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  • 1.
    Alayed, Abdulrahman S.
    et al.
    Sophiahemmet Högskola.
    Lööf, Helena
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Saudi Arabian ICU safety and nurses' attitudes2014Ingår i: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, nr 7, 581-593 s.Artikel i tidskrift (Refereegranskat)
  • 2.
    Amsberg, Susanne
    et al.
    Sophiahemmet Högskola.
    Anderbro, Therese
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Lisspers, Jan
    Lins, Per-Eric
    Adamson, Ulf
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    A cognitive behavior therapy-based intervention among poorly controlled adult type 1 diabetes patients: a randomized controlled trial2009Ingår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 77, nr 1, 72-80 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To examine the impact of a Cognitive Behavior Therapy (CBT)-based intervention on HbA(1c), self-care behaviors and psychosocial factors among poorly controlled adult type 1 diabetes patients. METHODS: Ninety-four type 1 diabetes patients were randomly assigned to either an intervention group or a control group. The intervention was based on CBT and was mainly delivered in group format, but individual sessions were also included. All subjects were provided with a continuous glucose monitoring system (CGMS) during two 3-day periods. HbA(1c), self-care behaviors and psychosocial factors were measured up to 48 weeks. RESULTS: Significant differences were observed with respect to HbA(1c) (P<0.05), well-being (P<0.05), diabetes-related distress (P<0.01), frequency of blood glucose testing (P<0.05), avoidance of hypoglycemia (P<0.01), perceived stress (P<0.05), anxiety (P<0.05) and depression (P<0.05), all of which showed greater improvement in the intervention group compared with the control group. A significant difference (P<0.05) was registered with respect to non-severe hypoglycemia, which yielded a higher score in the intervention group. CONCLUSION: This CBT-based intervention appears to be a promising approach to diabetes self-management. PRACTICE IMPLICATIONS: Diabetes care may benefit from applying tools commonly used in CBT. For further scientific evaluation in clinical practice, there is a need for specially educated diabetes care teams, trained in the current approach, as well as cooperation between diabetes care teams and psychologists trained in CBT.

  • 3.
    Amsberg, Susanne
    et al.
    Sophiahemmet Högskola.
    Anderbro, Therese
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Lisspers, Jan
    Lins, Per-Eric
    Adamson, Ulf
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients2009Ingår i: Diabetes research and clinical practice, ISSN 1872-8227, Vol. 84, nr 1, 76-83 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To describe experience from a behavioural medicine intervention among poorly controlled adult type 1 diabetes patients, in terms of feasibility, predictors and associations of improved glycaemic control. METHODS: Data were collected on 94 poorly controlled adult type 1 diabetes patients who were randomised to a study evaluating the effects of a behavioural medicine intervention. Statistics covered descriptive and comparison analysis. Backward stepwise regression models were used for predictive and agreement analyses involving socio-demographic and medical factors, as well as measures of diabetes self-efficacy (DES), diabetes locus of control (DLOC), self-care activities (SDSCA), diabetes-related distress (Swe-PAID-20), fear of hypoglycaemia (HFS), well-being (WBQ), depression (HAD) and perceived stress (PSS). RESULTS: The participation rate in the study was 41% and attrition was 24%. Of those patients actually participating in the behavioural medicine intervention, 13% withdrew. From the regression models no predictors or associations of improvement in HbA(1c) were found. CONCLUSIONS: The programme proved to be feasible in terms of design and methods. However, no clear pattern was found regarding predictors or associations of improved metabolic control as the response to the intervention. Further research in this area is called for.

  • 4.
    Amsberg, Susanne
    et al.
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Lins, Per-Eric
    Adamson, Ulf
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    The psychometric properties of the Swedish version of the Problem Areas in Diabetes Scale (Swe-PAID-20): scale development2008Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 45, nr 9, 1319-28 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Considering the importance of psychological aspects in the management of diabetes, there is a need of validated measurements in this area. Such tools make it possible to screen patients for specific conditions as well as they serve as reliable measures when evaluating medical, psychological and educational interventions. OBJECTIVES: The current study was conducted to adapt the Problem Areas in Diabetes Scale for use among Swedish-speaking patients with type 1 diabetes and to evaluate the psychometric properties. DESIGN: Methodological research design was used in this study. SETTING AND PARTICIPANTS: A convenience sample of 325 type 1 diabetes patients was systematically selected from the local diabetes registry of a university hospital in Stockholm, Sweden. METHODS: Following the linguistic adaptation using the forward-backward translation method, the 20-item PAID was answered by the selected patients. Statistics covered exploratory factor analysis, Cronbach's alpha, convergent validity and content validity. RESULTS: In the factor analysis a three-factor solution was found to be reasonable with the sub-dimensions diabetes-related emotional problems (15 items), treatment-related problems (2 items) and support-related problems (3 items). Cronbach's alpha coefficient for the total score was 0.94 and varied between 0.61 and 0.94 in the three subscales. The findings also gave support for the convergent and content validity. CONCLUSIONS: The Swedish version of the Problem Areas in Diabetes Scale (Swe-PAID-20) seems to be a reliable and valid outcome for measuring diabetes-related emotional distress in type 1 diabetes patients.

