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Berglund, M., Andersson, S. & Kjellsdotter, A. (2024). A feeling of not being alone – Patients' with COPD experiences of a group‐based self‐management education with a digital website: A qualitative study. Nursing Open, 11(4), Article ID e2153.
Open this publication in new window or tab >>A feeling of not being alone – Patients' with COPD experiences of a group‐based self‐management education with a digital website: A qualitative study
2024 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 11, no 4, article id e2153Article in journal (Refereed) Published
Abstract [en]

Aim

To describe patients' with chronic obstructive pulmonary disease (COPD) experiences of group-based self-management education with a digital website.

Design

A qualitative approach with a phenomenologicalmethod. Patients participating in an earlier study, with self-experience of COPD as a special competence, were involved as research partners at the design of this study.

Methods

Eleven individual and two group interviews with five participants in each group were conducted.

Results

Group-based self-management education with a digital website supports learning. Sharing experiences with others in similar situations creates security and reduces the feeling of being alone. Based on questions and discussion in the group, and through self-reflection, general information is transformed into useful knowledge and understanding of one's own situation. COPD information on the website provides an opportunity to gain knowledge continuously based on needs that contributes to learning. This research has demonstrated that adapting learning activities to individual learning styles increases sustainability of learning. Sharing experiences reduces feelings of loneliness. It is therefore important to create spaces for sharing experiences and in-depth reflection that support learning over time.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024
Keywords
COPD team, eHealth, patient involvement, phenomenology, self-management, sustainable learning
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-23755 (URN)10.1002/nop2.2153 (DOI)001205658800001 ()38641867 (PubMedID)2-s2.0-85191031229 (Scopus ID)
Note

CC BY 4.0 DEED

Correspondence: Mia Berglund, School of Health Sciences, University of Skövde, 541 28 Skövde, Sweden. Email: mia.berglund@his.se

Funding information: Skaraborg Institute, Sweden, Grant/Award Number: 19/1034

Available from: 2024-04-23 Created: 2024-04-23 Last updated: 2024-07-05Bibliographically approved
Berglund, M., Andersson, S. & Kjellsdotter, A. (2024). Reflection tools – support for patient learning in group education. Reflective Practice, 25(5), 634-649
Open this publication in new window or tab >>Reflection tools – support for patient learning in group education
2024 (English)In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 25, no 5, p. 634-649Article in journal (Refereed) Published
Abstract [en]

This qualitative study describes how reflection can be supported by using reflective tools in group education in type 2 diabetes. The changed conditions for living with a long-term illness may lead to increased anxiety and new demands that affect one’s current life situation. The didactic model, ‘The challenge–to take charge of one’s life with long-term illness’, has been developed into ‘Taking responsibility in life with type 2 diabetes–a model for group education in primary care’. Specialized diabetes nurses and dieticians received training, a manual and continuous guidance in applying the model. Reflection diaries, notes and interviews both from the patients and the caregivers were analyzed using a phenomenological hermeneutic method. The results show that using images as reflective tools engages thoughts and feelings in a way that appears to be important for one’s learning in life with a chronic illness. The images contribute to allowing a distance from one’s situation, actions, thoughts and feelings, which seems fruitful for investigating and discovering new ‘things’ about oneself. With the support of reflective tools and guiding questions, reflection is led to a deeper existential level where both caregivers and patients contribute by asking questions that support the reflection process.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2024
Keywords
experiences, lifeworld
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-24423 (URN)10.1080/14623943.2024.2384119 (DOI)001281596500001 ()2-s2.0-85200108697 (Scopus ID)
Note

CC-BY-4.0

Received 18 Feb 2024, Accepted 18 Jul 2024, Published online: 31 Jul 2024

Taylor & Francis Group an informa business

Contact: Mia Berglund mia.berglund@his.se

Funding: We would like to thank the Research and Development Centre at Skaraborg Hospital Skövde, Sweden and the Skaraborg Institute, Sweden for their support [Dnr. 21/1024].

