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  • 151. Svantesson, Lena
    et al.
    Georgsson Öhman, Susanne
    Sophiahemmet University.
    Psykologiska aspekter på fosterdiagnostik2009In: Lärobok för barnmorskor / [ed] Annette Kaplan et al., Lund: Studentlitteratur , 2009, 3, p. 216-17Chapter in book (Other academic)
  • 152. Svedbo Engström, Maria
    et al.
    Leksell, Janeth
    Johansson, Unn-Britt
    Sophiahemmet University.
    Gudbjörnsdottir, Soffia
    Development of a patient reported outcome measure for the Swedish national diabetes register2016Conference paper (Other academic)
  • 153.
    Svedbo Engström, Maria
    et al.
    Högskolan Dalarna.
    Leksell, Janeth
    Högskolan Dalarna.
    Johansson, Unn-Britt
    Sophiahemmet University.
    Gudbjörnsdóttir, Soffia
    Göteborgs universitet.
    Utveckling av patientrapporterade utfallsmått (PROM) för NDR. I: Nationella Diabetesregistret - Årsrapport 2012 års resultat2013Other (Other academic)
  • 154. Svensson, Anders
    et al.
    Rantala, Andreas
    Lederman, Jakob
    Sophiahemmet University.
    Pre-hospital assessments and patient safety: An important area of research.2016Conference paper (Other academic)
  • 155.
    Swall, Anna
    Sophiahemmet University.
    "Being in the present": the meaning of the interaction between older persons with Alzheimer's disease and a therapy dog2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The number of persons with Alzheimer’s disease is increasing world-wide and the disease affects the persons, their families, the health care system and the economy within society worldwide. The symptoms and behaviours caused by Alzheimer’ disease may be difficult to manage for the person and their caregivers. Alternative methods are recommended before pharmacological treatment. The presence of a therapy dog has been described as beneficial, in for instance increasing well-being and alleviating symptoms and dementia behaviours. The overall aim of this thesis was to gain a deeper understanding of the influence of therapy dogs on persons with Alzheimer’s disease from the person’s and the dog handler’s perspectives. Further, adopting a longitudinal perspective, the study investigates the therapy dog’s influence on activity and sleep for persons with Alzheimer’s disease. Video observations of five persons with Alzheimer’s disease interacting with a therapy dog (I, II), as well as interviews with nine dog handlers (III) were gathered and transcribed. Data was analyzed using a phenomenological hermeneutical method (I, II, III). Registration of activity and sleep was conducted over a period of 16 weeks using an Actigraf that generated curves, and were then analysed using descriptive statistics (III). The time spent with the dog revealed memories and feelings resulting in existential thoughts of oneself and life, which then connected to the present situation (I). Distancing oneself from the symptoms of the disease when interacting with the dog showed a person functioning in the present with the dog, striving for the dog’s best and putting the dog before and above oneself (II). The therapy dog’s presence showed no pattern of effect on the patients’ daytime activity and sleep. The findings instead pointed to a great variety of possible different effects, bringing about increased activity at different time points, for example during night-time sleep (III), creating a respite from illness and contributing wordlessly to an existence but thoroughly directed by the dog handler, where the person was comfortable and took the initiative (IV). In conclusion, the therapy dog team’s presence with the person with Alzheimer’s disease induced meaning that allowed the person’s hidden qualities and abilities to develop and, when observed from a person-centred perspective, also brought out the individual in each person

