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  • 201.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Bedics, Beate Kärrdahl
    Falkmer, Torbjörn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Mild Traumatic Brain Injuries: A 10-year follow-up2011Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 43, s. 323-329Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective and design: Long-term consequences of mild traumatic brain injuries were investigated based on a 10-year follow-up of patients from a previously published randomized controlled study of mild traumatic brain injuries. One aim was to describe changes over time after mild traumatic brain injuries in terms of the extent of persisting post-concussion symptoms, life satisfaction, perceived health, activities of daily living, changes in life roles and sick leave. Another aim was to identify differences between the intervention and control groups.

    Patients: The intervention group comprised 142 persons and the control group 56 persons.

    Methods: Postal questionnaires with a response rate of 56%.

    Results: No differences over time were found for the intervention and control groups in terms of post-concussion symptoms. In the intervention group some variables in life satisfaction, perceived health and daily life were decreased. Some roles had changed over the years for both groups. No other differences between the intervention and control groups were found. However, in both groups sick leave decreased.

    Conclusion: Early individual intervention by a qualified rehabilitation team does not appear to impact on the long-term outcome for persons with symptoms related to mild traumatic brain injuries. The status after approximately 3 weeks is indicative of the status after 10 years.

     

     

  • 202.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. HHJ. CHILD.
    Björklund, Ragnhild
    Emanuelson, Ingrid
    Stålhammar, Daniel A
    Lätta traumatiska hjärnskador, betydelsen av tidig uppföljning vid rehabiliteringsklinik: En randomiserad kontrollerad studie2005Ingår i: Arbetsterapeutsikt Forum, Stockholm, 2005, 2005Konferensbidrag (Övrigt vetenskapligt)
  • 203.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Emanuelson, Ingrid
    Björklund, Ragnhild
    Stålhammar, Daniel A
    Mild traumatic brain injuries: the impact of early intervention on late sequelae. A randomized controlled trial.2007Ingår i: Acta Neurochirurgica, ISSN 0001-6268, E-ISSN 0942-0940, Vol. 149, nr 2, s. 151-60Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Positive results from early clinical intervention of mild traumatic brain injury (MTBI) patients by rehabilitation specialists have been reported. Various treatments have been used, but few controlled studies are published. We hypothesised that early rehabilitation of selected MTBI patients would reduce long term sequelae.

    Method: A randomised controlled trial with one year follow-up. Among 1719 consecutive patients with MTBI, 395 individuals, 16-60 years of age, met the MTBI definition. Exclusion criteria were: previous clinically significant brain disorders and/or a history of substance abuse. The control group (n = 131) received regular care. The intervention group (n = 264) was examined by a rehabilitation specialist. 78 patients were mainly referred to an occupational therapist. The problems were identified in daily activities and in terms of post-concussion symptoms (PCS), an individualised, tailored treatment was given. Primary endpoint was change in rate of PCS and in life satisfaction at one-year follow-up between the groups.

    Findings: No statistical differences were found between the intervention and control groups. Patients who experienced few PCS two to eight weeks after the injury and declined rehabilitation recovered and returned to their pre-injury status. Patients who suffered several PCS and accepted rehabilitation did not recover after one year. Interpretation. In this particular MTBI sample, early active rehabilitation did not change the outcome to a statistically-significant degree. Further studies should focus on patients with several complaints during the first 1-3 months and test various types of interventions.

  • 204.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Emanuelson, Ingrid
    Olsson, Margareta
    Stålhammar, Daniel
    Starmark, Jan-Erik
    The new Swedish Post-Concussion Symptoms Questionnaire: a measure of symptoms after mild traumatic brain injury and its concurrent validity and inter-rater reliability2006Ingår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 38, nr 1, s. 26-31Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE:To study the concurrent validity and the inter-rater reliability of the Post-Concussion Symptoms Questionnaire. DESIGN:The approach was to study the concurrent validity of the Post-Concussion Symptoms Questionnaire when used as an interview questionnaire compared with a self-report questionnaire administered by the patients. The inter-rater reliability was also studied when 2 different raters administered the Post-Concussion Symptoms Questionnaire interview. PATIENTS: Thirty-five patients with mild traumatic brain injury were consecutively contacted by telephone and asked whether they would be willing to participate in a follow-up intervention. METHODS: The Post-Concussion Symptoms Questionnaire was completed by the patients, who answered "Yes" or "No" to the standardized questions. The patients were then interviewed to check the certain "Yes" or "No" answers, 0-10 days after having completed the first Post-Concussion Symptoms Questionnaire. The raters filled in their ratings independently. RESULTS: The concurrent validity of answers in the questionnaire compared with those in the interview ranged from 82% to 100% agreement. The inter-rater reliability results ranged from 93% to 100% agreement between the raters. CONCLUSION: The Post-Concussion Symptoms Questionnaire with answers of "Yes" or "No" is a valid instrument. High reliability was found between the raters.

