Baigi, Amir
    Research and Development Unit, Primary Hearth Care Halland, Falkenberg.
    Marklund, Bertil
    Research and Development Unit, Primary Hearth Care Halland, Falkenberg.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS). Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    The prevalence of the use of androgenic anabolic steroids by adolescents in a county of Sweden2001Inngår i: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 11, nr 2, s. 195-197Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background

    The prevalence of the use of androgenic anabolic steroids has been poorly studied in Europe. This study was undertaken to examine the prevalence of the misuse - the non-medical use - of androgenic anabolic steroids among adolescents in a county of Sweden.

    Methods

    The total population of 16 and 17 year old male and female adolescents in a county on the south-west coast of Sweden was studied. The investigation was done by an anonymous multiple-choice questionnaire. The questionnaire was completed by 5,827 pupils and statistically analysed. The participation rate was 95%.

    Results

    Among male adolescents 16 acid 17 years old, 3.6% and 2.8% had misused androgenic anabolic steroids, respectively, These male adolescents had also misused alcohol, growth hormones and narcotic drugs more than the steroid hormone non-users. Among female adolescents there was no recorded misuse of these drugs (0.0%),

    Conclusions

    The misuse of androgenic anabolic steroids is a reality in both small and large municipalities in Sweden. The prevalence figures are higher among 16 year old compared to 17 year old male adolescents. There is an association between this drug misuse and other substance misuse such as narcotic drugs, Female adolescents do not misuse steroid hormones. The findings indicate the need for preventive work among male adolescents in order to induce adolescents not to start misusing androgenic anabolic steroids.

  • 105.
    Nilsson, Ulrica
    et al.
    Umeå University, Umeå, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Alm-Roijer, Carin
    Malmö University, Malmö, Sweden.
    Thylen, Ingela
    Linköping University, Linköping, Sweden.
    Sex knowledge in males and females recovering from a myocardial infarction: a brief communication2012Inngår i: Clinical Nursing Research, ISSN 1054-7738, E-ISSN 1552-3799, Vol. 21, nr 4, s. 486-494Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this article was to explore sexual knowledge in persons who had suffered from myocardial infarction (MI). Seventy-six Swedish persons completed the "Sex after MI Knowledge Test" questionnaire. Overall, 53% of the men and 45% of the women scored maximum in the test. In a comparison between sexes, the men scored significantly more often a correct answer compared to the women for two out of the 25 items. The levels of correct answers were less then 50% for 14 out of the 25 items in both sexes. In conclusion we found that people who had suffered MI had poor levels of knowledge about sex and that there were some differences concerning lesser knowledge among the females in comparison to males. In regard to application, using a validated instrument facilitates an interactive communication between the patient and health care professionals, and opens up for a tailored education in line with the patient's and his or her partner's needs. © The Author(s) 2012.

  • 106.
    Paulsson, Gun
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nederfors, T.
    Cent Hosp, Dept Hosp Dent, Halmstad, Sweden.
    Attitudes to oral hygiene procedures among nursing personnel in special housing facilities for the elderly.1998Inngår i: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 77, nr 5, s. 1335-1335Artikkel i tidsskrift (Annet vitenskapelig)
  • 107.
    Paulsson, Gun
    et al.
    Oral and Dental Health Centre, Central Hospital, Halmstad, Sweden.
    Nederfors, T.
    Oral and Dental Health Centre, Central Hospital, Halmstad, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Nurse managers' conception of oral health. A qualitative analysis.2000Inngår i: Journal of Dental Research, ISSN 0022-0345, E-ISSN 1544-0591, Vol. 79, nr 5, s. 1291-1291Artikkel i tidsskrift (Annet vitenskapelig)
    Abstract [en]

    Aim: The aim of this study was to describe how nurse managers perceive oral health in general and the oral health of the care-receiver in particular. Background: Oralhealth and general health are independent and influence each other through biological, psychological, emotional and developmental factors. To most adults, oral health is anatural daily routine of hygiene, whereas to people who are dependent on other people's assistance, it is a procedure carried out by nursing personnel. Methods: Data were collected through interviews and analysed according to the phenomenographical method. Findings: Five categories emerged describing how nurse managers perceive oralhealth: maintaining patients' well-being, having knowledge about oral health, behaviour towards the patient, feeling of being insufficient and creating the necessary conditions. Conclusion: The nurses considered oral health an important and obvious, but neglected, part of nursing. They expressed the wish to be updated in the knowledge area concerned, both for themselves and for their personnel. A majority called for standards for oral care, including documentation, which was considered necessary for the successful implementation. Implications: A suggestion for further research is to study whether the creation of national standards may increase its status and quality.

  • 108.
    Paulsson, Gun
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nederfors, Tommy
    Oral Health Centre, Central Hospital, Halmstad, Sweden; King Faisal Hospital and Research Center, Riyadh, Kingdom of Saudi Arabia.
    Söderfeldt, Björn
    Department of Oral Public Health, Malmö University, Malmö, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    The effect of an oral health education program after three years2003Inngår i: Special Care in Dentistry: managing special patients, settings, and situations, ISSN 0275-1879, E-ISSN 1754-4505, Vol. 23, nr 2, s. 63-69Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Three years after providing an oral health education program (OHEP) to nursing personnel, the authors analyzed the effect of the program on knowledge of the importance of oral health and on perception among the nurses of the possibility to implement oral care in patient care. The study was based on a cross-sectional survey of all nursing personnel (N = 2,901) in five municipalities in the Southwestern Sweden, of whom 950 had attended four one-hour lessons during an OHEP in 1996. The response rate to the survey questionnaire was 67% (1,930 subjects). Statistical analysis was performed by means of descriptive and analytical statistics. The program was shown to have an independent effect on the dependent variables "knowledge of oral health" and "assessment of implementation possibilities," This study has given further evidence of the feasibility of an educational program to improve both knowledge and implementation of oral health care. through interviews with 17 nursing personnel, selected by strategic sampling. Analysis of the transcribed interviews showed that there were four strategies, related to staff education, hospital resources, and leadership motivation. The strategies were grounded in data and emerged from the interaction between the two main categories: 'the valuation of the importance of oral health' and 'the behavior towards oral health maintenance'. They were characterized as the routine, theoretical, practical, and flexible strategies, with the latter considered ideal. As increased knowledge is one important part in enhancing the nursing personnel's ability to perform oral hygiene procedures, there is a need for education among nursing personnel, primarily among those using a routine strategy.

  • 109.
    Paulsson, Gun
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Oral Health Centre, Central Hospital, Halmstad, Sweden.
    Söderfeldt, Björn
    Department of Oral Public Health, Malmö University, Malmö, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nederfors, Tommy
    Oral Health Centre, Central Hospital, Halmstad, Sweden.
    Recall of an oral health education programme by nursing personnel in special housing facilities for the elderly2001Inngår i: Gerodontology, ISSN 0734-0664, E-ISSN 1741-2358, Vol. 18, nr 1, s. 7-14Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objectives: To investigate the recall of oral health knowledge and confidence by nursing personnel in special housing facilities for the elderly, three years after an education programme.

    Design: A cross sectional design using a questionnaire.

