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  • 4401.
    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.

  • 4402.
    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.

  • 4403.
    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.

  • 4404.
    Wanhainen, Anders
    et al.
    Uppsala University, Sweden.
    Mani, Kevin
    Uppsala University, Sweden.
    Vorkapic, Emina
    Linköping University, Sweden.
    De Basso, Rachel
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Division of Medical Diagnostics, Department of Clinical Physiology, Region Jönköping County, Sweden.
    Björck, Martin
    Uppsala University.
    Länne, Toste
    Linköping University.
    Wågsäter, Dick
    Linköping University.
    Screening of circulating microRNA biomarkers for prevalence of abdominal aortic aneurysm and aneurysm growth2017Ingår i: Atherosclerosis, ISSN 0021-9150, E-ISSN 1879-1484, Vol. 256, s. 82-88Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and aims

    MicroRNA (miR) are important regulators of gene expression and biological processes and have recently been suggested as possible biomarkers for abdominal aortic aneurysm (AAA) disease. The aim of the present study was to assess the role of miR as biomarkers for initiation and progression of AAA disease, through evaluation of a wide range of miRs in a large population-based cohort, with AAA patients with linked clinical data regarding risk factors, AAA size and growth, as well as controls.

    Methods

    The expression of the 172 most commonly expressed miRs in plasma was analyzed by real-time PCR in samples from 169 screening-detected AAA patients and 48 age-matched controls.

    Results

    For 103 miRs, there was a significant difference in expression between AAA and controls. Of these, 20 miRs were differently expressed between fast and slow growing aneurysms. These miRs target genes known to be involved in AAA disease as well as novel genes and pathways. By combining the top altered miRs together with clinical variables, strong predictive values, determining growth of AAA, were obtained (area under curve = 0.86, p < 0.001).

    Conclusions

    This large cohort study identified several novel miRs with altered expression in AAA patients when compared to controls. Assessment of miR expression may offer an opportunity to predict disease progression and aneurysm growth.

  • 4405.
    Ward, Mari
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Swann, Annika
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Skolungdomars sömnvanor i relation till deras levnadsvanor: Sleep habits amongst school youth in relation to their lifestyle habits2016Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Ett tillgodosett sömnbehov anses vara en förutsättning för en normal utveckling hos skolungdomar. Dåliga mat- och sömnvanor är exempel på faktorer som kan påverka skolresultaten negativt. Elevhälsans distriktssköterska arbetar med ungdomar som är i utveckling kroppsligt, psy- kiskt, socialt och känslomässigt. Under denna utvecklingsperiod har ungdomarna ett ökat sömnbe- hov.

    Syfte: Syftet var att studera sömn- och levnadsvanor hos ungdomar och vidare undersöka om det föreligger skillnader mellan flickor och pojkar.

    Metod: Examensarbetet har genomförts som en tvärsnittsstudie med tidigare inhämtat material som använts. Cirka 3000 skolungdomar i årskurs 9 har besvarat Folkhälsoenkäten Ung. Ungdomarna representerar niondeklassare från samtliga kommuner i ett län i södra Sverige. Undersökningen gjordes hösten 2015. Datamaterialet exporterades från webbenkäts-verktyget esMaker NX 2.0 till SPSS där det bearbetades statistiskt.

    Resultat: En större andel pojkar hade goda sömnvanor, åt vanligtvis frukost och tränade ofta. En större andel flickor drack sällan energidryck och hade lite skärmtid. Bland de med dåliga sömnva- nor återfanns en högre andel av elever som inte åt frukost, som använde energidrycker flera gånger i veckan, var mindre fysiskt aktiva och spenderade fler antal timmar framför skärm (mobil, dator, läsplatta, TV-spel).

    Slutsats: Flickor och pojkar med goda sömnvanor hade ett större intresse av att förvalta sin hälsa jämfört med de med dåliga sömnvanor och fler pojkar hade bättre levnadsvanor och fler upplevde meningsfullhet i sina liv jämfört med flickor. 

  • 4406.
    Wass, Sofie
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    The importance of eHealth innovations: Lessons about patient accessible information2017Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Access to digital information and communication has an increasing importance in both the work of healthcare professionals and in patients’ everyday life and has transformed what we do and how we carry out activities. It changes the way in which healthcare is delivered, how information is exchanged within and between organizations and how patients and other actors access and manage information. Currently, innovation is imperative in the healthcare sector and today there is a focus on how different eHealth services can improve healthcare. With increased access to various eHealth services, there is a need to know more about the impact of eHealth innovations on healthcare.

    The aim of this thesis is to acquire more knowledge about eHealth innovations in healthcare. The focus is on prerequisites to realize innovative eHealth services and eHealth services that provide patients with access to health information. The theoretical background addresses innovation, services and business models. This thesis is a compilatory work and includes five qualitative research papers. The first study is an interview study, the second is a literature review and the remaining three are case studies. The data collection consisted of interviews, surveys, workshops and secondary data collected from documents. The interview study and the case studies were performed in the Swedish eHealth setting.

    The research contributes to our understanding of eHealth innovations with insights on prerequisites to realize eHealth innovations and knowledge on patient accessible information. The first study provides a classification of prerequisites that need to be considered to realize innovative eHealth services. When dealing with eHealth services, organizational and sematic interoperability are still a challenge, and they transcend organizational boundaries. This thesis provides knowledge on the recent trend of opening up electronic health records to patients. The knowledge derived from the studies on patient accessible electronic health records show that there is a discrepancy between the perceptions of patients and healthcare professionals. The thesis concludes that patients feel more involved and that the patient-professional relationship improves with patient access to electronic health records, whereas healthcare professionals have concerns about how patients will manage access to health information. This thesis also provides empirical insights on how business models can be represented in a public eHealth setting. By viewing public eHealth services as social innovations, the thesis contributes to the research on business models in a public healthcare setting by incorporating societal value into the representation of the business model.

    The research in this thesis contributes to research in health informatics by discussing issues related to eHealth innovations and patient accessible information. Its practical importance lies in identifying issues that are important when discussing eHealth initiatives and the implications of giving patients online access to their electronic health record.

  • 4407.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Carlsson, Bertil
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Korkmaz, Seher
    E-health and Strategic IT, Public Health Care Administration, Stockholm County Council, Stockholm, Sweden.
    Shemeikka, Tero
    E-health and Strategic IT, Public Health Care Administration, Stockholm County Council, Stockholm, Sweden.
    Vég, Anikó
    Department of Healthcare Development, Stockholm County Council, Stockholm, Sweden.
    Exploring the effects of eHealth service innovation2015Ingår i: Health Systems, ISSN 2047-6965, E-ISSN 2047-6973, Vol. 4, nr 3, s. 212-223Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To analyse the impact of implementation and use of eHealth services is fraught with difficulty, and there is often a gap between expected and identified outcomes. In this paper, we identify innovation effects of an eHealth service by applying a framework that focusses on the expected coherent impacts of implementing an IT innovation and contributes to the body of knowledge on tracking innovation effects of services in eHealth. A case study examines four different care units in a government-funded health-care setting. The results show that the effects in the first two contexts of the framework, the micro level and intra-/interorganisational level, could be clearly identified with regard to the physicians and the organisation. However, effects were lacking in the virtual context when looking beyond the involvement of the stakeholders in the eHealth service. The connections between effects for societal groups and larger societal systems simply could not be made in a satisfactory manner.

