Change search
Link to record
Permanent link

Direct link
BETA
Ekblad, Helena
Publications (3 of 3) Show all publications
Malm, D., Fridlund, B., Ekblad, H., Karlström, P., Hag, E. & Pakpour, A. H. (2018). Effects of brief mindfulness-based cognitive behavioural therapy on health-related quality of life and sense of coherence in atrial fibrillation patients. European Journal of Cardiovascular Nursing, 17(7), 589-597
Open this publication in new window or tab >>Effects of brief mindfulness-based cognitive behavioural therapy on health-related quality of life and sense of coherence in atrial fibrillation patients
Show others...
2018 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, no 7, p. 589-597Article in journal (Refereed) Published
Abstract [en]

Background: The aim of this study was to evaluate the effects of a brief dyadic cognitive behavioural therapy (CBT) programme on the health-related quality of life (HRQoL), as well as the sense of coherence in atrial fibrillation patients, up to 12 months post atrial fibrillation.

Methods: A longitudinal randomised controlled trial with a pre and 12-month post-test recruitment of 163 persons and their spouses, at a county hospital in southern Sweden. In all, 104 persons were randomly assigned to either a CBT (n=56) or a treatment as usual (TAU) group (n=55). The primary outcome was changes in the HRQoL (Euroqol questionnaire; EQ-5D), and the secondary outcomes were changes in psychological distress (hospital anxiety and depression scale; HADS) and sense of coherence (sense of coherence scale; SOC-13).

Results: At the 12-month follow-up, the CBT group experienced a higher HRQoL than the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.015; P=0.02). The sense of coherence improved in the CBT group after the 12-month follow-up, compared to the TAU group (mean changes in the CBT group 0.062 vs. mean changes in the TAU group −0.16; P=0.04). The association between the intervention effect and the HRQoL was totally mediated by the sense of coherence (z=2.07, P=0.04).

Conclusions: A dyadic mindfulness-based CBT programme improved HRQoL and reduced psychological distress up to 12 months post atrial fibrillation. The sense of coherence strongly mediated the HRQoL; consequently, the sense of coherence is an important determinant to consider when designing programmes for atrial fibrillation patients. 

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
atrial fibrillation, Cognitive behavioural therapy, health-related quality of life, intervention, randomised controlled trial, sense of coherence, spouse, aged, Article, cognitive behavioral therapy, controlled study, distress syndrome, dyspnea, female, Hospital Anxiety and Depression Scale, hospital discharge, human, Likert scale, longitudinal study, major clinical study, male, priority journal, quality of life, questionnaire, randomized controlled trial
National Category
Cardiac and Cardiovascular Systems Nursing
Identifiers
urn:nbn:se:hj:diva-42334 (URN)10.1177/1474515118762796 (DOI)000446099600003 ()29493266 (PubMedID)2-s2.0-85057837415 (Scopus ID)HHJMPROVEIS (Local ID)HHJMPROVEIS (Archive number)HHJMPROVEIS (OAI)
Funder
Medical Research Council of Southeast Sweden (FORSS), 464211
Available from: 2018-12-18 Created: 2018-12-18 Last updated: 2018-12-18Bibliographically approved
Malm, D., Pakpour, A. H., Ekblad, H. & Fridlund, B. (2017). Impact of a cognitive behavioral intervention on quality of life and psychological distress in patients with atrial fibrillation: the importance of relatives. Paper presented at EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden. European Journal of Cardiovascular Nursing, 16(Suppl. 1), S49-S50
Open this publication in new window or tab >>Impact of a cognitive behavioral intervention on quality of life and psychological distress in patients with atrial fibrillation: the importance of relatives
2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no Suppl. 1, p. S49-S50Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Although there is an evidence to support the efficacy of cognitive behavioral therapy (CBT) in improving quality of life and decreasing psychological distress in patients with cardiovascular diseases but involving patient’s and relatives in the CBT and its effect on patient’s general health, has not been evaluated.

Aim: The aim was to determine whether involving the relatives in CBT for patients with Atrial Fibrillation (AF) enhances treatment outcomes relative to treatment as usual group (TAU).

Method: In a randomized controlled trial, 78 patients diagnosed with AF were randomly assigned to experimental (EXP) or TAU groups. In the EXP group, patients and relative participated in a 6-week program while the patient in the TAU group received standard care. Short Form 36(SF-36), Hospital Anxiety and Depression Scale (HADS),Euro-QoL 5-Dimension Self-Report Questionnaire (EQ-5D) and Sense of Coherence (SOC-13) were completed at  baseline and at 12-month follow-up. 

Results: In all 78 patients completed the assessment at 12 months. The two groups were similar for sociodemographic and clinical variables at baseline. The EXP group reported significantly higher scores in EQ-5D (F= 6.18, p = 0.01) and SOC (F= 4.15, p = 0.04) than TAU group. Compared with TAU group, patients in EXP group reported significantly lower depression (F= 4.58, p = 0.04). Thirteen percent of Indirect effect of the intervention on improving patient’s quality of life in the EXP group was related to the SOC improvement (z = 11.83, p < .01).

Conclusions: This study provides evidence that patients and their relatives’ involvement is more effective in improving quality of life and decreasing psychological distress than those who receiving standard care. Our results also indicate that interventions should initially focus on increasing patient’s sense of coherence.

Place, publisher, year, edition, pages
Sage Publications, 2017
National Category
Cardiac and Cardiovascular Systems Psychiatry
Identifiers
urn:nbn:se:hj:diva-35944 (URN)000401775600086 ()
Conference
EuroHeartCare 2017, 18-20 May 2017, Jönköping, Sweden
Available from: 2017-06-09 Created: 2017-06-09 Last updated: 2018-07-04Bibliographically approved
Ekblad, H., Malm, D., Fridlund, B., Conlon, L. & Rönning, H. (2014). The well-being of relatives of patients with atrial fibrillation: a critical incident technique analysis. Open Nursing Journal, 8, 48-55
Open this publication in new window or tab >>The well-being of relatives of patients with atrial fibrillation: a critical incident technique analysis
Show others...
2014 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 8, p. 48-55Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The well-being of relatives of patients having chronic heart diseases (CHD) has been found to be negatively affected by the patient's condition. Studies examining relatives of patients with atrial fibrillation (AF) indicate that their well-being may be affected in a similar manner, but further research is needed.

AIM: To explore and describe critical incidents in which relatives of patients experience how AF affects their well-being and what actions they take to handle these situations.

DESIGN AND METHOD: An explorative, descriptive design based on the critical incident technique (CIT) was used. Interviews were conducted with 19 relatives (14 women and five men) of patients hospitalised in southern Sweden due to acute symptoms of the AF.

RESULTS: The well-being of relatives was found to be affected by their worries (patient-related health), as well as the sacri-ficing of their own needs (self-related health). In handling their own well-being, these relatives adjusted to and supported the patient (practical involvement), along with adjusting their own feelings and responding to the mood of the patients (emotional involvement).

CONCLUSION: The well-being of relatives of patients with AF was affected depending on the patients' well-being. In their attempt to handle their own well-being, the relatives adjusted to and supported the patients. Further research is needed in order to evaluate the effects of support to relatives and patients respectively and together.

Keywords
Atrial fibrillation, coronary heart disease, health, nursing, qualitative analysis, relatives
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-25795 (URN)10.2174/1874434601408010048 (DOI)25419253 (PubMedID)2-s2.0-84928952120 (Scopus ID)
Available from: 2015-01-29 Created: 2015-01-29 Last updated: 2017-12-05Bibliographically approved
Organisations

Search in DiVA

Show all publications