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  • 1051.
    Samuelsson, Jessica
    et al.
    Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap), University of Gothenburg, Sweden.
    Rothenberg, Elisabet
    Food and Meal Science, Kristianstad University, Sweden.
    Lissner, Lauren
    Department of Community Medicine and Public Health, University of Gothenburg, Sweden.
    Eiben, Gabriele
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Zettergren, Anna
    Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap), University of Gothenburg, Sweden.
    Skoog, Ingmar
    Neuropsychiatric Epidemiology Unit, Department of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, Centre for Ageing and Health (AgeCap), University of Gothenburg, Sweden.
    Time trends in nutrient intake and dietary patterns among five birth cohorts of 70-year-olds examined 1971-2016: results from the Gothenburg H70 birth cohort studies, Sweden2019In: Nutrition Journal, ISSN 1475-2891, E-ISSN 1475-2891, Vol. 18, no 1, article id 66Article in journal (Refereed)
    Abstract [en]

    Background Nutrition is a key factor in healthy ageing but there are still gaps in knowledge about risk- and protective factors linking diet and healthy ageing. The aim of this study was to investigate time trends in dietary patterns and nutrient intake in an older population, in order to increase the understanding of whether dietary recommendations are followed and if nutrient needs are met. Methods Cross-sectional data was derived from five samples of 70-year-olds examined 1971-72, 1981-83, 1992-93, 2000-02 and 2014-16 from the Gothenburg H70 birth cohort studies in Sweden. A total of 2246 individuals (56% women) participated. Dietary intake was determined by the diet history method, which is an interview including questions on usual frequencies and portion sizes of food intake during the preceding three months. Recommended values of nutrient intake and determinants of healthful dietary patterns were based on the Nordic Nutrition Recommendations 2012. Statistical analyses were performed using general linear models, student's t-test and chi-square test, stratified by sex. Results The intake of fruits and vegetables, fish and seafood, whole grain products and nuts and seeds increased during the study period (p < 0.0001), among both sexes. However, there was also an increase in alcohol intake (p < 0.0001), especially from wine and beer, and in 2014-16 more than 30% had an alcohol intake above recommendations. Protein intake increased (p < 0.0001 for women and p = 0.0004 for men), and 48% of the women and 37% of the men had a protein intake above recommended 1.2 g/kg body weight and day in 2014-16. The proportion of participants at risk of inadequate intake of vitamins C, D and folate decreased during the study period, among both sexes (p < 0.0001). However, vitamin D intake from diet was still below average requirement level of 7.5 mu g/day for 49% of the women and 32% of the men in 2014-16. Conclusions Dietary patterns have changed among 70-year-olds during the past five decades, with an increase in healthful foods and a higher nutrient density in later born birth cohorts. However, the intake of alcohol increased, especially among women. Results from this study can be useful as a basis for dietary guidelines and used for prevention strategies involving older adults in population-based and health care settings.

  • 1052.
    Sand Ekmark, Ida
    et al.
    University of Skövde, School of Health and Education.
    Åkesdotter Bäcklund, Victoria
    University of Skövde, School of Health and Education.
    I livets slutskede vid obotlig sjukdom: En självbiografistudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Death is a normal process from which there are no exceptions. Central aspects of palliative care is to respect the patients autonomy and right to make own decisions. How patients experience their quality of life is strongly associated to their existential wellbeing. It is not possible to ease all suffering, only those parts that are connected to the treatment. To be able to promote a good communication at the end of life is it necessary that it’s encouraging and supportive.

    Aim: The purpose of this thesis was to describe patients reported experiences as their life came to an end.

    Methods: A qualitative study with narrative approach was chosen as method, seven self-biographies were included.

    Results: Four categories emerged: Another perspective on life, The difficulties of being ill, As patient exercise own will, and The desire to retain life-quality with eleven subcategories.

    Conclusions: Another approach to life is obtained when the unimaginable news is notified. The difficultness about being terminally ill was physical symptoms and feelings of guilt. To be seen and their own will was a priority and the desire to preserve the quality of life.

  • 1053.
    Sandberg, Anneli
    University of Skövde, School of Health and Education.
    Yrkeslärarens digitala kompetens: Vilka konsekvenser ger det för yrkeslärarens kunskapsutveckling?2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1054.
    Sandberg, Fredrik
    et al.
    Linköping University, Linköping, Sweden.
    Fejes, Andreas
    Linköping University, Linköping, Sweden.
    Dahlstedt, Magnus
    Linköping University, Linköping, Sweden.
    Olson, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Dalarna University, Falun, Sweden / Stockholm University, Stockholm, Sweden.
    Adult education as a heterotopia of deviation: a dwelling for the abnormal citizen2016In: Adult Education Quarterly, ISSN 0741-7136, E-ISSN 1552-3047, Vol. 66, no 2, p. 103-119Article in journal (Refereed)
    Abstract [en]

    We argue that municipal adult education (MAE) can be seen as a place for displaced and abnormal citizens to gain temporary stability, enabling their shaping into desirable subjects. Drawing on a poststructural discursive analysis, we analyse policy texts and interviews with teachers and students. Our analysis illustrates how two distinct student subjectivities are shaped: the rootless, unmotivated and irresponsible student and the responsible, motivated and goal-oriented one. The difference is that the latter of these subjectivities is positioned as desirable. MAE provides a temporary place in time, a heterotopia of deviation, allowing students to escape precarious employment. The heterotopia places the students in a positive utopian dream of the future. A utopia is not a real place, and what is to become of the students after finishing MAE is not determined; the students themselves should shape it. If they fail, in line with a neoliberal governmentality, it is their own fault. 

  • 1055.
    Sandberg, Sara
    et al.
    University of Skövde, School of Health and Education.
    Wijk, Nathalie
    University of Skövde, School of Health and Education.
    Samhällets kostnader för övervikt och fetma: En litteraturstudie2016Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
  • 1056.
    Sandsjö, Emma
    et al.
    University of Skövde, School of Health and Education.
    Carlsson, Lili-Ann
    University of Skövde, School of Health and Education.
    När livet aldrig mer blir sig likt: Att leva med bröstcancer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Bröstcancer är en av de vanligaste cancerdiagnoserna bland kvinnor och varje år drabbas cirka 8000 kvinnor. När kvinnorna drabbas av bröstcancer kommer cancerbeskedet ofta oväntat och kan medföra ett stort lidande. Efter olika behandlingar sker en förändring av kvinnans kropp och kvinnorna upplever att deras kvinnlighet och identitet går förlorad. Kvinnorna måste lära sig att leva med och acceptera förändringen, detta är en daglig utmaning för många av kvinnorna. Syfte: Syftet med studien var att beskriva kvinnors upplevelser av att leva med bröstcancer. Metod: En kvalitativ datainsamling användes och åtta självbiografiska böcker skrivna av kvinnor som upplevt hur det är att leva med bröstcancer lästes. Biografierna analyserades med hjälp av en narrativ analys. Resultat: I analysen framkom tre kategorier; en förändrad livssituation, att inte vara ensam och en förlorad kvinnlighet. Diskussion: När kvinnorna drabbas av bröstcancer förändras deras livsvärld och ett lidande uppstår. Att övervinna cancern och öka välbefinnandet är det stora målet. För att klara av att leva krävs bra information och ett bra stöd. Möjligheten till en bättre hälsa kan då upplevas. Slutsats: Kvinnornas livsvärld förändras och behovet av stöd är viktigt. När sjuksköterskan har kunskap om kvinnornas upplevelser ökar förutsättningarna för personcentrerad vård. 

  • 1057.
    Sargun Dawod, Tanya
    et al.
    University of Skövde, School of Health and Education.
    Pettersson Dahl, Katja
    University of Skövde, School of Health and Education.
    Migration och identitet: En kvalitativ intervjustudie med arabisktalande kvinnliga immigranter i Sverige2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Migration is a current subject in today's society. Many people are forced to migrate to a new country, but many of them are moving for other reasons, for example to study, to work or start a family. The aim of this paper is to gain an increased understanding of Arabic speaking female immigrant’s experiences of the adaptation process and whether there is a change in gender identity. The selection consists of Arabic speaking women who have lived in Sweden for a maximum of five years. A qualitative approach has been used and data were collected through interviews and analyzed within the themes that were presented by the research. In analysis, four such themes were identified, such as identity, social relations, cultural differences and migration processes. The result of the study shows that the majority of the respondents perceive that they have been affected by migration, that they have experienced cultural differences in Sweden compared with their homelands and that they are influenced by their social relations.