  • 4408.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Linköping University, Linköping, Sweden.
    Business models in public eHealth2016Ingår i: 24th European Conference on Information Systems, ECIS 2016, 2016Konferensbidrag (Refereegranskat)
    Abstract [en]

    Several countries develop strategies and policies to foster the use of eHealth services and stress the importance of business models to develop and implement digital services. Previous research on business models has however mostly focused on the private setting or a healthcare setting with multi-payer or market-based financial systems. In this paper, we explore the use of business models in eHealth as well as the consistency of such a model in a public healthcare setting. The study is performed through a case study of an eHealth service and to which we apply a business model framework. Data have been collected through interviews, documents and project meetings. The results show that all parts of the business model could be identified and provide an overview of the service but no clear guidance on how to reach a sustainable value in the future. It seems that, in the case of public healthcare, there is a need to add the notion of a societal value as well as issues related to future governance for the diffusion of the service to make the business model and the service sustainable.

  • 4409.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Department of Computer Science, Linköping University, Sweden .
    Healthcare in the age of open innovation – A literature review2016Ingår i: Health Information Management Journal, ISSN 1833-3583, E-ISSN 1833-3575, Vol. 45, nr 3, s. 121-133Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In spite of an increased interest in open innovation and strategies that call for an increased collaboration between different healthcare actors, there is a lack of open innovation research in public contexts.

    Objective: This article presents the results of a review regarding the healthcare sector’s engagement in open innovation as well as constraining factors and positive outcomes of open innovation in healthcare.

    Method: The literature search focused on papers published in English between 2003 and 2014. Based on specified inclusion criteria, 18 articles were included.

    Results: Results reveal that most studies focus on inbound open innovation where external knowledge is integrated with the internal knowledge base at an initial phase of the innovation process. Innovation primarily results in products and services through innovation networks. We also identified constraining factors for open innovation in healthcare, including the complex organizations of healthcare, the need to establish routines for capturing knowledge from patients and clinicians, regulations and healthcare data laws as well as the positive outcome patient empowerment.

    Conclusion: The healthcare sector’s engagement in open innovation is limited, and it is necessary to perform further research with a focus on how open innovation can be managed in healthcare. 

  • 4410.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Linköping University, Sweden.
    Same, same but different: Perceptions of patients’ online access to electronic health records among healthcare professionals2019Ingår i: Health Informatics Journal, ISSN 1460-4582, E-ISSN 1741-2811, Vol. 25, nr 4, s. 1538-1548Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this study, we explore how healthcare professionals in primary care and outpatient clinics perceive the outcomes of giving patients online access to their electronic health records. The study was carried out as a case study and included a workshop, six interviews and a survey that was answered by 146 healthcare professionals. The results indicate that professionals working in primary care perceive that an increase in information-sharing with patients can increase adherence, clarify important information to the patient and allow the patient to quality-control documented information. Professionals at outpatient clinics seem less convinced about the benefits of patient accessible electronic health records and have concerns about how patients manage the information that they are given access to. However, the patient accessible electronic health record has not led to a change in documentation procedures among the majority of the professionals. While the findings can be connected to the context of outpatient clinics and primary care units, other contextual factors might influence the results and more in-depth studies are therefore needed to clarify the concerns.

  • 4411.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Centre for Information Technology and Information Systems (CenITIS). Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Department of Computer and Information Science, Linköping University, Sweden .
    The Role of ICT in Home Care2017Ingår i: Context Sensitive Health Informatics: Redesigning Healthcare Work / [ed] Christian Nøhr, Craig E. Kuziemsky, Zoie Shui-Yee Wong, IOS Press, 2017, Vol. 241, s. 153-158Konferensbidrag (Refereegranskat)
    Abstract [en]

    With an ageing population and limited resources, ICT is often mentioned as a solution to support elderly people in maintaining an independent and healthy lifestyle. In this paper, we describe how ICT can support access to information and rationalization of work processes in a home care context. We do this by modelling the workflow and identifying the possible impact of ICT. The results show a complex process and indicate that the available resources are not used in the best possible way. The introduction of ICT could increase patient safety by reducing the risk of misplacing information about the care recipients and at the same time provide real time information about the care recipients’ needs and health at the point of care. However, to rationalize the work processes there is a need to combine ICT with a changed procedure for handling keys.

  • 4412.
    Wass, Sofie
    et al.
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik.
    Vimarlund, Vivian
    Högskolan i Jönköping, Internationella Handelshögskolan, IHH, Informatik. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare). Department of Computer and Information Science/Human-Centered Systems, Linköping University, Sweden.
    The Role of PAEHRs in Patient Involvement2018Ingår i: Journal of medical systems, ISSN 0148-5598, E-ISSN 1573-689X, Vol. 42, nr 11, artikel-id 210Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    With increased patient access to data, healthcare services are experiencing change where patients are moving away from being mere passive actors towards becoming more active and involved participants. In this paper, we explore the role of patient accessible electronic health records (PAEHRs) with respect to this increase in patient involvement. The study was performed as a case study and included nine interviews with patients and a survey that was responded to by 56 patients. Our results show that PAEHRs have a role in the enhancement of patient involvement because PAEHRs (i) foster a more balanced relationship between patients and healthcare professionals and (ii) increase access to information.

  • 4413.
    Wedin, Linnéa
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Wisberg, Linnéa
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Äldres upplevelser av möjligheter och hinder till meningsfulla aktiviteter: En kvalitativ intervjustudie2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Meningsfulla aktiviteter ingår i arbetsterapeutens kompetens och något som arbetsterapeuter bör grunda sina interventioner i. Syftet med examensarbetet var att beskriva upplevelse av möjlighet och hinder till meningsfulla aktiviteter hos äldre med hemtjänst i ordinärt boende. Examensarbetet hade en kvalitativ design med semistrukturerade intervjuer. Tio deltagare intervjuades. En kvalitativ innehålls-analys resulterade i faktorer som både möjliggjorde och hindrade meningsfulla aktiviteter. Tre kategorier identifierades; ”Den fysiska miljöns betydelse”, miljön kring den äldre påverkade utförandet beroende på om den var anpassad eller inte, om man hade närhet till aktivitet, om man hade möjlighet till transport samt att den varma årstiden möjliggjorde. ”Hindrande Personfaktorer”, kroppsliga begränsningar och mentala begränsningar påverkade möjlighet till utförande av meningsfulla aktiviteter. ”Organiserade sociala aktiviteter”, kyrkan möjliggjorde aktivitet, hemtjänsten stöttar till viss del och organiserade aktiviteter har lagts ned. Temat ”Det handlar inte om hur gammal man är, utan hur man är gammal” framkom. Samhällets syn på äldre samt äldres internaliserade syn på sig själva påverkar möjlighet till utförande av meningsfulla aktiviteter. Slutsatsen var att möjlighet till meningsfulla aktiviteter påverkas av omgivningsfaktorer och personfaktorer. Denna kunskap bidrar till att arbetsterapeuter kan arbeta för att äldre ska kunna utföra meningsfulla aktiviteter genom att uppmärksamma de hinder och möjligheter som den äldre upplever.