Available from: 2024-08-09 Created: 2024-08-09 Last updated: 2024-10-09Bibliographically approved
Nordblom, A.-K., Kjellsdotter, A., Norberg Boysen, G. & Berglund, M. (2023). Foreign movement in one's own body: Patients' experiences of being awake while treated with catheter ablation — a phenomenological study. International Journal of Qualitative Studies on Health and Well-being, 18(1), Article ID 2238972.
Open this publication in new window or tab >>Foreign movement in one's own body: Patients' experiences of being awake while treated with catheter ablation — a phenomenological study
2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, no 1, article id 2238972Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To address the consequences of living with supraventricular tachycardia and to improve the quality of treatment, there is a need to highlight patient experiences of treatment with catheter ablation. Therefore, the aim was to describe the phenomenon of catheter ablation, as it is experienced by patients being treated awake.

METHODS: A descriptive design was applied based on a reflective lifeworld research founded on phenomenological epistemology. Interviews were conducted between December 2021 and Mars 2022 with seven women and five men, three to twelve months after they underwent catheter ablation.

RESULTS: Patients undergoing catheter ablation while awake during treatment, which includes experiences of relying on others expertise, being actively passive, and striving to be cured. It entails experiences of having a foreign object moving in one's body and heart and can be endured through strategies of mainly shifted one's mental focus.

CONCLUSIONS: The effort of undergoing a catheter ablation procedure is worthwhile as the confirmation of a physical curable condition that opens a future with possibilities instead of the obstacle in daily life that tachycardia entails. For the patients, an informative and caring conversation was needed that would have provided the support they lacked before and during the ablation.

Place, publisher, year, edition, pages
Taylor & Francis Group, 2023
Keywords
catheter ablation, lived experience, patient perspective, phenomenology, reflective lifeworld research, supraventricular tachycardia, Activities of Daily Living, Female, Follow-Up Studies, Humans, Male, Tachycardia, Supraventricular, Wakefulness, daily life activity, follow up, human, procedures
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-23079 (URN)10.1080/17482631.2023.2238972 (DOI)001036776000001 ()37499138 (PubMedID)2-s2.0-85165926843 (Scopus ID)
Note

CC BY 4.0

Taylor & Francis Group an informa business

CONTACT Ann-Katrin Nordblom ann-katrin.nordblom@vgregion.se Department of Cardiology, Skaraborgs Hospital Skövde, Skövde SE-541 85, Sweden

The study was conducted with support from the Research Fund at Skaraborg Hospital, Sweden [VGSKAS-930160] and the Skaraborg Institute [Dnr:19/1037].

Available from: 2023-08-10 Created: 2023-08-10 Last updated: 2023-10-10Bibliographically approved
Nordblom, A.-K., Norberg Boysen, G., Berglund, M. & Kjellsdotter, A. (2022). Health care centre and emergency department utilization by patients with episodes of tachycardia. BMC Cardiovascular Disorders, 22(1), Article ID 124.
Open this publication in new window or tab >>Health care centre and emergency department utilization by patients with episodes of tachycardia
2022 (English)In: BMC Cardiovascular Disorders, E-ISSN 1471-2261, Vol. 22, no 1, article id 124Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Outpatients seek to visit health care facilities for episodes of tachycardia-related signs and symptoms. The challenge for physicians is to balance a proper initial assessment and avoid overlooking a possible arrhythmia. This common clinical situation affects individuals and health care utilization, and effective management may substantially affect health care resources. This study aimed to explore health care utilization for outpatients with episodes of tachycardia visiting health care centres (HCCs) and/or emergency departments (EDs). METHOD: This retrospective study used data of adult outpatients (≥ 18 years) who were assessed by a physician as having a specific or nonspecific diagnosis of arrhythmia between 2017 and 2018, and data were retrieved from medical records and a regional registry database. Data was analysed with appropriate statistical analyses to identify disparities between sex, age and terms of search pattern for each health care facility. Analysis of variance was used to test disparities between the sexes, and one-factor ANOVA was used for the incidence of missed arrhythmias. RESULTS: A total of 2719 visits with 2373 outpatients were included in the study. The result showed a significant difference in the total number of visits (n = 2719) between female and male patients (68% vs. 32%, p < .001). In the 60-69- and 70-79-year age groups, females had significantly higher frequencies of visits than males (p = .018). A significant difference was also observed between sexes in terms of which health care facility they tended to visit (p < .001). Ninety-five percent of the outpatients visiting EDs were hospitalized. When estimating the incidence of missed arrhythmias (diagnoses) in relation to assessments, the results showed a 5% missed diagnosis involving potential atrioventricular nodal re-entry tachycardia and atrioventricular re-entry tachycardia. Moreover, the referral rate was low, especially from HCCs to cardiologists. CONCLUSIONS: This study shows a significant difference in total visits in HCCs and/or EDs by patients of different sexes and indicates the need for improved care for outpatients with episodes of tachycardia. Sex- and age-related differences must be addressed with an aim of providing equal care. Finally, the low rate of referral from HCCs to cardiologists compared to the high proportion of hospitalizations from EDs, deserves further investigation. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2022
Keywords
Arrhythmia, Emergency department, Episodes of tachycardia, Health care centre, Retrospective study, Sex and age differences
National Category
Cardiology and Cardiovascular Disease Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-21039 (URN)10.1186/s12872-022-02568-y (DOI)000772425800001 ()35321644 (PubMedID)2-s2.0-85126836335 (Scopus ID)
Note