    Sample: All nursing personnel, a total of 2,901 subjects, in five municipalities in south-western Sweden; of whom 950 had attended the programme. The response rate was 67% (1930 subjects).

    Intervention: An oral health education programme consisting of four one-hour lessons.

    Results: The oral health education programme still had an effect on the participants' attitudes towards oral health three years later. When comparing the trained group (OHEP+) which attended the programme with those who did not have training (OHEP-), the perceived ability, opportunity and the knowledge of oral health were significantly better in the former group, p<0.01 Eurther, within the OHEP- group who did not attend the programme there was a significant difference in the perceived ability, opportunity and the knowledge of oral health between those with a higher level of health care education, p<0.01.

    Conclusions: The effect of an oral health education programme on the participants' attitudes towards oral health persists at least for three years. The data indicate that trainees with a low level of health care education benefit most.

  • 110.
    Paulsson, Gun
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Söderfeldt, Björn
    Cent Hosp Halmstad, Oral Hlth Ctr, Halmstad, Sweden .
    Nederfors, Tommy
    King Faisal Specialist Hospital and Research Centre, Department of Dentistry, Riyadh, Saudi Arabia.
    Fridlund, Bengt
    School of Health Sciences Jönköping, School of Health Sciences, Jönköping, Sweden.
    Nursing personnel's views on oral health from a health promotion perspective: a grounded theory analysis2002Inngår i: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 60, nr 1, s. 42-49Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to develop a model for how nursing personnel view oral health in general and the oral health of the care receivers in particular, applying a health promotion perspective and using grounded theory analysis. Data were collected through interviews with 17 nursing personnel, selected by strategic sampling. Analysis of the transcribed interviews showed that there were four strategies, related to staff education, hospital resources, and leadership motivation. The strategies were grounded in data and emerged from the interaction between the two main categories: 'the valuation of the importance of oral health' and 'the behavior towards oral health maintenance'. They were characterized as the routine, theoretical, practical, and flexible strategies, with the latter considered ideal. As increased knowledge is one important part in enhancing the nursing personnel's ability to perform oral hygiene procedures, there is a need for education among nursing personnel, primarily among those using a routine strategy.

  • 111.
    Pihl, Emma
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Cider, Åsa
    Physiotherapy Department, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Strömberg, Anna
    Department of Medicine and Health Sciences, Division of Nursing, Linköping University, Linköping, Sweden.
    Fridlund, Bengt
    Department of Nursing, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    Department of Nursing, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Exercise in elderly patients with chronic heart failure in primary care: Effects on physical capacity and health-related quality of life2011Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 10, nr 3, s. 150-158Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    INTRODUCTION: 

    Chronic heart failure (CHF) limits exercise capacity which influences physical fitness and health-related quality of life (HRQoL). 

    AIM: 

    The aim was to determine the effects on physical capacity and HRQoL of an exercise programme in elderly patients with CHF in primary care.

    METHODS: 

    An exercise intervention was conducted as a prospective, longitudinal and controlled clinical study in primary care in elderly patients with CHF. Endurance exercise and resistance training were conducted as group-training at the primary care centre and as home training. Follow-up on physical capacity and HRQoL was done at 3, 6 and 12 months.

    RESULTS: 

    Exercise significantly improved muscle endurance in the intervention group (n=29, mean age 76.2years) compared to the control group (n=31, mean age 74.4years) at all follow-ups except for shoulder flexion right at 12months (shoulder abduction p=0.006, p=0.048, p=0.029; shoulder flexion right p=0.002, p=0.032, p=0.585; shoulder flexion left p=0.000, p=0.046, p=0.004). Six minute walk test improved in the intervention group at 3months (p=0.013) compared to the control group. HRQoL measured by EQ5D-VAS significantly improved in the intervention group at 3 and 12months (p=0.016 and p=0.034) and SF-36, general health (p=0.048) and physical component scale (p=0.026) significantly improved at 3months compared to the control group. 

    CONCLUSION: 

    This study shows that exercise conducted in groups in primary care and in the patients' homes could be used in elderly patients with CHF. The combination of endurance exercise and resistance training has positive effects on physical capacity. However, the minor effects in HRQoL need further verification in a study with a larger study population. ©Sage Publications

  • 112.
    Pihl, Emma
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University.
    Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure: A phenomenographic analysis2011Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 25, nr 1, s. 3-11Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 113.
    Pihl, Emma
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Mårtensson, Jan
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Spouses' experiences of impact on daily life regarding physical limitations in the loved one with heart failure: A phenomenographic analysis2010Inngår i: Canadian Journal of Cardiovascular Nursing, ISSN 0843-6096, Vol. 20, nr 3, s. 9-17Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 114.
    Pihl, Emma
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Jacobsson, Anna
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Strömberg, Anna
    Linköping University.
    Mårtensson, Jan
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Depression and health-related quality of life in elderly patients suffering from heart failure and their spouses: a comparative study2005Inngår i: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 7, nr 4, s. 583-589Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 115.
    Rask, Mikael
    et al.
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Malm, Dan
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Kristofferzon, Marja Leena
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Roxberg, Åsa
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Gruppen för forskning om hälsofrämjande och Livsstilsförändrande arbete.
    Arenhall, Eva
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Baigi, Amir
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Brunt, David
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Fridlund, Bengt
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Ivarsson, Bodil
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Nilsson, Ulrica
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Sjöström-Strand, Annica
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Wieslander, Inger
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Benzein, Eva Gunilla
    Växjö University, School of Health Sciences and Social Work, Växjö, Sweden.
    Validity and reliability of a Swedish version of the Relationship Assessment Scale (RAS): a pilot study2010Inngår i: Canadian journal of cardiovascular nursing, ISSN 0843-6096, Vol. 20, nr 1, s. 16-21Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: There is a need for a short and easily administered scale, in the Swedish language, for assessing partner relationships in the health care of persons with cardiac disease. PURPOSE: To establish the reliability and validity of the Swedish version of the Relationship Assessment Scale (RAS). DESIGN: The present pilot study has a methodological design. FINDINGS: Content validity has been tested for relevance, clarity and readability. The scale was tested for construct validity with explorative factor analysis. The reliability was tested by internal consistency and test-retest analysis. The result showed a two-factor solution, which does not correspond to the original proposed one-factor solution. The factor analyses revealed two quite distinct factors of RAS, labelled "Relationship built on expectations and satisfaction of needs" and "Relationship built on love and devotion". CONCLUSIONS: The scale has satisfactory psychometric properties in terms of content validity, construct validity, homogeneity and stability in a population of persons with cardiac disease. Wider evaluations of the RAS for other populations and settings are recommended.