  • 5.
    Anderbro, Therese
    et al.
    Sophiahemmet Högskola.
    Amsberg, Susanne
    Sophiahemmet Högskola.
    Adamson, U
    Bolinder, J
    Lins, P-E
    Wredling, Regina
    Sophiahemmet Högskola.
    Moberg, E
    Lisspers, J
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Fear of hypoglycaemia in adults with type 1 diabetes2010Ingår i: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 27, nr 10, 1151-8 s.Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Aims  The aim of this study was to examine the fear of hypoglycaemia and its association with demographic and disease-specific variables in a large and unselective population of adult patients with Type 1 diabetes. Methods  Questionnaires were sent by post to all patients with Type 1 diabetes who were identified in the local diabetes registries of two hospitals in Stockholm, Sweden (n = 1387). Fear of hypoglycaemia was measured using the Swedish Hypoglycaemia Fear Survey, the Worry subscale and the Aloneness subscale. Demographic variables and disease-specific factors were collected from patients' self reports and medical records. Univariate analysis and multiple stepwise linear regression analysis were used in the statistical analyses of the data. Results  Seven hundred and sixty-four (55%) patients participated in the study (mean age 43.3 years and mean HbA(1c) 7.0%, normal < 5.0%). The Hypoglycaemia Fear Survey - Worry subscale was significantly associated with frequency of severe hypoglycaemia, number of symptoms during mild hypoglycaemia, gender, hypoglycaemic symptoms during hyperglycaemia and hypoglycaemic unawareness. The Hypoglycaemia Fear Survey - Aloneness subscale was significantly associated with frequency of severe hypoglycaemia, number of symptoms during mild hypoglycaemia, gender, frequency of mild hypoglycaemia, HbA(1c) , hypoglycaemic unawareness and visits to the emergency room because of severe hypoglycaemia. Fear of hypoglycaemia proved to be more prevalent in females and indicated a different pattern between genders in relation to factors associated with fear of hypoglycaemia. Conclusions  This study identifies the frequency of severe hypoglycaemia as the most important factor associated with fear of hypoglycaemia. Moreover, for the first time, we document gender differences in fear of hypoglycaemia, suggesting that females are more affected by fear of hypoglycaemia than men.

  • 6.
    Anderbro, Therese
    et al.
    Sophiahemmet Högskola.
    Amsberg, Susanne
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Lins, Per-Eric
    Adamson, Ulf
    Lisspers, Jan
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Psychometric evaluation of the Swedish version of the Hypoglycaemia Fear Survey2008Ingår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 73, nr 1, 127-31 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The objective of this study was to evaluate the psychometric properties of the Swedish version of the Hypoglycaemia Fear Survey (Swe-HFS) for use among Swedish-speaking patients with type 1 diabetes. METHODS: The HFS was translated using the forward-backward translation method and was thereafter answered by 325 type 1 patients. The psychometric properties were investigated using exploratory factor analysis, Cronbach's alpha, content and convergent validity. RESULTS: The factor analysis showed that a three-factor solution was reasonable with the subscales Behaviour/Avoidance (10 items), Worry (6 items) and Aloneness (4 items). Cronbach's alpha coefficient for the total score was 0.85. The result also supports the instrument's content validity and convergent validity. CONCLUSION: The Swedish version of the HFS appears to be a reliable and valid instrument for measuring fear of hypoglycaemia (FoH) in type 1 patients. PRACTICE IMPLICATIONS: The results from this study suggest that the Swe-HFS, an instrument that is brief and easy to administer, may be valuable in clinically assessing FoH among patients with type 1 diabetes.

  • 7.
    Anderbro, Therese
    et al.
    Sophiahemmet Högskola.
    Bolinder, J
    Lins, P-E
    Wredling, Regina
    Moberg, E
    Lisspers, J
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    The role of emotional and psychosocial factors in relation to fear of hypoglycemia in adults with type 1 diabetesArtikel i tidskrift (Refereegranskat)
  • 8.
    Anderbro, Therese
    et al.
    Sophiahemmet Högskola.
    Bolinder, J.
    Lins, Per-Eric
    Wredling, Regina
    Moberg, E.
    Lisspers, Jan
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Pscyhosocial aspects of fear of hypoglycemia2012Ingår i: FEND 17th Annual Conference, 2012, 18- s.Konferensbidrag (Övrigt vetenskapligt)
  • 9. Anderbro, Therese
    et al.
    Gonder-Frederick, Linda
    Bolinder, Jan
    Lins, Per-Eric
    Wredling, Regina
    Moberg, Erik
    Lisspers, Jan
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Fear of hypoglycemia: relationship to hypoglycemic risk and psychological factors2014Ingår i: Acta Diabetologica, ISSN 0940-5429, E-ISSN 1432-5233Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: The major aims of this study were to examine (1) the association between fear of hypoglycemia (FOH) in adults with type 1 diabetes with demographic, psychological (anxiety and depression), and disease-specific clinical factors (hypoglycemia history and unawareness, A1c), including severe hypoglycemia (SH), and (2) differences in patient subgroups categorized by level of FOH and risk of SH.

    RESEARCH DESIGN AND METHODS: Questionnaires were mailed to 764 patients with type 1 diabetes including the Swedish translation of the Hypoglycemia Fear Survey (HFS) and other psychological measures including the Perceived Stress Scale, Hospital Anxiety and Depression Scale, Anxiety Sensitivity Index, Social Phobia Scale, and Fear of Complications Scale. A questionnaire to assess hypoglycemia history was also included and A1c measures were obtained from medical records. Statistical analyses included univariate approaches, multiple stepwise linear regressions, Chi-square t tests, and ANOVAs.

    RESULTS: Regressions showed that several clinical factors (SH history, frequency of nocturnal hypoglycemia, self-monitoring) were significantly associated with FOH but R (2) increased from 16.25 to 39.2 % when anxiety measures were added to the model. When patients were categorized by level of FOH (low, high) and SH risk (low, high), subgroups showed significant differences in non-diabetes-related anxiety, hypoglycemia history, self-monitoring, and glycemic control.

