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  • 101.
    Steinke, Elaine E.
    et al.
    Wichita State University, School of Nursing, Wichita, United States.
    Jaarsma, Tiny
    Linköpings universitet, Department of Social and Welfare Studies, Linköping, Sweden.
    Barnason, Susan A.
    University of Nebraska, Lincolnshire, United States.
    Byrne, Molly
    National University of Ireland Galway, Galway, Ireland.
    Doherty, Sally
    Royal College of Surgeons in Ireland, Division of Population Health Sciences, Dublin, Ireland.
    Dougherty, Cynthia M.
    University of Washington Seattle, Department of Biobehavioral Nursing and Health Systems, Seattle, United States.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Kautz, Donald D.
    The University of North Carolina at Greensboro, School of Nursing, Greensboro, United States.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mosack, Victoria
    Wichita State University, School of Nursing, Wichita, United States.
    Moser, Debra K.
    University of Kentucky, College of Nursing, Lexington, United States.
    Sexual counseling for individuals with cardiovascular disease and their partners: a consensus document from the American Heart Association and the ESC Council on Cardiovascular Nursing and Allied Professions (CCNAP)2013Ingår i: Circulation, ISSN 0009-7322, E-ISSN 1524-4539, Vol. 128, nr 18, s. 2075-2096Artikel i tidskrift (Refereegranskat)
  • 102.
    Strid, Camilla
    et al.
    Höglandssjukhuset.
    Lingfors, Hans
    Health Centre of Habo.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Lifestyle changes in coronary heart disease - Effects of cardiac rehabilitation programs with focus on intensity, duration and content: A systematic review2012Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 2, nr 4, s. 420-430Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Background: Although coronary heart disease (CHD) is the most common cause of death worldwide the literature shows a wide variation in the arrangement of cardiac rehabilitation and achieved lifestyle changes. Aim: The purpose of this study was to evaluate the effects of intensity (number of patient follow-ups), duration (length of intervention) and content in cardiac rehabilitation programs (CRP) regarding lifestyle changes in patients with CHD. Method: A systematic literature review of articles published in the databases PubMed and CINAHL between 1990 and 2007 was conducted. This resulted in 1120 hits of which 25 articles finally met the set criteria for inclusion. Results: The majority of significant positive results on lifestyle factors were shown among the studies describing high intensity and long duration. Included studies showed a wide variation in content, but four different interventions (informative content, educational content, practical content, behavioral and self care-oriented content) emerged. The group of studies which contained all four interventions focused on most lifestyle factors and achieved the most significant positive results. Conclusion: This systematic literature review shows that CRP should include high intensity, long duration and an intervention content covering information, knowledge, practical training, self care-activity and behavior changes in order to achieve effect on all four lifestyle factors of diet, physical activity and exercise, smoking and stress. Lifestyle changes can be reached in less lifestyle factors, with a longer duration and a variation of intensity of contacts but in combining with an informative and educational content with an additional content of a practical nature or self activity.

  • 103. Strömberg, Anna
    et al.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Gender issues in heart failure: Meeting the needs of both men and women2004Ingår i: Caring for the Heart Failure Patient: a Textbook for the Health Care Professional, London: Martin Dunitz , 2004, s. 211-222Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 104. Strömberg, Anna
    et al.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Gender differences in patients with heart failure2003Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 2, nr 1, s. 7-18Artikel, forskningsöversikt (Övrigt vetenskapligt)
  • 105. Strömberg, Anna
    et al.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Dahlström, U
    Nurse-led heart failure clinics in Sweden2001Ingår i: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 3, nr 1, s. 139-44Artikel i tidskrift (Refereegranskat)
  • 106. Strömberg, Anna
    et al.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Levin, Lars-Åke
    Karlsson, Jan-Erik
    Dahlström, Ulf
    Nurse-led heart failure clinics improve survival and self-care behaviour in patients with heart failure: results from a prospective, randomised trial.2003Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 24, nr 11, s. 1014-1023Artikel i tidskrift (Refereegranskat)
  • 107.
    Tingsvik, Catarine
    et al.
    Högskolan i Jönköping, Hälsohögskolan. Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Hammarskjöld, Fredrik
    Department of Anaesthesia and Intensive Care, Ryhov County Hospital, Jönköping, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Henricson, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Patients' lived experience of intensive care when being on mechanical ventilation during the weaning process: A hermeneutic phenomenological study.2018Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 47, s. 46-53Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The medical and nursing care of the patient on mechanical ventilation has developed and proceeds in terms of ventilator functions, sedation strategies and patient participation. New data are needed to explore the weaning process from the patients' perspective. Therefore, the aim of this study was to explore the meaning of being a patient on mechanical ventilation during the weaning process in the intensive care unit.