  • 116.
    Roxberg, Åsa
    et al.
    Växjö University, Växjö, Sweden & University College of Haraldsplass, Bergen, Norway.
    Burman, Marianne
    Växjö University, Växjö, Sweden.
    Guldbrand, Mona
    Växjö University, Växjö, Sweden.
    Fridlund, Bengt
    Växjö University, Växjö, Sweden & Jönköping University, Jönköping, Sweden.
    Barbosa da Silva, António
    Ansgar College and Theological Seminary, Kristiansand, Norway & Stavanger University, Stavanger, Norway.
    Out of the wave: the meaning of suffering and relieved suffering for survivors of the tsunami catastrophe. An hermeneutic-phenomenological study of TV-interviews one year after the tsunami catastrophe, 20042010Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, nr 4, s. 707-715Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The tsunami catastrophe, 26th December 2004, is one of a number of catastrophes that has stricken mankind. Climate reports forecast that natural disasters will increase in number in the future. Research on human suffering after a major catastrophe, using a caring science perspective, is scarce. The aim of the study was to explore the meaning of suffering and relieved suffering of survivors of the tsunami catastrophe, 26th December 2004. An explorative study design, inspired by the French philosopher Paul Ricoeur’s hermeneutic-phenomenology, was used. Interviews made by the Swedish Television (SVT) in connection with the 1 year anniversary were carried out on site in the disaster area and in Sweden. The text analysis revealed four main themes: ‘An incomprehensible event’, ‘A heavy burden’, ‘Help that helps’, and to ‘Being changed in a changed life situation’. The findings were mainly interpreted in light of Paul Ricoeur’s thinking on suffering, quilt, forgiveness, time and narrative. The first year after the loss of loved ones in the tsunami catastrophe, 2004, was like starting an inner as well as an outer journey. This journey was experienced as living with the heavy burden of an incomprehensible event. Help that helped was mediated by consolers who endured the suffering of the other. An ‘enduring courage’ is a key moral virtue to encounter the alienation of the sufferer and how it in turn alienates from the sufferer. It is also important to recognize that the complexity of the world of those who have lost loved ones in major catastrophes includes possibilities for reconciliation with the loss. The reconciliation creates hope that opens up for being changed in a changed life situation.© 2010 The Authors. Scandinavian Journal of Caring Sciences © 2010 Nordic College of Caring Science.

  • 117.
    Roxberg, Åsa
    et al.
    Växjö University, Växjö , Sweden.
    Dahlberg, Karin
    Växjö University, Växjö , Sweden.
    Stolt, Carl-Magnus
    Medical Humanities, Karolinska Institute, Stockholm, Sweden.
    Fridlund, Bengt
    Växjö University, Växjö, Sweden & Jönköping University, Jönköping, Sweden.
    In the midst of the unthinkable. A phenomenological life-world approach to the experiences of suffering and relieved suffering during the tsunami catastrophe, 2004.2009Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 4, nr 1, s. 17-27Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to highlight the instantaneous experience of suffering and relieved suffering that was presented on the Swedish Television (SVT) by those who experienced the tsunami wave in Thailand, 26 December 2004. The selected TV-interviews were watched, transcribed and conducted with an empirical phenomenological analysis. A phenomenological lifeworld approach, inspired by the French philosopher Maurice Merleau-Ponty, was chosen for the theoretical framework. The findings showed three main features: the motion, the stillness and the shift in perspective. The motion comprised both the motion of the wave and the motion it caused the victims in terms of external as well as internal disorder. When the tsunami waves withdrew, it was followed by stillness. The feeling of being unreal was prominent, triggered by lack of information and endless waiting. Another prominent feature was the victims’ incapacity to answer ‘‘how long’’ they had suffered before being rescued. The tsunami catastrophe seemed to be a timeless event. Caring for other victims meant a shift in perspective in one’s own devastated world to that of another person. The shift between focus and comprehension, contributed to the making of life-saving decisions, for the victims themselves and for other victims. The findings were mainly reflected on from the perspective of the French philosopher Maurice Merleau-Ponty, for example the experience of time as an embedded and lived now. It was also reflected on from the perspective of the German philosopher Karl Jaspers as a limit-experience and as a fulfilment of love. A suggestion for further research is to investigate how suffering and relieved suffering is experienced and encountered when further time has passed.

  • 118.
    Roxberg, Åsa
    et al.
    Växjö University, Växjö, Sweden.
    Eriksson, Katie
    Åbo Academy, Vasa, Finland & Helsinki University Central Hospital, Helsinki, Finland.
    Rehnsfeldt, Arne
    Linköping University, Linköping, Sweden.
    Fridlund, Bengt
    Växjö University, Växjö, Sweden.
    The meaning of consolation as experienced by nurses in a home-care setting2008Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, nr 8, s. 1079-1087Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims and objective. The aim of this study was to illuminate nurses’ experiences of consolation and how these experiences relate to suffering and care.

    Background. Consolation is commonly associated with the relief of suffering. The question of consolation in terms of its definition and relevance for care has, however, been a matter of discussion among nurse researchers. The question raised concerns about the nature of consolation, its place and its role in relation to care and the caring sciences.

    Design. An explorative qualitative interview study with 12 participants, six registered and six enrolled nurses, was carried out in a home-care context.

    Methods. A phenomenological-hermeneutic method inspired by the French philosopher Paul Ricoeur was used for the text analysis.

    Results. Two main aspects of consolation appeared: ‘the present consolation’, which is flexible, sustaining and opening and ‘the absent consolation’, which conceals the suffering and is incapable of consoling. The result was interpreted from a philosophical-ethical perspective, based on the works of Levinas and Lögstrup.

    Conclusions. Consolation appears as a complex phenomenon, both in terms of its existence and its absence consolation, constituting a caring and non-caring consolation. A caring consolation entails meeting the other as different and being present in a way that gives the other space to be the one he or she really is. It requires acceptance, accepting the sufferer and his/her way of suffering as unique.

    Relevance to clinical practice. The clinical nurse is involved in complex care situations, which entails both reflecting upon and using intuition when consoling. A caring consolation is a contradictory phenomenon that requires a nurse to be capable of both reflecting upon and acting intuitively on the unique suffering of the other. © 2008 Blackwell Publishing Ltd.

  • 119.
    Roxberg, Åsa
    et al.
    Linnaeus University, Växjö, Sweden & University College of Haraldsplass, Bergen, Norway.
    Sameby, Jessica
    Linnaeus University, Växjö, Sweden.
    Brodin, Sandra
    Linnaeus University, Växjö, Sweden.
    Fridlund, Bengt
    Linnaeus University, Växjö, Sweden & Jönköping University, Jönköping, Sweden.
    Barbosa da Silva, António
    Psykisk helsearbeid, Kristiansand, Norway.
    Out of the wave: The meaning of suffering and relief from suffering as described in autobiographies by survivors of the 2004 Indian Ocean tsunami2010Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, nr 3, artikkel-id 5323Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to explore the meaning of suffering and relief from suffering as described in autobiographies by tourists who experienced the tsunami on 26 December 2004 and lost loved ones. A lifeworld approach, inspired by the French philosopher Merleau-Ponty's phenomenology of perception, was chosen for the theoretical framework. This catastrophe totally changed the survivors' world within a moment. In this new world, there were three main phases: the power of remaining focused, a life of despair, and the unbearable becoming bearable. Life turns into a matter of making the unbearable bearable. Such challenging experiences are discussed in terms of the philosophy of Weil, Jaspers, and Merleau-Ponty. The survivors of the tsunami catastrophe were facing a boundary situation and "le malheur," the unthinkable misfortune. Even at this lowest level of misfortune, joy is possible to experience. This is part of the survivors' ambivalent experiences of their lifeworld. In this world of the uttermost despair there are also rays of hope, joy, and new life possibilities. © 2010 Å. Roxberg et al.

