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Rydell Karlsson, MonicaORCID iD iconorcid.org/0000-0002-3883-468x
Alternative names
Publications (10 of 15) Show all publications
Wahlström, M., Rydell Karlsson, M., Medin, J. & Frykman, V. (2016). Effects of yoga in patients with paroxysmal atrial fibrillation - a randomized controlled study.. European Journal of Cardiovascular Nursing, 16(1), 57-63
Open this publication in new window or tab >>Effects of yoga in patients with paroxysmal atrial fibrillation - a randomized controlled study.
2016 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no 1, p. 57-63Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patients with atrial fibrillation often have an impaired quality of life (QoL). Practising yoga may decrease stress and have positive effects on mental and physical health. The aim of this study was to investigate whether yoga can improve QoL and decrease blood pressure and heart rate in patients with paroxysmal atrial fibrillation (PAF).

METHODS: In this pilot study, 80 patients diagnosed with PAF were randomized to standard treatment (control group, n=40) or standard treatment in combination with yoga (yoga group, n=40) during a 12-week period. QoL, blood pressure and heart rate were evaluated at baseline and at the end of the study (12 (+2) weeks). EuroQoL-5D (EQ-5D) Visual Analogue Scale (VAS) and the two dimensions in Short-Form Health Survey (SF-36) were used to evaluate QoL.

RESULTS: At baseline there was a significant difference in QoL between the groups in EQ-5D VAS- scale (p=0.02) and SF-36 mental health score (p<0.001) in which the control group had higher scores. At the end of the study, the yoga group averaged higher SF-36 mental health scores. There was a significant difference between the two groups (p=0.016), but no differences in EQ-5D VAS- scale and physiological health score was seen between the two groups. At the end of the study, the yoga group had significantly lower heart rate (p=0.024) and systolic (p=0.033) and diastolic blood pressure (p<0.001) compared to the control group.

CONCLUSIONS: Yoga with light movements and deep breathing may lead to improved QoL, lower blood pressure and lower heart rate in patients with PAF compared to a control group. Yoga could be a complementary treatment method to standard therapy.

Keywords
Paryxysmal atrial fibrillation, Blood pressure, Heart rate, Quality of life, Yoga
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:shh:diva-2155 (URN)10.1177/1474515116637734 (DOI)26976659 (PubMedID)
Available from: 2016-03-23 Created: 2016-03-23 Last updated: 2020-06-02Bibliographically approved
Gellerstedt, L., Medin, J., Kumlin, M. & Rydell Karlsson, M. (2015). Nurses' experiences of hospitalised patients' sleep in Sweden: a qualitative study. Journal of Clinical Nursing, 24(23/24), 3664-3673
Open this publication in new window or tab >>Nurses' experiences of hospitalised patients' sleep in Sweden: a qualitative study
2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 23/24, p. 3664-3673Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES:

The aim was to describe nurses' experiences of patients' sleep at an emergency hospital and their perceptions of sleep-promoting interventions.

BACKGROUND:

Promotion of patients' sleep during hospital care is an important intervention for the nursing profession. To promote sleep and to initiate sleep-promoting interventions, nurses need basic knowledge about sleep and its physiology. Therefore, it is of importance to explore and expand knowledge about how nurses experience patients' sleep and how they perceive working with it while providing care.

DESIGN:

A qualitative descriptive design was used.

METHODS:

Data were collected from four focus groups and seven individual interviews. A total of twenty-two registered nurses participated. Data were analysed using a qualitative content analysis.

RESULTS:

Nurses expressed a desire and an ambition to work in ways that promote patients' sleep during hospitalisation. Nurses reported that health care services and emergency hospitals were not organised according to patients' perspective and needs. Furthermore, they did not have opportunities to work effectively to promote sleep according to the patients' wishes. Several nurses stated that they did not have sufficient knowledge about sleep and that they did the best they could under prevailing circumstances. Nurses emphasised the importance of sleep for patients and that it was an area that should be given far greater priority.

CONCLUSIONS:

The results indicate that nurses currently have insufficient knowledge about sleep and sleep-promoting interventions. These aspects of nursing is based on personal experience and common sense rather than being evidence based. Furthermore, sleep as a nursing topic needs to be developed and given more focus in order for nurses to be able to deliver high quality care at emergency hospitals.

RELEVANCE TO CLINICAL PRACTICE:

Nurses require more knowledge and education to gain deeper understanding of sleep and to deliver evidence-based, high quality care.