    CONCLUSION: There is a strong link between FOH and non-diabetes-related anxiety, as well as hypoglycemia history. Comparison of patient subgroups categorized according to level of FOH and SH risk demonstrated the complexity of FOH and identified important differences in psychological and clinical variables, which have implications for clinical interventions.

  • 10. Anderbro, Therese
    et al.
    Moberg, E
    Gonder-Frederick, L
    Lins, P E
    Adamson, U
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    A longitudinal study of fear of hypoglycemia in type 1 diabetes2015Konferensbidrag (Övrigt vetenskapligt)
  • 11. Backman, Sara
    et al.
    Björling, Gunilla
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Lysdahl, Michael
    Markström, Agneta
    Schedin, Ulla
    Aune, Ragnhild E
    Frostell, Claes
    Karlsson, Sigbritt
    Material wear of polymeric tracheostomy tubes: a six-month study2009Ingår i: The Laryngoscope, ISSN 1531-4995, Vol. 119, nr 4, 657-64 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: The objectives were to study long-term material wear of tracheostomy tubes made of silicone (Si), polyvinyl chloride (PVC), and polyurethane (PU) after 3 and 6 months of clinical use. STUDY DESIGN: The study has a prospective and comparative design. METHODS: Nineteen patients with long-term tracheostomy, attending the National Respiratory Center in Sweden, were included, n = 6 with Si tubes, n = 8 with PVC tubes, and n = 5 with PU tubes. The tubes were exposed to the local environment in the trachea for 3 and 6 months and analyzed by scanning electron microscopy, attenuated total reflectance Fourier transform infrared spectroscopy, and differential scanning calorimetry. RESULTS: All tubes revealed severe surface changes. No significant differences were established after 3 or 6 months of exposure between the various materials. The changes had progressed significantly after this period, compared to previously reported changes after 30 days of exposure. The results from all analyzing techniques correlated well. CONCLUSIONS: All tubes, exposed in the trachea for 3-6 months, revealed major degradation and changes in the surface of the material. Polymeric tracheostomy tubes should be changed before the end of 3 months of clinical use.

  • 12.
    Bergkvist, Karin
    et al.
    Sophiahemmet Högskola.
    Fossum, Bjöörn
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Mattsson, J
    Larsen, J
    Patients' experiences of different care settings and a new life situation after allogeneic haematopoietic stem cell transplantation2017Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Over the past 20 years, considerable healthcare resources have shifted from an inpatient to an outpatient setting. To be in an outpatient setting or at home after allogeneic haematopoietic stem cell transplantation (allo-HSCT) has been shown to be medically safe and beneficial to the patient. In this study we describe patients' experiences of different care settings (hospital or home) and a new life situation during the acute post-transplant phase after HSCT. Semi-structured interviews were conducted with 15 patients (six women and nine men) 29-120 days after HSCT. An inductive qualitative content analysis was performed to analyse the data. The analysis resulted in four categories: To be in a safe place, To have a supportive network, My way of taking control, and My uncertain return to normality. The findings showed that patients undergoing HSCT felt medically safe regardless of the care setting. The importance of a supportive network (i.e. the healthcare team, family and friends) was evident for all patients. Both emotional and problem-focused strategies were used to cope with an uncertain future. Being at home had some positive advantages, including freedom, having the potential for more physical activity, and being with family members. The study highlights some key areas thought to provide more personalised care after HSCT.

    Publikationen är tillgänglig i fulltext från 2018-03-02 15:58
  • 13.
    Bergkvist, Karin
    et al.
    Sophiahemmet Högskola.
    Fossum, Bjöörn
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Mattsson, Jonas
    Larsen, Joacim
    Patients' life situation during allogeneic hematopoietic stem cell transplantation - when care is given in different care settingsManuskript (preprint) (Övrigt vetenskapligt)
  • 14.
    Bergkvist, Karin
    et al.
    Sophiahemmet Högskola.
    Larsen, J
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Mattsson, J
    Fossum, Bjöörn
    Sophiahemmet Högskola.
    Family members' life situation and experiences of different caring organisations during allogeneic haematopoietic stem cells transplantation-A qualitative study.2016Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe family members' life situation and experiences of care in two different care settings, the patient's home or in hospital during the acute post-transplantation phase after allogeneic haematopoietic stem cell transplantation (HSCT). Data were collected through semi-structured interviews with 14 family members (seven women and seven men). An inductive qualitative content analysis was used to analyse the data. The majority of the family members' (n = 10) had experiences from home care. The findings show the family members' voice of the uncertainty in different ways, related with the unknown prognosis of the HSCT, presented as Being me being us in an uncertain time. The data are classified into; To meet a caring organisation, To be in different care settings, To be a family member and To have a caring relationship. Positive experiences such as freedom and security from home care were identified. The competence and support from the healthcare professionals was profound. Different strategies such as adjusting, having hope and live in the present used to balance to live in an uncertain time. The healthcare professionals need to identify psychosocial problems, and integrate the psychosocial support for the family to alleviate or decrease anxiety during HSCT, regardless of the care setting.

