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Mattiasson, Anne-Cathrine
Publications (10 of 30) Show all publications
Winge, C., Mattiasson, A.-C. & Shultz, I. (2010). After axillary surgery for breast cancer: is it safe to take blood samples or give intravenous infusions?. Journal of Clinical Nursing, 19(9-10), 1270-4
Open this publication in new window or tab >>After axillary surgery for breast cancer: is it safe to take blood samples or give intravenous infusions?
2010 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 9-10, p. 1270-4Article in journal (Refereed) Published
Abstract [en]

AIM: To investigate the occurrence of complications after a needle puncture or intravenous injection in the ipsilateral arm of women who have undergone axillary lymph node clearance for breast cancer.

BACKGROUND: After axillary lymph node clearance in patients with breast cancer, some women experience lymphoedema and recurrent infections. To reduce the risk of these postoperative complications, most women are advised to not have intravenous infusions in, or blood samples taken from, the arm in the operated side. Very little published data are available regarding the incidence of lymphoedema after intravenous procedures under clean conditions in the hospital setting. This study set out to investigate the occurrence of complications after a needle puncture or intravenous injection in the ipsilateral arm of women who have undergone axillary lymph node clearance for breast cancer is therefore important.

DESIGN: Descriptive.

METHODS: Self-reported questionnaire.

RESULTS: Most of the reported complications were minor, including itching, bruises and vomiting at the time of the intravenous procedure. The most serious complication was infection in one patient needing antibiotic treatment and subsequent arm swelling.

CONCLUSIONS: This study indicates that if a blood sample is taken or intravenous injection is given according to the current Swedish guidelines for health care professionals, there should be a very low risk of complications.

RELEVANCE TO CLINICAL PRACTICE: If intravenous procedures are performed without any disadvantage in the arm of the operated side in women who have undergone axillary surgery, the clinical problem of finding a proper vein and the psychological concern of the women can be reduced.

Keywords
Axillary lymph node clearence, Axillary surgery, Breast cancer, Intravenous procedure, Lymphoedema
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-69 (URN)10.1111/j.1365-2702.2009.03153.x (DOI)20345831 (PubMedID)
Available from: 2010-03-02 Created: 2010-02-23 Last updated: 2020-06-02Bibliographically approved
Berglund, B., Mattiasson, A.-C. & Randers, I. (2010). Dignity not fully upheld when seeking health care: experiences expressed by individuals suffering from Ehlers-Danlos syndrome. Disability and Rehabilitation, 32(1), 1-7
Open this publication in new window or tab >>Dignity not fully upheld when seeking health care: experiences expressed by individuals suffering from Ehlers-Danlos syndrome
2010 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 32, no 1, p. 1-7Article in journal (Refereed) Published
Abstract [en]

Aim. The principle of human dignity has assumed importance in ethics and constitutional law throughout the 20th century in the Western world. It calls for respect of each individual as unique, and of treating him or her as a subject, never as a mere object. As such, the principle constitutes an ethical cornerstone in health care. Patients suffering from Ehlers-Danlos syndrome (EDS) challenge medical care and knowledge in health-care professionals' as symptoms sometimes are vague. Individuals with this disorder have reported not being respected when seeking health care. Purpose. To describe encounters in health-care situations when individuals suffering from EDS experienced that their dignity was not fully upheld. A further aim was to describe the long-term consequences of these experiences. Method. A study-specific questionnaire was designed, where individuals with EDS described their encounters with health care from a personal perspective. Results. After qualitative content analysis, the following five categories were identified: 'Being ignored and belittled by health-care professionals,' 'Being assigned psychological and/or psychiatric explanations', 'Being treated and considered merely as an object', 'Being trespassed in one's personal sphere' and 'Being suspected of family violence'. Consequences of these encounters were 'Mistrusting the physician' and 'Risking bad health'. Conclusions. The memory of not being respected is substantial for individuals with EDS and can last for years. As a result, lack of trust for the health-care system is created and they may experience difficulties in future encounters with health care. Therefore, health-care professionals should base their actions on norms that protect human dignity and confirm each patient as a unique human being with resources and abilities to master their own life.