  • 156. Söderman, M
    et al.
    Wennman-Larsen, Agneta
    Sophiahemmet University.
    Alexanderson, K
    Friberg, E
    Positive encounters with healthcare among women sickness absent with breast cancer or with other diagnoses2017Conference paper (Other academic)
  • 157. Söderström, J
    et al.
    Hakola, P
    Henriksson, H
    Samuelsson, M
    Strang, P
    Lundström,
    Lundh Hagelin, Carina
    Sophiahemmet University.
    Patienters upplevelse av sömn och vad som påverkar sömn inom specialiserad palliativ slutenvård2016Conference paper (Other academic)
  • 158.
    Tunedal, Ulla
    et al.
    Sophiahemmet University.
    Hansson, Anna
    Sophiahemmet University.
    Rydell Karlsson, Monica
    Sophiahemmet University.
    Lundh Hagelin, Carina
    Sophiahemmet University.
    Distance only separates the bodies - four years of experiences from an online distance learning programConference paper (Other academic)
  • 159.
    Tyrrell, Marie
    et al.
    Sophiahemmet University.
    Hillerås, Pernilla
    Sophiahemmet University.
    Skovdahl, Kirsti
    Fossum, Bjöörn
    Sophiahemmet University.
    Voices of Spouses living with partners with behavioural and psycological symtoms related to dementia2016Conference paper (Other academic)
    Abstract [en]

    Background: Persons with dementia, whdo reside in their own homes, are often cared for by family members or friends. The presence of a family career is said to have a protective effect, postponing admissions to residential care. The majority of persons with dementia develop behavioural and personality changes during the disease trajectory. The quality of life for both the person with behavioural and psychological symptoms and their careers are affected, increasing both suffering and risk for hospitalisation. Family careers to persons with dementia have identified behavioural changes as more distressing than cognitive impairment leading to increased burden of care and admissions to residential care. Knowledge gaps exist regarding how family careers living with persons with dementia experience behavioural and psychological symptoms in a community setting.

    AIM: To describe spouses’ experiences of living with partners who have behavioural and psychological symptoms related to dementia. Methods:Semi-structured interviews were carried out with 14 spouses of partners with dementia. The interviews included the completion of the NPI (Neuropsychiatric Inventory, Cummings, 1994). Interview data was analysed using content analysis. Results:(Preliminary) Spouses identified that partners with dementia had on average five to eight co-existing NPI symptoms. Frequency, severity and distress varied. The behavioural and psychological symptoms highlighted were within three of four possible symptom domains; Behaviour, Psychosis and Mood. From the narrative data four main categories emerged; Support, Coping, Vulnerability and domestic violence AND Social isolation. Conclusions: A large proportion of persons with dementia reside in the  community. Support offered to persons with dementia and their families should have a person-centered approach meeting individual needs. A greater awareness is required regarding welfare and safety of persons with dementia and their partners in a community setting.