  • 120.
    Samarashinge, Kerstin
    et al.
    Kristianstad University.
    Arvidsson, Barbro
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Abrahamsson, Anita
    FoUrum, County of Jönköping.
    Fridlund, Bengt
    Jönköping University.
    The promotion of family wellness for refugee families in cultural transition- A phenomenographic study2012Inngår i: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 2, nr 4, s. 92-104Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To illustrate how nurses can promote family wellness and facilitate acculturation for involuntary migrant families as conceptualized by bilingual interpreters and cultural mediators with own past refugee experience.  Due to the nature of involuntary migration and accompanying acculturation, refugee families face a complex transition, exposing them to vulnerability in cohesion and family function. Involuntary migrant health needs are largely managed within the Primary Health Care sector where Primary Health Care Nurses (PHCN) play an important role. Additionally, bilingual interpreters and cultural mediators with personal experience of being refugees and subsequent acculturation play a critical role in bridging the language and cultural gap between migrant families and PHCNs.

    Methods: The study is descriptive and explorative in design with a phenomenographic approach. Data was collected in Southern Sweden utilizing in-depth interviews with ten bilingual interpreters and cultural mediators originating from the Balkans, Kurdistan, Eritrea and Somalia. A contextual analysis with reference to phenomenography was used in interpreting the data material.

    Results: Three separate themes illustrated the meaning of family wellness: a sense of belonging to the new homeland, the maintenance of self-esteem and stable family interrelationships. The analysis demonstrated that the way ex-refugee bilingual interpreters and cultural mediators perceived of how to promote family wellness, fell into three qualitative different conceptions: (1) Promotion of family wellness is the responsibility of the family itself, manifested in its attitude in wanting to adjust to change, (2) Promotion of family wellness is the consideration of those outside the family and is marked by understanding and respectful attitudes, (3) Promotion of family wellness is a societal responsibility to which successful integration is a prerequisite.

    Conclusions: The promotion of health of involuntary migrant families in cultural transition is complex due to families, other members of the society and society at large all contributing to family wellness in the process of acculturation. For nurses to facilitate a healthy transition for involuntary migrant families, a holistic approach working with the entire family in a psychosocial way and cooperating with other health care professionals, community authorities and ethnic organizations maybe a future direction in encounters with involuntary migrant families with health problems. Adopting a family system approach will enable nurses to provide culturally and transition-competent quality care by enabling stabilizing interfamily relationships through supportive conversations about changes and its subsequent reactions and possible coping of the family as a unit. Further research in order to enhance health promotion would preferable take on a participatory approach. © Sciedu Press

  • 121.
    Sjöberg, G.
    et al.
    Center for Caring Sciences, University of Uppsala, Uppsala, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Women’s experience of and need for rehabilitation after AMI, PTCA or CABG1999Inngår i: SCJ. Scandinavian cardiovascular journal. Supplementum, ISSN 1401-7458, E-ISSN 1651-2510, Vol. 33, nr 51, s. 13-13Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Despite the high incidence of cardiovascular disease in women, there is a paucity of nursing research that addresses women’s needs for cardiac rehabilitation care. Women are less prone to attend cardiac rehabilitation programs than men are, they also have a higher drop out before completion. Few studies have investigated the reasons. Objective: The purpose of the study was to survey women’s reported experience of and need for rehabilitation after AMI, PTCA or CABG. Method: An exploratory study was carried out. A sample of 490 eligible women who had suffered from AMI, PTCA or CABG took part in the study. A 282-item questionnaire at an ordinal scale level was designed. Results: The 490 women attended one or more parts of a cardiac rehabilitation program; in a physical training group n=182 (37%), in a dietary modification group n=48 (10%), in a conversation group n=73 (15%), in a smoking cessation group n=5 (1%) and in a stress modification group n=35 (7%). Smokers were n=54 (11%) and ex-smokers n=153 (31%). Smoking cessation group was considered as the most important part of cardiac rehabilitation program and in decreasing order of importance physical training group, stress modification group, dietary modification group and last the conversation group. Conclusion: Smoking cessation group was considered to be the most important part in cardiac rehabilitation program, however only 1% of the smokers and ex-smokers had attended a smoking cessation group.

  • 122.
    Skärsäter, Ingela
    et al.
    Göteborg University, Fac. of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Dencker, Karina
    Göteborg University, Fac. of Health and Caring Sciences, Institute of Nursing, Göteborg, Sweden.
    Häggström, Lars
    Department of Psychiatry, Central Hospital, S-301 85 Halmstad, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    A salutogenetic perspective on how men cope with major depression in daily life, with the help of professional and lay support2003Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 40, nr 2, s. 153-162Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Worldwide, major depression is one of the main causes of premature death and lowered functional capacity, and its importance will increase in the coming years. At the same time, there is a gap in service provision, and the needs of depressed patients are often not met. Therefore, the aim of this study was to describe how men (N = 12) with major depression (DSM-IV) cope with daily life with the help of professional and lay support. The men were selected by strategic sampling and analysed with an approach inspired by phenomenography. Four descriptive categories emerged: being unburdened, restoring one's health, feeling involved, and finding a meaning. A man receives help and support from health care in,restoring his health but his own path to getting well is to resume his place in the public domain. To help him do so, lay support is vital, and an important task for the nurse is, therefore, to support him in maintaining his existing social network or in building a new one. (C) 2002 Elsevier Science Ltd. All rights reserved.

  • 123.
    Strömberg, A.
    et al.
    Dept Cardiol, Linkoping, Sweden .
    Mårtensson, J.
    Country Hosp Ryhov, Dept Cardiol, Jonkoping, Sweden .
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Dahlström, U.
    Univ Hosp, Dept Cardiol, Linkoping, Sweden.
    Factors causing hospitalisation due to heart failure2002Inngår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 23, s. 472-472Artikkel i tidsskrift (Annet vitenskapelig)
  • 124. Strömberg, A.
    et al.
    Mårtensson, J.
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Karlsson, J.E.
    Levin, L.A.
    Dahlström, U.
    Effects of follow-up after hospitalisation at a nurse-led heart failure clinic: a randomiced trial2002Inngår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 23, s. 242-242Artikkel i tidsskrift (Annet vitenskapelig)
  • 125.
    Strömberg, Anna
    et al.
    Department of Cardiology, University Hospital, Linköping, Sweden.
    Dahlström, Ulf
    Department of Cardiology, University Hospital, Linköping, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Computer-based education for patients with chronic heart failure: A randomised, controlled, multicentre trial of the effects on knowledge, compliance and quality of life2006Inngår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 64, nr 1-3, s. 128-135Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    OBJECTIVE: To evaluate the effects of a single-session, interactive computer-based educational program on knowledge, compliance and quality of life in heart failure patients with special emphasis on gender differences.

    METHODS: One hundred and fifty-four patients, mean age 70 years, from five heart failure clinics were randomised to either receiving only standard education (n = 72) or standard education and additional computer-based education (n = 82).

    RESULTS: Knowledge was increased in both groups after 1 month with a trend towards higher knowledge (P = 0.07) in the computer-based group. The increase in knowledge was significantly higher in the computer-based group after 6 months (P = 0.03). No differences were found between the groups with regard to compliance with treatment and self-care or quality of life. The women had significantly lower quality of life and did not improve after 6 months as the men did (P = 0.0001).