  • 1058.
    Saxenborn, Patricia
    University of Skövde, School of Health and Education.
    Investigating the Effect of 1,25-Dihydroxyvitamin D3 and Retinoic acid on Viability, Differentiation and Migration in NB69 and T47D cells.2016Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Cancer is a well-known disease that many people encounter in their lifetime. There is constantly research being performed on cancer to find treatments for those types where none has been found, or even find better or more efficient treatments for those cancer types where there already is treatment available. Two types of cancer that have been studied in this thesis are neuroblastoma, which is a form of cancer that affects children and infants, and breast cancer. The 13-cis retinoic acid is presently used as treatment for neuroblastoma post-surgery and post-chemo therapy, but the treatment is quite invasive. It has been shown that 1,25-dihydroxyvitamin D3 is a good candidate for cancer treatment, and the aim of this study was to investigate whether a combination of 1,25-dihydroxyvitamin D3 and two forms of retinoic acid, all-trans and 13-cis, could cause synergistic effects on cell viability, invasion, and differentiation of the cells. The two vitamins were combined at different concentrations and ratios to make the different treatments. A proliferation assay with absorbance measurement was performed to determine cell viability, and a migration assay was performed to observe the migratory properties of the cells after treatment. The results concluded that the combined treatments had greater effect than the single treatments on cell viability in both neuroblastoma and breast cancer cells. The results showed that single treatment of 13-cis retinoic acid and combined treatments had the highest effect on invasion and differentiation on neuroblastoma cells.

  • 1059.
    Schubert, Erik
    University of Skövde, School of Health and Education.
    Study of potential Anti-cancer effects of Pterostilbene, Blueberry extract and 1,25 vitamin D3 on the viability of Pancreatic cancer cells (PANC-1)2018Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
    Abstract [en]

    Blueberries, a natural antioxidant and provider of important vitamins have recently increased interest in cancer research. Pterostilbene, a compound found in blueberries seems to exhibit anticancer effects in various cancer types. This study further investigated how pterostilbene as well as blueberry extract itself might influence cancer growth specifically focusing on pancreatic cancer. In addition, the effects of vitamin D on pancreas cancer were also investigated since pancreas cells express a vitamin D receptor. PANC-1 cells were treated with pterostilbene concentrations ranging from 20-100 µM, a vitamin D (1α25(OH)2D3) concentration of 10-8M as well as concentrations of 0.1-2.0% for blueberry extract at time periods of 24, 48- and 72-hours for each treatment. Pterostilbene significantly decreased PANC-1 viability at 100 µM for all time points. Blueberry extract significantly decreased PANC-1 cell viability at all concentrations and time points, however less so at 48 hours. Vitamin D significantly decreased PANC-1 viability after 24 and 48 hours but not at 72 hours. Pterostilbene and blueberry extract probably lead to apoptosis in pancreas cancer due to their effect on cancerogenic mitochondria by elevating pro-apoptotic gene expression leading to cell cycle arrest. Vitamin D might have some effect in pancreas cancer by decreasing the expression Drp1 which is activated by the MAPK pathway but is otherwise a conflicted factor in cancer treatment. In conclusion natural compounds such as pterostilbene show anticancer properties that have currently no side effects which makes them promising agents that might help in future cancer treatment.

  • 1060.
    Seckar, Kristina
    et al.
    University of Skövde, School of Health and Education.
    Öz, Ronay
    University of Skövde, School of Health and Education.
    Sjuksköterskors upplevelser av att vårda palliativa patienter: En kvalitativ litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care aims to support the patient to achieve the best possible quality of life toward the end of life. The purpose of palliative care is to relieve pain and symptoms so that the patient will be more comfortable. As a nurse it’s important to work by a personalized care. The 6:s is a care model that is included in the personalized care and aims to relieve suffering, to promote well-being and support the family before and after death. Aim: The purpose of the study is to describe the nurse's experiences in taking care of palliative patients toward the end of life at hospital. The method that was used was a literature review and the result was based on eleven qualitative articles. The results are presented in three main themes; the meaning of good communication, the importance of close relatives and aspects that complicate palliative care. The results shows that nurses find that factors such as lack of time, knowledge and experience prevent good palliative care, while good communication with patients and close relatives brings safety. Conclusion: The conclusion is that this thesis shows that many factors are important in order to provide a good palliative care in the end of life.

  • 1061.
    Sedghi, Maryam
    et al.
    Medical Genetics Laboratory, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
    Moslemi, Ali-Reza
    Department of Pathology, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
    Cabrera-Serrano, Macarena
    Department of Neurology, Hospital Universitario Virgen del Rocio, Sevilla, Spain / Instituto de Biomedicina de Sevilla, Universidad de Sevilla, Sevilla, Spain.
    Ansari, Behnaz
    Department of neurology, Isfahan University of Medical Sciences, Isfahan, Iran.
    Ghasemi, Majid
    Department of neurology, Isfahan University of Medical Sciences, Isfahan, Iran.
    Baktashian, Mojtaba
    Medical Genetics Laboratory, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
    Fattahpour, Ali
    Radiology Resident, Department of Radiology, Mashhad University of Medical Sciences, Mashhad, Iran.
    Tajsharghi, Homa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Recessive Charcot-Marie-Tooth and multiple sclerosis associated with a variant in MCM3AP2019In: Brain Communications, E-ISSN 2632-1297, Vol. 1, no 1Article in journal (Refereed)
    Abstract [en]

    Variants in MCM3AP, encoding the germinal-centre associated nuclear protein, have been associated with progressive polyneuropathy with or without intellectual disability and ptosis in some cases, and with a complex phenotype with immunodeficiency, skin changes and myelodysplasia. MCM3AP encoded protein functions as an acetyltransferase that acetylates the replication protein, MCM3, and plays a key role in the regulation of DNA replication. In this study, we report a novel variant in MCM3AP (p.Ile954Thr), in a family including three affected individuals with characteristic features of Charcot-Marie-Tooth neuropathy and multiple sclerosis, an inflammatory condition of the central nervous system without known genetic cause. The affected individuals were homozygous for a missense MCM3AP variant, located at the Sac3 domain, which was predicted to affect conserved amino acid likely important for the function of the germinal-centre associated nuclear protein. Our data support further expansion of the clinical spectrum linked to MCM3AP variant and highlight that MCM3AP should be considered in patients with accompaniment of recessive motor axonal Charcot-Marie-Tooth neuropathy and multiple sclerosis.

  • 1062.
    Sedghi, Maryam
    et al.
    Medical Genetics Laboratory, Alzahra University Hospital, Isfahan University of Medical Sciences, Iran.
    Moslemi, Ali-Reza
    Department of Pathology, University of Gothenburg, Sahlgrenska University Hospital, Sweden.
    Olive, Montse
    Institute of Neuropathology, Department of Pathology, Institut Investigacio Biomedica de Bellvitge (IDIBELL)-Hospital de Bellvitge, Hospitalet de Llobregat, Spain / Neuromuscular Unit, Department of Neurology, Institut Investigacio Biomedica de Bellvitge-(IDIBELL)-Hospital de Bellvitge, Hospitalet de Llobregat, Spain.
    Etemadifar, Masoud
    Department of Functional Neursurgery, Faculty of Medicine, Isfahan University of Medical Sciences, Iran.
    Ansari, Behnaz
    Department of Neurology, Faculty of Medicine, Isfahan University of Medical Sciences, Iran.
    Nasiri, Jafar
    Department of Pediatric Neurology, Faculty of Medicine, Isfahan University of Medical Sciences, Iran.
    Emrahi, Leila
    Department of Pathology, University of Gothenburg, Sahlgrenska University Hospital, Sweden.
    Mianesaz, Hamid-Reza
    Department of Genetics and Molecular Biology, Isfahan University of Medical Sciences, Iran.
    Laing, Nigel G.
    Centre for Medical Research, The University of Western Australia and the Harry Perkins Institute for Medical Research, Nedlands, Australia.
    Tajsharghi, Homa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Centre for Medical Research, The University of Western Australia and the Harry Perkins Institute for Medical Research, Nedlands, Australia.
    Motor neuron diseases caused by a novel VRK1 variant - A genotype/phenotype study2019In: Annals of clinical and translational neurology, E-ISSN 2328-9503, Vol. 6, no 11, p. 2197-2204Article in journal (Refereed)
    Abstract [en]