  • 160.
    Ulfsdottir, Hanna
    Sophiahemmet University.
    Bad under förlossning2016In: Reproduktiv hälsa: barnmorskans kompetensområde / [ed] Helena Lindgren, Kyllike Christensson & Anna-Karin Dykes, Lund: Studentlitteratur AB, 2016, 1, p. 476-481Chapter in book (Other academic)
  • 161.
    Ulfsdottir, Hanna
    Sophiahemmet University.
    Waterbirths in Sweden2016Conference paper (Other academic)
  • 162. Unbeck, Maria
    et al.
    Sterner, Eila
    Sophiahemmet University.
    Elg, Mattias
    Fossum, Bjöörn
    Sophiahemmet University.
    Thor, Johan
    Pukk Härenstam, Karin
    'The value of Statistical Process Control in quality improvement contexts: Commentary on Unbeck et al. (2013)': Authors' response2014In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 51, no 2, p. 348-349Article in journal (Other academic)
  • 163. Unbeck, Maria
    et al.
    Sterner, Eila
    Elg, Mattias
    Fossum, Bjöörn
    Sophiahemmet University.
    Thor, Johan
    PukkHärenstam, Karin
    Authors' response (Unbeck and colleagues)2015In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 52, no 1, p. 484-5; discussion 485Article in journal (Other academic)
  • 164.
    Wallin Lundell, Inger
    Sophiahemmet University.
    Induced Abortions and Posttraumatic Stress - Is there any relation?: A Swedish multi-centre study2014Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Introduction: Induced abortion is a common medical intervention. Whether psychological sequelae might follow induced abortion has long been a subject of concern among researchers, and there is lack of knowledge about the relationship between posttraumatic disorder (PTSD) and induced abortion. Aims: To study and compare PTSD, posttraumatic stress symptoms (PTSS) and anxiety- and depressive symptoms among women seeking abortion, allowing for demographic variables. Further aims were to assess risk factors and to assess PTSD and PTSS following induced abortion in relation to experienced care at the clinic. Methods: This was a multi-centre cohort study targeting women who requested an induced abortion at the outpatient clinics of the gynaecology and obstetrics departments of six public hospitals in Sweden. All women who requested an induced abortion before the end of gestational week 12 were approached for participation. PTSD, PTSS, anxiety- and depressive symptoms, personality traits and women’s perceptions of abortion care were measured by means of questionnaires. Measurements were made at the first visit before the abortion as well as three- and six-months thereafter. Data collection was performed from September 2009 to January 2011. Results: 1,514 women filled out the questionnaire before the abortion. Abortion-seeking women did not suffer from PTSD to a greater extent than the general Swedish female population. Few women (51/720) developed PTSD or PTSS after the abortion, 11 did so due to trauma experience related to the abortion. Women at risk of posttraumatic stress were more likely to be young, having anxiety- or depressive symptoms and personality traits related to neuroticism. Furthermore, women with PTSD or PTSS were more likely to perceive certain aspects of the abortion care as deficient. Conclusions: The vast majority of women coped well with the induced abortion. Few developed posttraumatic stress post abortion. The majority did so because of trauma experiences unrelated to the induced abortion. Young women and women with mental distress are vulnerable groups that need to be paid attention to in abortion care. These women are at risk for negative experiences of the abortion care, and may be at risk of PTSD or PTSS post abortion

  • 165. Wallin Lundell, Inger
    et al.
    Frans, Örjan
    Helström, Lotti
    Högberg, Ulf
    Moby, L
    Nyberg, S
    Sundström Poromaa, Inger
    Sydsjö, Gunilla
    Georgsson Öhman, Susanne
    Sophiahemmet University.
    Östlund, I
    Skoog Svanberg, Agneta
    Post-traumatic stress disorder among women requesting induced termination of pregnancy: a Swedish multi-centre study2012In: British Journal of Obstetrics and Gynecology, ISSN 1470-0328, E-ISSN 1471-0528, Vol. 119, no S2, p. 2-2Article in journal (Other academic)
  • 166.
    Wallin Lundell, Inger
    et al.
    Sophiahemmet University.
    Georgsson, Susanne
    Sophiahemmet University.
    Sundström Poromaa, Inger
    Högberg, Ulf
    Sydsjö, Gunilla
    Skoog Svanberg, Agneta
    How women perceive abortion care: A study focusing on healthy women and those with mental and posttraumatic stress.2016Conference paper (Other academic)
  • 167.
    Wallin Lundell, Inger
    et al.
    Sophiahemmet University.
    Georgsson, Susanne
    Sophiahemmet University.
    Sundström Poromaa, Inger
    Högberg, Ulf
    Sydsjö, Gunilla
    Skoog Svanberg, Agneta
    How women perceive abortion care: A study focusing on healthy women and those with mental and posttraumatic stress.2016Conference paper (Other academic)
  • 168.
    Wallin Lundell, Inger
    et al.
    Sophiahemmet University.
    Georgsson, Susanne
    Sophiahemmet University.
    Sundström Poromaa, Inger
    Högberg, Ulf
    Sydsjö, Gunilla
    Skoog Svanberg, Agneta
    How women perceive abortion care: A study focusing on healthy women and those with mental and posttraumatic stress2016Conference paper (Other academic)
  • 169.
    Westerbotn, Margareta
    Sophiahemmet University.
    Drug Use Among the Very Old Living in Ordinary Households: Aspects on Well-being, Cognitive and Functional Ability2007Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: In Sweden today a major proportion of the population survive to old ages. To a large extent, the oldest old are capable of living longer in their own households; some of them are very healthy while others have multiple diagnoses or ailments caused by a normal ageing process. This means that many elderly persons receive their health care needs in their own home, and in the future this will be even more common. Drug use of the elderly is a complex field, and many drugs have side effects complicating the medical treatment and decreasing the quality of life.