    CONCLUSION: Computer-based education gave increased knowledge about heart failure. PRACTICE IMPLICATIONS: Computers can be a useful tool in heart failure education, but to improve compliance a single-session educational intervention is not sufficient. Gender differences in learning and quality of life should be further evaluated.

  • 126.
    Strömberg, Anna
    et al.
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden.
    Mårtensson, Jan
    Department of Medicine, Faculty of Health Sciences, Linkdping University, Linköping, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Dahlström, Ulf
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden.
    Delay time and factors causing hospitalization due to heart failure2002Inngår i: Circulation, ISSN 0009-7322, E-ISSN 1524-4539, Vol. 106, nr 19, s. 599-600Artikkel i tidsskrift (Annet vitenskapelig)
  • 127.
    Strömberg, Anna
    et al.
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden.
    Mårtensson, Jan
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Karlsson, Jan Erik
    Department of Medicine, County Hospital Ryhov, Jönköping, Sweden.
    Levin, Lars Åke
    Ctr. for Med. Technology Assessment, Department of Health, Linköping University, Linköping, Sweden.
    Dahlström, Ulf
    Department of Cardiology, Heart Centre, Linköping University Hospital, Linköping, Sweden.
    Follow up at a nurse-led heart failure clinic after hospitalization, effects on morbidity, mortality and self-care behavior. Results from a randomized study2002Inngår i: Circulation, ISSN 0009-7322, E-ISSN 1524-4539, Vol. 106, nr 19, s. 488-489Artikkel i tidsskrift (Annet vitenskapelig)
  • 128.
    Svedberg, Petra
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Ivarsson, Bodil
    Department of Cardiothoracic Surgery, University Hospital of Lund, Lund, Sweden.
    Nilsson, Ulrica G.
    Centre of Health Care Sciences Orebro University Hospital, Örebro, Sweden.
    Roxberg, Åsa
    University College of Haraldsplass, Bergen, Norway.
    Baigi, Amir
    General Practice and Public Health, Halland County Council, Falkenberg, Sweden.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Brännström, Margareta
    Department of Nursing, Umeå University, Umeå, Sweden.
    Fridlund, Bengt
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Persson, Sylvi
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Alm-Roijer, Carin
    The Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Psychometric evaluation of a Swedish version of Krantz Health Opinion Survey2012Inngår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 2, nr 3, s. 181-187Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study was to evaluate the psychometric properties of a Swedish version of The Krantz Health Opinion Survey (KHOS). A convenience sample of 79 persons (47 men and 32 women) was recruited from The Heart and Lung Patients’ National Association at ten local meeting places in different areas in Sweden. The questionnaire was examined for face and content validity, internal consistency and test-retest reliability. The findings showed that the Swedish version of KHOS is acceptable in terms of face and content validity, internal consistency and test-retest reliability over time among 79 individuals >65 years of age and with a cardiac disease. In conclusion, wider evaluations of the psychometric use of KHOS for other populations and settings are recommended.

    Fulltekst (pdf)
    fulltext
  • 129.
    Svedberg, Petra
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Johansson, Ingela
    Division of Nursing Sciences, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden & Department of Cardiology, Linköping Heart Centre, Linköping University Hospital, Linköping, Sweden & Faculty of Health Sciences, Molde University College, Molde, Norway.
    Persson, Sylvie
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Roxberg, Åsa
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden & University College of Haraldsplass, Bergen, Norway.
    Fridlund, Bengt
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden & School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Baigi, Amir
    General Practice and Public Health, Halland County Council, Falkenberg, Sweden.
    Brunt, David
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Alm Roijer, Carin
    The Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Malm, Dan
    School of Health Sciences, Jönköping University, Jönköping, Sweden & Department of Cardiology, County Hospital Ryhov, Jönköping, Sweden .
    Rask, Mikael
    School of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Nilsson, Ulrica
    Centre of Heath Care Sciences Örebro County Council and School of Health and Medical Sciences, Örebro University, Sweden.
    Psychometric evaluation of ‘The 25-item Sex after MI Knowledge Test’ in a Swedish context2012Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, nr 1, s. 203-208Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The patients’ sexual life after a myocardial infarction is important for his/her quality of life. In spite of this, many patients are in doubt regarding their sex life after a myocardial infarction (MI) and the sexual information received, and counselling from health care providers has been seen to be insufficient. The purpose of this study was to evaluate the psychometric properties of ‘The 25-item Sex after MI Knowledge Test’ in a Swedish context. A convenience sample was recruited. The scale was translated into Swedish and completed by 79 former patients from The Heart and Lung Patients’ National Association on two occasions, with an interval of 2 weeks. The scale was tested for face and content validity, internal consistency and test–retest reliability. The result in this study indicates that the instrument has good face and content validity and displayed a moderate internal consistency (alpha 0.61). The instrument showed some level of instability in test–retest reliability with 60% of the items presenting moderate or strong agreement between the test and retest. Further studies that use this instrument in larger and more diverse samples are thus needed.

  • 130.
    Von Bothmer, Margareta
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Promoting a tobacco-free generation: who is responsible for what?2001Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, nr 6, s. 784-792Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to investigate how adolescents, parents and school staff look upon different agents' responsibilities in relation to the goal 'a tobacco-free generation'. This study was part of a larger study and used a descriptive, cross-sectional three-group design with questionnaires as the means of data collection. The sample comprised 216 pupils in grade five (11 years old) and 225 pupils in grade eight (14 years old) in a south-western county in Sweden, 293 of their parents and 119 school staff (headteachers, teachers, school nurses). All respondents agreed that adults should take a clear stand against adolescent tobacco use. The adolescents ranked their parents as the number one source of tobacco information, while pupils, parents, teachers and headmasters ranked school nurses at the bottom rank, The teaching at school focused on risks from tobacco use. The non-smoking norm at school was viewed differently by pupils, parents and school staff. The actions of family, school and society reflect the norms and these do influence adolescent smoking. The conclusion was that the responsibility to promote a tobacco-free generation was viewed differently by the categories involved in this study. The adolescents put the responsibility mainly on parents, while parents put it on the school, and the school staff on special health educators. Both parents and school staff need to recognize their importance in creating a non-smoking culture. To contribute to the creation of a non-smoking generation, school nurses should abandon their passive role in health promotion, as shown in this study, and instead engage in encouraging pupils, parents and teachers to remain or become tobacco-free.

  • 131.
    von Bothmer, Margareta I. K.
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Gender differences in health habits and in motivation for a healthy lifestyle among Swedish university students2005Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 7, nr 2, s. 107-118Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the present study was to investigate gender differences in students’ health habits and motivation for a healthy lifestyle. The sample of students comprised a probability systematic stratified sample from each department at a small university in the south-west of Sweden (n = 479). A questionnaire created for this study was used for data collection. Self-rated health was measured by number of health complaints, where good health was defined as having less than three health complaints during the last month. A healthy lifestyle index was computed on habits related to smoking, alcohol consumption, food habits, physical activity and stress. Female students had healthier habits related to alcohol consumption and nutrition but were more stressed. Male students showed a high level of overweight and obesity and were less interested in nutrition advice and health enhancing activities. The gender differences are discussed in relation to the impact of stress on female students’ health, and the risk for male students in having unhealthy nutritional habits in combination with being physically inactive and drinking too much alcohol.