    Background Motor neuron disorders involving upper and lower neurons are a genetically and clinically heterogenous group of rare neuromuscular disorders with overlap among spinal muscular atrophies (SMAs) and amyotrophic lateral sclerosis (ALS). Classical SMA caused by recessive mutations in SMN1 is one of the most common genetic causes of mortality in infants. It is characterized by degeneration of anterior horn cells in the spinal cord, leading to progressive muscle weakness and atrophy. Non-SMN1-related spinal muscular atrophies are caused by variants in a number of genes, including VRK1, encoding the vaccinia-related kinase 1 (VRK1). VRK1 variants have been segregated with motor neuron diseases including SMA phenotypes or hereditary complex motor and sensory axonal neuropathy (HMSN), with or without pontocerebellar hypoplasia or microcephaly. Results Here, we report an association of a novel homozygous splice variant in VRK1 (c.1159 + 1G>A) with childhood-onset SMA or juvenile lower motor disease with brisk tendon reflexes without pontocerebellar hypoplasia and normal intellectual ability in a family with five affected individuals. We show that the VRK1 splice variant in patients causes decreased splicing efficiency and a mRNA frameshift that escapes the nonsense-mediated decay machinery and results in a premature termination codon. Conclusions Our findings unveil the impact of the variant on the VRK1 transcript and further support the implication of VRK1 in the pathogenesis of lower motor neuron diseases.

  • 1063.
    Sedghi, Maryam
    et al.
    Medical Genetics Laboratory, Alzahra University Hospital, Isfahan University of Medical Sciences, Isfahan, Iran.
    Salari, Mehri
    Department of Neurology, Shahid Beheshti University of Medical Science, Tehran, Iran.
    Moslemi, Ali-Reza
    Department of Pathology, University of Gothenburg, Sahlgrenska University Hospital, Sweden.
    Kariminejad, Ariana
    Kariminejad-Najmabadi Pathology and Genetics Center, Tehran, Iran.
    Davis, Mark
    Department of Diagnostic Genomics, Pathwest, QEII Medical Centre, Australia.
    Goullée, Hayley
    Centre for Medical Research, University of Western Australia / Harry Perkins Institute for Medical Research, Nedlands, Australia.
    Olsson, Björn
    University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre.
    Laing, Nigel
    Centre for Medical Research, University of Western Australia / Harry Perkins Institute for Medical Research, Nedlands, Australia.
    Tajsharghi, Homa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Centre for Medical Research, University of Western Australia / Harry Perkins Institute for Medical Research, Nedlands, Australia.
    Ataxia-telangiectasia-like disorder in a family deficient for MRE11A, caused by a MRE11 variant2018In: Neurology: Genetics, ISSN 2376-7839, Vol. 4, no 6, article id e295Article in journal (Refereed)
    Abstract [en]

    Objective We report 3 siblings with the characteristic features of ataxia-telangiectasia-like disorder associated with a homozygous MRE11 synonymous variant causing nonsense-mediated mRNA decay (NMD) and MRE11A deficiency. Methods Clinical assessments, next-generation sequencing, transcript and immunohistochemistry analyses were performed. Results The patients presented with poor balance, developmental delay during the first year of age, and suffered from intellectual disability from early childhood. They showed oculomotor apraxia, slurred and explosive speech, limb and gait ataxia, exaggerated deep tendon reflex, dystonic posture, and mirror movement in their hands. They developed mild cognitive abilities. Brain MRI in the index case revealed cerebellar atrophy. Next-generation sequencing revealed a homozygous synonymous variant in MRE11 (c.657C>T, p.Asn219=) that we show affects splicing. A complete absence of MRE11 transcripts in the index case suggested NMD and immunohistochemistry confirmed the absence of a stable protein. Conclusions Despite the critical role of MRE11A in double-strand break repair and its contribution to the Mre11/Rad50/Nbs1 complex, the absence of MRE11A is compatible with life. 

  • 1064.
    Sellberg, Jessica
    University of Skövde, School of Health and Education. a15jesse@student.his.se.
    Att införa fysisk aktivitet hos inaktiva vuxna med övervikt: Vad bidrar det med?2018Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction: Overweight and inactivity are common in society. The purpose of this literature review was to describe what the introduction of physical activity can contribute to inactive overweight adults.

    Method: A thematic analysis was used where articles were searched, identified and analyzed for themes.

    Outcome: Four themes were identified as areas where physical activity could contribute to obese people. These were physiological changes and increased well-being where lower blood pressure, reduced risk of diabetes and improved chronic conditions were seen. Weight loss where both weight and waist size decreased. Increased motivation where increased confidence in their own ability existed and higher quality of life with increased balance in life made it more meaningful.

    Discussion: Research shows that physical activity contributes to several health-promoting properties, such as higher quality of life and less risk of disease, in inactive people.

  • 1065.
    Shabani, Angelica
    et al.
    University of Skövde, School of Health and Education.
    Westergren, Carina
    University of Skövde, School of Health and Education.
    ”Det är svårt att leva, det är svårt att dö”: En studie av självbiografier om patienters upplevelser av att leva med obotlig cancer2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: More people suffer from cancer and for some people it becomes incurable. Diagnosis and treatment cause emotional chaos and suffering which affects patients’ life world. Physical changes in the body cause limitation on patient’s physical, mental and social existence. Palliative care is important to meet patients’ multidimensional needs, as it is a team based practice. Nurse’s role and responsibilities are to give support and strengthen patients’ hope and reduce suffering.

    Aim: To illuminate patients’ experiences of living with incurable cancer.

    Method: Through a qualitative approach, six autobiographies were analyzed by a meaning analysis.

    Results: The notification of incurable cancer created existential thoughts and feelings. Patients’ needed a process to deal and find an approach to the disease. Support from the family became more important. Hope played an important role and patients’ had constant ambition for self-control.

    Discussion: By the support from the nurse, patients can find the approach to the cancer, strengthen the feeling of hope and quality of life. To achieve a good palliative care, collaboration between healthcare providers is an important part.

    Conclusion: Incurable cancer affects the patient's whole life-world. Support from the loved ones and the nurse is an important part for the patient's wellbeing.

  • 1066.
    Shrestha, Binjwala
    et al.
    Tribhuvan University, Kathmandu, Nepal / Sahlgrenska Academy at University of Gothenburg.
    Onta, Sharad
    Tribhuvan University, Kathmandu, Nepal.
    Choulagai, Bishnu
    Tribhuvan University, Kathmandu, Nepal / Sahlgrenska Academy at University of Gothenburg.
    Paudel, Rajan
    Tribhuvan University, Kathmandu, Nepal.
    Petzold, Max
    University of Gothenburg / University of the Witwatersrand, Johannesburg, South Africa.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Sahlgrenska Academy at University of Gothenburg / UiT The Arctic University of Norway.
    Uterine prolapse and its impact on quality of life in the Jhaukhel-Duwakot Health Demographic Surveillance Site, Bhaktapur, Nepal2015In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 8, p. 1-9, article id 28771Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Uterine prolapse (UP) is a reproductive health problem and public health issue in low-income countries including Nepal.

    OBJECTIVE: We aimed to identify the contributing factors and stages of UP and its impact on quality of life in the Jhaukhel-Duwakot Health Demographic Surveillance Site of Bhaktapur, Nepal.

    DESIGN: Our three-phase study used descriptive cross-sectional analysis to assess quality of life and stages of UP and case-control analysis to identify contributing factors. First, a household survey explored the prevalence of self-reported UP (Phase 1). Second, we used a standardized tool in a 5-day screening camp to determine quality of life among UP-affected women (Phase 2). Finally, a 1-month community survey traced self-reported cases from Phase 1 (Phase 3). To validate UP diagnoses, we reviewed participants' clinical records, and we used screening camp records to trace women without UP.