  • 4414. Weinstein, M.
    et al.
    Green, Dido
    Department of Occupational Therapy, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
    Geva, R.
    Schertz, M.
    Fattal-Valevski, A.
    Artzi, M.
    Myers, V.
    Shiran, S.
    Gordon, A. M.
    Gross-Tsur, V.
    Bashat, D. B.
    Interhemispheric and intrahemispheric connectivity and manual skills in children with unilateral cerebral palsy2014Ingår i: Brain Structure and Function, ISSN 1863-2653, E-ISSN 1863-2661, Vol. 219, nr 3, s. 1025-1040Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study investigated patterns of motor brain activation, white matter (WM) integrity of inter- and intrahemispheric connectivity and their associations with hand function in children with unilateral cerebral palsy (CP-U). Fourteen CP-U (mean age 10.6 ± 2.7 years) and 14 typically developing children (TDC) underwent magnetic resonance imaging. CP-U underwent extensive motor evaluation. Pattern of brain activation during a motor task was studied in 12 CP-U and six TDC, by calculating laterality index (LI) and percent activation in the sensorimotor areas (around the central sulcus), and quantifying the activation in the supplementary motor area (SMA). Diffusivity parameters were measured in CP-U and eight other TDC for the corpus callosum (CC), affected and less affected cortico-spinal tracts (CST), and posterior limb of the internal capsule (PLIC). Abnormal patterns of brain activation were detected in areas around the central sulcus in 9/12 CP-U, with bilateral activation and/or reduced percent activation. More activation in areas around the central sulcus of the affected hemisphere was associated with better hand function. CP-U demonstrated more activation in the SMA when moving the affected hand compared to the less affected hand. CP-U displayed reduced WM integrity compared to TDC, in the midbody and splenium of the CC, affected CST and affected PLIC. WM integrity in these tracts was correlated with hand function. While abnormal pattern of brain activation was detected mainly when moving the affected hand, the integrity of the CC was correlated with function of both hands and bimanual skills. This study highlights the importance of interhemispheric connectivity for hand function in CP-U, which may have clinical implications regarding prognosis and management.

  • 4415. Weinstein, M.
    et al.
    Myers, V.
    Green, Dido
    Sackler Faculty of Medicine, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
    Schertz, M.
    Shiran, S. I.
    Geva, R.
    Artzi, M.
    Gordon, A. M.
    Fattal-Valevski, A.
    Ben Bashat, D.
    Brain Plasticity following Intensive Bimanual Therapy in Children with Hemiparesis: Preliminary Evidence2015Ingår i: Neural Plasticity, ISSN 2090-5904, E-ISSN 1687-5443, Vol. 2015, artikel-id 798481Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Neuroplasticity studies examining children with hemiparesis (CH) have focused predominantly on unilateral interventions. CH also have bimanual coordination impairments with bimanual interventions showing benefits. We explored neuroplasticity following hand-Arm bimanual intensive therapy (HABIT) of 60 hours in twelve CH (6 females, mean age 11 ± 3.6 y). Serial behavioral evaluations and MR imaging including diffusion tensor (DTI) and functional (fMRI) imaging were performed before, immediately after, and at 6-week follow-up. Manual skills were assessed repeatedly with the Assisting Hand Assessment, Children's Hand Experience Questionnaire, and Jebsen-Taylor Test of Hand Function. Beta values, indicating the level of activation, and lateralization index (LI), indicating the pattern of brain activation, were computed from fMRI. White matter integrity of major fibers was assessed using DTI. 11/12 children showed improvement after intervention in at least one measure, with 8/12 improving on two or more tests. Changes were retained in 6/8 children at follow-up. Beta activation in the affected hemisphere increased at follow-up, and LI increased both after intervention and at follow-up. Correlations between LI and motor function emerged after intervention. Increased white matter integrity was detected in the corpus callosum and corticospinal tract after intervention in about half of the participants. Results provide first evidence for neuroplasticity changes following bimanual intervention in CH.

  • 4416.
    Weinstein, Maya
    et al.
    Centre for Rehabilitation, Oxford Brookes University, Oxford, UK.
    Green, Dido
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD. Centre for Rehabilitation, Oxford Brookes University, Oxford, UK.
    Rudisch, Julian
    Centre for Rehabilitation, Oxford Brookes University, Oxford, UK.
    Zielinski, Ingar M.
    Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
    Benthem-Muñiz, Marta
    Department of Neuroimaging, King's College London, London, UK.
    Jongsma, Marijtje L. A.
    Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
    McClelland, Verity
    Department of Basic and Clinical Neuroscience, King's College London, UK.
    Steenbergen, Bert
    Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
    Shiran, Shelly
    Department of Radiology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
    Ben Bashat, Dafna
    The Functional Brain Center, The Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
    Barker, Gareth J.
    Department of Neuroimaging, King's College London, London, UK.
    Understanding the relationship between brain and upper limb function in children with unilateral motor impairments: A multimodal approach2018Ingår i: European journal of paediatric neurology, ISSN 1090-3798, E-ISSN 1532-2130, Vol. 22, nr 1, s. 143-154Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Atypical brain development and early brain injury have profound and long lasting impact on the development, skill acquisition, and subsequent independence of a child. Heterogeneity is present at the brain level and at the motor level; particularly with respect to phenomena of bilateral activation and mirrored movements (MMs). In this multiple case study we consider the feasibility of using several modalities to explore the relationship between brain structure and/or activity and hand function: Electroencephalography (EEG), both structural and functional Magnetic Resonance Imaging (sMRI, fMRI), diffusion tensor imaging (DTI), transcranial magnetic stimulation (TMS), Electromyography (EMG) and hand function assessments.

    Methods: 15 children with unilateral CP (ages: 9.4 ± 2.5 years) undertook hand function assessments and at least two additional neuroimaging and/or neurophysiological procedures: MRI/DTI/fMRI (n = 13), TMS (n = 11), and/or EEG/EMG (n = 8). During the fMRI scans and EEG measurements, a motor task was performed to study cortical motor control activity during simple hand movements. DTI tractography analysis was used to study the corpus-callosum (CC) and cortico-spinal tracts (CST). TMS was used to study cortico-spinal connectivity pattern.

    Results: Type and range of severity of brain injury was evident across all levels of manual ability with the highest radiological scores corresponded to children poorer manual ability. Evidence of MMs was found in 7 children, mostly detected when moving the affected hand, and not necessarily corresponding to bilateral brain activation. When moving the affected hand, bilateral brain activation was seen in 6/11 children while 3/11 demonstrated unilateral activation in the contralateral hemisphere, and one child demonstrated motor activation predominantly in the supplementary motor area (SMA). TMS revealed three types of connectivity patterns from the cortex to the affected hand: a contralateral (n = 3), an ipsilateral (n = 4) and a mixed (n = 1) connectivity pattern; again without clear association with MMs. No differences were found between children with and without MMs in lesion scores, motor fMRI laterality indices, CST diffusivity values, and upper limb function. In the genu, midbody, and splenium of the CC, higher fractional anisotropy values were found in children with MMs compared to children without MMs. The EEG data indicated a stronger mu-restoration above the contralateral hemisphere in 6/8 children and above the ipsilateral hemisphere in 2/8 children.

    Conclusion: The current results demonstrate benefits from the use of different modalities when studying upper-limb function in children with CP; not least to accommodate to the variations in tolerance and feasibility of implementation of the differing methods. These exposed multiple individual brain-reorganization patterns corresponding to different functional motor abilities. Additional research is warranted to understand the transactional influences of early brain injury, neuroplasticity and developmental and environmental factors on hand function in order to develop targeted interventions. 