National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-71 (URN)10.3109/09638280903178407 (DOI)19925271 (PubMedID)
Available from: 2010-03-03 Created: 2010-02-23 Last updated: 2020-06-02Bibliographically approved
Löfvenmark, C., Mattiasson, A.-C., Billing, E. & Edner, M. (2009). Perceived loneliness and social support in patients with chronic heart failure. European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 8(4), 251-8
Open this publication in new window or tab >>Perceived loneliness and social support in patients with chronic heart failure
2009 (English)In: European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, ISSN 1873-1953, Vol. 8, no 4, p. 251-8Article in journal (Refereed) Published
Abstract [en]

Self-reported conditions have become increasingly important in patient care, and perceived loneliness and social relationships in patients with chronic heart failure (CHF) are not sufficiently investigated. AIM: The aim was to investigate perceived loneliness and social support in patients with CHF. Further, to investigate whether loneliness and social support might be associated with gender, age, healthcare utilization and mortality. METHODS: One hundred and forty nine patients with CHF, hospitalised at least once during a 4-month period in 2006, completed a self-reported questionnaire including measurements about loneliness and social support. Healthcare utilization was assessed prospectively by frequency of readmissions and number of days hospitalised during 1 year. RESULTS: Loneliness was reported by 29 (20%) participants. They were more often women (p<0.001) and younger (p=0.024). Patients who perceived loneliness had fewer social contacts (p=0.033), reported lower occurrence of emotional contacts (p=0.004), were less satisfied with social contacts and close relationships (p<0.001). Those reporting loneliness had more days hospitalised (p=0.044), and more readmissions to hospital (p=0.027), despite not having more severe CHF. CONCLUSION: Loneliness is a health-related risk indicator in that patients with CHF who perceived loneliness have more healthcare utilization than those who do not report loneliness despite not having more severe CHF.

National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-68 (URN)10.1016/j.ejcnurse.2009.05.001 (DOI)19539533 (PubMedID)
Available from: 2010-03-03 Created: 2010-02-23 Last updated: 2020-06-02Bibliographically approved
Nymark, C., Mattiasson, A.-C., Henriksson, P. & Kiessling, A. (2009). The turning point: from self-regulative illness behaviour to care-seeking in patients with an acute myocardial infarction. Journal of clinical nursing, 18(23), 3358-65
Open this publication in new window or tab >>The turning point: from self-regulative illness behaviour to care-seeking in patients with an acute myocardial infarction
2009 (English)In: Journal of clinical nursing, ISSN 1365-2702, Vol. 18, no 23, p. 3358-65Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe the care-seeking process from interpretation of an initial symptom to the decision to seek medical care in patients with an acute myocardial infarction. BACKGROUND: Patients afflicted by symptoms of an acute myocardial infarction delay in seeking care far exceeding the desired time limits. This results in avoidable loss of life. There is thus a need to understand these patients' initial discomfort, appraisal and behaviour to design interventions that could reduce delay in care-seeking. DESIGN: Focus group discussions with patients who had had a recent acute myocardial infarction. METHODS: The analysis of the transcribed text was inspired by the self-regulatory model of illness behaviour. RESULTS: Patients with acute myocardial infarction describe problems to identify the exact time of onset of often vague symptoms. Their experiences of symptoms did not match their expectations. These patients exhibit self-regulatory illness behaviour that seems to cause a considerable delay in care-seeking. CONCLUSIONS: We found indications of a pertinent shift in appraisal and coping-strategy when a patient changes from self-regulative illness behaviour to seeking care - the turning point. This shift seems to be affected by several partly contradictory influences and it takes a considerable time for a person to reach this stage. All aspects of the patients' self-regulative illness behaviour have to be considered if we want patients to seek medical care more rapidly. RELEVANCE TO CLINICAL PRACTICE: Our findings are important to consider in future design of public health and rehabilitation strategies to save patient lives. To identify the turning point is a profitable way to deepen the understanding of patient behaviour during the initial phase of an acute myocardial infarction.