    RESULTS: Among 48 affected women in Phase 1, 32 had Stage II UP and 16 had either Stage I or Stage III UP. Compared with Stage I women (4.62%), almost all women with Stage III UP reported reduced quality of life. Decreased quality of life correlated significantly with Stages I-III. Self-reported UP prevalence (8.7%) included all treated and non-treated cases. In Phase 3, 277 of 402 respondents reported being affected by UP and 125 were unaffected. The odds of having UP were threefold higher among illiterate women compared with literate women (OR=3.02, 95% CI 1.76-5.17), 50% lower among women from nuclear families compared with extended families (OR=0.56, 95% CI 0.35-0.90) and lower among women with 1-2 parity compared to >5 parity (OR=0.33, 95% CI 0.14-0.75).

    CONCLUSIONS: The stages of UP correlated with quality of life resulting from varied perceptions regarding physical health, emotional stress, and social limitation. Parity, education, age, and family type associated with UP. Our results suggest the importance of developing policies and programs that are focused on early health care for UP. Through family planning and health education programs targeting women, as well as women empowerment programs for prevention of UP, it will be possible to restore quality of life related to UP.

  • 1067.
    Shrestha, Binjwala
    et al.
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden.
    Onta, Sharad
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
    Choulagai, Bishnu
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal / Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden.
    Shrestha, Khadga B.
    Department of Community Medicine and Public Health, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
    Petzold, Max
    Health Metrics at Sahlgrenska Academy, University of Gothenburg, Sweden / School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
    Krettek, Alexandra
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy at University of Gothenburg, Sweden / Department of Community Medicine, Faculty of Health Sciences, The Arctic University of Norway, Tromsø, Norway.
    Knowledge, prevalence and treatment practices of uterine prolapse among women of reproductive age in the Jhaukhel-Duwakot Health Demographic Surveillance Site, Bhaktapur, Nepal2014In: Journal of Kathmandu Medical College, ISSN 2091-1785, Vol. 3, no 4, p. 136-143Article in journal (Refereed)
    Abstract [en]

    Background: Uterine prolapse (UP) is a main contributor to reproductive health problems that influence women’s quality of life. In Nepal, the UP prevalence ranges from 7-27%. Women experience various difficulties and symptoms due to UP, which are determined by the type as well as thestage of UP.

    Objectives: This study aimed to explore the knowledge, prevalence and treatment practices of uterine prolapse among women of reproductive age in the peri-urban Jhaukhel-Duwakot Health Demographic Surveillance Site (JD-HDSS) in the Bhaktapur district of Nepal.

    Methods: This cross-sectional study collected data in two stages. A structured survey of 3,124 households in JD-HDSS, incorporating 60% of all women of reproductive age, assessed knowledge of uterine prolapse and identified self-reported disease prevalence (symptomatic). Next, we organised a five day clinical screening camp at JD-HDSS to identify the prevalence of uterine prolapse in attendees. The household survey was conducted on September-December 2012 and the UP screening camp on May-June 2013. Descriptive statistics was used to analyse the proportion of comprehensive knowledge regarding UP and the prevalence of UP.

    Results: Ninety-three percent of women in JD-HDSS had heard of uterine prolapse and 55% of those had comprehensive knowledge. Self-reported (symptomatic) prevalence was 2.11% (8.5% including women who had undergone hysterectomy for uterine prolapse). Among these, 52.6% had received no treatment. The most common reported treatments of uterine prolapse included surgery (53.2%), exercise and medicine (35.5%) and pessary (11.3%). Among women attending the outreach camp (N=303), UP prevalence was 15.18%.

    Conclusion: Knowledge of uterine prolapse among women in JD-HDSS is almost double that reported in a national survey. Similarly, the prevalence of self-reported uterine prolapse in JD-HDSS is almost three fold less than the national prevalence. Knowledge, early healthcare practices and availability of surgical care for uterine prolapse might have contributed to these findings.

  • 1068.
    Sieverthson, Emelie
    et al.
    University of Skövde, School of Health and Education.
    Hansson, Andréa
    University of Skövde, School of Health and Education.
    En fenomenografisk studie om lekens och kreativitetens betydelse för elevers lärande i årskurs 1-32014Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The background to this study is based on our experiences, that teaching in grade 1-3 is governed by the teachers and that the playful and creative teaching is missing. This has led to a reflection regarding why teaching has to be controlled by the teacher, and what effects the absence of play and creativity has in the pupils learning process. The purpose with the study is to analyze teachers opinion and what they think, play and creativity’s is doing for the students learning in class, which is made through a phenomenographic qualitative study. Therefore, our method is made through phenomenographic research approach, with phenomenographic interviews. The result of the study shows that play and creativity is important and motivates pupils to learn. However, the teachers could also see some aspects that eliminated the possibility to teach through play and creativity. Which has its starting point in the curriculum (Skolverket, 2011). The study discusses the functionality of playful and creative elements of teaching, which are based on several aspects to pupils learning process.

  • 1069.
    Sigonius, Sandra
    et al.
    University of Skövde, School of Health and Education.
    Dorji, Sofia
    University of Skövde, School of Health and Education.
    Barnmorskors professionella stöd för att främja sexuell hälsa för kvinnor i klimakteriet2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 1070.
    Sigurd, Marita
    University of Skövde, School of Health and Education.
    Distriktssköterskors stöd till patienter med hjärtsvikt i hemmet: En kvalitativ intervjustudie2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of patients with heart failure will increase in the future as more older people survive a heart attack, which is a common cause of heart failure. Many heart failure patients choosing to receive care in their home which poses a challange for district nurses in the community health-care.  Aim: The aim of this study is to illuminate districtnurse´s support for patients with grave heart failure at home in community home care Method: Six interviews were conducted with districtnurse´s. The data from these interviews were analyzed with an inductive content analysis.  Results: From the analysis, five major categories were found; coordinate care efforts, build close interactions with relatives, follow each other from a palliative stage to the end, lack of physician involvement and deficiencies in the organization. Conclusion: The result shows that it is important that the district nurse know their patient´s well in order to provide the proper support. It also appears that relatives need support to cope and feel secure, which can be crucial if the patient can be cared for at home. Deficiencies are both internally and externally that can have consequenses. Further studies may be within a municipality with a physician-sponsored team together with community health-care.

     

  • 1071.
    Simonsen, Nina
    et al.
    Folkhälsan Research Center, Helsinki, Finland / Department of Public Health, University of Helsinki, Helsinki, Finland.
    Koponen, Anne M.
    Folkhälsan Research Center, Helsinki, Finland / Department of Public Health, University of Helsinki, Helsinki, Finland.
    Suominen, Sakari
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Public Health, University of Turku, Turku, Finland.
    Patients' assessment of chronic illness care: a validation study among patients with type 2 diabetes in Finland2018In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, article id 412Article in journal (Refereed)
    Abstract [en]

    Background: To meet the challenges of the rising prevalence of chronic diseases, such as type 2 diabetes, new approaches to healthcare delivery have been initiated; among these the influential Chronic Care Model (CCM). Valid instruments are needed to evaluate the public health impact of these frameworks in different countries. The Patient Assessment of Chronic Illness Care (PACIC) is a 20-item quality of care measure that, from the perspective of the patient, measures the extent to which care is congruent with the CCM. The aim of this study was to evaluate the psychometric properties of the Finnish translation of the PACIC questionnaire, in terms of validity and reliability, in a large register-based sample of patients with type 2 diabetes.

    Method: The PACIC items were translated into Finnish in a standardized forward-backward procedure, followed by a cross-sectional survey among patients with type 2 diabetes (response rate 56%; n = 2866). We assessed the Finnish version of the PACIC scale for the following psychometric properties: content validity, internal consistency reliability, convergent and construct validity. We also present descriptive data on total scale as well as predetermined subscale levels.

    Results: The item-response on the PACIC scale was high with only small numbers of missing data (0.5-1.1%). Ceiling effects were low (0.3-5.3%) whereas floor effects were over 20% for two of the predetermined subscales (problem solving and follow-up/coordination). The total PACIC scale showed a reasonable distribution and excellent internal consistency (alpha 0.94) while the internal consistency of the subscales were at least acceptable (0.74-0.86). The principal component analysis identified a two-or three-factor solution instead of the proposed five-dimensional. In other respects, the PACIC scale showed the hypothesized relationships with quality of care and outcome measures, thus demonstrating convergent and construct validity.