  • 205.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Sjöqvist, Michael
    Granlund, Mats
    Participation restriction is not equal to low frequency of participation in children with  mild intellectual DisabilityManuskript (preprint) (Övrigt vetenskapligt)
  • 206.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Johansson, Lina
    Johansson, Sofie
    Mild traumatic brain injury: The impact of early intervention on job satisfactionManuskript (preprint) (Övrigt vetenskapligt)
  • 207.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Jonsson, Cecilia
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Mild traumatic brain injury: A description of how children and youth between 16 and 18years of age perform leisure activities after 1 year.2014Konferensbidrag (Refereegranskat)
  • 208.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Larsen, Louise B.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    Ramstrand, Nerrolyn
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    A modified Job Demand, Control, Support model for active duty police2017Ingår i: Work: A journal of Prevention, Assesment and rehabilitation, ISSN 1051-9815, E-ISSN 1875-9270, Vol. 58, nr 3, s. 361-370Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The Job Demand Control Support model (JDCS) is one of the most widely used theoretical models relating job characteristics to health and wellbeing.

    OBJECTIVE: This study aimed to assess the predictive power of the JDCS model for determining job satisfaction and fatigue in uniformed Swedish police. An additional aim was to determine if predictive power of the model would be improved with the addition of two occupation specific items.

    METHODS: Questionnaire data, based upon the Swedish Work Environment Survey were collected from Swedish police (n = 4244). A hierarchical multiple regression analysis was run to explore the predictive value of the model and to determine if the additional variables improved predictive power with respect to job satisfaction and fatigue.

    RESULTS: Regression analysis demonstrated that the JDSC model had high predictive power in relation to job satisfaction and fatigue. Job demands was the strongest predictor of fatigue (14%), while support was the strongest predictor of job satisfaction (12%). The addition of exposure to threats significantly improved predictive power for both job satisfaction and fatigue, while addition of shift work did not significantly affect predictive power of the model.

    CONCLUSIONS: Workplace interventions to address issues related to job satisfaction and fatigue in police should focus on maintaining a bearable level of job demands and provision of adequate support.

  • 209.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Månsson, Josefine
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Lund, Josefine
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Mild traumatic brain injury in children between 7-12 years of age.2011Konferensbidrag (Refereegranskat)
  • 210.
    Elgmark Andersson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Sejdhage, Rebecka
    Smålandsstenar Care Centre, Smålandsstenar , Sweden.
    Wage, Victoria
    Primary Health Care, Tranemo, Sweden.
    Mild traumatic brain injuries in children between 0-16 years of age: A survey of activities and places when an accident occurs2012Ingår i: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, ISSN ISSN 1751–8423 print/ISSN 1751–8431, Vol. 15, nr 1, s. 26-30Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective:

    The aim of this study was to identify what activities cause most mild traumatic brain injury (MTBI) among boys and girls between 0–16 years of age.

    Methods:

    Based on a randomized controlled study, a retrospective analysis was conducted among 765 children.

    Result:

    The most common causes of injury were falls from a height and falls from the same level. The most common place where the accident occurred was at ‘home’ followed by ‘pre-school/school’. The highest incidence was ‘play’ followed by ‘hit by another person’, thereafter ‘baby nursing’. Boys are more often injured than girls, but with no difference between boys and girls in terms of which activities that cause MTBI.

    Conclusion:

    Supervision during play at home as well as better designed schoolyards and playgrounds are required to prevent accidents. Furthermore, well-documented medical records are necessary to identify activities causing MTBI among children.

     

  • 211. Emanuelson, Ingrid
    et al.
    Holmqvist Andersson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Björklund, Ragnhild
    Stålhammar, Daniel A
    Quality of life and post-concussion symptoms in adults after mild traumatic brain injury: a population-based study in western Sweden.2003Ingår i: Acta Neurologica Scandinavica, ISSN 0001-6314, E-ISSN 1600-0404, Vol. 108, nr 5, s. 332-338Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To study quality of life and subjective post-concussion symptoms in adults (16-60 years) with a mild traumatic brain injury (MTBI) 3 months and 1 year after injury.