  • 15.
    Bergkvist, Karin
    et al.
    Sophiahemmet Högskola.
    Larsen, Joacim
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Mattsson, Jonas
    Fossum, Bjöörn
    Sophiahemmet Högskola.
    Being me and being us in an uncertain time: Family members' experiences during allogeneic hematopoietic stem cell transplantation when care is given in the patient's home or in hospitalManuskript (preprint) (Övrigt vetenskapligt)
  • 16.
    Bergkvist, Karin
    et al.
    Sophiahemmet Högskola.
    Larsen, Joacim
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Mattsson, Jonas
    Fossum, Bjöörn
    Sophiahemmet Högskola.
    Family members' experiences of different caring organizations during allogeneic hematopoietic stem cells transplantation - a qualitative study2016Konferensbidrag (Övrigt vetenskapligt)
  • 17.
    Bergkvist, Karin
    et al.
    Sophiahemmet Högskola.
    Larsen, Joacim
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Mattsson, Jonas
    Svahn, Britt-Marie
    Hospital care or home care after allogeneic hematopoietic stem cell transplantation: patients' experiences of care and support2013Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 17, nr 4, 389-395 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE:

    Treatment at home during the pancytopenic phase after allogeneic hematopoietic stem cell transplantation (HSCT) has been an option for patients at our center since 1998. Earlier studies have shown that home care is safe and has medical advantages. In this study, we present patients' experiences of care and support while being treated in hospital or at home during the acute post-transplantation phase.

    METHOD:

    Patients (n = 41, 22 in hospital care and 19 in home care) answered the SAUC questionnaire at discharge (when home, or from hospital). Both statistical analysis and deductive content analysis were used.

    RESULTS:

    The patients were highly satisfied with the care and support during the acute post-transplantation phase. Patients in home care were found to be more satisfied with care in general than patients in hospital care. The importance of safety, empathy, and encouragement from healthcare staff were expressed regardless of where care was given. Patients also felt that receipt of continuous, updated information during treatment was important and they had a strong belief in HSCT but were uncertain of the future regarding recovery.

    CONCLUSIONS:

    The main findings of this study were that in comparison to hospital care, home care does not appear to have a significant negative effect on patients' experiences of care and support during the acute post-transplantation phase. In addition patients in home care felt safe, seen as a person and encouragement seem to empower the patients at home. Thus, this study may encourage other transplantation centers to provide home care if the patients want it.

  • 18.
    Bergkvist, Karin
    et al.
    Sophiahemmet Högskola.
    Winterling, Jeanette
    Johansson, Eva
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Svahn, Britt-Marie
    Remberger, Mats
    Mattsson, Jonas
    Larsen, Joacim
    General health, symptom occurrence, and self-efficacy in adult survivors after allogeneic hematopoietic stem cell transplantation: a cross-sectional comparison between hospital care and home care2015Ingår i: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 23, nr 5, 1273-83 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: Earlier studies have shown that home care during the neutropenic phase after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is medically safe, with positive outcomes. However, there have been few results on long-term outcomes after home care. The aims of this study were to compare general health, symptom occurrence, and self-efficacy in adult survivors who received either home care or hospital care during the early neutropenic phase after allo-HSCT and to investigate whether demographic or medical variables were associated with general health or symptom occurrence in this patient population.

    METHODS: In a cross-sectional survey, 117 patients (hospital care: n = 78; home care: n = 39) rated their general health (SF-36), symptom occurrence (SFID-SCT, HADS), and self-efficacy (GSE) at a median of 5 (1-11) years post-HSCT.

    RESULTS: No differences were found regarding general health, symptom occurrence, or self-efficacy between groups. The majority of patients in both hospital care (77 %) and home care (78 %) rated their general health as "good" with a median of 14 (0-36) current symptoms. Symptoms of fatigue and sexual problems were among the most common. Poor general health was associated with acute graft-versus-host disease (GVHD), low self-efficacy, and cord blood stem cells. A high symptom occurrence was associated with female gender, acute GVHD, and low self-efficacy.

    CONCLUSIONS: No long-term differences in general health and symptom occurrence were observed between home care and hospital care. Thus, home care is an alternative treatment method for patients who for various reasons prefer this treatment option. We therefore encourage other centers to offer home care to patients.

  • 19.
    Björling, Gunilla
    et al.
    Sophiahemmet Högskola.
    Axelsson, Sara
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Lysdahl, Michael
    Markström, Agneta
    Schedin, Ulla
    Aune, Ragnhild E
    Frostell, Claes
    Karlsson, Sigbritt
    Clinical use and material wear of polymeric tracheostomy tubes2007Ingår i: The Laryngoscope, ISSN 0023-852X, E-ISSN 1531-4995, Vol. 117, nr 9, 1552-9 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: The objectives were to compare the duration of use of polymeric tracheostomy tubes, i.e., silicone (Si), polyvinyl chloride (PVC), and polyurethane (PU), and to determine whether surface changes in the materials could be observed after 30 days of patient use. METHODS: Data were collected from patient and technical records for all tracheostomized patients attending the National Respiratory Center in Sweden. In the surface study, 19 patients with long-term tracheostomy were included: six with Bivona TTS Si tubes, eight with Shiley PVC tubes, and five with Trachoe Twist PU tubes. All tubes were exposed in the trachea for 30 days before being analyzed by scanning electron microscopy (SEM) and attenuated total reflectance Fourier transform infrared spectroscopy (ATR-FTIR). New tubes and tubes exposed in phosphate-buffered saline were used as reference. RESULTS: Si tubes are used for longer periods of time than those made of PVC (P<.0001) and PU (P=.021). In general, all polymeric tubes were used longer than the recommended 30-day period. Eighteen of the 19 tubes exposed in patients demonstrated, in one or more areas of the tube, evident surface changes. The morphologic changes identified by SEM correlate well with the results obtained by ATR-FTIR. CONCLUSIONS: Si tracheostomy tubes are in general used longer than those made of PVC and PU. Most of the tubes exposed in the trachea for 30 days suffered evident surface changes, with degradation of the polymeric chains as a result.