  • 4417.
    Welmer, Anna-Karin
    et al.
    Department of Neurobiology, Care Sciences and Society, Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
    Kåreholt, Ingemar
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa.
    Angleman, Sara
    Department of Neurobiology, Care Sciences and Society, Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
    Rydwik, Elisabeth
    Department of Neurobiology, Care Sciences and Society, Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
    Fratiglioni, Laura
    Department of Neurobiology, Care Sciences and Society, Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
    Can chronic multimorbidity explain the age-related differences in strength, speed and balance in older adults?2012Ingår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 24, nr 5, s. 480-489Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and aims: It is known that physical performance declines with age in general, however there remains much to be understood in terms of age-related differences amongst older adults across a variety of physical components (such as speed, strength and balance), and particularly in terms of the role played by multimorbidity of chronic diseases. We aimed to detect the age-related differences across four components of physical performance and to explore to what extent chronic diseases and multimorbidity may explain such differences. Methods: We analyzed cross-sectional data from a population-based sample of 3323 people, aged 60 years and older from the SNAC-K study, Stockholm, Sweden. Physical performance was assessed by trained nurses using several tests (grip strength, walking speed, balance and chair stands). Clinical diagnoses were made by the examining physician based on clinical history and examination. Results: Censored normal regression analyses showed that the 72- 90+ year-old persons had 17-40% worse grip strength, 44-86% worse balance, 30-86% worse chair stand score, and 21-59% worse walking speed, compared with the 60-66 year-old persons. Chronic diseases were strongly associated with physical impairment, and this association was particularly strong among the younger men. However, chronic diseases explained only some of the age-related differences in physical performance. When controlling for chronic diseases in the analyses, the age-related differences in physical performance changed 1-11 percent. Conclusion: In spite of the strong association between multimorbidity and physical impairment, chronic morbidities explained only a small part of the age-related differences in physical performance.

  • 4418.
    Welmer, Anna-Karin
    et al.
    Karolinska Institutet.
    Kåreholt, Ingemar
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Åldrande - livsvillkor och hälsa. Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi. Karolinska Institutet.
    Rydwik, Elisabeth
    Karolinska Institutet.
    Angelman, Sara
    Karolinska Institutet.
    Wang, Hui-Xin
    Karolinska Institutet.
    Education-related differences in physical performance after age 60: a cross-sectional study assessing variation by age, gender and occupation2013Ingår i: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 13Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Having a low level of education has been associated with worse physical performance. However, it is unclear whether this association varies by age, gender or the occupational categories of manual and non-manual work. This study examined whether there are education-related differences across four dimensions of physical performance by age, gender or occupational class and to what extent chronic diseases and lifestyle-related factors may explain such differences.

    Methods: Participants were a random sample of 3212 people, 60 years and older, both living in their own homes and in institutions, from the Swedish National Study on Aging and Care, in Kungsholmen, Stockholm. Trained nurses assessed physical performance in grip strength, walking speed, balance and chair stands, and gathered data on education, occupation and lifestyle-related factors, such as physical exercise, body mass index, smoking and alcohol consumption. Diagnoses of chronic diseases were made by the examining physician.

    Results: Censored normal regression analyses showed that persons with university education had better grip strength, balance, chair stand time and walking speed than people with elementary school education. The differences in balance and walking speed remained statistically significant (p < 0.05) after adjustment for chronic diseases and lifestyle. However, age-stratified analyses revealed that the differences were no longer statistically significant in advanced age (80+ years). Gender-stratified analyses revealed that women with university education had significantly better grip strength, balance and walking speed compared to women with elementary school education and men with university education had significantly better chair stands and walking speed compared to men with elementary school education in multivariate adjusted models. Further analyses stratified by gender and occupational class suggested that the education-related difference in grip strength was only evident among female manual workers, while the difference in balance and walking speed was only evident among female and male non-manual workers, respectively.

    Conclusions: Higher education was associated with better lower extremity performance in people aged 60 to 80, but not in advanced age (80+ years). Our results indicate that higher education is associated with better grip strength among female manual workers and with better balance and walking speed among female and male non-manual workers, respectively.

  • 4419. Wendt, E
    et al.
    Fridlund, Bengt
    Lunds universitet.
    Lidell, E
    Trust and confirmation in a gynecologic examination situation: a critical incident technique analysis2004Ingår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 83, nr 12, s. 1208-1215Artikel i tidskrift (Refereegranskat)
  • 4420.
    Wengström, Y.
    et al.
    Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden / Department of Oncology, Karolinska University Hospital, Stockholm, Sweden.
    Bolam, K. A.
    Åstrand Laboratory of Work Physiology, The Swedish School of Sport and Health Sciences, Stockholm, Sweden / School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
    Mijwel, S.
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Sundberg, C. J.
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden / Unit for Bioentrepreneurship, Karolinska Institutet, Solna, Sweden.
    Backman, M.
    Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden / Department of Oncology, Karolinska University Hospital, Stockholm, Sweden.
    Browall, Maria
    Högskolan i Skövde, Institutionen för hälsa och lärande.
    Norrbom, J.
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Rundqvist, H.
    Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden.
    Optitrain: a randomised controlled exercise trial for women with breast cancer undergoing chemotherapy2017Ingår i: BMC Cancer, ISSN 1471-2407, E-ISSN 1471-2407, Vol. 17, artikel-id 100Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Women with breast cancer undergoing chemotherapy suffer from a range of detrimental disease and treatment related side-effects. Exercise has shown to be able to counter some of these side-effects and improve physical function as well as quality of life. The primary aim of the study is to investigate and compare the effects of two different exercise regimens on the primary outcome cancer-related fatigue and the secondary outcomes muscle strength, function and structure, cardiovascular fitness, systemic inflammation, skeletal muscle gene activity, health related quality of life, pain, disease and treatment-related symptoms in women with breast cancer receiving chemotherapy. The second aim is to examine if any effects are sustained 1, 2, and 5 years following the completion of the intervention and to monitor return to work, recurrence and survival. The third aim of the study is to examine the effect of attendance and adherence rates on the effects of the exercise programme.

    Methods: This study is a randomised controlled trial including 240 women with breast cancer receiving chemotherapy in Stockholm, Sweden. The participants are randomly allocated to either: group 1: Aerobic training, group 2: Combined resistance and aerobic training, or group 3: usual care (control group). During the 5-year follow-up period, participants in the exercise groups will receive a physical activity prescription. Measurements for endpoints will take place at baseline, after 16 weeks (end of intervention) as well as after 1, 2 and 5 years.

    Discussion: This randomised controlled trial will generate substantial information regarding the effects of different types of exercise on the health of patients with breast cancer undergoing chemotherapy. We expect that dissemination of the knowledge gained from this study will contribute to developing effective long term strategies to improve the physical and psychosocial health of breast cancer survivors.

  • 4421. Wenneberg, Stig
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Illness narratives of persons with post-polio syndrome.2000Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 31, nr 2, s. 354-361Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This qualitative study investigated the lifetime illness experience of individuals with the 'late effects' of polio or post-polio syndrome. Fifteen individuals were interviewed twice about their illness experience and the interviews were transcribed verbatim. The empirical material first underwent a categorization process. The preliminary categories generated through this analysis were then condensed into broader categories which in the final analysis gave rise to the following temporal pattern or stages of the illness experience: (1) the acute phase of polio and subsequent treatment and care; (2) rehabilitation and care at institutions for the disabled; (3) adaptation to a new life; (4) living with the post-polio syndrome today, and finally, (5) memories of the past and apprehensions concerning the future. In spite of the difficult experiences of falling ill and slowly recovering from a life-threatening disease, these individuals have had a good life and accomplished most of their ambitions in the areas of work and family life. Their present psychosocial situation is complicated by the symptoms of the post-polio syndrome which make them more vulnerable to stress, but they are able to handle this burden except when any added strain makes it overwhelming. This potential vulnerability may sometimes express itself as a sudden flashback to traumatic polio experiences and it is therefore important that nurses are aware of the illness history of this patient group.

