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  • 1.
    Bergström, Emelie
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Sager, Simet
    Halmstad University, School of Social and Health Sciences (HOS).
    Hög intensitet av preoperativ stress och oro - en fara vid kirurgiska ingrepp2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Preoperativ stress och oro är vanligt förekommande i dagens sjukvård. Patienter med hög intensitet av preoperativ stress och oro får ofta postoperativa komplikationer såsom längre återhämtningsfas och svårare sårläkning. Syftet med litteraturstudien var att belysa omvårdnadsåtgärder som kan påverka preoperativ stress och oro. Litteraturstudiens resultat bygger på en analys av 16 vetenskapliga artiklar som söktes utifrån litteraturstudiens syfte. Tre omvårdnadsåtgärder som är en del av sjuksköterskeprofessionen eller som finns tillgängliga på vårdavdelningar är information, sjuksköterskans förhållningssätt samt musik. Med hjälp av dessa omvårdnadsåtgärder kan sjuksköterskan hjälpa patienten att reducera preoperativ stress och oro i god tid. Detta resulterar i att patienten upplever trygghet i sin omgivning, slappnar av och blir mottaglig för information. Om intensiteten av stress och oro reduceras preoperativt leder det till kortare sjukhusvistelse och därigenom lägre sjukhuskostnader. För att underlätta sjuksköterskans planering av omvårdnadsåtgärder kan patientdagbok vara till hjälp. Det behövs forskning kring sjuksköterskans upplevelse att arbeta utifrån dessa tre omvårdnadsåtgärder.

  • 2.
    Cöster, Maria C.
    et al.
    Department of Orthopedics and Clinical Sciences, SUS Malmö, Malmö, Sweden.
    Nilsdotter, Anna
    Sahlgrenska University Hospital, Gothenburg, Sweden.
    Brudin, Lars
    Department of Clinical Physiology, Kalmar Hospital, Kalmar, Sweden & Department of Medicine and Health Sciences, Linköping University Hospital, Linköping, Sweden.
    Bremander, Ann
    Halmstad University, School of Business, Engineering and Science, The Rydberg Laboratory for Applied Sciences (RLAS). Department of Clinical Sciences, Lund, Section of Rheumatology, Lund University, Lund, Sweden.
    Minimally important change, measurement error, and responsiveness for the Self-Reported Foot and Ankle Score2017In: Acta Orthopaedica, ISSN 1745-3674, E-ISSN 1745-3682, Vol. 88, no 3, p. 300-304Article in journal (Refereed)
    Abstract [en]

    Background and purpose: Patient-reported outcome measures (PROMs) are increasingly used to evaluate results in orthopedic surgery. To enhance good responsiveness with a PROM, the minimally important change (MIC) should be established. MIC reflects the smallest measured change in score that is perceived as being relevant by the patients. We assessed MIC for the Self-reported Foot and Ankle Score (SEFAS) used in Swedish national registries.

    Patients and methods: Patients with forefoot disorders (n = 83) or hindfoot/ankle disorders (n = 80) completed the SEFAS before surgery and 6 months after surgery. At 6 months also, a patient global assessment (PGA) scaleas external criterionwas completed. Measurement error was expressed as the standard error of a single determination. MIC was calculated by (1) median change scores in improved patients on the PGA scale, and (2) the best cutoff point (BCP) and area under the curve (AUC) using analysis of receiver operating characteristic curves (ROCs).

    Results: The change in mean summary score was the same, 9 (SD 9), in patients with forefoot disorders and in patients with hindfoot/ankle disorders. MIC for SEFAS in the total sample was 5 score points (IQR: 2-8) and the measurement error was 2.4. BCP was 5 and AUC was 0.8 (95% CI: 0.7-0.9).

    Interpretation: As previously shown, SEFAS has good responsiveness. The score change in SEFAS 6 months after surgery should exceed 5 score points in both forefoot patients and hindfoot/ankle patients to be considered as being clinically relevant.

    © 2017 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation.

  • 3.
    Löwlund, Sofia
    et al.
    Halmstad University, School of Social and Health Sciences (HOS).
    Shulemaja, Besforte Besa
    Halmstad University, School of Social and Health Sciences (HOS).
    Kvinnors livskvalitet efter mastektomi2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    To be confronted with a life threatening disease and having to go through mastectomy means changes to a woman's life. The breast is a symbol for femininity and having to lose that symbol can affect the woman's gender identity. Changes in life may affect quality of life. The purpose of this study was to highlight women's quality of life when they have gone through a mastectomy. The study was conducted as a literature review and current scientific research has been used. The result showed that a mastectomy can affect a women's quality of life in a negative way. Women of all ages who have gone through mastectomy showed less social-, emotional-, and physical function. Mastectomy is associated with less sexual attraction which affects the quality of life. Both younger and older women felt like their body image was affected when mastectomy had been performed. To raise their quality of life, social support showed to be one of the main factors. The woman's experience of anxiety when she is confronted with a life threatening disease will have a long-lasting effect on her subjective well-being. Anxiety initially predicted poorer quality of life. Future nursing research should focus on women's unique quality of life and investigate differences in prescribed nursing interventions related to mastectomy in order to present evidence based nursing interventions to reduce women's suffering and improve quality of life.

  • 4.
    Pihl, Karolina
    et al.
    Halmstad University, School of Health and Welfare.
    Lif, Emilia
    Halmstad University, School of Health and Welfare.
    När väntan blir enda valet: Patienters erfarenheter av väntetiden inför kirurgiskt ingrepp2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    There are performed 1,5 million operations on a yearly basis in Sweden and still today are a lot of people waiting for their scheduled surgery. Waiting for surgery is something many patients will be experiencing and waitinglists for surgery can be long. The experience of waiting for surgery and strategies for manage the waiting time was different between the individuals. The aim of the study is to describe patients’ experience of waiting for surgery. The study was conducted by reviewing nine qualitative research articles. The results demonstrates patients' experience of waiting and the waiting process before surgery generated both positive and negative feelings. Articles subcategories created the main categories that were living in standby and sense of hope. Some of the negative feelings that were experienced were frustration and pain. The positive experience of waiting included support and health. To manage the wait, different stratergies were used and supporting was important. Patients were looking for support in terms of information from both families and healthcare professionals. Wait is a concept that with more research could provide a more clear picture of what waiting is and what it means for the patients who are in the middle of the waiting process for a surgical procedure.

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