National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-70 (URN)10.1111/j.1365-2702.2009.02911.x (DOI)19735342 (PubMedID)
Available from: 2010-03-03 Created: 2010-02-23 Last updated: 2020-06-02Bibliographically approved
Lauffs, M., Ponzer, S., Saboonchi, F., Lonka, K., Hylin, U. & Mattiasson, A.-C. (2008). Cross-cultural adaptation of the Swedish version of Readiness for Interprofessional Learning Scale (RIPLS). Medical education, 42(4), 405-11
Open this publication in new window or tab >>Cross-cultural adaptation of the Swedish version of Readiness for Interprofessional Learning Scale (RIPLS)
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2008 (English)In: Medical education, ISSN 1365-2923, Vol. 42, no 4, p. 405-11Article in journal (Refereed) Published
Abstract [en]

CONTEXT: Interprofessional learning activities in health care are being gradually introduced on an international basis and therefore cross-cultural and internationally collaborative research into the outcomes of these activities is needed. Hence, it is necessary not only to translate research instruments into the language of the culture in which they are to be used, but also to adapt them culturally if they are to fulfil the testing purposes for which they are intended. It is also necessary to test a translated instrument in order to ensure that it retains its intended psychometric properties. METHODS: In the present study, the Readiness for Interprofessional Learning Scale (RIPLS) was adapted for use in a Swedish student population. Cross-cultural adaptation was performed according to recommended guidelines. The Swedish version was tested on a group of students from various health care professions (n = 214). Cronbach's alpha coefficient was adopted to ensure internal consistency. RESULTS: Minor discrepancies during the different translation processes were identified and corrected. Confirmatory factor analysis suggests that the model had an acceptable fit, implying that the factor structure of the scale did not undergo any significant changes by being subjected to translation. The psychometric qualities of the instrument were comparable with those of the English-language version. CONCLUSIONS: This study presents the cross-cultural adaptation of the RIPLS and demonstrates that its subscale Teamwork and Collaboration is the only reliable subscale. The other 2 subscales (Professional Identity, and Roles and Responsibilities) probably require further scrutiny and development, at least in the Swedish population.

National Category
Pedagogy
Identifiers
urn:nbn:se:shh:diva-66 (URN)10.1111/j.1365-2923.2008.03017.x (DOI)18338993 (PubMedID)
Available from: 2010-03-03 Created: 2010-02-23 Last updated: 2020-06-02Bibliographically approved
Egberg, L., Mattiasson, A.-C., Ljungström, K. G. & Styrud, J. (2008). Percutaneous transluminal angioplasty between 1998 and 2002: outcomes of interventions proximal and distal to the inguinal ligament. Open Access Surgery, 1, 9-19
Open this publication in new window or tab >>Percutaneous transluminal angioplasty between 1998 and 2002: outcomes of interventions proximal and distal to the inguinal ligament
2008 (English)In: Open Access Surgery, ISSN 1178-7082, Vol. 1, p. 9-19Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to examine patients who have undergone percutaneous transluminal angioplasty (PTA) in order to describe patient characteristics and outcomes of interventions proximal and distal to the inguinal ligament and to assess whether different living situations may be associated with the outcome of PTA-intervention.

Design: A retrospective descriptive chart review.

Setting: A Swedish University Hospital between January 1998 and December 2002.

Participants: All patients who have undergone PTA.

Main outcome measure: Medical and nursing records from medical, surgical, orthopedic, and geriatric clinics were reviewed to obtain data. A study-specific protocol was developed.

Results: Eighty-seven patients were treated with PTA proximal and 101 distal to the inguinal ligament. No significant differences regarding outcome were found. Fifty-two patients had hematoma/bruise as a complication, which was more common among non-diabetic patients; 46 without diabetes versus 6 diagnosed with diabetes (p = 0.001). When comparing patients living situations and mortality, 76 of the deceased patients had been living alone compared to 38 of the survivors (p = 0.001).