    Conclusion: A Finnish version of the PACIC scale is now validated in the primary care setting among patients with type 2 diabetes. The findings suggest comparable psychometric properties of the Finnish scale as of the original English instrument and earlier translations, and reasonable levels of validity and reliability.

  • 1072.
    Sina, Elida
    et al.
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany.
    Buck, Christoph
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany.
    Jilani, Hannah
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany / Institute for Public Health and Nursing Research—IPP, University of Bremen, Germany.
    Tornaritis, Michael
    Research and Education Institute of Child Health, Lefcosia, Cyprus.
    Veidebaum, Toomas
    Department of Chronic Diseases, National Institute for Health Development, Tallin, Estonia.
    Russo, Paola
    Institute of Food Sciences, National Research Council, Avellino, Italy.
    Moreno, Luis A.
    GENUD (Growth, Exercise, Nutrition and Development) Research Group, Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y Nutrición (CIBERObn), University of Zaragoza, Spain.
    Molnar, Denes
    Department of Pediatrics, Medical School, University of Pécs, Hungary.
    Eiben, Gabriele
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Marild, Staffan
    Department. of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sweden.
    Pala, Valeria
    Department of Preventive and Predictive Medicine, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany / Faculty of Mathematics/Computer Science, University of Bremen, Germany.
    Hebestreit, Antje
    Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany.
    Association of infant feeding patterns with taste preferences in European children and adolescents: A retrospective latent profile analysis2019In: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 11, no 5, p. 1-16, article id 1040Article in journal (Refereed)
    Abstract [en]

    The aim was to investigate associations between the duration of infant feeding practices (FP) and taste preferences (TP) in European children and adolescents. A total of 5526 children (6-16 years old) of the I.Family study completed a Food and Beverage Preference Questionnaire to measure their preferences for sweet, fatty and bitter tastes. Mothers retrospectively reported the FPs duration in months: exclusive breastfeeding (EBF), exclusive formula milk feeding (EFMF), combined breastfeeding (BF&FMF) and the age at the introduction of complementary foods (CF). Using logistic regression analyses and latent class analysis (latent profiles of FP and CF were identified), we explored associations between profiles and TP, adjusting for various covariates, including the Healthy Diet Adherence Score (HDAS). A total of 48% of children had short durations of EBF (≤4 months) and BF&FMF (≤6 months) and were introduced to CF early (<6 months). No significant relationship was observed between the single FPs and TP, even when considering common profiles of FP. HDAS was inversely associated with sweet and fatty TP, but positively with bitter TP. Contrary to our hypotheses, we did not observe associations between FP and children’s TP later in life. Further studies with higher FP variation and longitudinal design are needed to investigate the causal associations between infant FP and taste preferences later in life. © 2019 by the authors. Licensee MDPI, Basel, Switzerland.

  • 1073.
    Sirfy, Feda
    University of Skövde, School of Health and Education.
    Stress på jobbet: En litteraturstudie om arbetsrelaterad stress bland sjuksköterskor2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Purpose: The study aims to illustrate what factors underlie the stress among nurses in the work place which.

    The method: systematic literature study based on fourteen scientific articles from PubMed MeSH, EBSCO Medline and Academic Search Elite databases.

    Result: The finding of this study shows 3 themes that cause stress. These are: Workload and long working hours, violence and conflict in the workplace and leadership and powerlessness.

    Conclusion: the study shows that efforts are needed to address the stressful work situation, and of the different factors that causes many nurses to experience stress at work.

  • 1074.
    Sivenius, Marine
    University of Skövde, School of Health and Education. marine.s.sivenius@vgregion.se.
    Sjuksköterskors erfarenheter av att stödja patienter med diabetesrelaterade fotkomplikationer i kommunal hemsjukvård: en kvalitativ intervjustudie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Foot complications related to diabetes is the most common complication and can cause a lot of suffering. It is important with support, counseling and education for the person with diabetes to avoid foot complications. The nurse has an important role in supporting patients in their illness and involving them in their care in order to adequately manage their self-care. Purpose: To describe the nurse's experience of supporting patients with diabetes-related foot complications in municipal home care. Method: A qualitative interview study in which six nurses from three different municipalities participated. The interviews were analyzed on the basis of qualitative content analysis. Results: In the result two main categories emerged. The first main category: The participation of the patient and its significance for the nurse to support: showed that in municipal home care, the patients are often in need of support from the nurse regarding self-care in diabetes-related foot complications. It is important with a participant patient and the support for the patient is based on the needs of the patient. The nurse has a responsibility to guide and advise the patients regarding self-care. The second main category: The significance of the organisation for the nurse to support the patient showed deficiencies regarding continuous education but also varying competence within the own organization. Information transfer from other healthcare providers did not work optimally, often the nurses received no information about the patient's visit to, for example, the diabetes nurse. Conclusion: The nurses have an important role in supporting the patients by explaining and adapting information to each patient about self-care to prevent foot complications, both verbally and in writing. There is a need for education and competence development for both nurses and nursing staff in the municipalities. Failure to provide information between healthcare providers is a risk factor that can jeopardize patient safety.

  • 1075.
    Sjöberg, Jonatan
    et al.
    University of Skövde, School of Health and Education.
    Strandroth, Gustav
    University of Skövde, School of Health and Education.
    Faktorer som påverkar omvårdnaden på akutmottagningen: Sjuksköterskans perspektiv2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Bakground: The emergency department priorities patients after somatic signs and symptoms. Patients are treated to be sent home or be admitted. Nurses’ main area of competency is nursing care and it’s important the patients are treated with respect and dignity. Overcrowding and long wait times leads to many patients lying there just waiting. This leads to stress and is viewed as negative for the nursing care.

    Objective: To describe what nurses’ experience influences the nursing care of the patient at the emergency department

    Method: A literature overview was conducted and included 10 studies that were analyzed by inductive analysis.

    Result: Five themes were identified and were based on described influences; The organizations priorities that includes what the organizational prioritieses; The Environment at the Emergency Department that includes how the environment effects nursing care; Knowledge about nursing care that includes nurses’ practical skill and attitude towards nursing care; Communication related to language and cultural differences and communication between staff and organizations; Time related to time for the patient and to lack of staff.

    Conclusions: The focus on somatic care distracts from nursing care; the knowledge and attitude about nursing care are down prioritized; the communication is affected for different groups of patient and becomes difficult; finally time is a factor that goes through all the themes and is related to overcrowding and lack of personal.

  • 1076.
    Sjöberg, Susanne
    University of Skövde, School of Health and Education.
    De positiva effekterna av fysisk aktivitet gentemot ångest: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    Inledning: Psykisk ohälsa är ett stort hälsoproblem i dagens samhälle och något som många drabbats av någon gång i livet. Ångestsyndrom är en sjukdom som är förknippad med oro och ängslan och kan ge obehagliga symtom. Syftet med litteraturöversikten var att ta reda på vilka positiva effekter som fysisk aktivitet kan bidra med när det gäller behandlingen av ångest.

    Metod: Metoden som har används är en allmän litteraturöversikt, där tio artiklar som söks fram i databasen PubMed har använts. Dessa artiklar har analyserats och sammanställs till fem teman.

    Resultat: Alla artiklarna som är använda i denna här litteraturöversikten, tyder på att fysisk aktivitet hjälper till att minska på ångesten i alla fall något. Olika former av fysisk aktivitet, visar sig vara olika effektivt. Den form som verkar mest effektiv är aerob träning.

    Diskussion:

    När det gäller den fysisk aktivitet som behandlingsform, så verkar inte den ångestdämpande effekten vara tillräckligt stor, för att endast kunna använda sig av detta som behandling mot ångest. Däremot är det mycket som tyder på att den är lämplig som en tilläggsbehandling, både för det fysiska och psykiska välbefinnandet. 