    METHODS: Of a total of 489 patients 173 responded to questionnaires at 3 months and at 1 year, including the SF-36 health-related quality of life survey, which is a standardized measure validated for Swedish conditions. Post-concussion symptoms were rated as either existing or non-existing in a 21-item checklist [a modified version of Comprehensive Psychopathological Rating Scale (CPRS)].

    RESULTS: SF-36 showed impaired scores in all dimensions. Existing post-concussion symptoms were reported by 1545%. Significantly, more symptoms were present at 3 months than at 3 weeks after injury. Furthermore, a significant correlation between higher rates of post-concussion symptoms and lower SF-36 scores was found.

    CONCLUSIONS: The SF-36 results were significantly impaired compared with an age- and gender-matched normative control group and the rate of post-concussion symptoms was significantly higher at 3 months than at 3 weeks after injury. As a significant correlation between higher rates of symptoms and low SF-36 scores was also found we assume SF-36 to be a sensitive enough measure of MTBI-related effects.

  • 212.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Assessing the life situation of children and adolescents with cancer and their families.1997Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
  • 213.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Being an expert nurse in pediatric oncology care: nurses' descriptions in narratives2012Ingår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 29, nr 3, s. 151-60Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Pediatric oncology has become a highly specialized area, and the transition from novice nurse to expert can be complicated. The aim of this study was to describe the perceptions of nurses in pediatric oncology regarding the role of an expert nurse in pediatric oncology. Nurses (n = 66) working in pediatric oncology participated by writing their narratives. The data were analyzed by means of content analysis, and 3 categories were found: an expert has confidence in his or her knowledge, an expert provides high-quality care, and an expert is given possibilities for professional growth. It can be concluded that when nurses are given possibilities for continuous education and reflection, and have a feeling of satisfaction at being able to fulfill a child and his or her family's needs, this enhances their possibility to become experts and maintain expert competence.

  • 214.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Commentary1999Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 3, nr 1, s. 13-Artikel i tidskrift (Övrigt vetenskapligt)
  • 215.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Could symptom distress and life situation be measured in children and adolescents with cancer?2003Ingår i: Medical and Pediatric Oncology Volume 41 Issue 4: International Society of Paediatric Oncology, SIOP XXXV Meeting, Cairo, Egypt, October 8-11, 2003. SIOP Abstracts, 2003, s. 245-246Konferensbidrag (Övrigt vetenskapligt)
  • 216.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Education for Nurses in Pediatric Oncology Care2002Ingår i: NOBOS 2002 meeting, 26-28 may, Helsinki, Finland, 2002Konferensbidrag (Övrigt vetenskapligt)
  • 217.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ethical aspects of judging the alternative treatment of children with cancer1995Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 2, nr 1, s. 51-62Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: To study quality of life and subjective post-concussion symptoms in adults (16-60 years) with a mild traumatic brain injury (MTBI) 3 months and 1 year after injury.

    METHODS: Of a total of 489 patients 173 responded to questionnaires at 3 months and at 1 year, including the SF-36 health-related quality of life survey, which is a standardized measure validated for Swedish conditions. Post-concussion symptoms were rated as either existing or non-existing in a 21-item checklist [a modified version of Comprehensive Psychopathological Rating Scale (CPRS)].

    RESULTS: SF-36 showed impaired scores in all dimensions. Existing post-concussion symptoms were reported by 1545%. Significantly, more symptoms were present at 3 months than at 3 weeks after injury. Furthermore, a significant correlation between higher rates of post-concussion symptoms and lower SF-36 scores was found. CONCLUSIONS:

    The SF-36 results were significantly impaired compared with an age- and gender-matched normative control group and the rate of post-concussion symptoms was significantly higher at 3 months than at 3 weeks after injury. As a significant correlation between higher rates of symptoms and low SF-36 scores was also found we assume SF-36 to be a sensitive enough measure of MTBI-related effects.