    METHODS: This study used van Manen's hermeneutic phenomenological approach. Interviews were conducted, including twenty former intensive care patients from three different hospitals in Sweden.

    FINDINGS: Five themes emerged including thirteen related themes; Maintaining human dignity, Accepting the situation, Enduring the difficulties, Inadequate interaction and A sense of unreality. The experiences differed from each other and varied over time, and the same patient expressed both pleasant and unpleasant experiences. Weaning was not a separate experience but intertwined with that of being on mechanical ventilation in the intensive care unit.

    CONCLUSIONS: The patient's experiences differ and vary over time, with the same patient expressing various experiences. The favourable experiences were more clearly described, compared to previous research, this might depend on factors related to communication, participation and proximity to healthcare professionals and next-of-kin.

  • 108.
    Tingsvik, Catarine
    et al.
    Operations- and Intensive care Units, Ryhov County Hospital, Jönköping, Sweden.
    Johansson, Karin
    Operations- and Intensive care Units, Ryhov County Hospital, Jönköping, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Weaning from mechanical ventilation: factors that influence intensive care nurses' decision-making2015Ingår i: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 20, nr 1, s. 16-24Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    The aim of the study was to describe the factors that influence intensive care nurses' decision-making when weaning patients from mechanical ventilation.

    Background

    Patients with failing vital function may require respiratory support. Weaning from mechanical ventilation is a process in which the intensive care nurse participates in both planning and implementation.

    Design and method

    A qualitative approach was used. The data were collected by means of semi-structured interviews with 22 intensive care nurses. The interviews were transcribed and analysed using qualitative content analysis.

    Findings

    One theme emerged: ‘A complex nursing situation where the patient receives attention and which is influenced by the current care culture’. There was consensus that the overall assessment of the patient made by the intensive care nurse was the main factor that influenced the decision-making process. This assessment was a continuous process consisting of three factors: the patient's perspective as well as her/his physical and mental state. On the other hand, there was a lack of consensus about what other factors influenced the decision-making process. These factors included the care culture constituted by the characteristics of the team, the intensive care nurses' professional skills, personalities and ability to be present.

    Conclusions and relevance to clinical practice

    The individual overall assessment of the patient enabled nursing care from a holistic perspective. Furthermore, the weaning process can be more effective and potential suffering reduced by creating awareness of the care culture's impact on the decision-making process.