  • 1077.
    Sjökvist, Elisabeth
    University of Skövde, School of Health and Education.
    ”When life gives you lemons, make lemonade”: Vuxna personers upplevelser av livskvalité efter att ha drabbats av narkolepsi2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige beräknas över 4000 personer vara drabbade av Narkolepsi. Narkolepsi är en neurologisk kronisk sjukdom som innebär att den drabbade har störd reglering av sömn och vakenhet. Kärnsymtomen är dagtrötthet och kataplexiattacker. Kvantitativa studier har visat att symtomen av narkolepsi påverkar uppfattningen av livskvalitet negativt. Syfte: Att belysa vuxna personers upplevelser av livskvalité efter att ha drabbats av narkolepsi. Metod: Kvalitativ metod där bloggtexter analyseras med innehållsanalys. Resultat: I resultatet framkom två domäner. Domänen ”Möjliggörande av god livskvalité” presenterar en kategori; Strategier för att uppnå god livskvalitet och betydelsen av stöd från omgivningen. Domänen ”Begränsningar av livskvalité” presenterar tre kategorier; Symtom som skapar socialt handikapp, Allmänhetens okunskap och upplevelser av blandade känslor samt Att tvingas planera och prioritera för att orka med vardagen Slutsats: Narkolepsi påverkar upplevelsen av livskvalité negativt. Symtom som okontrollerbar sömnighet dagtid och kataplexier kan orsaka skam och rädsla att vistas i sociala sammanhang. Strategier för att minska symtom, ökad förståelse för de drabbades upplevelser av sjukdomen och stöd från omgivningen kan bidra till att hjälpa de som drabbas till en ökad livskvalité.

  • 1078.
    Sjöstrand, Julia
    et al.
    University of Skövde, School of Health and Education.
    Stålnacke, Mårten
    University of Skövde, School of Health and Education.
    Kvinnlig chefskarriär i ”gubbväldet”: -      En studie om kvinnliga chefers upplevelser av möjligheter och hinder i karriären, i en mansdominerad organisation2014Independent thesis Basic level (degree of Bachelor), 15 credits / 22,5 HE creditsStudent thesis
    Abstract [en]

    The purpose of this study is to create a deeper understanding for women managers and how they have experience opportunities and obstacles during their career in a male-dominated organization. We would also examine in which part of life this opportunities and obstacles really exist. We are investigating questions about how women managers experience their career in a male-dominated industry, what opportunities and obstacles they met during their career and also how women managers create a work life balance. This study is based on qualitative data and aims to describe the purpose from a narrative approach. The data have been collected from ten unstructured interviews, the result showed that opportunities and obstacles mainly occurs inside the work organization, and that the support from managers, but also from the private life is very important. The result also showed that the private life does not affect the career negatively as much as career affect the private life.

  • 1079.
    Skalkidou, Alkistis
    et al.
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Sundström Poromaa, Inger
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Iliadis, Stavros I.
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Huizink, Anja
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Section of Clinical Developmental Psychology, Vrije Universiteit Amsterdam, Netherlands.
    Hellgren, Charlotte
    Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
    Freyhult, Eva
    Department of Medical Science, National Bioinformatics Infrastructure Sweden, Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
    Comasco, Erika
    Department of Neuroscience, Science for Life Laboratory, Uppsala University, Uppsala, Sweden.
    Stress-related genetic polymorphisms in association with peripartum depression symptoms and stress hormones: A longitudinal population-based study2019In: Psychoneuroendocrinology, ISSN 0306-4530, E-ISSN 1873-3360, Vol. 103, p. 296-305Article in journal (Refereed)
    Abstract [en]

    Individual differences in the response of the stress system to hormonal changes during pregnancy and the postpartum period render some women susceptible to developing depression. The present study sought to investigate peripartum depression and stress hormones in relation to stress-related genotypes. The Edinburgh Postnatal Depression Scale was used to assess peripartum depressive symptoms in a sample of 1629 women, followed from pregnancy week seventeen to six months postpartum. Genotypes of ninety-four haplotype-tag single nucleotide polymorphisms (SNPs) in sixteen genes of the hypothalamus-pituitary-adrenal axis pathway were analyzed and data on psychosocial and demographic factors was collected. In sub-studies, salivary cortisol awakening response in gestational week 35–39, salivary evening cortisol levels in gestational week 36 and postpartum week 6, and blood cortisol and cortisone levels in gestational week 35–39 were analyzed. SNP-set kernel association tests were performed at the gene-level, considering psychosocial and demographic factors, followed by post-hoc analyses of SNPs of significant genes. Statistically significant findings at the 0.05 p-level included SNPs in the hydroxysteroid 11-beta dehydrogenase 1 (HSD11B1) gene in relation to self-rated depression scores in postpartum week six among all participants, and serpin family A member 6 (SERPINA6) gene at the same time-point among women with de novo onset of postpartum depression. SNPs in these genes also associated with stress hormone levels during pregnancy. The present study adds knowledge to the neurobiological basis of peripartum depression by systematically assessing SNPs in stress-regulatory genes and stress-hormone levels in a population-based sample of women. © 2019 Elsevier Ltd

  • 1080.
    Skoglund, Anette
    University of Skövde, School of Health and Education.
    Ett steg fram och två tillbaks: En fenomenografisk studie om lärares uppfattningar och upplevelser om digitalisering i vuxenutbildningen2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The focus of this master thesis have been the perception of teachers about Skolverkets requirements (2017), regarding extended digitizing in the education, which in turn requires an extended digital knowledge with the teachers. Qualitative interviews have been conducted at a public school for adults in Västra Götaland, Sweden. Five teachers at the school were interviewed regarding the concept of digital competence, feelings before the extended requirements and the further training needed. This study was done with a phenomenographic method, which means the data was studied to find patterns which could get categorized, which in turn was made into different themes. The goal with this method was also to find what is unspoken, the things that are "said between the lines". In the results it was clear that mainly five factors affect extended digitizing; time, collegial learning, digital tools, digital skills and further education. The teachers felt like the needed more time to implement extended digitizing and that more education is needed. The teachers were predominantly positive towards extended digitizing and the unspoken did also emerge in the results in form of different feelings with the teachers. The feelings were about frustration, worry and tiredness about how time will suffice for everything, that they sometimes got the feeling of it being "one step forward, two steps back".

  • 1081.
    Skoog, Elin
    et al.
    University of Skövde, School of Health and Education.
    Scott, Kajsa
    University of Skövde, School of Health and Education.
    Äldre mäns erfarenheter när sexualiteten påverkas vid prostatacancer: En litteraturbaserad studie2015Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prostate cancer is the fourth most common cancer disease in the world and affects mainly older men. While having prostate cancer the treatment can be both medical and surgical and both these treatments can give side effects like erectile dysfunction, lost libido and hot flushes. Sexuality among elderly is often associated with taboo, but sexuality exists among elderly and is important for their wellbeing and quality of life. It is common that nurses don’t address and discuss questions concerning sexuality with patients, even though they know that sexuality often is affected while having a disease or experiencing illness. Experiencing health doesn’t necessarily mean the absence of disease and illness. Health and a body free from disease can still mean that the person is experiencing illness. Purpose: The purpose is to illuminate older mens experiences when sexuality is affected by prostate cancer. Method: The method is a literature study based on nine articles with qualitative approach. Result: The dataanalysis resulted in two catagories; not being able to live up to the masculine norm and an altered closeness in relation to others. Conclusion and clinical implications: The result shows that the men cannot live up to the masculine norm when they get a feminized body and when the sexual ability deteriorates. The result also shows that the closeness in relation to others is altered. The result can be useful within the care setting where nurses meet prostate cancer patients, it can contribute to a better care. The result can also help patients and their relatives to gain an insight in what may come with prostate cancer and in that way prepare them. 

  • 1082.
    Smith, Mariam
    University of Skövde, School of Health and Education.
    Whose Story?: Exploring communicative practices among international development organisations using learning approaches designed for complex situations2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The context in which international development work takes place is often complex and requires learning approaches which pay attention to complexity. Change is unpredictable when development is viewed as a process including multiple actors with their changing relationships and boundaries. This ethnography investigates the cultural changes that take place in communicative practices among Non-Government Organisations that adopt ‘new’ learning approaches designed for complex situations. The study explores how Outcome Mapping, Outcome Harvesting and Most Significant Change, as cultural tools, make space for learning as participation. The data in this study was created through an ethnographic approach in the local context of Cambodia.