  • 20.
    Björling, Gunilla
    et al.
    Sophiahemmet Högskola.
    Belin, Anna-Lisa
    Hellström, Carina
    Schedin, Ulla
    Ransjö, Ulrika
    Alenius, Martin
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Tracheostomy inner cannula care: a randomized crossover study of two decontamination procedures2007Ingår i: American Journal of Infection Control, ISSN 0196-6553, E-ISSN 1527-3296, Vol. 35, nr 9, 600-5 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Today several methods for decontaminating inner cannulae exist. These methods are not based on scientific data, but often on local clinical tradition. This study compares two different decontamination methods. The aim was to find a practical and safe decontamination method. It is a randomized, single-blinded, comparative crossover study. METHODS: Fifty outpatients with long-term tracheostomy with an inner cannula were consecutively included and randomly allocated to begin with one of two different treatment sequences: detergent and chlorhexidine-alcohol (A) or detergent (B). Samples for bacterial culture were taken before and after decontamination, and the number of bacteria colonies was counted. RESULTS: Before decontamination, the inner cannulae grew high numbers of bacteria, which were parts of the normal flora of the upper respiratory tract and did not differ significantly between the two sequences (AB; BA). The primary variable was the culture count value after chlorhexidine-alcohol/detergent (A) and detergent (B). The effects of both methods were larger than expected, and the results showed a nearly total elimination of organisms. The equivalence criterion, ratio of mean colony counts (A/B) >0.8, was met at a significance level of P<0.001. CONCLUSIONS: Cleaning the tracheostomy inner cannula with detergent and water is sufficient to achieve decontamination.

  • 21.
    Björling, Gunilla
    et al.
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Andersson, G
    Schedin, Ulla
    Markström, A
    Frostell, C
    A retrospective survey of outpatients with long-term tracheostomy2006Ingår i: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 50, nr 4, 399-406 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The Respiratory Unit (RU) at Danderyd University Hospital opened in 1982, with the expressed goal of supporting outpatients with long-term tracheostomy. The primary aim of this retrospective study in tracheostomized patients was to compare the need for hospital care in the 2-year period before and after the tracheostomy. METHODS: Data were collected from patient medical records at the RU, from the National Board of Health and Welfare, Sweden and from the Official Statistics of Sweden. The subjects were RU patients in 1982 (Group 1, n = 27) and in 1997 (Group 2, n = 106) with long-term tracheostomy surviving at least 4 years after the tracheostomy. RESULTS: Both groups had few and unchanged needs for hospital care after tracheostomy. They spent > or = 96% of their time out of hospital. In 1997, (group 2) the number of patients, diagnoses and need for home mechanical ventilation had increased. Life expectancy was assessed for patients in Group 1. Data showed that they lived as long as an age-matched and gender-adjusted control cohort. CONCLUSIONS: Long-term tracheostomy may not increase the need for hospital care and does not reduce life expectancy. These clinical observations were made in a setting where patients had regular access to a dedicated outpatient unit.

  • 22. Eeg-Olofsson, Katarina
    et al.
    Svedbo Engström, Maria
    Borg, Sixten
    Palaszewski, Bo
    Lexell, Janeth
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Gudbjörnsdottir, Soffia
    Glycaemic control and patient-reported outcome measures (PROMs) in type 1 diabetes2016Konferensbidrag (Övrigt vetenskapligt)
  • 23. Freyschuss, Bo
    et al.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Leksell, Janeth
    Steen Carlsson, Katarina
    Thorsén, Håkan
    Werkö, Sophie
    Wikblad, Karin
    Hammarlund, Cecilia
    Johansson, Ida
    Patientutbildning vid diabetes: en systematisk litteraturöversikt2009Rapport (Övrigt vetenskapligt)
  • 24. Hanås, R
    et al.
    Lindholm Olinder, A
    Olsson, P.O
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Jacobson, S
    Heintz, E
    Werkö, Sophie
    Persson, M
    CSII and SAP valuable tools in the treatment of diabetes: a Swedish health technology assessment2014Ingår i: Diabetes Technology & Therapeutics, ISSN 1520-9156, E-ISSN 1557-8593, Vol. 16, nr Suppl 1, A-56- s.Artikel i tidskrift (Refereegranskat)
  • 25.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Advertorial: International Diabetes Federation2015Ingår i: The Diabetes Communicator, ISSN 1912-8851, Vol. Summer, 1 s.22- s.Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 26.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Defining roles and improving outcomes in person-centred care2015Ingår i: Diabetes Voice, ISSN 1437-4064, nr 1, 6-8 s.Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 27.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Diabetesvård i Europa2012Ingår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur, 2012, 2, 411-416 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 28.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Gastrointestinala komplikationer2006Ingår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur , 2006, 233-41 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 29.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Rädsla för hypoglykemi hos personer med typ 1-diabetes2012Ingår i: BestPractice, Vol. 2, nr 5, 14-15 s.Artikel i tidskrift (Övrigt vetenskapligt)
  • 30.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Sophia Step Study2017Konferensbidrag (Övrigt vetenskapligt)
  • 31.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    The Education and Integrated Care Stream. Defining roles and improving outcomes in person-centred care2015Ingår i: Diabetes Research and Clinical Practice, ISSN 0168-8227, E-ISSN 1872-8227, Vol. 109, nr 1, 213-4 s.Artikel i tidskrift (Övrigt vetenskapligt)
  • 32.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    The nurse2015Konferensbidrag (Övrigt vetenskapligt)
  • 33.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Adamson, Ulf
    Lins, Per-Eric
    Wredling, Regina
    Sophiahemmet Högskola.
    Patient management of long-term continuous subcutaneous insulin infusion2005Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 51, nr 2, 112-8 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: This paper reports a study of patients' current practice with continuous subcutaneous insulin infusions, particularly with respect to the management of the pump. BACKGROUND: Successful implementation of continuous subcutaneous insulin infusion requires a motivated patient with a range of technical skills and self-management capabilities. The therapy should be prescribed, implemented and monitored by a skilled professional team familiar with it and capable of supporting the patient. METHODS: A questionnaire was mailed to 102 continuous subcutaneous insulin infusion treated patients at a Swedish university hospital with experience of pump treatment for at least 6 months. RESULTS: The questionnaire was answered by 88% of the patients, 53 women and 37 men, aged 22-71 years with a duration of continuous subcutaneous insulin infusion use of between 7 months and 19 years. The changing interval for soft infusion set ranged from 2.0 to 10.0 days (mean 4.8) and for metal needles from 1.5 to 7.5 days (mean 3.8), P = 0.001. Catheter occlusions were significantly more often reported in patients with presence of bleeding at the infusion site (P = 0.011) and among those using insulin lispro (P = 0.032). CONCLUSIONS: Patients having long-term continuous subcutaneous insulin infusion should be carefully audited with respect to the management of the insulin pump and its accessories. In patients who frequently experience problems, shorter intervals between changes of infusion sets are strongly advocated and type of insulin preparation may be of importance in some cases.