  • 4422. Wenneberg, Stig
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Personer med post-polio berättar om sina erfarenheter av att insjukna i polio och den påföljande anpassningen till ett nytt liv.1999Ingår i: Dokumentation: Människa, handikapp, livsvillkor, 7:e forskningskonferensen, Örebro den 13 och 15 april 1999, Örebro: Näringslivskontoret : Psykiatri och habilitering, Örebro läns landsting , 1999Konferensbidrag (Refereegranskat)
  • 4423. Wenneberg, Stig
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Gunnarsson, Lars-Gunnar
    Kan qigong förbättra hälsan hos personer med muskeldystrofi?2004Ingår i: Perspektiv på komplementär medicin: Medicinsk pluralism i mångvetenskaplig belysning, Lund: Studentlitteratur , 2004, s. 177-189Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 4424. Wenneberg, Stig
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Gunnarsson, Lars-Gunnar
    Rehabilitering av personer med muskeldystrofi: interventionsstudie med komplementära hälsometoder.2002Ingår i: Vardagsliv, livskvalitet, habilitering: 8:e forskningskonferensen i Örebro den 13-14 mars 2002 : programbok, Örebro: Psykiatri och habilitering, Örebro läns landsting , 2002Konferensbidrag (Refereegranskat)
  • 4425. Wenneberg, Stig
    et al.
    Gunnarsson, Lars-Gunnar
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Using a novel exercise programme for patients with muscular dystrophy. Part I: a qualitative study.2004Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 26, nr 10, s. 586-594Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Muscular dystrophy patients have often experimented with different alternative or complementary methods since there is at present no curative medical treatment. PURPOSE: To evaluate, through qualitative analysis of interview data, the subjective experiences of twenty-eight patients with muscular dystrophy practising a complementary method, qigong. METHODS: Semi-structured qualitative interviews were performed and data were analysed by a method inspired by Grounded Theory. The material was first coded into 119 categories, thereafter condensed to 59 categories through a constant comparison analysis. In the final analysis, six broad categories were formed out of these 59 categories. RESULTS: These broad categories were: (1) experience of health care and alternative methods; (2) expectations, acceptance and compliance; (3) qigong as an adaptable form of exercise; (4) stress reduction and mental effects; (5) increased body awareness and physical effects; (6) psychosocial effects of group training. CONCLUSION: Qigong was accepted as a novel exercise regimen and there was a wide variation of experience regarding it among the participants. Depending upon factors such as expectation of benefits, time available to do qigong and perceived effects doing it, compliance varied. One major advantage of qigong is the ability to adapt the different exercises to the physical capability of the person practising qigong. There were reports of mental, physical and psychosocial effects of the qigong, which reduced the feeling of stress and improved well-being.

  • 4426. Wenneberg, Stig
    et al.
    Gunnarsson, Lars-Gunnar
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Using a novel exercise programme for patients with muscular dystrophy. Part II: a quantitative study.2004Ingår i: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 26, nr 10, s. 595-602Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: To quantitatively evaluate the effects of qigong in patients with muscular dystrophy. METHODS: Thirty-six patients with muscular dystrophy were assigned to either a treatment or comparison group, by means of a stratified randomization procedure. The intervention period lasted for 3 months. Balance and respiratory function were assessed by means of Berg's Balance Scale and an electronic spirometer, respectively. Health-related quality of life was tested by means of a Swedish version of the Medical Outcome Study Short Form Health Survey (SF-36), coping levels by means of a Swedish version of the Ways of Coping Questionnaire and depression levels by means of a modified version of the Montgomery åsberg Depression Rating Scale. RESULTS: Perceived general health was maintained in the treatment group whereas this was not the case in the comparison group (p=0.05). Positive reappraisal coping decreased in the treatment group but not in the comparison group (p=0.05). There was a tendency to maintain balance function during training and performance of qigong whilst there was a decline when not training. CONCLUSION: Qigong may be useful as an adjunct therapy regimen in patients with muscular dystrophy in that it can bring about a decreased rate of decline in general health. The change in coping pattern in this study needs more investigation. More research is also needed in order to more fully investigate the effects of qigong on such physical variables as balance function.

  • 4427.
    Wennerstam, Adina
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Marias, Linda
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Att leva med diabetes typ 1: En litteraturöversikt om ungdomars upplevelser2016Självständigt arbete på grundnivå (högskoleexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 4428.
    Wennick, Anne
    et al.
    Faculty of Health and Society, Malmö University, Malmö, Sweden.
    Huus, Karina
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. CHILD.
    What it is like being a sibling of a child newly diagnosed with type 1 diabetes: an interview study2012Ingår i: European Diabetes Nursing, ISSN 1551-7853, E-ISSN 1551-7861, Vol. 9, nr 3, s. 88-92Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Although previous studies have stressed that having a brother or sister with a chronic condition may affect the healthy sibling, few have specifically focused on healthy siblings of children with type 1 diabetes.

    Hence, this study aimed to illuminate what it is like to be a brother or sister of a child newly diagnosed with type 1 diabetes.

    Individual interviews were conducted with seven siblings aged 10–17 years (median=12) from six different families. Each interview was analysed using content analysis.

    Three different categories emerged – Living differently, Being concerned and Participating in caring for the affected child – indicating that, for the healthy sibling, the illness entails a transformed everyday life including worry about the affected child and the need to help in the home.

    In conclusion, the paediatric health care service may need to develop new strategies to meet the siblings' desired level of knowledge in educational team sessions related to diabetes. As the sibling relationship is probably the longest one that an affected child will experience in her/his lifetime, it is worth investing in it to promote this long-term support resource.

  • 4429.
    Werner, Ulrica
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Kullberg, Ingela
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Vårdsökande personers upplevelse av delaktighet vid hemodialysbehandling- en litteraturöversikt2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Hemodialysbehandling är en livsuppehållande behandling vid terminal njursvikt. Behandlingen utförs flera gånger i veckan och medför stora livsförändringar. Delaktighet är i fokus i dagens hälso- och sjukvård, vilket forskning och lagstiftning bekräftar. Syftet med denna litteraturöversikt var att beskriva upplevelsen av delaktighet hos vårdsökande personer som genomgår hemodialysbehandling på sjukhus. Metoden som valdes var litteraturöversikt med kvalitativ ansats. Nio artiklar granskades genom induktiv innehållsanalys och mynnade ut i kategorierna; hämmande maktlöshet och att känna sig säker med underkategorierna kommunikationsbrister och brister i bemötandet respektive kunskap ger trygghet och känna tillit. Resultatet visar att vårdsökande person upplever en kamp för delaktighet i sin behandling.  De som upplever att de är delaktiga beskriver ett ökat välbefinnande. Slutsatsen är att vårdpersonalen behöver utöka sin kunskap om vad som främjar delaktighet hos personer som genomgår hemodialysbehandling.