CC BY 4.0

This article is licensed under a Creative Commons Attribution 4.0 International License

© 2022. The Author(s)

© 2022 BioMed Central Ltd unless otherwise stated. Part of Springer Nature.

Correspondence: ann‑katrin.nordblom@vgregion.se

The study was conducted with support from Research Fund at Skaraborg Hospital, Sweden [VGSKAS‑930160] and the Skaraborg Institute [Dnr:19/1037].

Available from: 2022-04-07 Created: 2022-04-07 Last updated: 2025-02-10Bibliographically approved
Andersson, T., Linnéusson, G., Holmén, M. & Kjellsdotter, A. (2022). Nurturing innovative culture in a healthcare organisation: Lessons from a Swedish case study. Journal of Health Organization & Management, 37(9), 17-33
Open this publication in new window or tab >>Nurturing innovative culture in a healthcare organisation: Lessons from a Swedish case study
2022 (English)In: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 37, no 9, p. 17-33Article in journal (Refereed) Published
Abstract [en]

Purpose: Healthcare organisations are often described as less innovative than other organisations, since organisational culture works against innovations. In this paper, the authors ask whether it has to be that way or whether is possible to nurture an innovative culture in a healthcare organisation. The aim of this paper is to describe and analyse nurturing an innovative culture within a healthcare organisation and how culture can support innovations in such a healthcare organisation.

Design/methodology/approach: Based on a qualitative case study of a healthcare unit that changed, within a few years, from having no innovations to repeatedly generating innovations, the authors describe important aspects of how innovative culture can be nurtured in healthcare. Data were analysed using inductive and deductive analysis steps.

Findings: The study shows that it is possible to nurture an innovative culture in a healthcare organisation. Relationships and competences beyond healthcare, empowering structures and signalling the importance of innovation work with resources all proved to be important. All are aspects that a manager can influence. In this case, the manager's role in nurturing innovative culture was very important.

Practical implications: This study highlights that an innovative culture can be nurtured in healthcare organisations and that managers can play a key role in such a process.

Originality/value: The paper describes and analyses an innovative culture in a healthcare unit and identifies important conditions and strategies for nurturing innovative culture in healthcare organisations. 

Place, publisher, year, edition, pages
Emerald Publishing, 2022
Keywords
article, health care organization, human, leadership, manager, organizational culture, signal transduction, Healthcare organisation, Innovation, Innovative culture, Organisational culture, Value
National Category
Business Administration
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-22316 (URN)10.1108/JHOM-05-2021-0181 (DOI)000935356100001 ()36815697 (PubMedID)2-s2.0-85148548919 (Scopus ID)
Funder
Vinnova, 2019-03018
Note

CC BY 4.0

© 2022, Thomas Andersson, Gary Linnéusson, Maria Holmén and Anna Kjellsdotter.

Corresponding author Thomas Andersson can be contacted at: thomas.andersson@his.se

The study is funded by VINNOVA – the Swedish Governmental Agency for Innovation Systems, and the grant no is 2019-03018.