  • 34.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Amsberg, Susanne
    Sophiahemmet Högskola.
    Hannerz, Lena
    Wredling, Regina
    Sophiahemmet Högskola.
    Adamson, Ulf
    Arnqvist, Hans J
    Lins, Per-Eric
    Impaired absorption of insulin aspart from lipohypertrophic injection sites2005Ingår i: Diabetes Care, ISSN 0149-5992, E-ISSN 1935-5548, Vol. 28, nr 8, 2025-7 s.Artikel i tidskrift (Refereegranskat)
  • 35.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Eskils, J
    Adamson, Ulf
    Elwin, C E
    Wredling, Regina
    Sophiahemmet Högskola.
    Lins, Per-Eric
    A paracetamol-pasta test for assessing gastric emptying in healthy and diabetic subjects2003Ingår i: Scandinavian Journal of Clinical and Laboratory Investigation, ISSN 0036-5513, Vol. 63, nr 2, 159-66 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Previous studies have shown that the relationship between gastrointestinal symptoms and gastric emptying is weak. Therefore the quantitative assessment of gastric emptying with a relatively simple, non-invasive test would be of considerable clinical value in insulin-treated diabetic patients to identify those with disturbed gastric emptying. The aim of this investigation was to evaluate the inter- and intra-subject variability of a paracetamol-pasta test in healthy subjects and in IDDM patients. Eighteen healthy subjects (8 women) with a mean age of 37 years (range 19-68) and 19 IDDM patients (10 women) with a mean age of 48 years (range 25-62) and mean duration of diabetes of 28 years (range 6-52) were studied on two occasions with an interval of 1 to 4 weeks. After an overnight fast the subjects ingested a standardized pasta meal mixed with 2 g paracetamol in a period of 15 min. Blood samples were drawn at regular intervals after meal intake and analysed for paracetamol (P) and blood glucose. The serum levels of P were significantly lower at 15 min in diabetic patients. The intra-subject coefficients of variation (CV%) of the areas under the serum paracetamol concentration-time curve (AUC) were almost identical in healthy and diabetic subjects, while the intra-subject CV of the P-Tmax was considerably lower in diabetic patients as well as markedly lower than the corresponding inter-subject CV. The inter-subject CVs of all parameters calculated were generally higher in diabetic patients. This study indicates that the assessment of paracetamol absorption kinetics during a paracetamol-pasta test is reproducible in healthy as well as in diabetic subjects. Diabetic patients with non-optimal glucose control and without a case history indicating gastroduodenal motor function disturbances achieve lower serum concentration of P at 15 min and generally display a higher inter-individual variability indicative of subclinical disturbances of gastric emptying in this group of patients.

  • 36.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Hanås, Ragnar
    Olsson, Per-Olof
    Lindholm Olinder, Anna
    Persson, Martina
    Werkö, Sophie
    Jacobson, Stella
    Heintz, Emelie
    Akcan, Derya
    Attergren Granath, Anna
    Davidson, Thomas
    Insulinpumpar vid diabetes2013Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    God kontroll av blodglukosnivån är viktig för att undvika följdsjukdomar av diabetes. Vid typ 1-diabetes och en del fall av typ 2-diabetes krävs så kallad intensiv insulinbehandling med flera injektioner per dag. Den vanligaste komplikationen vid denna behandling är lågt blodglukos (hypoglykemi) vilket kan få allvarliga följder [1,2]. Ett alternativ till intensiv insulinbehandling med injektioner är kontinuerlig insulintillförsel med pump, så kallad kontinuerlig subkutan insulininfusion (CSII).

  • 37.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Hanås, Ragnar
    Olsson, Per-Olof
    Lindholm Olinder, Anna
    Persson, Martina
    Werkö, Sophie
    Jacobson, Stella
    Heintz, Emelie
    Akcan, Derya
    Attergren Granath, Anna
    Davidson, Thomas
    Kontinuerlig subkutan glukosmätning vid diabetes2013Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    God kontroll av blodglukosnivån är viktig för att undvika följdsjukdomar av diabetes. Blodglukos kan mätas av patienten själv med teststickor (self monitoring of blood glucose, SMBG) eller via en subkutan sensor (kontinuerlig subkutan glukosmätning, CGM). Vid typ 1-diabetes behövs rutinmässigt upprepade blodglukosmätningar varje dygn för att uppnå god glukoskontroll.