     

  • 4430.
    Wernersson, Peter
    et al.
    Högskolan i Jönköping, Hälsohögskolan.
    Ovesson, Gertrud
    Högskolan i Jönköping, Hälsohögskolan.
    Omvårdnadspersonalens erfarenheter av utbildning och överlämnande av läkemedel inom äldreomsorgen2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Antalet multisjuka äldre i världen ökar stadigt. De som inte klarar att ta sina läkemedel själva är beroende av att få hjälp med detta från någon annan. I äldreomsorgen utförs läkemedelsöverlämnande av omvårdnadspersonal efter att de erhållit delegering för detta enligt SOSFS 1997:14. Distriktssköterskan är ansvarig för att utbilda och utfärda delegeringar till omvårdnadspersonalen. Patientsäkerheten kan äventyras om kommunikationen mellan olika personalkategorier inom äldreomsorgen brister, likaså om utbildningen inför erhållandet av delegering inte ger nödvändiga kunskaper. Syfte: Syftet var att beskriva omvårdnadspersonalens erfarenheter av läkemedelsdelegering avseende utbildning och överlämning inom äldreomsorgen. Metod: Studien genomfördes som en kvalitativ studie med semistrukturerade intervjuer av tolv informanter. Materialet analyserades med hjälp av innehållsanalys.Resultat: Fyra kategorier framkom: en komplex arbetssituation, brister i patientsäkerheten, teamsamverkan samt betydelsen av utbildning och vårderfarenhet, med tillhörande underkategorier. Stress påverkar antalet misstag som begås, likaså bidrar felaktiga och otydliga dokument till problem, både för omvårdnadspersonalen och för distriktssköterskan. Stödet från den egna arbetsgruppen var viktigt, men även stödet från distriktssköterskan. Utbildningen var tillräcklig men erfaren personal önskade fördjupad kunskap. Slutsats: Studien visar att omvårdnadspersonalen upplever att delegerat läkemedelsöverlämnande är en viktig del av deras arbete med vårdtagarna. Verksamhetens behov styr hur snabbt efter anställning som delegering för läkemedelsöverlämnande erhålls.

  • 4431. Weslien, M
    et al.
    Nilstun, T
    Lundqvist, A
    Fridlund, Bengt
    Lunds universitet.
    Narratives about resuscitation: family members differ about presence2006Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 5, nr 1, s. 68-74Artikel i tidskrift (Refereegranskat)
  • 4432. Weslien, M
    et al.
    Nilstun, T
    Lundqvist, A
    Fridlund, Bengt
    Lunds universitet.
    When the unreal becomes real: family members' experiences of cardiac arrest2005Ingår i: Nursing in Critical Care, ISSN 1362-1017, E-ISSN 1478-5153, Vol. 10, nr 1, s. 15-22Artikel i tidskrift (Refereegranskat)
  • 4433.
    Wessbo, Elin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Thuresson, Jenny
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Tonårsflickors Kroppsuppfattning, Självbild, Välbefinnande Och BMI: En enkätstudie2017Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Tidigare forskning visar att många ungdomar är missnöjda med sin kropp. Ungdomstiden innebär sociala, psykiska och emotionella förändringar. Under denna tid blir kroppens utseende viktigt, där samhällets normer och ideal påverkar ungdomens uppfattning om hur deras kropp skall se ut. Det är under denna tid som kroppsuppfattningen hos ungdomar påverkas mest.

    Syfte: Syftet med denna studie var att undersöka kroppsuppfattning, självbild, välbefinnande och isoBMI hos flickor som går på högstadiet.

    Metod: En tvärsnittsstudie med kvantitativ design genomfördes utifrån en hälsoenkät som används i samband med hälsobesök hos skolsköterskan för elever på högstadiet. Frågor avseende kroppsuppfattning, självbild, välbefinnande och Body Mass Index (BMI) har analyserats och jämförts. Resultatet redovisas både deskriptivt och analytiskt, där skillnader mellan variabler har undersökts.

    Resultat: Merparten av flickorna upplever ett högt välbefinnande och är nöjda med sin kropp och sig själva. Dock framkommer att en stor andel av flickorna önskar väga mindre och har försökt att förändra sin vikt och att missnöjet kring kroppen ökar vid stigande isoBMI. Resultatet visar också att flickornas kroppsuppfattning och självbild har betydelse för deras upplevelse av hälsa och välbefinnande.

    Slutsats: Det är av stor vikt att belysa detta ämne då det finns ett behov av att främja ett positivt tankesätt kring kroppsuppfattning hos unga flickor. Barnsjuksköterskan kan utifrån ett öppet förhållningssätt i sitt hälsofrämjande arbete uppmärksamma och stödja dessa flickor i ett tidigt skede

  • 4434.
    Westergren, Robert
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Ortopedteknisk plattform.
    Nasser, Mehdi
    Högskolan i Jönköping, Hälsohögskolan, HHJ. Ortopedteknisk plattform.
    Patient satisfaction and mobility with their assistive device and service2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Objective: To gather knowledge related to patient satisfaction and mobility with lower limb prosthetic and orthotic devices and to investigate satisfaction with services received. Another purpose of this study is to analyze potential differences between orthotic and prosthetic patients in relation to patient satisfaction and mobility.

    Design: Cross-sectional study

    Subjects: 21 participants with a mean age of 58 (SD 16) with an average duration of use of devices of 10 (SD 10) years. 12 out of the 21 participants were orthotic users and 9 were prosthetic users.

    Methods: Patients were asked to complete two questionnaires, one regarding satisfaction with assistive device and service (QUEST 2.0) and one regarding mobility.

    Results: Patients mean score regarding satisfaction with assistive device and service were 4.0 (SD 0.8) and 4.2 (SD 1.0) respectively. 91% reported that they had the ability to walk at least 100 meters with their assistive device. The areas where participants experienced most difficulties were walking on uneven ground (70%), walking up and down a hill (57%) and walking on stairs (57%).

    Conclusion: Overall this study demonstrates that participants were quite satisfied with their assistive device and the service received by the P&O clinic. No statistically significant differences regarding satisfaction with assistive device and service, or mobility, were found between prosthetic and orthotic participants.

  • 4435.
    Westerlind, Björn
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping). Department of Geriatrics, County Hospital Ryhov, Jönköping, Sweden.
    Östgren, Carl Johan
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Mölstad, Sigvard
    Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden.
    Midlöv, Patrik
    Department of Clinical Sciences in Malmö, Center for Primary Health Care Research, Lund University, Malmö, Sweden.
    Hägg, Staffan
    Futurum, Jönköping, Region Jönköping County, Sweden.
    Use of non-benzodiazepine hypnotics is associated with falls in nursing home residents: a longitudinal cohort study2019Ingår i: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 31, nr 8, s. 1087-1095Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Falls and related injuries are common among older people, and several drug classes are considered to increase fall risk.

    Aims: This study aimed to investigate the association between the use of certain drug classes and falls in older nursing home residents in Sweden, and relate these to different age groups.

    Methods: Information on falls that occurred in the previous year and regular use of possible fall risk drugs including non-benzodiazepine hypnotics (zopiclone and zolpidem) was collected from 331 nursing home residents during 2008–2011. Over the following 6 months, the occurrence of serious falls, requiring a physician visit or hospital care, was registered. Association between serious falls and drug use was compared between an older (≥ 85 years) and a younger group.

    Results: An increased fall risk (Downton Fall Risk Index ≥ 3) was found in 93% of the study subjects (aged 65–101 years). Baseline data indicated an association between falls that occurred in the previous year and regular use of non-benzodiazepine hypnotics (p = 0.005), but not with the other studied drug classes. During the following 6 months, an association between use of non-benzodiazepine hypnotics and serious falls in the older group (p = 0.017, odds ratio 4.311) was found. No association was found between the other studied drug classes and serious falls.