  • 218.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    [Life situation in children with cancer. Questionnaire helps in determining quality of life]1997Ingår i: Vårdfacket, ISSN 0347-0911, Vol. 21, nr 9, s. 36-9Artikel i tidskrift (Refereegranskat)
  • 219.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Livssituationen hos barn och ungdomar med cancer och deras föräldrar.2000Ingår i: Barnet och sjukvården: erfarenheter från barnonkologin / [ed] Anders Kreuger, Lund: Studentlitteratur , 2000, s. 132-147Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 220.
    Enskär, Karin
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Omvårdnad av barn med cancer1999Bok (Övrigt vetenskapligt)
  • 221.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ankarcrona, Elisabeth
    Pediatric department, Ryhov County Hospital, Jönköping, Sweden.
    Jörgense, Anna
    Pediatric department, Ryhov County Hospital, Jönköping, Sweden.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Undocumented refugee children in Swedish healthcare: Nurses' knowledge concerning regulations and their attitudes about the care2012Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, ISSN 0107-4083, Vol. 32, nr 1, s. 44-47Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate nurses' attitudes about care for undocumented refugee children and also to investigate the knowledge among nurses concerning the regulations for this care. The study is quantitative and based on a questionnaire sent to all nurses working in pediatric healthcare and medical care in a medium-sized county in Sweden. The overall response was 91 questionnaires (55.9%). Most of the respondents felt insecure or lacked knowledge of what regulations are valid when undocumented refugee children seek medical care or healthcare. Almost all nurses had a positive attitude toward caring for these children, but they feel they lack knowledge about the regulations regarding their care. To optimize the care situation for these children the regulations should be reviewed and altered to allow the nurse, legally and securely, to care for them.

  • 222.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Berterö, Carina
    Young Adult Survivors of Childhood Cancer: Experiences Affecting Self-image, Relationships, and Present Life2010Ingår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 33, nr 1, s. E18-E24Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Knowledge about how young adults experience being a childhood cancer survivor is limited, as most previous research concerning the quality of life in survivors of childhood cancer has been conducted using standardized questionnaires. The aim of the current study was to identify and describe young adults' own experiences of long-term effects of cancer treatment on their self-image, relationships, and present life related to the impact of being a survivor of childhood cancer. Interviews were held with 7 young adults, 20 to 23 years of age. The verbatim-transcribed interviews were analyzed using constant comparative analysis. The core category was identified as "compensated life picture." All the negative and difficult experiences are compensated for with a positive view on and positive expectations regarding life. This core category was grounded in 5 categories: living a normal life, bodily changes, relationships with and support from others nearby, sentient life, and personal growth. The findings in this study illustrate the importance for healthcare staff to be aware of young adult survivors' experiences of their childhood cancer and its long-term effects. Extra attention and support from the healthcare system after the concluded treatment period are needed via a support program or support group for young adults.

  • 223.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Björk, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. School of Life Science, University of Skövde, Sweden.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Darcy, Laura
    Department of Health Science, University College Borås, Sweden.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    A Swedish perspective on nursing and psychosocial research in paediatric oncology: A literature review2015Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 19, nr 3, s. 310-317Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    PURPOSE: A dramatic improvement in outcomes of survival rates of childhood cancer has been seen. Caring science research is central in providing skills and knowledge to the health care sector, but few overviews of the content of published research have been carried out. The aim of this review was to investigate the content and methodology of published studies in paediatric oncology relevant to caring science, and also to compare possible differences in content and method of the published studies from the nursing and psychosocial perspectives.

    METHOD: A systematic literature review was performed of 137 published articles on paediatric oncology relevant to caring science in Sweden.

    RESULTS: The results show that most of the studies were descriptive or comparative ones with a quantitative design. Most of them focused on parents (43%) or children (28%). Most of the studies investigated wellbeing (88%), using questionnaires (54%) or interviews (38%). Several different measurement instruments had been used. While the results were often clearly presented, the clinical implications were more diffuse. The most acknowledged research fund was the Swedish Childhood Foundation (75%).

    CONCLUSIONS: To reflect the children' perspectives in paediatric oncology require that future researchers take on the challenge of including children (even young ones) in research. The use of a limited number of agreed measurement instruments is desirable. The biggest challenge for the future is to make a shift from explorative to intervention studies. There is an urgent need to transform research results into clinical practice.