Keywords
Emergency hospital, Focus groups, Individual interviews, Knowledge, Nurses' experiences, Patient's sleep
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-1965 (URN)10.1111/jocn.12985 (DOI)26373981 (PubMedID)
Available from: 2015-09-17 Created: 2015-09-17 Last updated: 2020-06-02Bibliographically approved
Söderberg, A., Rydell Karlsson, M. & Löfvenmark, C. (2015). Upplevelse av trygghet och otrygghet bland patienter med hjärtsvikt som får avancerad vård i hemmet: Experience of security and insecurity among patients with heart failure in advanced home care. Nordic journal of nursing research, 35(4), 203-209
Open this publication in new window or tab >>Upplevelse av trygghet och otrygghet bland patienter med hjärtsvikt som får avancerad vård i hemmet: Experience of security and insecurity among patients with heart failure in advanced home care
2015 (Swedish)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 4, p. 203-209Article in journal (Refereed) Published
Abstract [en]

Aim The aim of this study was to describe the experience of security and insecurity in patients with chronic heart failure who were treated by Advanced Home Care (AHC) in a city in Sweden.

Background It is common for patients with heart failure to have frequent readmissions to hospital due to deterioration. The patients have various symptoms such as breathing problems, oedema and fatigue. Being cared for by AHC has become more common for patients with heart failure to reduce deterioration of heart failure and prevent hospitalization.

Method A qualitative method with semi-structured interviews was used. Eight patients with heart failure participated in the study. The interviews were analysed by content analysis.

Findings Three categories were identified: ‘home care’, ‘the social network’ and ‘internal and external resources’.

Conclusion The experience was complex and depended on several factors both within and outside the health care situation. The need for access to a multidisciplinary team was great and it was important that the nursing staff had time to listen. It was important that the care had focus on the patient’s perspective to create security and avoid insecurity.

Keywords
Home Health Care, Heart Failure, Cardiac Patients, Patient Attitudes - Evalutation
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-2124 (URN)10.1177/0107408315587800 (DOI)
Available from: 2016-01-29 Created: 2016-01-29 Last updated: 2020-06-02Bibliographically approved
Gellerstedt, L., Medin, J., Kumlin, M. & Rydell Karlsson, M. (2014). Patients' experiences of sleep in hospital: a qualitative interview study. In: : . Paper presented at Nordic Conference on Advances in Health Care Science Research, Turku, Finland, November 12-13, 2014.
Open this publication in new window or tab >>Patients' experiences of sleep in hospital: a qualitative interview study
2014 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-1961 (URN)
Conference
Nordic Conference on Advances in Health Care Science Research, Turku, Finland, November 12-13, 2014
Available from: 2015-09-08 Created: 2015-09-07 Last updated: 2020-06-02Bibliographically approved
Gellerstedt, L., Medin, J. & Rydell Karlsson, M. (2014). Patient's experiences of sleep in hospital: a qualitative interview study. Journal of Research in Nursing, 19(3), 176-188
Open this publication in new window or tab >>Patient's experiences of sleep in hospital: a qualitative interview study
2014 (English)In: Journal of Research in Nursing, ISSN 1744-9871, E-ISSN 1744-988X, Vol. 19, no 3, p. 176-188Article in journal (Refereed) Published
Abstract [en]

Many patients experience sleep disturbances and a reduced quality of sleep while hospitalised. Studies have shown that a person with a disease and/or a bodily injury has an increased need for sleep. Patients' experiences of sleep should govern how sleep disturbances should be managed. It is thus necessary to focus upon and describe patients’ needs and experiences. The aim of this study was to explore and describe patients’ experiences of sleeping in hospital. This study is based on qualitative semi-structured interviews with 10 consecutively included patients. The interviews were conducted between October 2010 and March 2011 and were audio recorded and transcribed verbatim. Collected data were analysed by qualitative content analysis. The participants reported physical and psychological experiences that had affected their sleep. Their experiences were categorised using four themes: bedside manner, physical factors, being involved and integrity. Patients considered that experiencing some degree of control, feeling involved and preserving one’s integrity affect sleep during hospitalisation. Several factors have an impact on patients’ sleep. It is not only physical factors but also psychological factors such as bedside manner and having the opportunity to influence and be involved. The patients’ accounts provide a new perspective and open the door to changes in nursing care regarding patients’ sleep.