  • 109.
    Van der Wal, M. H. L.
    et al.
    Linköping University, Sweden.
    Hjelmfors, L.
    Linköping University, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Stromberg, A.
    Linköping University, Sweden.
    Jaarsma, T.
    Linköping University, Sweden.
    Factors related to discussing prognosis by nurses at heart failure clinics in Sweden and the Netherlands2015Ingår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 36, s. 38-38Artikel i tidskrift (Övrigt vetenskapligt)
  • 110.
    van der Wal, Martje H. L.
    et al.
    Department of Cardiology, University Medical Centre Groningen, University of Groningen, Netherlands.
    Hjelmfors, Lisa
    Faculty of Medical and Health Sciences, Linköping University, Norrköping, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Friedrichsen, Maria
    Faculty of Medical and Health Sciences, Linköping University, Norrköping, Sweden.
    Strömberg, Anna
    UCI Program in Nursing Science, University of California, Irvine, CA, United States.
    Jaarsma, Tiny
    UCI Program in Nursing Science, University of California, Irvine, CA, United States.
    Variables Related to Communication About Prognosis Between Nurses and Patients at Heart Failure Clinics in Sweden and the Netherlands.2018Ingår i: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 33, nr 2, s. E1-E6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: In contrast to recommendations in recent guidelines, prognosis is not optimally discussed with patients with heart failure (HF). Reasons for not doing so can be related to both patient and provider characteristics.

    PURPOSE: The purpose of the study was to explore which patient- and nurse-related variables influence discussing prognosis with patients at an HF clinic.

    METHOD: Data from a previous survey on attitudes and clinical practice of HF nurses on discussing prognosis that was conducted in Sweden and the Netherlands were combined with data from a registration on topics that nurses discussed with their patients during a prespecified week at the HF clinic. Multivariable logistic regression analysis was performed to assess which variables are related to discussing prognosis.

    RESULTS: A total of 275 HF nurses (mean age, 49 years) and data of 1633 patients with HF (mean age, 71 years) were included in the study. Prognosis was discussed with 42% of all patients during the visit at the HF clinic. Patients with whom prognosis was discussed were more often in New York Heart Association classes III to IV (odds ratio [OR], 1.81; 95% confidence interval [CI], 1.44-2.26). Nurses discussing prognosis reported more knowledge on the topic (OR, 1.71; 95% CI, 1.36-2.16) and discussed more topics with the patient (OR, 1.27; 95% CI, 1.21-1.32). Dutch HF nurses were more likely to discuss prognosis compared with their Swedish colleagues (OR, 1.83; 95% CI, 1.43-2.33).

    CONCLUSIONS: Discussing prognosis with patients with HF by nurses at the HF clinic is related to the characteristics of patients and HF nurses. Future interventions to improve communications about prognosis therefore should have a broad approach.

  • 111.
    Verheijden Klompstra, Leonie
    et al.
    Department of Social and Welfare studies, Linköping University.
    Jaarsma, Tiny
    Department of Social and Welfare studies, Linköping University.
    Moons, Philip
    Centre for Health Services and Nursing Research, Kathlieke Universiteit, Belgium.
    Norekvål, Tone
    Department of Heart Disease, Haukeland University Hospital.
    Smith, Karen
    School of Nursing and Midwifery, University of Dundee.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Thompson, David
    Cardiovascular Research Centre, Australien Catholic University Melbourne.
    De Geest, Sabina
    Institute of Nursing Science, University of Basel.
    Lenzen, Mattie
    Department of Cardiology, Rotterdam.
    Strömberg, Anna
    Division of Nursing Science, Department of Medicine, Linköping University.
    Anaemia and iron deficiency in cardiac patients: what do nurses and allied professionals know?2012Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 11, nr Suppl. 1, s. S90-S95Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Cardiac nurses and allied professionals often take care of patients who also have anaemia or iron deficiency. To deliver optimal care, professionals should be knowledgeable about the prevalence, diagnosis, pathophysiology, and therapeutic management of these conditions. We therefore set out a survey to get a first impression on the current knowledge of nurses and allied professionals on anaemia and iron deficiency.

    Method: A questionnaire was designed for this study by the Undertaking Nursing Interventions Throughout Europe (UNITE) Study Group. Data were collected from 125 cardiovascular nurses and allied professionals visiting the 11th Annual Spring Meeting of the Council on Cardiovascular Nursing and Allied Professionals of the European Society of Cardiology.

    Results: Most respondents had general knowledge on the definition of anaemia and iron deficiency and 54% of the respondents rated anaemia and iron deficiency as important when evaluating a cardiac patient. Specific knowledge regarding anaemia and more prominently of iron deficiency was not optimal.