    SBU har utvärderat nytta och risk av behandling med kontinuerlig glukosmätning utan eller med insulinpump (SAP) vid diabetes hos barn, ungdomar och vuxna. I utvärderingen ingår också en hälsoekonomisk och etisk analys, samt en stor praxisundersökning som omfattade samtliga diabeteskliniker i Sverige

  • 38.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Kaila, Päivi
    Ahlner-Elmqvist, Marianne
    Leksell, Janeth
    Isoaho, Hannu
    Saarikoski, Mikko
    Clinical learning environment, supervision and nurse teacher evaluation scale: psychometric evaluation of the Swedish version2010Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 66, nr 9, 2085-93 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article is a report of the development and psychometric testing of the Swedish version of the Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale. Background. To achieve quality assurance, collaboration between the healthcare and nursing systems is a pre-requisite. Therefore, it is important to develop a tool that can measure the quality of clinical education. The Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale is a previously validated instrument, currently used in several universities across Europe. The instrument has been suggested for use as part of quality assessment and evaluation of nursing education. Methods. The scale was translated into Swedish from the English version. Data were collected between March 2008 and May 2009 among nursing students from three university colleges, with 324 students completing the questionnaire. Exploratory factor analysis was performed on the 34-item scale to determine construct validity and Cronbach's alpha was used to measure the internal consistency. Results. The five sub-dimensions identified in the original scale were replicated in the exploratory factor analysis. The five factors had explanation percentages of 60.2%, which is deemed sufficient. Cronbach's alpha coefficient for the total scale was 0.95, and varied between 0.96 and 0.75 within the five sub-dimensions. Conclusion. The Swedish version of Clinical Learning Environment, Supervision and Nurse Teacher evaluation scale has satisfactory psychometric properties and could be a useful quality instrument in nursing education. However, further investigation is required to develop and evaluate the questionnaire.

  • 39.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Leksell, Janeth
    Psykosociala aspekter2009Ingår i: Diabetes / [ed] Carl-David Agardh & Christian Berne, Stockholm: Liber , 2009, 4, 449-59 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 40.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Lilja Andersson, Petra
    Larsson, Maria
    Ziegert, Kristina
    Ahlner-Elmqvist, Marianne
    Use of a national clinical final examination in a Bachelor's Programme in Nursing to assess clinical competence: students', lecturers' and nurses' perceptions2014Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 4, nr 7, 501-511 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The objective of this study was to evaluate the perceptions of students, lecturers, nurses and clinical lecturers regarding the ability of the National Clinical Final Examination (NCFE) to assess clinical competence, and whether the assessment was consistent with the qualifications for a Bachelor of Science in Nursing as outlined by the Swedish Higher Education Authority. The NCFE is divided into two parts (written and bedside) and aims to evaluate third-year nursing students’ clinical competence. Methods: Data were collected at 10 universities using study-specific questionnaires. The total response rate was 84% (n = 1652). Results: The clinical lecturers indicated that there was a need for improvement in the written part of the examination in order to adequately assess clinical competence. Regarding the bedside part the clinical lecturers, nurses and students perceived that the bedside part of the examination assessed whether the student had the clinical competence required by a newly registered nurse. Conclusion: The two-part examination described in this study was perceived as useful for assessing clinical competence and for the qualification requirements for a Bachelor of Science in Nursing as outlined by the Swedish Higher Education Authority. However, especially the written part requires further development. The model and form of assessment ought to be applicable to graduate nursing programme internationally.

  • 41.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Wredling, Regina
    Diabetes hos vuxna2012Ingår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur, 2012, 2, 227-236 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 42.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Diabetes hos vuxna2006Ingår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur , 2006, 115-35 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 43.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Kvalitetsindikatorer för patienter med diabetes2009Ingår i: Kvalitetsindikatorer inom omvårdnad / [ed] Ewa Idvall, Stockholm: Svensk sjuksköterskeförening ; Gothia , 2009, 5, 37-44 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 44.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Wredling, Regina
    Mätning av patientens välbefinnande, behandlingstillfredsställelse och rädsla för hypoglykemi2012Ingår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur, 2012, 2, 429-433 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 45.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Mätning av patientens välbefinnande och behandlingstillfredsställelse2006Ingår i: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur , 2006, 343-47 s.Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 46.
    Johansson, Unn-Britt
    et al.
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Adamson, Ulf
    Lins, Per-Eric
    A morning dose of insulin glargine prevents nocturnal ketosis after postprandial interruption of continuous subcutaneous insulin infusion with insulin lispro2007Ingår i: Diabetes & Metabolism, ISSN 1262-3636, Vol. 33, nr 6, 469-71 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aim of this crossover trial was to evaluate the potential of partial substitution of basal insulin with glargine, administered once daily in the morning, to protect against nocturnal ketosis after postprandial interruption of continuous subcutaneous insulin infusion (CSII). METHODS: Seven patients with type 1 diabetes received 4 weeks of treatment with insulin lispro, administered by CSII, and 4 weeks of treatment with CSII and a partial basal replacement dose of insulin glargine administered in the morning. On day 28 of each treatment phase, patients were admitted to the research unit where dinner was served and their usual dinner insulin bolus dose given, after which CSII was discontinued at 7 pm. Plasma (p) beta-hydroxybutyrate and p glucose were measured every hour for 12 h thereafter. RESULTS: Plasma beta-hydroxybutyrate at 7 pm was 0.16+/-0.05 and 0.13+/-0.07 mmol/l with and without glargine, respectively, and increased to 0.17+/-0.10 and 0.60+/-0.3 mmol/l within 6 h (P=0.02). Plasma glucose increased without glargine, from 8.6+/-2.9 to 21.1+/-3.0 mmol/l (P=0.003), but did not rise significantly following glargine (13.6+/-4.7 vs. 12.6+/-5.6 mmol/l; P=0.65). CONCLUSIONS: Partial replacement with a morning dose of insulin glargine protects against the development of ketosis for as much as 12 h after postprandial interruption of CSII. This treatment strategy could, therefore, be useful for patients who are prone to ketosis but, for other reasons, are deemed suitable for CSII.