    Discussion: These results indicate an association between falls and the use of non-benzodiazepine hypnotics, compounds that previously have been considered generally well-tolerated in older people.

    Conclusions: Caution is advocated when using non-benzodiazepine hypnotics regularly in older people living in nursing homes. 

  • 4436.
    Westerlund, Jessica
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Rynvall-Hult, Olle
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Kvinnors upplevelser av livskvalitet vid en bröstcancerdiagnos: En litteraturöversikt2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 4437. Westholm, Carl
    et al.
    Bjällmark, Anna
    KTH, Medicinsk teknik.
    Larsson, Matilda
    KTH, Medicinsk teknik.
    Jacobsen, Per
    Brodin, Lars-Åke
    KTH, Medicinsk teknik.
    Winter, Reidar
    Velocity tracking, a new and user independent method for detecting regional function of the left ventricle2009Ingår i: Clinical Physiology and Functional Imaging, ISSN 1475-0961, E-ISSN 1475-097X, Vol. 29, nr 1, s. 24-31Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The use of two-dimensional echocardiography (2D echo) for detection of ischaemia is limited due to high user dependency. Longitudinal motion is sensitive for ischaemia and usable for quantitative measurement of longitudinal myocardial function but time consuming. Velocity tracking (VeT) is a new method that gives an easy three-dimensional understanding of both systolic and diastolic regional motion, using colour coded bull's eye presentation of longitudinal velocity, derived from colour coded tissue Doppler. The aim of this study was to test the accuracy of VeT in detecting ischaemia in non-ST-segment elevation myocardial infarction (NSTEMI) patients bedside. Twenty patients with NSTEMI and 10 controls were included. Echocardiography was performed within 24 h of symptoms and prior to coronary angiography. Bull's eye plots presenting the peak systolic velocity (PSV) and the sum of PSV and the E-wave-velocity (PSV+E) were created using our developed software. VeT was compared to expert wall motion scoring (WMS) and bedside echo. We used the clinical conclusion based on ECG, angiography and clinical picture as 'gold standard'. Sensitivity for ischaemia with VeT (PSV+E) was 85% and specificity 60%. The corresponding sensitivities for expert WMS were 75% (specificity 40%). For regional analysis VeT and WMS showed comparable results with correct regional outcome in 11/20 of patients both superior to bedside echo. Velocity tracking is a promising technique that provides an easily understandable three-dimensional bull's eye plot for assessment of regional left ventricular longitudinal velocity with great potential for detection of regional dysfunction and myocardial ischaemia.

  • 4438.
    Westin, Andreas
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Hansson, Lotta
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Hur personer med HIV upplever stigmatisering från vårdpersonal2019Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 4439.
    Westlin, Eva
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering.
    Björklund, Anita
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för rehabilitering. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.
    A Delphi study of occurring information in housing adaptation certificates2016Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 23, nr 5, s. 357-365Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Since 1993, the Housing Adaptation Act has provided disabled people the opportunity to receive grants for adapting their homes. A housing adaptation certificate certifying the necessity of adaptations must accompany any application and if information in housing adaptation certificates is not sufficient, the applicant is risking not having necessary housing adaptations.

    Objective: The aim of this study was to identify and describe what information is missing, unnecessary or vague, in the housing adaptation certificates; to determine how often this occur, and how problematic this can be for the decision process.

    Material and methods: 105 housing adaptation grant managers took part in a three-round Delphi survey.

    Results: At least 65% consensus was reached regarding the following six statements: missing information about disability duration, possession of relevant assistive devices, consequences of the disability in housing, prognosis of consequences, who the informant is, or contains preferences for specific solutions. Missing, unnecessary or vague information pose serious or less serious problems and 38–72% of the participants reported that this often or always occur.

    Conclusion: Housing adaptation certificates need to be improved.

    Significance: The results of this study are used to design a checklist for use by housing adaptation certificate writers.

  • 4440.
    Wetterholm, Anne
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Institutet för gerontologi.
    Fallbenägna äldres upplevelser av sin egen förmåga till aktivitet och delaktighet2015Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 4441.
    Wiberg, Elin
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Baltsén, Cecilia
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för naturvetenskap och biomedicin.
    Röntgensjuksköterskans upplevelse av att arbeta med externa granskare under jourtid: En kvalitativ intervjustudie2017Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Titel: Röntgensjuksköterskans upplevelse av att arbeta med externa granskare under jourtid

    Syfte: Att undersöka hur röntgensjuksköterskan upplever arbetet med externa granskare under jourtid.

    Material och metod: Sex stycken röntgensjuksköterskor från två olika sjukhus i mellansverige intervjuades under perioden januari till mars 2017. Inklusionskriterierna för studien var minst två års erfarenhet av yrket samt minst ett års erfarenhet av att arbeta med externa granskare under jourtid. Tillstånd från verksamhetschefer och samtycke från informanterna erhölls innan studien startade. Data samlades in genom en kvalitativ metod med semistrukturerade intervjuer bestående av öppna frågor. Den insamlade datan analyserades med kvalitativ innehållsanalys enligt Graneheim & Lundman. Intervjuerna transkriberades och lästes igenom flera gånger. Därefter identifierades meningsbärande enheter och dessa kondenserades till koder. Genom koderna kunde kategorier och subkategorier identifieras.

    Resultat: I resultatet framkom fyra kategorier; Teleradiologi – tekniska aspekter, externa granskare jämfört med radiolog på plats, kommunikation och röntgensjuksköterskans kompetenser och egenskaper med tillhörande subkategorier.

    Konklusion: Informanterna upplever att det tar längre tid att kommunicera med externa granskare (EG) i jämförelse med att ha en radiolog på plats som kan ge svar direkt när röntgensjuksköterskan (RSS) är i behov av vägledning och snabba svar. I kommunikationen upplevs det också finnas språkbarriärer samt bristande kunskap, speciellt hos de sekreterare som tar emot samtal hos EG. Detta leder till frustration och blir ofta ett hinder i akuta situationer då RSS vill prata med en radiolog direkt. Under jourtid upplever RSS att denne får ta ett ökat ansvar samtidigt som förmågan att ta egna initiativ och beslut måste finnas. RSS upplever ingen förändring av bildkvalitén på de bilder som skickas i arbetet med EG. Informanterna upplevde i helhet att arbetet med EG fungerar bra och tillfredsställande under förutsättningarna att tekniken fungerar som den ska samtidigt som arbetsflödet inte ökar för mycket.