  • 224.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Björk, Olle
    Marky, Ildiko
    Pekkanen, Kirsti
    Pergert, Pernilla
    Education for nurses in pediatric oncology care in Sweden2005Ingår i: Pediatric blood & cancer Volume 45 Issue 4: Abstracts of the 37th Annual Conference of the International Society of Paediatric Oncology (SIOP), Vancouver, Canada, 21-24 September 2005, 2005, s. 563-Konferensbidrag (Övrigt vetenskapligt)
  • 225.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Björk, Olle
    Marky, Ildiko
    Pekkanen, Kirsti
    Pergert, Pernilla
    Education for nurses in pediatric oncology care in Sweden2006Ingår i: NOBOS, Nordic Society of Pediatric Oncology Nurses, 6th meeting 6-9 May 2006 Tampere, Finland, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 226.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hamrin, E
    Symptom distress and life situation in adolescents with cancer1997Ingår i: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 20, nr 1, s. 23-33Artikel i tidskrift (Refereegranskat)
  • 227.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hamrin, E
    Kreuger, A
    Life situation and problems as reported by children with cancer and their parents1997Ingår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 14, nr 1, s. 18-26Artikel i tidskrift (Refereegranskat)
  • 228.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hamrin, E
    Kreuger, A
    Parental reports of changes and challenges that result from parenting a child with cancer1997Ingår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 14, nr 3, s. 156-163Artikel i tidskrift (Refereegranskat)
  • 229.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    Hamrin, E
    Kreuger, A
    Swedish Health care personnel's perceptions of disease and treatment-related problems experienced by children with cancer and their families1996Ingår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 13, nr 2, s. 61-70Artikel i tidskrift (Refereegranskat)
  • 230.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Carlsson, M
    von Essen, L
    Kreuger, A
    Hamrin, E
    Development of a tool to measure the life situation of parents of children with cancer1997Ingår i: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 6, nr 3, s. 248-256Artikel i tidskrift (Refereegranskat)
  • 231.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Darcy, Laura
    University of Borås, Sweden.
    Björk, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Experiences of Young Children With Cancer and Their Parents With Nurses' Caring Practices During the Cancer Trajectory2019Ingår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, artikel-id 1043454219874007Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Children with cancer require repeated hospitalizations and the family's everyday life and routines undergo change. Concrete descriptions of how nurses act when caring for children with cancer throughout the various phases of care and treatment are sparsely highlighted in the literature. The aim of this study was to describe young children with cancer and their parents' experiences of nurses' caring practices over a 3-year period, from diagnosis to follow-up. This study is based on semistructured interviews with 25 children newly diagnosed with cancer, aged 1 to 6 years, and their parents, connected to a pediatric oncology unit in Sweden. Child and parent data were analyzed with a deductive content analysis using Swanson's theory of caring. The result shows that nurse care practices directed toward young children with cancer and their parents are to some extent similar across a 3-year period from diagnosis to follow-up but also differ in some ways. Nurses' caring practices aim to support children and parents in the transition to a "new normal." Child- and family-friendly care processes include the following: creating hope and a trustful relationship, asking rather than assuming, providing knowledge and information, performing tasks skillfully, displaying an interest in the child's and parents' life outside the hospital, and helping the family to trust in the future and other health care providers. Based on these results, we recommend the development of a standardized and structured nursing care plan or clinical guideline with detailed information on how to carry out clinical nurse care practices in the different phases.

  • 232.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Golsäter, Marie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Från barndom till ungdom: den växande människans omvårdnadsbehov2009Ingår i: Omvårdnadens grunder: Perspektiv och förhållningssätt / [ed] Friberg, F & Öhnén, J, Lund: Studentlitteratur , 2009, 1, s. 109-145Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 233.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hamrin, Elisabeth
    Carlsson, Marianne
    von Essen, Louise
    Swedish mothers and fathers of children with cancer: perceptions of well-being, social life, and quality care.2011Ingår i: Journal of psychosocial oncology, ISSN 1540-7586, Vol. 29, nr 1, s. 51-66Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The overall aim was to describe and compare well-being, social life, and quality care among parents of children with cancer with respect to mothers versus fathers and whether the children were on versus. off treatment. The Life Situation Scale for Parents (LSS-P) was answered by 320 parents, comprising 85 mothers and 71 fathers of children on treatment, and 93 mothers and 71 fathers of children off treatment. The results show that the well-being of parents of children with cancer is affected by their child's situation, and that they experience such things as economic strain and a sense of being dependent on the care provided, especially during the child's treatment phase. Mothers whose children are receiving treatment see their life situation as less satisfying, and report being sadder and having lower self-esteem.