  • 47. Jäghult, S
    et al.
    Saboonchi, Fredrik
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Wredling, Regina
    Kapraali, M
    Stress as a trigger for relapses in IBD: a case-crossover studyArtikel i tidskrift (Refereegranskat)
  • 48. Jäghult, Susanna
    et al.
    Saboonchi, Fredrik
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Wredling, Regina
    Kapraali, Marjo
    Factor structures of the Swedish version of the RFIPC: investigating the validity of measurements of IBD patient's worries and concerns2010Ingår i: Gastroenterology Research, ISSN 1918-2805, Vol. 3, nr 5, 191-200 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Worries and concerns of patients with IBD comprise an important negative factor in their HRQOL. The Rating Form of Inflammatory Bowel Disease Patient Concerns (RFIPC) was developed to describe the nature and degree of the worries and concerns of IBD patients. In the original version, the specific issues of worries are divided into four separate factors. These factors provide useful information about HRQOL and the kind of worries and concerns which are most important to the patient. However, the Swedish version of the RFIPC is often scored using a single sum score, implying that all the specific issues of worries stem from a single general worry factor. The aim of this study was to validate the factor structure of the Swedish version of the RFIPC.Methods: A sample consisting of 195 patients with IBD filled out the RFIPC. Confirmatory factor analysis was performed to examine fit of three hypothesized models of factor structure. Spearman’s correlation and Mann-Whitney analysis were used to follow up the results.Results: The single-factor model displayed poor fit indices. The four-factor model marked substantive improvement, but still remains inadequate. The final four-factor model permitting correlated error terms between some items displayed the most adequate fit.  Conclusions: The factorial structure of the RFIPC, as suggested in the original version, was able to be replicated with a slight modification in the Swedish version. The separate factors identified in this structure provide more detailed information about the worries and concerns of IBD patients as these components of worries are different related to HRQOL and general health.

  • 49. Jäghult, Susanna
    et al.
    Saboonchi, Fredrik
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Wredling, Regina
    Sophiahemmet Högskola.
    Kapraali, Marjo
    Identifying predictors of low health-related quality of life among patients with inflammatory bowel disease: comparison between Crohn's disease and ulcerative colitis with disease duration2011Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, nr 11-12, 1578-1587 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim.  To identify predictors of low health-related quality of life among patients with inflammatory bowel disease and make a comparison between Crohn's disease and ulcerative colitis with disease duration. Background.  Studies have shown that patients with inflammatory bowel disease rate their health-related quality of life lower, as compared with a general population. Design.  Survey. Methods.  In this study, 197 patients in remission were included and divided into a Crohn's disease group and an ulcerative colitis group. Each group was also divided into separate groups whether the patients had short disease duration or long disease duration. Generic instruments, combined with disease-specific questionnaires, were used for measuring health-related quality of life. Results.  The analysis showed a non-significant effect for diagnosis, but a significant effect for disease duration showing that the patients with short disease duration had lower scores of health-related quality of life compared with patients with long disease duration. A significant interaction between diagnosis and disease duration was also revealed. Conclusion.  Patients with longer disease duration experienced a better health-related quality of life than patients with short disease duration. Patients with Crohn's disease and short disease duration have the lowest health-related quality of life and are in greatest need of education and support. Relevance to clinical practice.  It is important to identify which patients' are in the greatest need of education and support.

  • 50.
    Lachmann, Hanna
    et al.
    Sophiahemmet Högskola.
    Fossum, Bjöörn
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Karlgren, Klas
    Ponzer, Sari
    Promoting reflection by using contextual activity sampling: a study on students' interprofessional learning2014Ingår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 28, nr 5, 400-406 s.Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abstract Students' engagement and reflection on learning activities are important during interprofessional clinical practice. The contextual activity sampling system (CASS) is a methodology designed for collecting data on experiences of ongoing activities by frequent distribution of questionnaires via mobile phones. The aim of this study was to investigate if the use of the CASS methodology affected students' experiences of their learning activities, readiness for interprofessional learning, academic emotions and experiences of interprofessional team collaboration. Student teams, consisting of 33 students in total from four different healthcare programs, were randomized into an intervention group that used CASS or into a control group that did not use CASS. Both quantitative (questionnaires) and qualitative (interviews) data were collected. The results showed that students in the intervention group rated teamwork and collaboration significantly higher after than before the course, which was not the case in the control group. On the other hand, the control group reported experiencing more stress than the intervention group. The qualitative data showed that CASS seemed to support reflection and also have a positive impact on students' experiences of ongoing learning activities and interprofessional collaboration. In conclusion, the CASS methodology provides support for students in their understanding of interprofessional teamwork.

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