    Conclusion: Although cardiac nurses and allied professionals have basic knowledge of anaemia and iron deficiency, they would benefit from additional knowledge and skills to optimally deliver patient care.

  • 112. Vilaseca, J
    et al.
    Dedeu, T
    de Graaf, P
    Hobbs, R
    Muth, C
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    López-Alcázar, M
    Scherer, M
    Chronic heart failure: the role of primary care: position paper of the European Forum for Primary Care2008Ingår i: Quality in Primary Care, ISSN 1479-1072, E-ISSN 1479-1064, Vol. 16, nr 5, s. 351-362Artikel i tidskrift (Refereegranskat)
  • 113.
    Wang, Lan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Nygårdh, Annette
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Zhao, Yue
    School of Nursing, Tianjin Medical University, China.
    A health coaching self-management programme to improve physical activity, lung function and quality of life in patients with Chronic Obstructive Pulmonary Disease: a randomized controlled trialManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Background: Chronic obstructive pulmonary disease (COPD) is the fourth most prevalent cause of death in the world and contributes to higher economic and social burden. Health coaching, which is an approach to support self-management, has proven to be effective in health outcomes for patients with COPD in developed countries. However, no study has evaluated a systematic and structured health-coaching COPD programme to support self-management in China.

    Objectives: To evaluate the effects of a health coaching self-management programme on lung function, physical activity and quality of life in patients with COPD

    Design: A randomised controlled trial in patients with COPD

    Methods: The participants were randomised to either an intervention group (n = 48) or a control group (n = 49) during hospitalisation. The intervention group received usual care combined with a health coaching self-management programme; the control group received only usual care. The intervention programme was performed for six months, and the effects of the intervention were assessed for FEV1%, FVC%, hand grip strength and 1-minute sit-to-stand (STS); and by the Global Physical Activity Questionnaire (GPAQ), Clinical COPD Questionnaire (CCQ) at baseline, 6th week, 6th month and 12th month follow-ups post-discharge.

    Results: Of the 97 patients, 88% completed the 12-month follow-up (94% in the intervention group and 82% in the control group). The interaction effect between time and group (control or intervention) for lung function, physical activity and quality of life showed that the intervention group improved significantly compared to the control group in all measures: FEV1% (P =0.003), FVC% (P = 0.001), GPAQ (P = 0.001), 1-minute STS (P = 0.005) and Grip strength (P<0.001), as well as the CCQ-symptom (P <0.001), CCQ-emotion (P <0.001), CCQ-activity (P<0.001) and CCQ (P <0.001).

    Conclusion: The health coaching self-management programme can improve lung function, physical activity and quality of life in patients with COPD.

  • 114.
    Wang, Lan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Department of Nursing, School of Nursing, Tianjin Medical University, Tianjin, People's Republic of China.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Zhao, Yue
    Department of Nursing, School of Nursing, Tianjin Medical University, Tianjin, People's Republic of China.
    Nygårdh, Annette
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Experiences of a health coaching self-management program in patients with COPD: a qualitative content analysis.2018Ingår i: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 13, s. 1527-1536Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: To describe the experiences of patients with COPD participating in a health coaching self-management program.

    Patients and methods: Twenty patients who had participated in a 6-month health coaching self-management program intervention were purposefully selected for a qualitative evaluation of the program using semi-structured interviews. The interviews were analyzed using inductive qualitative content analysis.

    Results: Four categories and 13 subcategories emerged describing the participants' experiences of the program. Their experiences were expressed as gaining insight into the importance of knowledge and personal responsibilities in the management of COPD, taking action to maintain a healthy lifestyle, feeling supported by the program, and being hindered by individual and program limitations.

    Conclusion: Iterative interactions between patients and health care professionals together with the content of the program are described as important to develop skills to manage COPD. However, in future self-management programs more awareness of individual prerequisites should be considered.