  • 234.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Björk, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. School of Life Science, University of Skövde, Skövde, Sweden.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för beteendevetenskap och socialt arbete. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Darcy, Laura
    Institution of Health Science, University College of Borås, Borås, Sweden.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Institution of Health Science, University College of Borås, Borås, Sweden.
    An analytic review of clinical implications from nursing and psychosocial research within Swedish pediatric oncology2015Ingår i: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 30, nr 4, s. 550-559Artikel i tidskrift (Refereegranskat)
  • 235.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Johansson, Inez
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ljusegren, Gunilla
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Widäng, Ingrid
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Lecturers' experiences of participation in an international exchange2011Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 31, nr 6, s. 541-546Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Globalization is a trend in higher education and is judged to be essential to quality; however, there is a lack of publications on the outcome of lecturers' exchange. The aim of this study was to describe lecturers' experiences of participating in an international exchange. Twenty-six lecturers who had taken part in an exchange were invited to participate through writing a narrative. Data was analyzed with a qualitative method, and five categories emerged: Preparation and timing, challenges in teaching, demanding but worthwhile, broadening perspective and expanding network. The overall result showed that participating lecturers judged their international exchange to be a positive experience that had resulted in personal as well as professional development. However, a successful exchange requires planning, support and an open mind from all involved lecturers and institutions.

  • 236.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Knutsson, Susanne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Granlund, Mats
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Högskolan för lärande och kommunikation, HLK, CHILD.
    Darcy, Laura
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Björk, Maria
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    A literature review of the results from nursing and psychosocial research within Swedish pediatric oncology2014Ingår i: Journal of Nursing & Care, ISSN 2167-1168, Vol. 3, nr 6, s. 1-8Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    The body of research-based knowledge in paediatric caring science has been increasing leading to dramaticimprovements in treatment. The purpose of this manuscript was to analyze results as stated by the researchers', inrecently published articles on nursing and psychosocial research, within Swedish pediatric oncology setting. Thiswas done through a review of 137 published articles about paediatric oncology related to caring science in Sweden.The result shows that the illness has affected, in both positive and negative ways, the wellbeing of everyone cominginto contact with the child. The cancer also causes distress related to all aspects of life including physical,psychological, existential and social. Mediating factors for the experience of distress and wellbeing are: disease andtreatment severity, age, gender and ethnicity of the participant, time since diagnosis, the use of internal and externalsupport, and the identity of the person reporting the data. Health promoting aspects frequently reported are: familytogetherness, coping strategies, engaging in normal life and activities, and quality of care which includes emotionalsupport, information and family participation in care. The hospital staff has to be aware of the psychosocial issuesexperienced by children with cancer and their families, and they have to acknowledge the value of formalinterventions, reporting benefits for children, families, and themselves.

  • 237.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ljusegren, Gunilla
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Gimbler Berglund, Ingalill
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Eaton, Nicola
    Harding, Rosemary
    Mokoena, Joyce
    Chauke, Motsedisi
    Moleki, Maria
    Attitudes to and knowledge about pain and pain management, of nurses working with children with cancer: A comparative study between UK, South Africa and Sweden2007Ingår i: Journal of Research in Nursing, ISSN 1744-9871, Vol. 12, nr 5, s. 501-515Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Pain is among the most common effects of cancer and its treatment. Children and young people with cancer often consider pain from procedures and treatment to be the worst aspect of their illness. This study aimed to i) identify and describe knowledge and attitudes to pain and pain management amongst nurses working with children with cancer and ii) compare the perspectives on pain and pain management of nurses from UK, South Africa and Sweden. 106 nurses working with children with cancer in UK, South Africa and Sweden completed Salanterä’s (1999) questionnaire on nurses’ attitudes to pain in children. Nurses had good levels of knowledge and positive attitudes to pain management, with Swedish nurses’ having higher levels of knowledge and a more positive attitude to pain management than nurses from UK or South Africa. A high level of knowledge was correlated to a more positive attitude to pain management. Knowledge levels need to be improved to ensure more positive attitudes to pain management, especially for nurses in South Africa. Swedish nurses’ level of knowledge about non-pharmacological pain management strategies has scope for improvement. British nurses may need to focus more on the sociology and psychology of pain.