Available from: 2023-03-02 Created: 2023-03-02 Last updated: 2023-05-03Bibliographically approved
Berglund, M., Kjellsdotter, A., Wills, J. & Johansson, A. (2022). The best of both worlds – entering the nursing profession with support of a transition programme. Scandinavian Journal of Caring Sciences, 36(2), 446-455
Open this publication in new window or tab >>The best of both worlds – entering the nursing profession with support of a transition programme
2022 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 36, no 2, p. 446-455Article in journal (Refereed) Published
Abstract [en]

Background: Transition into clinical practice for newly graduated nurses is a difficult time, with high stress levels defined by a demanding period of personal and professional acclimatisation. Transitions are complicated and multi-dimensional, and to understand this process, it is crucial to identify the factors that facilitate or stand in the way of a healthy transition.

Aim: The phenomenological study aimed to describe newly graduated nurses’ expectations of transitioning into the nursing profession at the start of a clinical nursing introduction programme, including education, supervision, and critical reflection with peers.

Method: The study was based on seven group interviews with newly graduated nurses. The interviews utilised open-ended and follow-up questions and were carried out as a dialogue to enable reflection on the phenomenon of interest. This was explored and illuminated using the reflective lifeworld research approach, based on phenomenological epistemology.

Findings: “Expectations of transition into the nursing profession viathe Clinical Nursing Introduction Programme” is signified by an oscillating movement between uncertainty, security, challenge, and growth on the threshold of a new identity. The phenomenon is constituted by the courage to grow, responsibility and fear, belonging and vulnerability, and support and challenge.

Conclusion: Transitioning into the nursing profession viathe Clinical Nursing Introduction Programme means having the best of both worlds. Newly graduated nurses have the opportunity to receive education and structured support at the same time as they work independently in clinical practice.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
clinical nursing introduction programme, newly graduated nurses, phenomenology, transition
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-20824 (URN)10.1111/scs.13058 (DOI)000733156000001 ()34939203 (PubMedID)2-s2.0-85121606088 (Scopus ID)
Note

CC BY 4.0

Correspondence Mia Berglund, Associate Professor, PhD, RN, School of Health Sciences, University of Skövde, Sweden.Email: mia.berglund@his.se

Funding information: 

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The study was conducted with support from the Research and Development Centre, Skaraborg Hospital, and The University of Skövde

Available from: 2021-12-30 Created: 2021-12-30 Last updated: 2022-05-16
Linnéusson, G., Andersson, T., Kjellsdotter, A. & Holmén, M. (2022). Using systems thinking to increase understanding of the innovation system of healthcare organisations. Journal of Health Organization & Management, 36(9), 179-195
Open this publication in new window or tab >>Using systems thinking to increase understanding of the innovation system of healthcare organisations
2022 (English)In: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 36, no 9, p. 179-195Article in journal (Refereed) Published
Abstract [en]

Purpose – This paper applies systems thinking modelling to enhance the dynamic understanding of how to nurture an innovative culture in healthcare organisations to develop the innovation system in practice and speed up the innovative work. The model aims to provide a holistic view of a studied healthcare organisation’s innovation processes, ranging from managerial values to its manifestation in improved results.

Design/methodology/approach – The study is based on empirical material from a healthcare unit that, within a few years, changed from having no innovations to repeatedly generating innovations. The study uses the modelling language of causal loop diagrams (CLDs) in the system dynamics methodology to identify the key important aspects found in the empirical material.

Findings – The proposed model, based on the stories of the interviewees, explores the dynamics of inertia when nurturing an innovative culture, identifying delays attributed to the internal change processes and system relationships. These findings underscored the need for perseverance when developing an innovative culture in the entrepreneurial phases.

Practical implications – The approach of using systems thinking to make empirical healthcare research results more tangible through the visual notations of CLDs and mental simulations is believed to support exploring complex phenomena to induce and nurture both individual and organisational learning.