  • 115.
    Wang, Lan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Nygårdh, Annette
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Zhao, Yue
    School of Nursing, Tianjin Medical University, China.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Effects of a health coaching self-management programme in patients with Chronic Obstructive Pulmonary Disease on self-management skills and psychological status: a randomized controlled trialManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Objectives: To evaluate the effects of a health coaching self-management programme intended to improve self-management skills and psychological status for patients with Chronic Obstructive Pulmonary Disease.

    Design: Randomized controlled trial.

    Methods: A randomized controlled study was conducted among patients with COPD. The participants who met the inclusion criteria were randomized to either an intervention group (n=48) or a control group (n=49). The intervention group received the health coaching self-management programme, while the control group received usual care. The programme were performed during six months, and the effects of the intervention were assessed by the COPD Self-management Scale (CSMS) and Hospital anxiety and depression scale (HADS) at baseline, 6th week, 6th month and 12th month post discharge.

    Results: Of the 97 patients, 45 (94%) in the intervention group and 40 (82%) in control group, completed 12-month follow-up. The interaction effect between time and group (control or intervention) showed that the intervention group improved significantly compared to the control group for all five dimensions in self management skills, Symptom management (P<0.001), Daily life management (P<0.001), Emotion management (P<0.001), Information management (P<0.001) and Self-efficacy (P<0.001), as well as psychological status with anxiety (P<0.001) and depression (P<0.001).

    Conclusion: This trial shows that a nurse-led Health Coaching Self-management Programme has the potential to significantly improve the effects on the self management skills, as well as reducing anxiety and depression for patients with COPD.

  • 116.
    Wang, Lan
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Nygårdh, Annette
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
    Zhao, Yue
    School of Nursing, Tianjin Medical University, Tianjin, China.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Self-management among patients with chronic obstructive pulmonary disease in China and its association with sociodemographic and clinical variables2016Ingår i: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 32, s. 61-66Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: This study aimed to examine the status of self-management in patients with COPD and its associations with sociodemographic and clinical variables.

    METHODS: This cross-sectional study included 154 patients with COPD (mean age, 73 years) at four hospitals in Tianjin, China. The COPD Self-Management Scale was used to describe the level of self-management, and its associations with sociodemographic and clinical variables were examined with multiple regression analysis.

    RESULTS: More than half of the patients with COPD had a low (30%) or moderate (27%) level of self-management. Self-management was rated highest in management of daily life and lowest in information management. Higher physical activity, higher salary, and lower age affected self-management the most positively.

    CONCLUSION: The overall burden of COPD in China is greater than that found in other countries. Healthcare professionals need to improve their understanding of the importance of self-management and specifically focus on increased physical activity targeting patients with poor literacy skills.

  • 117.
    Widäng, Ingrid
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Women patients' conceptions of integrity within health care: a phenomenographic study2008Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 61, nr 5, s. 540-548Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe how female patients conceive integrity within health care. A phenomenographic approach was chosen to focus on women’s conceptions. The participants were 15 strategically-chosen female patients who were interviewed after discharge from a hospital in Sweden. Three description categories were identified: ‘maintaining the self’, which represented the patient’s relationship to herself; ‘dignity’, which characterized the professional caregivers’ relationship to the patient; and ‘confidence’, which was associated with the relationship between patient and professional caregivers. Integrity implied having courage to set boundaries and have control of the private sphere, but also if necessary changing the boundaries of integrity. It is essential that professional caregivers are knowledgeable about all aspects of integrity and the importance of interactions with patients being characterized by dignity and confidentiality. Professional caregivers should take part in reflective discussions to identify situations in health care with an inherent risk of threatening or violating patients’ integrity, and how best to preserve it. Integrity is an abstract and complex concept that is not well-defined, and further research is needed to clarify its connection with other concepts.