Keywords
Bedside manner, Experiences, Nursing care, Patient, Person-centred, Sleep
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-1379 (URN)10.1177/1744987113490415 (DOI)
Available from: 2013-06-26 Created: 2013-06-26 Last updated: 2020-06-02Bibliographically approved
Löfvenmark, C., Rydell Karlsson, M., Edner, M., Billing, E. & Mattiasson, A.-C. (2011). A group-based multi-professional education programme for family members of patients with chronic heart failure: effects on knowledge and patients' health care utilization. Patient Education and Counseling, 85(2), e162-8
Open this publication in new window or tab >>A group-based multi-professional education programme for family members of patients with chronic heart failure: effects on knowledge and patients' health care utilization
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2011 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 85, no 2, p. e162-8Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: The aim was to investigate if family members of patients with chronic heart failure (CHF) increased knowledge about CHF through a group-based multi-professional educational programme and whether there was an effect on patients' health care utilization. METHODS: Family members (n=128) were randomly assigned to intervention-group (IG) who received CHF education programme or control-group (CG) who received information according to hospital routines. Programme effects were evaluated with CHF knowledge questionnaire, patient readmissions and number of days hospitalised during 18 months. RESULTS: Knowledge about CHF increased in both groups, significantly higher in IG at second assessment (IG 16±1.9 vs. CG 14.9±2.1, p=0.006), and knowledge maintained at third assessment. In IG 17 patients were re-admitted at least once and 28 patients in CG due to CHF (p=0.085). There were no differences in frequency of readmissions or number of days hospitalised. CONCLUSION: A group-based multi-professional education programme increased family members' knowledge about CHF. Despite this, effect on patient's health care utilization could not be seen during follow-up period. PRACTICAL IMPLICATIONS: We suggest that CHF education programmes for family members should be provided at clinics, with information preferably repeated 2-3 times during a period of six months to maintain knowledge level.

Keywords
Heart failure, Family members, Multi-professional education programme, Health care utilization
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-319 (URN)10.1016/j.pec.2010.09.026 (DOI)21050694 (PubMedID)
Available from: 2011-03-01 Created: 2011-03-01 Last updated: 2020-06-02Bibliographically approved
Plüss Edström, C., Billing, E., Held, C., Henriksson, P., Kiessling, A., Rydell Karlsson, M. & Wallen, H. N. (2011). Long-term effects of an expanded cardiac rehabilitation programme after myocardial infarction or coronary artery bypass surgery: a five-year follow-up of a randomized controlled study. Clinical Rehabilitation, 25(1), 79-87
Open this publication in new window or tab >>Long-term effects of an expanded cardiac rehabilitation programme after myocardial infarction or coronary artery bypass surgery: a five-year follow-up of a randomized controlled study
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2011 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 25, no 1, p. 79-87Article in journal (Refereed) Published
Abstract [en]

Expanded cardiac rehabilitation after acute myocardial infarction or coronary artery bypass grafting reduces cardiovascular morbidity and days at hospital for cardiovascular reasons.

Keywords
Myocardial infarction, Coronary artery bypass, Rehabilitation
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-321 (URN)10.1177/0269215510376006 (DOI)20702510 (PubMedID)
Available from: 2011-03-01 Created: 2011-03-01 Last updated: 2020-06-02Bibliographically approved
Rydell Karlsson, M., Edner, M., Billing, E., Kiessling, A. & Henriksson, P. (2011). Patients with chronic heart failure who plan their own self- care education decrease their outpatient visits. The International Journal of Person Centered Medicine, 1(4), 705-718
Open this publication in new window or tab >>Patients with chronic heart failure who plan their own self- care education decrease their outpatient visits
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2011 (English)In: The International Journal of Person Centered Medicine, ISSN 2043-7730, E-ISSN 2043-7749, Vol. 1, no 4, p. 705-718Article in journal (Refereed) Published
Abstract [en]

 

Background, aims and objectives: Patient education programs delivering a defined package of information aimed to optimise the care of chronic heart failure have been evaluated. However, there is a lack of knowledge about the effects of programs designed to support the patients’ learning by allowing them to self-direct their learning activities. We aimed to contribute to the associated knowledge base.

Method: We compared an intervention group of patients choosing among different learning activities with a control group, where the nurse practitioner scheduled a package of learning activities. One hundred and eighty two patients with chronic heart failure in NYHA class I-IV who were referred to the nurse practitioner outpatient clinic randomised to either a structured control education program (92 patients) or to a self-directed intervention program (90 patients). Additionally, both groups received the same nurse-practitioner based self-care advice and treatment. Outcome measures were quality of life, knowledge acquisition, visits to the outpatient clinic, readmissions and medication during one year.