  • 132.
    von Bothmer, Margareta I. K.
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Department of Primary Health Care, Göteborg University, Göteborg, Sweden & Department of Nursing Science, Lund University, Lund, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS). Department of Primary Health Care, Göteborg University, Göteborg, Sweden & Department of Nursing Science, Lund University, Lund, Sweden.
    Self-rated health among university students in relation to sense of coherence and other personality traits2003Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 17, nr 4, s. 347-357Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to determine students' self-rated health in relation to sense of coherence and other personality traits. A cross-sectional descriptive design was used with questionnaires as the means of data collection. The study population comprised a randomized stratified sample of students from a small university in southern Sweden. Ethical approval was obtained from the vice chancellor, and the issues of informed consent, confidentiality, privacy and self-determination were respected. Two instruments were used for data collection; the 29-item Sense of Coherence (SOC) scale, and an instrument created for this Study, named Personality and Health Instrument, containing 52 questions. Self-rated health was estimated by inverse number of health complaints. A factor analysis identified seven factors related to personality traits; the three most important were hardiness, positive affect/optimism and Type A personality. The personality trait variables were tested for correlation with each other as well as with self-rated health. The mean score for SOC was similar for female and male students, but a positive association between SOC and self-rated health was found only among women. Optimism was associated with less health complaints among female students. Type A personality was associated with poorer health both among women and men. The personality traits SOC, positive affect/optimism, hardiness and alienation showed high internal correlations. The SOC scale is discussed in relation to gender specificity and in relation to methodological and conceptual confounding. Further research is needed to explore the relation between SOC, optimism, hardiness, hostility and health. The significance of the study is that it raises questions about the validity and specificity of the SOC instrument and provides ideas for future research to develop the sense of coherence concept and instrument.

  • 133.
    von Bothmer, Margareta I. K.
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Mattsson, B.
    Göteborg University, Göteborg, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Influences on adolescent smoking behaviour: siblings' smoking and norms in the social environment do matter2002Inngår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 10, nr 4, s. 213-220Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The prevalence of smoking among adolescents has stopped declining in spite of all preventative efforts. There is a need for further knowledge and understanding of why adolescents initiate and continue tobacco use. The aim of the present study was to investigate important facets of adolescents' tobacco use, such as their reasons for smoking, and their smoking patterns in relation to smoking habits in the family and the social environment. This study was part of a larger one that used a descriptive, cross-sectional design with questionnaires to 216 pupils in grade 5 (11 years of age) and 225 pupils in grade 8 (14 years of age) in a south-western county in Sweden. Thirteen per cent of the pupils in grade 8 were regular tobacco users. Smoking habits by relatives, especially siblings, influenced tobacco use by adolescents. An association was found between smoking by adolescents and mother's employment, and between the smoking status of girls and family status. The pupils valued their parents opinions, and wanted parents and other adults to take a clear stand against tobacco. The present study reinforces the importance of norm setting by parents and siblings for adolescents tobacco use. Preventive measures may be more appropriately directed towards those with the highest risks, i.e. pupils with smoking siblings and smoking peers.

  • 134.
    Wahlin, Ulla
    et al.
    Falkenberg Ambulance Service, Falkenberg, Sweden.
    Wieslander, Inger
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Loving care in the ambulance service1995Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 11, nr 6, s. 306-313Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The ambulance service should offer good care signified by humane and individual treatment of the patients, based on love to our fellow man. The aim of this study was to find out how loving care was practised in one ambulance service. The method for the study was the critical incident technique. Twelve paramedics, the majority of whom are qualified nurses, took part in the study; they were asked to describe, in writing, critical incidents in which they had acted with loving care. The paramedics’ writings disclosed their ability to do their job with loving care, bearing on their cognizance, solicitude and empathy. On the whole, subject cognizance, the ability to judge and treat based upon the monitored symptoms of the patients, was apparent. In the main, subject solicitude loving care was shown through humbleness, consideration, closeness and being in rapport, and generally subject empathy, the paramedic’s empathic capacity and his knowledge about man’s behaviour in a crisis, became evident. From a clinical standpoint the study shows the importance of the paramedics possessing professional skill. As a contribution to science the study adds to continued research based upon descriptions made by other groups of personnel about the phenomenon to be studied; namely, loving care. © 1995 Pearson Professional Ltd.

  • 135.
    Wendt, Eva
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Lidell, Evy
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Trust and confirmation in a gynecologic examination situation: A critical incident technique analysis2004Inngår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 83, nr 12, s. 1208-1215Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Gynecologic examination is a common measure in reproductive health care. Many women experience the examination as a more or less negative event, with shortcomings in the examiner's behavior. The aim of the study was to describe, in terms of critical incidences, women's experiences concerning the personnel's behavior in the situation of gynecologic examination. Methods. The informants were strategically chosen and consisted of 30 Swedish women between the ages of 18-82 years old. The data collection method was qualitative research interviews analyzed by critical incident technique. Results. The result consisted of 30 subcategories, five categories, and two main areas - trust and confirmation. The personnel enabled trust when they promoted participation, created confidence, and were supportive. The opposite behavior contributed to the lack of trust. Confirmation described behavior that confirmed, respectively, did not confirm the women. This was shown through the presence or lack of respect and engagement. Conclusion. The personnel's positive behavior enabled trust and confirmed the women as individuals, while negative behavior was decisive in an unfavorable way. A complexity of patterns of knowing in nursing was identified. Participation through information that contributed to trust was important and amounted to one fourth of the incidents in the material. Respect and engagement, which confirmed the women, facilitated a positive caring relationship. The examination situation can be improved through reflection of the personnel's own behavior and further research about women's own experiences.

  • 136.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Cardiac rehabilitation efforts for patients with ischaemic heart disease - a 5-year comparative review in five counties in western Sweden2001Inngår i: Coronary Health Care, ISSN 1362-3265, E-ISSN 1532-2025, Vol. 5, nr 1, s. 16-24Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Today’s cardiac rehabilitation programmes are multiphase and interdisciplinary. The aim of the study was to compare different cardiac rehabilitation approaches available to patients with ischaemic heart disease and their next-of-kin during a 5-year period in five counties in Western Sweden. Questionnaires were answered on two occasions, in 1993 and 1998, dealing with the cardiac rehabilitation organization, the target groups invited, rehabilitation efforts, and the health-care professionals involved in the cardiac rehabilitation. The results show that patients with myocardial infarction and their next-of-kin were offered a well-functioning cardiac rehabilitation, both in 1993 and in 1998, at the university, county and district county hospitals. For patients who had undergone bypass surgery and their next-of-kin, cardiac rehabilitation was only available to a lesser extent. Patients with angina pectoris and their next-of-kin had the least possibility of receiving cardiac rehabilitation during the 5-year period. No cardiac rehabilitation programmes were specially designed for women, and an age limit existed in some cases. The most developed cardiac rehabilitation effort was the stress management education. The health-care professionals most frequently included in the cardiac rehabilitation teams at the university and district hospitals were dieticians, cardiologists, physiotherapists and nurses, both in 1993 and in 1998. The corresponding health-care professionals at the county hospitals were cardiologists, social workers, clergymen, physiotherapists and nurses. A research implication can be to identify who the next-of-kin are, what their experiences are of participating in a cardiac rehabilitation programme and how important they are to these patients.