    The results of the study make visible the range of tensions that the change of learning approaches entails for the organisations focused upon in this study. The results show how the three learning approaches make visible power relationships and have the potential to change the roles of the actors in contributing towards positive change. The roles and relationships between vulnerable community members, government agencies, NGO staff, and donors change, having significant implications on practice. This is understood in terms of a dynamic process between agents, cultural tools and context. Learning systems are placed within tensions of multiple purposes for accountability and learning. This study sheds light on the range of changes in communicative practices that focus upon learning, in terms of horizontal and vertical communities of practice creating space for situated learning and meaning. Multiple stories with multiple voices can be an effective tool in support of learning in the context of these communities of practice in order to see positive social change.

  • 1083.
    Soltani, Sepide
    University of Skövde, School of Health and Education.
    Från blöjan till boken: en studie om stressupplevelse hos studerande mödrar2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The purpose of the essay is to investigate the experience of stress in student mothers, if it turns out that the roles they carry are incompatible. Furthermore, I want to know what factors can create this.

    The study is based on a qualitative method and the empirical material is produced via semi-structured interviews in which five student mothers participated.

     The result showed that the roles of student and mother of a student mother are incompatible.

    It was also shown that there are factors such as behavioral expectations of a role based on the social context one is in, inadequacy as a mother or student, finding balance between these roles may be a reason for their perceived stress.

    It was also stated in the results that the perceived stress has different effects on student mothers' everyday lives. There was a positive impact where their motivation to achieve the goal was increased and negative which contributed to a negative feeling such as insufficiency in order to  internalize the student role with the mother role.

  • 1084.
    Ssozi, Sheila
    University of Skövde, School of Health and Education.
    Personers upplevelser av att leva med borderline personlighetsstörning: En självbiografisk studie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Borderline personality disorder occurs in society and shows itself in different ways. The disease is extensive and complex, which means that persons with this disease can find it difficult to have a right disease insight, which can lead to varying disease insight. The disease can lead to an increased risk of co-morbidity that can lead to consequences such as failing ability to self-care and premature death.

    Purpose: The purpose of the study is to describe people's experiences of living with borderline.

    Method: The method used in this study is a qualitative research method in the form of a literature analysis of autobiographies.

    Result: The analysis process resulted in two themes; Living in constant emotional storms and the need of both support and to receive support, so as to cope with everyday life.  Five sub-themes; sense of both liberation and shame, sense of frustration and anger, sense of despair and insecurity, the need of more support and receiving support.

    Discussion: The result shows how living with borderline diagnosis is a challenge and generally means living with this diagnosis constant challenges and revaluations. Since today people are given a prominent role in their care and should therefore be more actively involved in their care, different aspects of how they feel to live with their illness, such as living in constant emotional storms and the need for more support must be taken into account.

  • 1085.
    Stark Ekman, Diana
    et al.
    University of Skövde, Health and Education. University of Skövde, School of Health and Education.
    Kazemi, Ali
    University of Skövde, Health and Education. University of Skövde, School of Health and Education.
    Kylberg, Elisabeth
    University of Skövde, Health and Education. University of Skövde, School of Health and Education.
    Health promotion services2014In: Encyclopedia of human services and diversity / [ed] Linwood H. Cousins, Sage Publications, 2014, p. 632-634Chapter in book (Refereed)
  • 1086.
    Stark Ekman, Diana
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Kazemi, Ali
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Kylberg, Elisabeth
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Home and community services2014In: Encyclopedia of Human Services and Diversity / [ed] Linwood H. Cousins, Thousand Oaks: Sage Publications, 2014, p. 651-653Chapter in book (Refereed)
  • 1087.
    Stener-Victorin, Elisabet
    et al.
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Benrick, Anna
    University of Skövde, School of Health and Education. Department of Physiology, Institute of Neuroscience and Physiology, Department of Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Fornes, Romina
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Maliqueo, Manuel
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden / Endocrinology and Metabolism Laboratory, West division, School of Medicine, University of Chile, Santiago, Chile.
    Acupuncture2018In: Infertility in Women with Polycystic Ovary Syndrome: Pathogenesis and Management / [ed] Stefano Palomba, Springer, 2018, p. 227-245Chapter in book (Refereed)
    Abstract [en]

    Acupuncture involving insertion of thin sterile needles into the skin, muscles, and fibrous/fat tissues is a part of traditional Chinese medicine (TCM). Western medical acupuncture described in this chapter is an adaptation of Chinese acupuncture using current knowledge of anatomy, physiology, pathology, and evidence-based medicine, instead of using concepts such as meridiansyin/yang, and circulation of qi. This chapter describes the use of acupuncture in the treatment of women with polycystic ovary syndrome (PCOS) from a western medical approach including potential mechanism of action, experimental data as well as clinical data.

  • 1088.
    Stener-Victorin, Elisabet
    et al.
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Maliqueo, Manuel
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden / Endocrinology and Metabolism Laboratory, West Division, School of Medicine, University of Chile, Santiago, Chile.
    Soligo, M.
    Institute of Translational Pharmacology – CNR, Rome, Italy.
    Protto, V.
    Institute of Translational Pharmacology – CNR, Rome, Italy.
    Manni, L.
    Institute of Translational Pharmacology – CNR, Rome, Italy.
    Jerlhag, E.
    Institute of Neuroscience and Physiology, Department of Pharmacology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Kokosar, M.
    Institute of Neuroscience and Physiology, Department of Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Sazonova, A.
    Department of Obstetrics and Gynecology, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Behre, C. J.
    Institute of Neuroscience and Physiology, Department of Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Lind, M.
    Department of Molecular and Clinical Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
    Ohlsson, C.
    Centre for Bone and Arthritis Research, Department of Internal Medicine and Clinical Nutrition, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Højlund, K.
    Department of Endocrinology, Odense University Hospital, Odense, Denmark.
    Benrick, Anna
    University of Skövde, School of Health and Education. Institute of Neuroscience and Physiology, Department of Physiology, Sahlgrenska Academy University, of Gothenburg, Gothenburg, Sweden.
    Changes in HbA 1c and circulating and adipose tissue androgen levels in overweight‐obese women with polycystic ovary syndrome in response to electroacupuncture2016In: Obesity Science and Practice, ISSN 2055-2238, Vol. 2, no 4, p. 426-435Article in journal (Refereed)
    Abstract [en]

    Aim

    Insulin sensitivity is ~40% lower in women with polycystic ovary syndrome (PCOS) than in controls. We tested the hypothesis that 5weeks of electroacupuncture treatment improves glucose regulation and androgen levels in overweight/obese women with PCOS.

    Material and Methods

    Seventeen women with PCOS, aged 18 to 38years, with a body mass index (BMI) ≥25 kg/m2 and diagnosed with PCOS were included in this experimental and feasibility study and subjected to five weeks of electroacupuncture treatments three times/week. The primary outcome was changes in whole‐body glucose homeostasis measured by euglycemic hyperinsulinemic clamp before and after the intervention. Secondary outcome were changes in HbA1c, circulating catecholamines, adipocyte size and adipose tissue expression of sex steroids and nerve growth factor (NGF).

    Results

    No significant change in glucose homeostasis was observed, but HbA1c decreased by 9.5% (p=0.004), circulating testosterone decreased by 22% (p=0.0007) and dihydrotestosterone decreased by 12% (p=0.007). The two vagal activity markers of plasma serotonin levels and the dopamine metabolite homovanillic acid decreased by 21% (p=0.027) and 20% (p=0.011), respectively. Adipose tissue concentrations of testosterone decreased by 18% (p=0.049), and androstenedione decreased by 13% (p=0.035), and mature NGF/proNGF ratio, a marker of sympathetic activity, increased (p=0.04). These changes occurred without changes in anthropometrics.

    Conclusion

    Five weeks of electroacupuncture treatment improves HbA1c and circulating and adipose tissue androgens in women with PCOS. This effect is mediated, at least in part, via modulation of vagal activity and adipose tissue sympathetic activity. Based on these findings, we have recently initiated a randomized controlled study (NTC02647827).