Results: All patients significantly increased their knowledge and quality of life, with no difference between the groups. However, the intervention group patients had fewer visits to the outpatient clinic as compared to controls (p=0.007). This was accomplished without a concomitant increase in re-admission rate. Both groups increased, as intended, their use of angiotensin converting enzyme inhibitors, angiotensin receptor blockers and beta-blockers.

Conclusion: In conclusion, our findings show that it is safe and results in fewer outpatient visits if patients with chronic heart failure actively plan their own education program. To encouraging patients taking own decisions lead to an increased self-control of their healthcare behaviour.

National Category
Health Sciences
Identifiers
urn:nbn:se:shh:diva-1956 (URN)10.5750/ijpcm.v1i4.144 (DOI)
Available from: 2015-08-21 Created: 2015-08-21 Last updated: 2020-06-02Bibliographically approved
Franzén-Dahlin, Å., Rydell Karlsson, M., Mejhert, M. & Laska, A.-C. (2010). Quality of life in chronic disease: a comparison between patients with heart failure and patients with aphasia after stroke.. Journal of Clinical Nursing, 19(13-14), 1855-60
Open this publication in new window or tab >>Quality of life in chronic disease: a comparison between patients with heart failure and patients with aphasia after stroke.
2010 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 13-14, p. 1855-60Article in journal (Refereed) Published
Abstract [en]

Nottingham Health Profile can easily be used as a screening instrument, aiming to identify patients at risk for adverse effects on QoL. A better understanding of the subjective QoL of patients with chronic disease is fundamental for health care professionals to be able to identify and support vulnerable patients.

Keywords
Aphasia and stroke, Heart failure, Nurses, Nursing, Quality of life
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-320 (URN)10.1111/j.1365-2702.2010.03219.x (DOI)20920012 (PubMedID)
Available from: 2011-03-01 Created: 2011-03-01 Last updated: 2020-06-02Bibliographically approved
Edström-Plüss, C., Rydell Karlsson, M., Wallén, H. N., Billing, E. & Held, C. (2008). Effects of an expanded cardiac rehabilitation programme in patients treated for an acute myocardial infarction or a coronary artery by-pass graft operation. Clinical Rehabilitation, 22(4), 306-18
Open this publication in new window or tab >>Effects of an expanded cardiac rehabilitation programme in patients treated for an acute myocardial infarction or a coronary artery by-pass graft operation
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2008 (English)In: Clinical Rehabilitation, ISSN 0269-2155, E-ISSN 1477-0873, Vol. 22, no 4, p. 306-18Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate the effects of expanded cardiac rehabilitation with multifactorial interventions on metabolic and inflammatory markers, exercise performance and on established cardiovascular risk factors. DESIGN: Single-centre prospective randomized controlled trial. SETTING: A university hospital. SUBJECTS: Two hundred and twenty-four patients with an acute myocardial infarction or patients undergoing coronary artery by-pass grafting. INTERVENTION: Patients were randomized to expanded cardiac rehabilitation including stress management, increased physical training, staying at a 'patient hotel' and cooking sessions, or to usual cardiac rehabilitation. MAIN MEASURES: Biochemical risk markers and exercise performance; follow-up was one year. RESULTS: There were no significant differences between the two treatment groups in the changes of biochemical risk markers or in exercise performance. Thus, low-density lipoprotein (LDL)-cholesterol levels decreased from 3.00 (0.97) to 2.54 (0.66) mmol/L in the intervention group and from 3.20 (0.85) to 2.54 (0.63) mmol/L in the control group, fibrinogen levels decreased from 5.30 (2.00) to 4.25 (1.01) g/L in the intervention group and from 5.29 (1.89) to 4.33 (0.83) g/L in the control group and C-reactive protein (CRP) levels decreased from 3.04 (2.79) to 2.09 (2.13) mg/L in the intervention group and from 4.01 (3.49) to 2.39 (2.49) mg/L in the control group. Total workload (W) improved from 118 (35) to 136 (34) in the intervention group and from 117 (36) to 133 (39) in the control group. CONCLUSION: There was no further significant benefit in biochemical risk markers or in exercise performance among patients undergoing the expanded rehabilitation as compared to the control group which received usual cardiac rehabilitation.

National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-93 (URN)10.1177/0269215507085379 (DOI)18390974 (PubMedID)
Available from: 2010-03-02 Created: 2010-02-25 Last updated: 2020-06-02Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0002-3883-468x

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