  • 137.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Cardiac Rehabilitation Nurses’ Experiences of Factors Influencing Female Patients’ Recovery After Their First Myocardial Infarction2013Inngår i: European Journal of Cardiovascular Nursing, London: Sage Publications, 2013, Vol. 12, s. S77-S78Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Introduction

    Secondary prevention care after a Myocardial Infarction (MI) has not improved during the last 15 years at the same rate as acute MI care. One reason could be that research and health care focus more on treatment, symptoms and risk factors and not on the individuals’ perceptions of the recovery process after an MI. Most previous research focuses on recovery from the women’s and their partners’ point of view. Since cardiac rehabilitation nurses meet many women after MI, their experiences of the women’s recovery process may be an important complement perspective.

    Purpose

    The aim was to explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first MI.

    Method

    The study was conducted using qualitative content analysis. Twenty cardiac rehabilitation nurses were interviewed and the study was carried out at 10 hospitals in Sweden.

    Conclusions

    Cardiac rehabilitation nurses experienced that women’s recovery after an MI was influenced by factors that were both related to their own individual as well as by their surroundings factors. The underlying meaning of women´s recovery is characterized as the transition process to the recovery to health.

  • 138.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping, Sweden Jönköping.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Female patients' recovery after their first myocardial infarction2013Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Introduction

    Secondary prevention care after a Myocardial Infarction (MI) has not improved during the last 15 years at the same rate as acute MI care. One reason could be that research and health care focus more on treatment, symptoms and risk factors and not on the individuals’ perceptions of the recovery process after an MI. Most previous research focuses on recovery from the women’s and their partners’ point of view. Since cardiac rehabilitation nurses meet many women after MI, their experiences of the women’s recovery process may be an important complement perspective.

    Purpose

    The aim was to explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first MI.

    Method

    The study was conducted using qualitative content analysis. Twenty cardiac rehabilitation nurses were interviewed and the study was carried out at 10 hospitals in Sweden.

    Conclusions

    Cardiac rehabilitation nurses experienced that women’s recovery after an MI was influenced by factors that were both related to their own individual as well as by their surroundings factors. The underlying meaning of women´s recovery is characterized as the transition process to the recovery to health.

  • 139.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Mårtensson, Jan
    Högskolan Jönköping, Jönköping, Sverige.
    Fridlund, Bengt
    Högskolan Jönköping, Jönköping, Sverige.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Factors influencing female patients’ recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses2013Inngår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, nr 2, s. 230-240Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: In the developed part of the world, coro- nary heart disease is the major cause of death and is one of the leading causes of disease burden. In Swe- den, more than 30,000 people per year are affected by myocardial infarction and out of these approximately 40% are women. Nearly 70% of the women survive and after a myocardial infarction a recovery process follows. Today’s health care focuses more on treat- ment, symptoms and risk factors than on the indi- viduals’ perceptions of the recovery process. Aim: To explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first myocardial infarction. Methods: Twenty cardiac rehabilitation nurses were interviewed. The study was conducted using qualitative content analy- sis. Results: The cardiac rehabilitation nurses experi- enced that women’s recovery after a first myocardial infarction was influenced whether they had a suppor- tive context, their ability to cope with the stresses of life, if they wanted to be involved in their own per- sonal care and how they related to themselves. Con- clusions: Women’s recovery after a myocardial in- farction was influenced by factors related to sur- roundings as well as own individual factors. The un- derlying meaning of women’s recovery can be de- scribed as the transition process of a recovery to health. Our findings suggest that a focus on person- centered nursing would be beneficial in order to promote the every woman’s personal and unique re- covery after a myocardial infarction. Finally, the car- diac rehabilitation nurses’ experiences of factors influencing male patients’ recovery after their first myo- cardial infarction should be important to investigate. 

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  • 140.
    Wieslander, Inger
    et al.
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI). Jönköping University, Jönköping, Sweden.
    Mårtensson, Jan
    Jönköping University, Jönköping, Sweden.
    Fridlund, Bengt
    Jönköping University, Jönköping, Sweden.
    Svedberg, Petra
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI), Hälsofrämjande processer.
    Women’s experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care2016Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, artikkel-id 30633Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: A rapid improvement in the care of myocardial infarction (MI) in the emergency services has been witnessed in recent years. There is, however, a lack of understanding of the factors involved in a successful recovery process, after the initial stages of emergency care among patients, and in particular those who are women. Both preventive and promotive perspectives should be taken into consideration for facilitating the recovery process of women after a MI.

    Aim: To explore how women’s recovery processes are promoted after a first MI.

    Methods: A qualitative content analysis was used.

    Findings: The women’s recovery process is a multidirectional process with a desire to develop and approach a new perspective on life. The women’s possibility to approach new perspectives on life incorporates how they handle the three dimensions: behaviour, that is, women’s acting and engaging in various activities; social, that is, how women receive and give support in their social environment; and psychological, that is, their way of thinking, reflecting, and appreciating life.

    Conclusions: The personal recovery of women is a multidirectional process with a desire to develop and approach a new perspective on life. It is important for cardiac rehabilitation nurses to not only focus on lifestyle changes and social support but also on working actively with the women’s inner strength in order to promote the recovery of the women.

  • 141.
    Winberg, Birgitta
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS).
    Self-reported behavioural and medical changes in women after their first myocardial infarction: a 4-year comparison between participation and non-participation in a cardiac rehabilitation programme2002Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 1, nr 2, s. 101-107Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Women's recovery following a myocardial infarction (MI) has not yet been studied in a thorough manner.

    AIM: Therefore, the aim of this study was to compare women's self-reported behavioural and medical changes, both in those women who voluntarily participated and those women who did not participate in a cardiac rehabilitation programme (CRP).

    METHODS: A non-randomised comparative study design, including pre- (baseline) and post-tests (1 and 4 years after), was implemented in 18 hospitals in Sweden. Consecutively chosen women suffering their first MI (N=240) completed a questionnaire regarding behavioural and medical factors.

    RESULTS: At baseline, significant differences existed between the groups regarding time stress (increased in the CRP group) and hypertension (increased in the non-CRP group). The behavioural factors improved, irrespective of CRP participation or not, with the exception of time stress, which was consistently high in the CRP group both 1- and 4-years after the MI. Regarding the medical factors, the significant difference in hypertension disappeared after 1 year. Four years after the MI, the CRP group reported significantly less rehospitalisation and more interventive cardiology compared to the non-CRP group.

    CONCLUSION: The women benefited from CRP participation in relation to medical factors, but not at all in relation to behavioural factors. Accordingly, randomised clinical trials are necessary to perform in order to determine the effects of a long-term individual-based supportive CRP, performed by well-educated healthcare professionals.