  • 118.
    Wieslander, Inger
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
    Factors influencing female patients' recovery after their first myocardial infarction as experienced by cardiac rehabilitation nurses2013Ingår i: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 3, nr 2, s. 230-240Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In the developed part of the world, coronary heart disease is the major cause of death and is one of the leading causes of disease burden. In Sweden, more than 30,000 people per year are affected by myocardial infarction and out of these approximately 40% are women. Nearly 70% of the women survive and after a myocardial infarction a recovery process follows. Today’s health care focuses more on treatment, symptoms and risk factors than on the individuals’ perceptions of the recovery process. Aim: To explore cardiac rehabilitation nurses’ experiences of factors influencing female patients’ recovery after their first myocardial infarction. Methods: Twenty cardiac rehabilitation nurses were interviewed. The study was conducted using qualitative content analysis. Results: The cardiac rehabilitation nurses experienced that women’s recovery after a first myocardial infarction was influenced whether they had a supportive context, their ability to cope with the stresses of life, if they wanted to be involved in their own personal care and how they related to themselves. Conclusions: Women’s recovery after a myocardial infarction was influenced by factors related to surroundings as well as own individual factors. The underlying meaning of women’s recovery can be described as the transition process of a recovery to health. Our findings suggest that a focus on person-centered nursing would be beneficial in order to promote the every woman’s personal and unique recovery after a myocardial infarction. Finally, the cardiac rehabilitation nurses’ experiences of factors influencing male patients’ recovery after their first myocardial infarction should be important to investigate.

  • 119.
    Wieslander, Inger
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). School of Social and Health Sciences, Halmstad University, Halmstad, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Fridlund, Bengt
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Svedberg, Petra
    School of Social and Health Sciences, Halmstad University, Sweden.
    Women's experiences of how their recovery process is promoted after a first myocardial infarction: Implications for cardiac rehabilitation care2016Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, artikel-id 30633Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: After a myocardial infarction and discharge from the hospital a recovery process follows for the women. In order to facilitate their recovery, both a preventive and promotive perspective should be taken into consideration. Despite this, today´s healthcare focuses more on prevention and thus research into the promotion of women’s recovery process is needed.

    Aim: To explore how women’s recovery processes are promoted after a first myocardial infarction

    Methods: The study had an explorative and descriptive design based on qualitative content analysis.

    Findings: The women’s recovery process was promoted through using external and internal resources as well as embracing behaviour, social and psychological dimensions. The women embraced these dimensions to a varying extent and this process led to them being able to take in a new perspective on life.

    Conclusions: The women’s personal recovery is a multidirectional process with a desire to develop and approach a new perspective on life. It is important for cardiac rehabilitation nurses to not only focus on lifestyle changes and social support, but also on working actively with the women’s inner strength in order to promote the personal recovery of the women. Furthermore, it would be interesting to investigate men’s experiences of how their recovery process after a first Myocardial infarction is promoted.

  • 120.
    Wu, E.
    et al.
    Heart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Experiences of Undergoing Enhanced External Counterpulsation in Patients With Refractory Angina Pectoris: A Qualitative Study2019Ingår i: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 34, nr 2, s. 147-158Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND:

    Enhanced external counterpulsation (EECP) is a noninvasive treatment recommended for patients with refractory angina pectoris (RAP), which generally includes 35 one-hour sessions over 7 weeks. No study has described how patients experience the time before, during, and between sessions, as well as the time after EECP treatment.

    OBJECTIVE:

    The aim of this study was to describe how patients with RAP experience EECP treatment.

    METHODS:

    Semistructured interviews took place with 15 strategically selected patients (11 men, 58-91 years old) who had finished 7 weeks of EECP at the 2 existing EECP clinics in Sweden. Data were analyzed using inductive qualitative content analysis.