     

    Aim: This thesis aims to explore and describe the medicine use and the medical situation of very old persons (¡Ý84 years) living in ordinary households, and to obtain knowledge of their views on the use of drugs.

    Methods: This thesis combines quantitative and qualitative research methods. The quantitative studies (Study I, II and III) were based on data from the Kungsholmen Project, a population based study of elderly people living in a district of the inner city of Stockholm, Sweden. Data collection of the present studies was carried out from the third follow-up 1997-1998. The qualitative data (Study IV) was obtained 2005 through in-depth interviews with 25 elderly men and women, aged 85-97 years, living in ordinary households in Stockholm, Sweden. A pre-tested semi-structured questionnaire was used for the interviews.

    Results: The findings in Study I demonstrated that cardiovascular diseases are very frequent in this population (62%). Heart failure (47%) and hypertension (37%) were the most common conditions; and diuretics (69%), nitrates (31%) and cardiac glycosides (30%) were the most commonly prescribed drugs. Multivariate regression analyses showed that while being affected by a CV disease did not affect the emotional well-being of the participants (PANAS-PA, p=0.171; PANAS-NA, p=0.209), the use of cardiac glycosides (p=0.006) and nitrates (p=0.008) was associated with increased negative feelings. Study II revealed that 88% of the population took medicines on a regular basis, and only 23% of them received help with the handling of their medicines. Using logistic regression models controlling for sociodemographic variables, cognitive and functional status, female gender (OR: 2.8; 95% CI: 1.2-6.5) was the only variable associated with regular use of medicines. The results also showed that older age and functional disability as measured by ADL, increased the risk of receiving help with medicines, while higher cognitive status decreased the odds of receiving help. Using multiple regression models, we found that the only factor related to not receiving help from a family member was that of living alone (OR:0.05; 95% CI: 0.006-0.4). Study III showed that the prevalence of pain among very old persons was 46%, and the prevalence of pain treatment was 71%. Results from logistic regression analysis using all variables in the model indicated that pain reporting was not associated with age, gender or living conditions, but decreased with decreasing cognitive status and with increasing functional disability. Furthermore, pain treatment was not associated with age, gender, living conditions, cognitive and functional status. The qualitative data in Study IV indicated that most of the participants managed their medicines by themselves and were very content with this. Those elderly who received help with their medicines were also very pleased with this help. The findings also revealed that the most important components for the elderly to be able to remain living in their homes and to handle their medicines by themselves, were to have good cognitive ability, to be independent and to get support with their medicines from a close person as a back-up.

    Conclusions: This study revealed that a large proportion of very old people (¡Ý84 years) were living in ordinary households and used medicines regularly. Being a woman and living alone were associated with receiving help with medicines from the community help services. Cognitive and functional ability were revealed to be significant factors in the management of medicines, but also to affect the pain reporting, and type of received pain treatment. Most of the older participants managed to handle their medicines by themselves, and were very pleased by doing this. However, most of them were concerned about the risk of losing their memory, as they are getting older, because they knew that they would not be able to manage themselves any more and therefore would have to move to an institution.

  • 170. Östlund, Petra
    et al.
    Rüter, Anders
    Sophiahemmet University.
    Franklin Larsson, Lise-Lotte
    Sophiahemmet University.
    Patienters upplevelser av delaktighet i vården: En intervjustudie på en akutvårdsavdelning2016Conference paper (Other academic)
1234 151 - 170 of 170
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