Originality/value – The results from this approach provide deepened analysis and provoke the systems view to explain how the nurturing of the culture can accelerate the innovation processes, which helps practitioners and researchers to further expand their understanding of their healthcare contexts.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2022
Keywords
Innovation system, Healthcare organisation, Organisational culture, Systems thinking
National Category
Business Administration Other Engineering and Technologies
Research subject
Followership and Organizational Resilience
Identifiers
urn:nbn:se:his:diva-21576 (URN)10.1108/jhom-01-2022-0004 (DOI)000820590600001 ()35788441 (PubMedID)2-s2.0-85133304664 (Scopus ID)
Funder
Vinnova, 2019-03018
Note

CC BY 4.0 (Attribution 4.0 International)

Corresponding author: Gary Linnéusson can be contacted at: gary.linneusson@ju.se

The authors acknowledge the colleagues in the research programme of this project, as well as the funding agency, VINNOVA, for the financial support in making the study possible. Funding: The study is funded by VINNOVA – the Swedish Governmental Agency for Innovation Systems, and the award number is 2019-03018.

Available from: 2022-07-06 Created: 2022-07-06 Last updated: 2025-02-10Bibliographically approved
Johansson, A., Berglund, M. & Kjellsdotter, A. (2021). Clinical nursing introduction program for new graduate nurses in Sweden: Study protocol for a prospective longitudinal cohort study. BMJ Open, 11(2), Article ID e042385.
Open this publication in new window or tab >>Clinical nursing introduction program for new graduate nurses in Sweden: Study protocol for a prospective longitudinal cohort study
2021 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 11, no 2, article id e042385Article in journal (Refereed) Published
Abstract [en]

Introduction High levels of nursing turnover represent a problem for healthcare organisations and patient safety. Experiences during the first years in the nursing profession have a significant impact on nurses' future decisions concerning their careers. Nurses at the start of their professional career need to practise their hands-on skills as well as their theoretical knowledge. In addition, new graduate nurses need regular support and opportunities to reflect on experiences in their new profession. The aim of the present study is to describe the Clinical Nursing Introduction Program (CNIP) and present a study design in which the programme is used to support new graduate nurses' transition into the nursing profession. Method and analysis The present study examines the CNIP at a general hospital in southwest Sweden, which lasts for 14 months. The programme has a unique profile based on a person-centred approach and consists of five components: employment and organisation, a compulsory introduction week, two placements in different clinical settings, education days and process-oriented nursing supervision. The present study presents a protocol for a prospective longitudinal cohort study, using qualitative and quantitative methods in the collection and analysis of data. Measurements will include data collection between 2019 and 2023 when the nurses start the CNIP (baseline) and then after 1 and 2 years. Ethics and dissemination This study has been approved by the Regional Ethical Review Board in Gothenburg (Dnr 1056-18). Study findings will be presented at national and international conferences and published in peer-reviewed journals. Trial registration number 273573 (https://www.researchweb.org/is/vgr). 

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2021
Keywords
Health & safety, Protocols & guidelines, Qualitative research, Quality in healthcare
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-19518 (URN)10.1136/bmjopen-2020-042385 (DOI)000620630800006 ()33574149 (PubMedID)2-s2.0-85100844227 (Scopus ID)
Note

CC BY-NC 4.0

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Correspondence to Anita Johansson; anita.ulla.johansson@vgregion.se

Available from: 2021-03-04 Created: 2021-03-04 Last updated: 2023-08-28Bibliographically approved
Kjellsdotter, A., Andersson, S. & Berglund, M. (2021). Together for the future – development of a digital website to support chronic obstructive pulmonary disease self-management: A qualitative study. Journal of Multidisciplinary Healthcare, 14, 757-766
Open this publication in new window or tab >>Together for the future – development of a digital website to support chronic obstructive pulmonary disease self-management: A qualitative study
2021 (English)In: Journal of Multidisciplinary Healthcare, E-ISSN 1178-2390, Vol. 14, p. 757-766Article in journal (Refereed) Published
Abstract [en]

Background: Symptom burden, impaired functional performance and decreased quality of life are not only consequences of the underlying physiological disorder chronic obstructive pulmonary disease (COPD) but also dependent on a patient’s ability to learn to live with and manage their illness. A digital website may be important for empowering patients with COPD to learn about and self-manage their illness. The aim of this study was to describe a developing process of a digital COPD-web as a part of a self-management education program for persons living with COPD. Methods: A qualitative approach with a phenomenological perspective was used. The study was based on group and individual interviews with a multidisciplinary COPD-team and patients who developed the COPD-web. Results: The developing process appears as a person-centred and holistic self-care approach both in content and development. Developing a digital COPD-web requires ongoing multi-disciplinary collaboration and spawns a sense of pride that reinforces shared responsibility. The phenomenon consists of four constituents: learning by participating in development, the patient perspective as guiding approach, responsibility and motivation as driving forces and digital technology as a knowledge arena. Conclusion: The results indicate that constructive collaboration between a multidisciplinary COPD-team and patients as co-creators in an ongoing creative and reflective process is a key concept to develop a digital COPD-web with a holistic approach. Digital resources in the future might create time and space for reflective conversations in a COPD-web with virtual chatrooms. 