    RESULTS:

    The results were divided into 4 content areas, each comprising 3 categories: (1) experiences before EECP was initiated comprised uncharted territory, being given a new opportunity, and gain insight; (2) experiences during EECP sessions comprised physical discomfort, need of distraction, and sense of security; (3) experiences between EECP sessions comprised physical changes, socializing, and coordinating everyday life; and (4) experiences after 1 course of EECP treatment comprised improved physical well-being, improved mental well-being, and maintaining angina in check.

    CONCLUSIONS:

    Enhanced external counterpulsation was perceived as an unknown treatment option among these patients with RAP. Nurses should emphasize education before and during treatment based on individualized care needs to improve knowledge and treatment experience, as well as prevent discomfort. There is a great need to increase the awareness of EECP among healthcare professionals because it can improve the life situation for patients with RAP.

  • 121.
    Wu, E.
    et al.
    Karolinska University Hospital, Dept. of Cardiology, Stockholm, Sweden.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Undergoing enhanced external counterpulsation treatment - a qualitative study of patients with refractory angina pectoris2018Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 17, s. 12-13Artikel i tidskrift (Refereegranskat)
  • 122.
    Wu, E.
    et al.
    Karolinska University Hospital, Department of Cardiology, Stockholm, Sweden.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Enhanced external counterpulsation as an intervention for patients with refractory angina pectoris - a review of performed research2017Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, nr Suppl. 1, s. S38-S38Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Despite optimal pharmacological treatments and invasive procedures, patients with refractory angina pectoris (RAP) remain symptomatic. Enhanced External Counterpulsation (EECP) is a non-invasive therapy based on 35 one-hour sessions. External pneumatic cuffs wrapped around the patient’s lower extremities inflate during cardiac diastole to create retrograde diastolic counterpulsation which leads to an improved coronary perfusion. EECP has for the past decade been used in European countries and has recently been updated in the European Guidelines as a clinical treatment option for patients with RAP.

    Purpose: The purpose was to describe the design and outcome variables of studies using EECP as a treatment for RAP.

    Methods: Search methods: Databases (i.e., PubMed,Wiley Online Library, Science Direct) were used to identify abstracts, reviews and journal articles related to this subgroup and EECP. Selection criterias: The chosen key words were EECP and refractory angina pectoris. Between time period 2000 to October 2016. Data collection and analysis: The literature search resulted in a total of 155 hits. Detected duplicates, irrelevant studies and others (i.e., editorials, letters) were removed (n=75). Research area and study design were reviewed in all remaining articles (n=80). In 56 of these, where design and content allowed, further analyses regarding follow-uptime and outcomes variables were performed.

    Results: An uneven distribution regarding research area was found among the analysed papers with dominance (48%) of studies within medicine and biology. Only 12% of the studies were performed within nursing. Prospective and longitudinal designs dominated (47%). Out of eight retrospective studies five were registry studies. Only two studies used a RCT design. No study used a qualitative approach. Out of 24 prospective studies 18 (75%) had a follow-up of 12 months or longer. 52% used biomedical outcomes (i.e., hemodynamic, biomarker, arterial stiffness, peripheral vascular reactivity) and 41% used clinical/patient reported outcomes (i.e., quality of life, functional classes, physical capacity, psychological aspects). Cost effectiveness was calculated in 7% of the studies.

    Conclusions/implications: EECP is recommended in guidelines as a possible treatment for patients with RAP. There is, however, a great need for increased nursing research both with qualitative and quantitative approaches. RCTs are sparse, as well as cost-effectiveness-studies.

  • 123.
    Wu, Eline
    et al.
    Hjärtkliniken, Karolinska Universitetssjukhuset.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Broström, Anders
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Enhanced external counterpulsation in patients with refractory angina pectoris: A pilot study with six months follow-up regarding physical capacity and health-related quality of life2013Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 12, nr 5, s. 437-445Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Refractory angina pectoris (AP) is a persistent, painful condition characterized by angina caused by coronary insufficiency in the presence of coronary artery disease. It has been emphasized that there are possible underlying neuropathophysiological mechanisms for refractory AP but chronic ischemia is still considered to be the main problem. These patients suffer from severe AP and cannot be controlled by a combination of pharmacological therapies, angioplasty or coronary bypass surgery. AP has a negative impact on quality of life and daily life. Enhanced external counterpulsation (EECP) is a therapeutic option for these patients.