Conclusions: The patients were younger in the proximal group, however no differences in outcome were found between patients who had undergone PTA whether proximal or distal to the inguinal ligament. Hematomas/bruises as a complication were more common among nondiabetic patients. Amputation was a strong predictor of death during follow-up.

Place, publisher, year, edition, pages
Shanghai: Dove Medical Press, 2008
Keywords
Angioplasty, Balloon, Peripheral vascular diseases, Treatment outcome, Perkutan transluminal angioplastik (PTA), Perifer arteriell sjukdom
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-2 (URN)
Available from: 2010-03-02 Created: 2010-02-12 Last updated: 2020-06-02Bibliographically approved
Andreassen, S., Randers, I., Ternulf Nyhlin, K. & Mattiasson, A.-C. (2007). A meta-analysis of qualitative studies on living with oesophageal and clinically similar forms of cancer, seen from the perspective of patients and family members. International Journal of Qualitative Studies on Health and Well-being, 2(2), 114-27
Open this publication in new window or tab >>A meta-analysis of qualitative studies on living with oesophageal and clinically similar forms of cancer, seen from the perspective of patients and family members
2007 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, Vol. 2, no 2, p. 114-27Article in journal (Refereed) Published
Abstract [en]

This study is part of a research programme of which the aim is to generate knowledge about patients' and family members' experiences of living with oesophageal cancer from their perspective. The aim of the present study was to extend this knowledge by adding other forms of cancer: other upper gastrointestinal cancer, and head and neck cancer. These cancer forms have clinical similarities with oesophageal cancer and the survival rates are similar. This study is a qualitative meta-analysis that examines the results reported in 13 qualitative original research reports, published in peer-reviewed nursing journals between April 1998 and June 2006. We used thematic analysis. Three themes were formulated: “running into an unpredictable enemy”, “enduring a fading body” and “entering social silence”. Patients and family members gave voice to a suffering that involved the whole person. Our findings show that the whole person must be given care, and this care must include the whole family

Keywords
Meta-analysis, Illnes experiences, Upper gastrointestinal cancer, Head and neck cancer, Thematic analysis, Patient and family perspective
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-18 (URN)
Available from: 2010-03-02 Created: 2010-02-19 Last updated: 2020-06-02Bibliographically approved
Andreassen, S., Randers, I., Näslund, E., Stockeld, D. & Mattiasson, A.-C. (2007). Information needs following a diagnosis of oesophageal cancer; self-perceived information needs of patients and family members compared with the perceptions of healthcare professionals: a pilot study. European Journal of Cancer Care, 16(3), 277-85
Open this publication in new window or tab >>Information needs following a diagnosis of oesophageal cancer; self-perceived information needs of patients and family members compared with the perceptions of healthcare professionals: a pilot study
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2007 (English)In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 16, no 3, p. 277-85Article in journal (Refereed) Published
Abstract [en]

This pilot study was undertaken to describe patients' and family members' information needs following a diagnosis of oesophageal cancer and healthcare professionals' (HCP) perceptions concerning patients' and family members' information needs. Another aim was to describe patients' and family members' satisfaction with information provided. Data were collected by means of a self-report questionnaire. A total of 15 patients, 16 family members and 34 HCP participated. Patients and family members consider most information to be important. The high rating for information about tests/treatment and self-care means that both patients and family members consider this to be the most important areas of information. Healthcare professionals tend to underestimate both patients' and family members' needs for information. Patients and family members were only partly satisfied with the information received, with patients in general more satisfied with information given compared with family members. Patients' and family members' needs for information following a diagnosis of oesophageal cancer are substantial and have not been adequately met by HCP. A qualitative study might be helpful to complete the description of patients' and family members' needs. If a questionnaire is employed, it ought to be less extensive.