  • 238.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Ljusegren, Gunilla
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Gimbler Berglund, Ingalill
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Eaton, Nicola
    Harding, Rosie
    Mokoena, Joyce
    Chauke, Motshedisi
    Nurses attitudes and knowledge about pain in children: A comparative study Between South Africa, Sweden and United Kingdom2006Ingår i: European Journal of Oncology Nursing Volume 10, Issue 3: 37th Congress of the International Society of Paediatric Oncology Vancouver Canada 19-24 September 2005. Abstracts, 2006, s. 233-234Konferensbidrag (Övrigt vetenskapligt)
  • 239.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Nolbris, Margaretha
    Hellström, Anna-Lena
    Siblings of children with cancer2006Ingår i: NOBOS, Nordic Society of Pediatric Oncology Nurses, 6th meeting 6-9 May 2006 Tampere, Finland, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 240.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. CHILD. HHJAFO.
    Pergert, Pernilla
    Round table discussion on ethics: For nurses in pediatric oncology care2008Konferensbidrag (Övrigt vetenskapligt)
  • 241.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    von Essen, L
    Important aspects of care and assistance for children with cancer2000Ingår i: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 17, nr 4, s. 239-249Artikel i tidskrift (Refereegranskat)
  • 242.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Von Essen, Louise
    Perceptions of distress, coping, support and good care among adolescents, on or off cancer treatment2006Ingår i: NOBOS, Nordic Society of Pediatric Oncology Nurses, 6th meeting 6-9 May 2006 Tampere, Finland, 2006Konferensbidrag (Övrigt vetenskapligt)
  • 243.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Von Essen, Louise
    Perceptions of distress, support, participation in life and good care among children, 7-12 years of age, on or off cancer treatment2005Ingår i: Pediatric blood & cancer Volume 45 Issue 4: Abstracts of the 37th Annual Conference of the International Society of Paediatric Oncology (SIOP), Vancouver, Canada, 21-24 September 2005, 2005, s. 585-Konferensbidrag (Övrigt vetenskapligt)
  • 244.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    von Essen, Louise
    Physical problems and psychosocial function in children with cancer2008Ingår i: Paediatric Nursing, ISSN 0962-9513, Vol. 20, nr 3, s. 37-41Artikel i tidskrift (Refereegranskat)
  • 245.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    von Essen, Louise
    Prevalence of aspects of distress, coping, support and care among adolescents and young adults undergoing and being off cancer treatment2007Ingår i: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 11, nr 5, s. 400-408Artikel i tidskrift (Refereegranskat)
  • 246.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    von Essen, Louise
    Swedish mothers and fathers perception of distress, coping, support and care2007Ingår i: Pediatric Blood & Cancer Vol. 49 Issue 4: Abstracts of the 39th Annual Congress of the International Society of Paediatric Oncology (SIOP), November 1-3, 2007, Mumbai, India., 2007, s. 411-412Konferensbidrag (Refereegranskat)
  • 247.
    Ericsson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Improvement of Quality of Life by Tonsillotomy & Tonsillectomy in Children and Youths2009Ingår i: 1st Meeting of the European Academy of ORL - HNS, Mannheim, Tyskland  27-30 juni, 2009, 2009Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: There has been increasing evidence over the last few years that paediatric sleep-disordered breathing is associated with behavioural and neurocognitive problems as well as with poor school performance, failure to thrive and poor health related quality of life (HRQL). Several studies indicate that both behaviour and quality of life improve after tonsillectomy (TE) in children with sleep-disordered breathing (SDB). However, TE causes considerable pain and morbidity which often lasts more than seven days. Postoperative pain is poorly managed and under-treatment of pain leads to increased morbidity and postoperative behavioural changes. Tonsillotomy (TT) for obstructive symptoms has re-appeared with focus on reduction of postoperative morbidity. Removing only the protruding parts of the tonsils seems to have the same beneficial long-term effect on obstructive symptoms due to hypertrophic tonsils.

    Material and Method: Children and youths have been studied in relation to tonsil surgery with the goal of improving care and comparisons have been made between TT and TE.

    The first part of this presentation will cover three randomized trials of children and youth  4 to 25 years old with respect to pain and morbidity and with six months to three years follow-up including assessment of HRQL.

    The second part presents preliminary results from a Swedish national study of a sample of 550 children (4-15 yrs) to determine the impact on HRQL before and six months after TT or TE.

    In the studies, the impact on HRQL was evaluated in the younger age group using the Obstructive Sleep Apnea-18 (OSA-18), Glasgow Children´s Benefit Inventory (GCBI); their behavioural and emotional problems were assessed using the Child Behaviour Checklist (CBCL). In the age group 16-25 yrs, the HRQL was measured using the SF-36.