  • 142.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI). Department of Medicine, Central Hospital Halmstad, S-301 85 Halmstad, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI). Department of Medicine, Linköping University, Linköping, Sweden .
    Conceptions of life situation among next-of-kin of haemodialysis patients2001Inngår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 9, nr 4, s. 231-239Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The presence of renal disease in a family is a strain on both the patient and the next-of-kin, affecting their life situations. Surprisingly, few studies dealing with the ways that the next-of-kin experience their situation are available. The aim of this study was to describe how the next-of-kin of haemodialysis patients conceive their life situation. Data were collected by interviewing 12 people who live with someone with dialysis-treated renal disease and analysed according to a qualitative method inspired by the phenomenographic approach. Six description categories of how the subjects construed their life situation emerged: a feeling of confinement; a feeling of social isolation; a feeling that the way of life has changed; a feeling of security in life; a feeling of a threatening future; and promoting health. The next-of-kin generally expressed a large degree of commitment to and concern for the sick person. In spite of their life situation having been dramatically changed, the next-of-kin described an ability to adapt. With the help of society the feelings of confinement and social isolation can be dispersed, enabling the next-of-kin to promote the health of the sick person. A suggestion for further research is to study what adaptation strategies next-of-kin use in their life situation.

  • 143.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lidell, Evy
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Health in everyday life among spouses of haemodialysis patients: a content analysis2006Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, nr 2, s. 223-228Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Despite the fact that haemodialysis requires that spouses support and assist their partner during the treatment period, little attention has been focused on their health. The aim of this study was to explore experiences of health in everyday life among spouses of haemodialysis patients. The study had an explorative and descriptive design based on content analysis. Thirteen participants were interviewed in their home without the presence of the patient. The results show that arduousness was experienced when that spouses' everyday life was taken up by caring for the patient at the expense of his/her own health. Spouses exhibited stamina and neglected their own health when focusing on the patient and minimising their own condition. Independence in everyday life revealed that spouses who cared about themselves and looked after their own health experienced relaxation and happiness, which protected their health. Clinical interventions should include an assessment of the spouses' health and everyday life in order to plan the care to ensure that it is directed towards increasing their independence. Instruments need to be developed that assess when and how spouses experience the greatest sense of well-being, if they have scope for relaxation and recovery, and what type of support they require in their everyday life.

  • 144.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Växjö, Sweden.
    Lidell, Evy
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Professional support for next of kin of patients receiving chronic haemodialysis treatment: a content analysis study of nursing documentation2007Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 2, s. 353-361Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim and objectives. The aim of this study was to examine the content of nursing documentation with a focus on professional support for next of kin (NoK) of patients receiving chronic haemodialysis treatment. Background. Professional support in nursing focuses on promotion, maintenance and restoration of health and prevention of illness. Design. The study had a descriptive design and qualitative content analysis was used to search for themes based on descriptions contained in the collected nursing documentation. Methods. The total number of nursing records of patients receiving chronic haemodialysis treatment (n = 50) for the 5-year period 1998–2002 was included. All nursing documentation was systematic in accordance with the VIPS-documentation model. Results. The professional support could be described within the framework of three themes: to explore NoK's supportive resources, to enable NoK' readiness in caring for the patient and to co-operate with NoK in the care of the patient in the home, captured by the core theme which described the professional support as a continuous process. Conclusions. Next of kin are a supportive resource in the nursing care of patients receiving chronic haemodialysis treatment and professional support for NoK focuses on planning their participation in the care of patients in the home. Relevance to clinical practice. Professional support for NoK should be documented in family focused nursing diagnoses, which would make it possible to search for different types of support. Future research might explore nurses' or NoK's views on carer support.

  • 145.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lidell, Evy
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    "Time for dialysis as time to live": Experiences of time in everyday life of the Swedish next of kin of hemodialysis patients2009Inngår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 11, nr 1, s. 45-50Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 146.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lidell, Evy
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Time in everyday life as experienced by next of kin of haemodialysis patientsManuskript (preprint) (Annet vitenskapelig)
    Abstract [en]

    Aim The aim of this study was to explore the content of time in everyday life as experienced by the next of kin of haemodialysis patients.

    Background Chronic renal disease often requires haemodialysis which is a time-consuming treatment that necessitates careful planning of everyday life and involves next of kin to a large degree. Next of kin's time can be severely restricted when his/her life is devoted to the needs of the haemodialysis patient.

    Method This study used explorative and descriptive design with a qualitative content analysis approach. Twenty next of kin selected purposive with the criterion of having at least one year of experience as a next of kin of a patient on haemodialysis.

    Results Analysis of data from the interviews revealed experiences of time in everyday lives of the next of kin of haemodialysis patients. Their experiences were reflected in the concepts fragmented time, vacuous time and uninterrupted time.

    Conclusion The experience of time in the everyday lives of next of kin of haemodialysis patients demonstrated that time for themselves was minimised and that common life space contracted. The next of kin were also aware of the prognosis of renal disease and the fact that haemodialysis was a life-sustaining treatment, which forced them to live in the present. They afforded wellness when they experienced a break from everyday live and could use their time for their own needs. Attention should be focused on time in the nurse's assessment of the next of kin's everyday life and whether or not next of kin have sufficient time required for the patient's care. There is need for further research that focuses on a generalisation of the fmdings by means of the development of instruments that can contribute assessment of time in everyday life among next of kin of chronically ill patients.

  • 147.
    Ziegert, Kristina
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Högstedt, Benkt
    Dept. of Development and Research, Central Hospital, Halmstad, Sweden .
    Fridlund, Bengt
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Lidell, Evy
    Högskolan i Halmstad, Sektionen för hälsa och samhälle (HOS), Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Time distribution factors of hospital and home care among chronic haemodialysis patients2004Inngår i: EDTNA-ERCA journal, ISSN 1019-083X, Vol. 30, nr 1, s. 19-22Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Today, many studies are available that focus on haemodialysis; however studies on the time distribution factor involved are lacking. It is therefore important to study the distribution of time, taking into account outpatient care, inpatient care and home care. The aim of the study was to chart over a five-year period, the time distribution factors of hospital care and home care among chronic haemodialysis patients. The design of the study was descriptive, and the data material was drawn from a patient register (N = 61). The data analysis was performed by means of both descriptive and inferential statistics.

  • 148.
    Åkerlund, Ejvor
    et al.
    Health Care Center, Varberg, Sweden.
    Odams, Eva
    Maternal Care Center, Varberg, Sweden.
    Larsson, Irene
    Health Care Center, Veddige, Sweden.
    Fridlund, Bengt
    Högskolan i Halmstad, Akademin för hälsa och välfärd, Centrum för forskning om välfärd, hälsa och idrott (CVHI).
    Nipple necrosis after reduction mammaplasty: A case report1995Inngår i: International Journal of Rehabilitation and Health, ISSN 1068-9591, E-ISSN 1573-1537, Vol. 1, nr 4, s. 285-289Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this case report was to describe a rare complication in the rehabilitative phase: nipple necrosis resulting from reduction mammaplasty. the patients in the two cases presented, having systemic disease, did not receive optimal treatment for the prevention of pyoderma gangraenosum; a plausible cause of the complication. Patients having systemic disease ought to undergo thorough examinations before submitting to any reduction mammaplasty. © 1995 Plenum Publishing Corporation.

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