    Aims: The aim of this study was to evaluate EECP after six months regarding physical capacity and health-related quality of life (HRQoL) in patients with refractory AP.

    Methods: This was a study with single case research experimental design involving 34 patients treated with EECP. Six minute walk test (6MWT), functional class with Canadian Cardiological Society (CCS) classification and self-reported HRQoL questionnaires as Short Form 36 (SF-36) were collected at baseline and after treatment. CCS class and SF-36 were repeated at six months follow-up.

    Results: Patients enhanced walk distance on average by 29 m after EECP (p<0.01). CCS class also improved (p<0.001) and persisted at six months follow-up (p<0.001). HRQoL improved significantly and the effects were maintained at follow-up after the treatment.

    Conclusion: Patients with refractory AP receive beneficial effects from EECP both in physical capacity and HRQoL. As other treatment options for this patient group are scarce, EECP should be offered to improve physical health and HRQoL in these patients.

  • 124.
    Zang, Xiao-Ying
    et al.
    Tianjin Medical University, School of Nursing.
    Zhang, Hua
    Tianjin Medical University, School of Nursing.
    Cheng, Shu-Ling
    Tianjin Medical University, School of Nursing.
    Gao, Ya-Jie
    Tianjin Medical University, School of Nursing.
    Cao, Yong-Jun
    Tianjin Medical University, School of Nursing.
    Zhao, Yue
    Tianjin Medical University, School of Nursing.
    Mårtensson, Jan
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Pivotal factors interfering in 24-hour blood pressure fluctuation and arterial stiffness in a community of Chinese elderly hypertensive patients2013Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 22, nr 3/4, s. 379-388Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims and objectives: To explore which sociodemographic and clinical factors could interfere in the parameters of ambulatory blood pressure monitoring and determine the affecting factors of Ambulatory Arterial Stiffness Index.

    Background: Although the clinical relevance of ambulatory blood pressure monitoring and Ambulatory Arterial Stiffness Index have been studied, the explanation of their role and related interfering factors remains controversial in patients with different disease or age, etc.

    Design: Cross-sectional study.

    Methods: The study was carried out between October 2008–October 2009. A convenience sample of hypertensive patients over 60 years old was recruited in China. Twenty-four hour ambulatory blood pressure monitoring was carried out on the non-dominant arm using an oscillometric device.

    Results: (1) All 95 patients completed the study and their ages ranged from 60–76 years. (2) There were statistical differences for certain parameters of ambulatory blood pressure monitoring between different characteristics of patients. Financial status was an important factor interfering in patients’ BP fluctuation, especially daytime and 24 hours systolic pressure. The higher body mass index the patients had, the higher the pressure was. (3) Multiple variants logistic analysis of Ambulatory Arterial Stiffness Index showed statistical differences only in coefficient variation of 24-hour diastolic pressure and daytime systolic blood pressure.

    Conclusions: There are more factors that interfered with systolic pressure and diastolic pressure during the day than nigh. Patients who have less nocturnal dipping may have a higher night time systolic pressure and diastolic pressure. The coefficient of variation of 24 hours diastolic pressure and daytime systolic pressure contribute more to Ambulatory Arterial Stiffness Index which should arouse practitioners’ attention.

    Relevance to clinical practice: Ambulatory blood pressure monitoring should be used as a routine procedure, as well as Ambulatory Arterial Stiffness Index calculated for older hypertensive patients. The findings may be used to guide community health providers to pay more attention to the factors that may influence BP fluctuation and Ambulatory Arterial Stiffness Index according to individual’s characteristics.

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