  • 4442.
    Wibring, Ida
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Grahn, Emmelie
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad.
    Kvinnor med bröstcancer och deras hälsorelaterade livskvalitet: En litteraturöversikt2016Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    I Sverige drabbas årligen omkring 7000 kvinnor av bröstcancer vilket är den vanligaste cancerformen hos kvinnor. Bröstcancer påverkar den hälsorelaterade livskvaliteten (HRQoL) både på kort- och lång sikt. HRQoL beskriver den inverkan hälsa har på funktionsförmåga och upplevda välbefinnande inom fysiska-, psykiska- och sociala livsområden. Syftet var att undersöka hur kvinnor med bröstcancer värderar sin hälsorelaterade livskvalitet. Litteraturöversiktens design utgick från en deduktiv ansats. Litteraturöversikt gjordes bland artiklar i databaser med inriktning omvårdnad. Resultatet innefattar 18 vetenskapliga artiklar, nio kvalitativa- och nio kvantitativa studier. HRQoL påverkas negativt inom fysiskt-, psykiskt- och socialt välbefinnande hos kvinnor med bröstcancer. Kvinnorna skattar fysisk funktion som försämrad vilket påverkar fysisk HRQoL negativt. Psykisk HRQoL påverkas även negativt då de upplever isolering, depression, ångest, förlust av kontroll och rädsla under bröstcancerbehandling. Kvinnorna skattar betydligt sämre social HRQoL än övrig population då de behöver avstå från dagliga aktiviteter. För att kvinnorna ska kunna uppnå god HRQoL behöver sjuksköterskor ha kunskap om vilka faktorer som påverkar HRQoL vid bröstcancer. Att även tillämpa personcentrerad omvårdnad kan vara betydelsefullt för att uppnå tillfredsställande omvårdnad och HRQoL. Förståelse för kvinnornas HRQoL är av betydelse för vägledning och stöttning genom sjukdomsprocessen.

  • 4443.
    Wibring, Kristoffer
    et al.
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Department of Ambulance and Prehospital Care, Region Halland, Sweden.
    Herlitz, Johan
    The Pre-hospital Research Centre of Western Sweden, Prehospen, University College of Borås, Borås, Sweden.
    Christensson, Lennart
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ARN-J (Aging Research Network - Jönköping).
    Lingman, Markus
    Department of Medicine, Region Halland, Sweden.
    Bång, Angela
    The Pre-hospital Research Centre of Western Sweden, Prehospen, University College of Borås, Borås, Sweden.
    Prehospital factors associated with an acute life-threatening condition in non-traumatic chest pain patients - A systematic review2016Ingår i: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 219, s. 373-379Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Chest pain is a common symptom among patients contacting the emergency medical services (EMS). Risk stratification of these patients is warranted before arrival in hospital, regarding likelihood of an acute life-threatening condition (LTC).

    Aim: To identify factors associated with an increased risk of acute LTC among patients who call the EMS due to non-traumatic chest pain.

    Methods: Several databases were searched for relevant articles. Identified articles were quality-assessed using the Scottish Intercollegiate Guidelines Network checklists. Extracted data was analysed using a semi-quantitative synthesis evaluating the level of evidence of each identified factor.

    Results: In total, 10 of 1245 identified studies were included. These studies provided strong evidence for an increased risk of an acute LTC with increasing age, male gender, elevated heart rate, low systolic blood pressure and ST elevation or ST depression on a 12-lead ECG. The level of evidence regarding the history of myocardial infarction, angina pectoris or presence of a Q wave or a Left Bundle Branch Block on the ECG was moderate. The evidence was inconclusive regarding dyspnoea, cold sweat/paleness, nausea/vomiting, history of chronic heart failure, smoking, Right Bundle Branch Block or T-inversions on the ECG.

    Conclusions: Factors reflecting age, gender, myocardial ischemia and a compromised cardiovascular system predicted an increased risk of an acute life-threatening condition in the prehospital setting in cases of acute chest pain. These factors may form the basis for prehospital risk stratification in acute chest pain.

  • 4444. Wickholm, M
    et al.
    Fridlund, Bengt
    Högskolan i Halmstad.
    Women's health after a first myocardial infarction: a comprehensive perspective on recovery over a 4-year period2003Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 2, nr 1, s. 19-25Artikel i tidskrift (Refereegranskat)
  • 4445. Widar, Marita
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Disability after a stroke and the influence of long-term pain on everyday life2002Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, nr 3, s. 302-310Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Pain after a stroke is a symptom often forgotten, unnoticed although it is reported to be a great problem in care. The aim of this study was to describe disability after a stroke and how long-term pain influences everyday life according to the Multidimensional Pain Inventory - Swedish language version (MPI-S) and to test the reliability of this instrument. Forty-three persons were investigated 2 years after the stroke incident: 15 with central post-stroke pain (CPSP), 18 with nociceptive pain mainly in the shoulder and 10 with tension-type headache. Data collection was performed through the MPI-S and a questionnaire regarding assistive devices, also structured interviews based on the Activities of Daily Living (ADL) staircase and the Self-report impairment questionnaire. The results show that the persons suffered moderate to severe pain. Almost half were dependent in ADL. The most often reported impairments and use of assistive devices concerned mobility and/or motion. This was most frequent in persons with nociceptive pain. There were significant differences in persons with central pain and nociceptive pain compared with tension-type headache with regard to mobility- and/or motion-related activities. No statistical differences emerged between age, gender, different types of pain and the MPI-S scales, nor any significant differences in degree of pain as between different types of pain according to the Self-report impairment questionnaire. The reliability analysis of the MPI-S shows good homogeneity in all scales except Interference, Life Control and Affective Distress. This is the first study with MPI-S on mainly older persons and on stroke patients, thus further research is needed on this instrument as well as on which specific activities evoke the pain. This is in order to offer adequate treatment, care and support to persons with pain after a stroke.

  • 4446. Widar, Marita
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Erfarenheter och konsekvenser av kronisk smärta hos personer med postpoliosyndromet (PPS).1999Ingår i: Kunskap, vetenskap och erfarenhet: utvecklare av vården berättar, Stockholm: Vårdförbundet , 1999Konferensbidrag (Refereegranskat)
  • 4447. Widar, Marita
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Experiences and consequences of pain in persons with post-polio syndrome.1998Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 28, nr 3, s. 606-613Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes the meaning of pain and its implications for everyday life in 35 persons with symptoms of post-polio syndrome. The mean age of the study group is 65 years and the sex ratio of men to women is 1.5:1. The study persons were interviewed on two occasions in their homes and answered a pain questionnaire. The result shows that everyday vocabulary is used to express pain experiences. The study persons normally answered that it hurt, although the interviewers used pain in their questions. The results show that the lower back is the most common location of pain. Joint pains are most common in the upper extremities. The pain is worst in the evening and at night, and tangibly affects the daily rhythm. Physical strain and climatic factors commonly provoke pain, whereas rest and heat give relief. The study show that interviews and pain questionnaire should be supplemented with questions on activities so as to gain a comprehensive view of the difficulties experienced in everyday life.

  • 4448. Widar, Marita
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Funktionshinder efter slaganfall samt hur långvarig smärta inverkar på det dagliga livet.2002Ingår i: Vardagsliv, livskvalitet, habilitering: 8:e forskningskonferensen i Örebro den 13-14 mars 2002 : programbok, Örebro: Psykiatri och habilitering, Örebro läns landsting , 2002Konferensbidrag (Refereegranskat)
  • 4449. Widar, Marita
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Kronisk smärta som det uttrycks av personer med sena effekter av polio.1999Ingår i: Dokumentation: Människa, handikapp, livsvillkor, 7:e forskningskonferensen, Örebro den 13 och 15 april 1999, Örebro: Näringslivskontoret : Psykiatri och habilitering, Örebro läns landsting , 1999Konferensbidrag (Refereegranskat)
  • 4450. Widar, Marita
    et al.
    Ahlström, Gerd
    Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. HHJ. Kvalitetsförbättringar, innovationer och ledarskap inom vård och socialt arbete.
    Långvarig smärta efter stroke.2001Ingår i: Kongressrapport, Nationella forskarskolan i vård och omsorg, 2001Konferensbidrag (Refereegranskat)
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