National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-15 (URN)10.1111/j.1365-2354.2006.00742.x (DOI)17508949 (PubMedID)
Available from: 2010-03-04 Created: 2010-02-19 Last updated: 2020-06-02Bibliographically approved
Hylin, U., Nyholm, H., Mattiasson, A.-C. & Ponzer, S. (2007). Interprofessional training in clinical practice on a training ward for healthcare students: a two-year follow-up. Journal of Interprofessional Care, 21(3), 277-88
Open this publication in new window or tab >>Interprofessional training in clinical practice on a training ward for healthcare students: a two-year follow-up
2007 (English)In: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 21, no 3, p. 277-88Article in journal (Refereed) Published
Abstract [en]

This follow-up study describes the former students' lasting impressions of a two-week interprofessional course on a training ward aimed at enhancing the understanding of the roles of other professions and the importance of communication for teamwork and for patient care as well as providing an opportunity for profession-specific training. A questionnaire with both closed and open-ended questions was sent to 633 former students two years after the course and 348 (55%) responded. The course was rated as very good and most of the former students had lasting and positive impressions. Ninety-two percent of respondents encouraged teamwork in their present work and 90% wanted to retain the course. The qualitative analysis of the open-ended questions resulted in five categories describing students' perceptions: professional role development, working in teams, tutoring, patient care and future aspects of the course and real world practice. Our results suggest that interprofessional training during undergraduate education provides lasting impressions that may promote teamwork in students' future occupational life.

National Category
Pedagogy
Identifiers
urn:nbn:se:shh:diva-72 (URN)10.1080/13561820601095800 (DOI)17487706 (PubMedID)
Available from: 2010-03-03 Created: 2010-02-23 Last updated: 2020-06-02Bibliographically approved
Andreassen, S., Randers, I., Näslund, E., Stockeld, D. & Mattiasson, A.-C. (2006). Patients' experiences of living with oesophageal cancer. Journal of Clinical Nursing, 15(6), 685-95
Open this publication in new window or tab >>Patients' experiences of living with oesophageal cancer
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2006 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 15, no 6, p. 685-95Article in journal (Refereed) Published
Abstract [en]

AIMS: The aim of this study is to describe patients' experiences of living with oesophageal cancer and how they seek information. BACKGROUND: Oesophageal cancer is a devastating disease with poor prognosis. Nursing care for individuals with oesophageal cancer requires increased knowledge of how they experience illness and how it affects them. METHOD: Data were collected by semi-structured, qualitative interviews with 13 participants. Content analysis was used to analyse data. RESULTS: Four themes were identified: (i) Experiences of becoming a patient diagnosed with oesophageal cancer is distinguished by the participants' experiences of vague symptoms, of receiving the diagnosis and of existential concerns evoked by the illness. (ii) Experiences of undergoing investigations and treatment consist of the participants' experiences of extreme tiredness in relation to investigations and treatment. (iii) Experiences of intrusions in daily life is conceptualized by the participants' experiences of how the illness influenced their daily life. (iv) Managing a life-threatening illness consists of a variety of strategies, which the participants employed to manage their life-threatening illness. CONCLUSIONS: The participants were unprepared of receiving a diagnosis of oesophageal cancer. Dysphagia, fatigue and uncertainty influenced the participants' everyday life. To manage the illness one of their strategies was seeking for information. The physicians were considered the main source of information, but family as well as friends with medical knowledge were also acknowledged as valuable sources. RELEVANCE TO CLINICAL PRACTICE: Understanding patients' experiences of living with oesophageal cancer is important to improve nursing care. When caring for these patients, focus ought to be on the whole family. In nursing care, it is important to be aware of the effects of dysphagia and fatigue. Health-care professionals ought to organize meetings with fellow patients and recommend literature and websites that provide patients with high quality information.

National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-16 (URN)10.1111/j.1365-2702.2006.01412.x (DOI)16684164 (PubMedID)
Available from: 2010-03-04 Created: 2010-02-19 Last updated: 2020-06-02Bibliographically approved
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