    Results: In the TT groups, the children recorded less pain from the first day after surgery onwards, used fewer doses of painkillers, and were pain-free 3 days (5-15yrs)/4 days (16-25 yrs) earlier than the children/youths in the TE group. For most TT patients, the combination of Paracetamol and Diclophenac was sufficient for analgesia. However, most of the TE patients with that medication had considerable pain and 50% still experienced substantial pain after one week. Before surgery, HRQL was registered as much lower among patients with obstruction problems when compared to the reference sample. Surgery with either tonsillotomy or tonsillectomy was associated with a marked improvement of the quality of life both for children with severe obstructive sleep related distress or with milder sleep disordered breathing.

     

    Conclusion: TT is a safe method, which causes less pain and postoperative morbidity than regular TE. Children and young adults with tonsillar hypertrophy and different degrees of obstructive sleep related distress all show a negative impact on HRQL and behaviour. All improve dramatically after a tonsillar operation—equally after TT as compared to TE.

  • 248.
    Ericsson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Nationella riktlinjer och kvalitetsregister inom tonsillkirurgi2009Ingår i: Svenska ÖNH-dagar Specialistförening för öron-näs-halssjuksköterskor, 2009Konferensbidrag (Övrigt vetenskapligt)
    Abstract [sv]

    Elisabeth Ericsson presenterar sin nuvarande forskning som berör barn och ungdomar i samband med anestesi och operation, med avsikt att komma fram till optimala förhållanden när det gäller att minimiera oro och förbättra smärtbehandling. Presentation av arbetet med nationella riktlinjer och kvalitetsregistret inom tonsillkirurgi; operationsindikationer, information och smärtbehandling. Resultat presenteras om validering av OSA-18 hälsorelaterat livskvalitetsinstrument för barn med obstruktionsbesvär

  • 249.
    Ericsson, Elisabeth
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Validering av OSA-18 på en svensk barnpopulation2009Ingår i: Svensk ÖNH-Tidskrift, ISSN 1400-0121, Vol. 16, nr 4, s. 16-19Artikel i tidskrift (Övrigt vetenskapligt)
  • 250.
    Ericsson, Elisabeth
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    Hemlin, Claes
    Avdelningen för Otorhinolaryngologi, Aleris Sabbatsberg, Stockholm.
    Hessen-Söderman, Ann-Charlotte
    Avdelningen för Otorhinolaryngologi, Karolinska Universitetssjukhus, Stockholm.
    Hultcrantz, Elisabeth
    Avdelningen för Otorhinolaryngologi, Inst för Kliniks och Experimentell Medicin, Hälsouniversitetet, Linköping.
    Månsson, Ingemar
    Avdelningen för Otorhinolaryngologi, Sahlgrenska Universitetssjukhus, Göteborg.
    Roos, Kristian
    Avdelningen för Otorhinolaryngologi, Capio Lundby, Göteborg.
    Stahlfors, Joacim
    Avdelningen för Otorhinolaryngologi, Sahlgrenska Universitetssjukhus, Göteborg.
    The role of information and instruction to children and parents in homemanagement after tonsil surgery - what is it helpful for them to know?2010Konferensbidrag (Refereegranskat)
    Abstract [en]

    OBJECTIVES

    To create national recommendations for information after tonsil surgery to improve the management ofchildren.

    METHODS

    1. A search of Medline addressing evidence on expectations and advice about medication and nonpharamacological techniques to relieve pain after tonsil surgery and 2. A questionnaire focusing on the routines for information before and after tonsil surgery was administrated to all ENT-clinics in Sweden with 99% response rate.

    RESULTS

    There is evidence that information has an empowering effect upon parents to feel more control over their child’s care. Lack of information leads to anxiety and increased perception of pain in the child. Children and parents who were given specific information related to pain and morbidity, reported less pain and were less anxious than those with no or insufficient information. Constructive information should be given gradually, starting preoperatively, to parents and children. A leaflet should contain sufficient information about what happens before, during and is to be expected after surgery, the risks and possible complications, and advice and recommendation of medication and non-pharmacological techniques. Results from the national enquiry (N=48) showed the provision of a variety of different written information from the various clinics, often insufficient. Based on these findings, an information leaflet for patients and a checklist based on the literature for the staff to use at discharge were developed (both will be available).

    CONCLUSIONS

    A checklist for the staff insures that parents and children get consistent advice. A leaflet provided before surgery helps children and parents with methods to relieve pain. This could decrease the number of complications and later consultations and give shorter recovery.

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