Place, publisher, year, edition, pages
Dove Medical Press Ltd, 2021
Keywords
COPD-team, Digital tool, Patient involvement, Self-management, Sustainable learning
National Category
Nursing
Research subject
Wellbeing in long-term health problems (WeLHP)
Identifiers
urn:nbn:se:his:diva-19686 (URN)10.2147/JMDH.S302013 (DOI)000637218800001 ()33854327 (PubMedID)2-s2.0-85104675469 (Scopus ID)
Note

CC BY-NC 3.0

© 2021 Kjellsdotter et al.

Correspondence: Anna Kjellsdotter Research and Development Centre, Skaraborg Hospital Skövde, Skövde, S-54185, Sweden Tel +46 768051962 Email anna.kjellsdotter@vgregion.se

Funding Agency Grant Number:

Skaraborg Institute, Sweden 19/1034

Research and Development Centre, Skaraborg Hospital Skövde, Sweden

Available from: 2021-05-06 Created: 2021-05-06 Last updated: 2024-07-04Bibliographically approved
Kjellsdotter, A., Edéll-Gustafsson, U. & Yngman-Uhlin, P. (2020). Associations Between Sleep and Personality Factors Among Patients Living With Coronary Artery Disease. Journal of Cardiovascular Nursing, 35(6), 568-575
Open this publication in new window or tab >>Associations Between Sleep and Personality Factors Among Patients Living With Coronary Artery Disease
2020 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 35, no 6, p. 568-575Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Insomnia symptoms have become increasingly common in patients with coronary artery disease (CAD). Increasing evidence suggests comorbidity between personality traits and health status. Considering personality traits may act as a predisposition for future illness; this state may influence sleep quality and it appears to precipitate cardiac events in high-risk patients.

OBJECTIVE: The aim of this study was to investigate self-reported sleep deficiency in relation to vicious cycle of sleeplessness (VCS) behavior, hyperarousal behavioral trait (H-personality), and type D personality traits in patients with CAD and in a population-based group. Furthermore, our aim was to explore the association of VCS behavior with H-personality trait and type D personality. Finally, we investigated to what extent type D personality can explain self-reported too little sleep in patients with CAD.

METHODS: An observational case-control design was applied comprising 859 patients in cardiac outpatient care and 859 participants from a population-based group. Questionnaires assessing VCS behavior, H-personality, type D personality, and perceptions of too little sleep were used.

RESULTS: Statistically significant higher scores of a hyperarousal and sleeplessness behavior were revealed for those with too little sleep compared with those with sufficient sleep in both the patient and the population-based group. Age, female gender, or sleeplessness behavior significantly predicted too little sleep (P < .001).

CONCLUSIONS: The current study highlights the advantage of studying heterogeneity in patients with CAD from a person-centered perspective with focus to identify distressed individuals in order to prevent or treat sleep deficiency. A cluster of factors may be a more accurate predictor of patient-reported outcomes than a single psychosocial factor.

Place, publisher, year, edition, pages
Wolters Kluwer, 2020
National Category
Cardiology and Cardiovascular Disease
Identifiers
urn:nbn:se:his:diva-19405 (URN)10.1097/JCN.0000000000000691 (DOI)32398499 (PubMedID)2-s2.0-85092945742 (Scopus ID)
Note

Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. Correspondence Anna Kjellsdotter, PhD, RN, Research and Development Centre, Skaraborg Hospital Skövde, SE-541 85 Skövde, Sweden (anna.kjellsdotter@vgregion.se)

Available from: 2021-01-17 Created: 2021-01-17 Last updated: 2025-02-10Bibliographically approved
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