  • 1089.
    Stener-Victorin, Elisabet
    et al.
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Manti, Maria
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Fornes, Romina
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden / Centre for Translational Microbiome Research (CTMR), Department of Microbiology, Tumor and Cell biology, Karolinska Institutet, Stockholm, Sweden.
    Risal, Sanjiv
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Lu, Haojiang
    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden.
    Benrick, Anna
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Physiology, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Origins and Impact of Psychological Traits in Polycystic Ovary Syndrome2019In: Medical sciences, ISSN 2076-3271, Vol. 7, no 8, article id 86Article, review/survey (Refereed)
  • 1090.
    Stensgaard, Jessika
    et al.
    University of Skövde, School of Health and Education.
    Björnström, Maria
    University of Skövde, School of Health and Education.
    Äldre kvinnors upplevelse av sexualitet: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The amount of the elderly increasesin the population. Of these, many are older women because of their longer average life expectancy. Relationships change with a higher age and the social conditions that exist. The Sexual Revolution of the 20th century has affected their lives and opportunities for free sexuality. Menopause is a natural age-related impact for biological women, which involves bodily changes with symptoms that affect sexuality. When life changes, people must change and adapt to new conditions. Other factors such as religion, culture, society affect sexuality and how the woman expresses it. The nurse can guide older women in their sexuality by being professional. Purpose: To highlight older women's experiences of sexuality and various factors that affect it. Method: Qualitative research analysis of eight articles. Result: The older women from the studies were a group of great diversity, several unique stories and experiences. From this diversity, four categories have been distinguished which shed light on women's sexuality and the factors that affect it. These categories were: Environment, Self-esteem and Self-image, Partner, Intimacy and Sexuality. Conclusion: It is important that the nurse takes into account sexuality in order to be able to meet the woman in her situation, when it comes to a difficult and sensitive subject such as sexuality.

  • 1091.
    Stensson, Marika
    et al.
    University of Skövde, School of Health and Education.
    Ljungström, Sanne
    University of Skövde, School of Health and Education.
    Smärtans betydelse vid sterilvatteninjektioner2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Labor pain is one of the most intensive forms of pain. Sterile water injected intradermal or subcutaneously is a non-pharmacological pain-relief method. The analgesic effect comes quickly and can remain for up to two hours. The only side-effect is a burning pain during injection.

    Aim: To analyze the importance of the pain that occurs during treatment with sterile water injections.

    Method: A qualitative method in accordance with the hybrid model has been used. The hybrid model is divided into three phases. In the first, theoretical phase, search of scientific articles was made. In the second, empirical phase, interviews were conducted with eight women and four midwives. In the third phase a summary analysis takes place.

    Results: Injection pain is of importance in the woman's choice of the use of sterile water injections. Midwives inform women of sterile water injections, they informed that they will experience a pain associated with the injection. After the women received sterile water injection they expressed that it hurts to get the injection.

    Conclusion: Pain arises when obtaining sterile water injections. Women who received a good pain relief from the injections felt that the pain was affordable and could then recommend the method to others.

  • 1092.
    Stenström, Johanna
    et al.
    University of Skövde, School of Health and Education.
    Strende, Maria
    University of Skövde, School of Health and Education.
    Att leva med ett barn som har diabetes typ 1: Familjens erfarenheter2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Type 1 diabetes is a chronic disease which incidence and prevalence is increasing in Sweden. It is most common that the disease debuts in childhood. The child with type 1 diabetes requires lifelong treatment and therefore the family has to learn how to manage the disease in everyday life. The aim of this study was to describe the family’s lived experiences when a child has type 1 diabetes. The chosen method was a literature review. The study is based on 13 qualitative articles which were found in the databases CINAHL and PubMed. The results showed following four themes: changed family relationships, increased concern and fear, changed living habits and increased responsibility. Initially the family experiences a difficult time and they need to set up new routines to maintain the child’s health. Experiences gain knowledge and leads to security over time. Although the family are always concerned about the child. Therefore the nurse has an important role for the whole family and it is important to distinguish between the family’s experiences and the child’s experiences. It is important that the nurse has the knowledge of the family’s experiences in order to understand their needs and adapt the care.

  • 1093.
    Stjernetun, Björn
    et al.
    University of Skövde, School of Health and Education.
    Fagerlind, Pernilla
    Kontaktsjuksköterskors erfarenheter av att uppmärksamma behov av cancerrehabilitering2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The number of people diagnosed with cancer increase. Improved treatment options result in prolonged survival which means that many people are living with side effects and consequences of cancer and its treatment. To prevent and decrease these consequences, cancer rehabilitation is required, and it aims to help people feel as well as possible. Cancer rehabilitation requires collaboration between the different professions. The contact nurse should continuously pay attention to the needs of cancer rehabilitation. Aim: To describe contact nurses experiences of paying attention to the needs of cancer rehabilitation. Method: Qualitative method with inductive approach and qualitative content analyze has been used. Three focus groups interview with twelve participants have been completed. Results: Three categories emerged, Partnership, Professional approach and Organizational conditions, with nine sub categories. Conclusion: The contact nurses have to develop a person centered and a health promotive approach as well as the communication skills to be able to pay attention to the cancer rehabilitation needs in a greater extent. The organizational conditions have to be improved and it requires local guidelines to direct how cancer rehabilitation needs should be taken care of.  The different professions categories have to develop their collaboration to be able to pay attention and meet the needs of cancer rehabilitation in a better way. Reflection may be valuable and can contribute to the improvements.

  • 1094.
    Strandberg, Elinor
    et al.
    University of Skövde, School of Health and Education.
    Lång, Kajsa
    University of Skövde, School of Health and Education.
    PATIENTERS UPPLEVELSER AV ATT LEVA MED ASTMA: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Asthma is a chronic inflammatory respiratory lung disease that currently affects 300 million people worldwide. The diagnosis is confirmed by a spirometry. The symptoms of asthma are breathing difficulties due to contraction of the trachea. Treatment is includes by drugs and various breathing techniques. Asthma affects the patient´s quality of life and many patients experience individual limitations in their health. Factors that can affect patient´s with asthma are indoor and outdoor environments.  Aim: To illustrate patient´s experiences of living with the disease asthma. Method: The essay is a literature review based on qualitative and quantitative articles. The analysis of the articles was conducted and complied based on similarities and differences. This formed four different themes. Results: The presentation of the result consisted of four themes that were: knowledge affects the daily life, experience of affected quality of life, the need to avoid different environment and feeling of inadequacy. Furthermore, the results show that patient´s are affected by the disease throughout their lives. Discussion: The discussion presents strengths and weaknesses with the method. Furthermore, the main findings of the result are discussed and compared with further references.  

  • 1095.
    Strandqvist, Ida
    University of Skövde, School of Health and Education.
    Undervisning i förskolans rutinsituationer: Spontan eller planerad aktivitet?2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Undervisningsbegreppet är nytt i förskolan och ett förslag till revidering av läroplanen LPFÖ 98, där undervisning ingår, är lagd. Studiens syfte är att titta på hur undervisning i förskolans rutinsituationer, såsom tambur och matsituation, ser ut samt hur förskollärare förhåller sig till undervisning i förskolan. 

    Utifrån en aktionsinriktad ansats genomfördes tio observationer av fem förskollärare och sedan intervjuer med dem. Observationerna är sedan relaterade till Doverborg, Pramling och Pramling Samuelssons sju strategier till undervisning samt Pihlgrens fem undervisningsmiljöer. Med stöd utav dem kunde jag synliggöra undervisning i rutinsituationerna.

    Observationerna visar att en hel del undervisning förekommer även om den mestadels är spontan före planerad. Det som påverkar undervisningen mycket är förskollärarnas inställning till sitt arbete och förhållningssättet till barnen. Förskollärarnas intervjuer bekräftar innehållet i observationerna och utvecklar sina tankar om undervisningen. Behovet av att reflektera mer kring vad undervisning innebär i förskolan finns men förskollärarnas tankar om undervisning i förskolan var många och kloka. 

  • 1096.
    Strang, Susann
    et al.
    Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Sweden / Angered Local Hospital, Sweden.
    Bergh, Ingrid
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ek, Kristina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Hammarlund, Kina
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Prahl, Charlotte
    Ersta Sköndal University College / Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Department of Health Care Sciences, Ersta Sköndal University College, Sweden.
    Westin, Lars
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Österlind, Jane
    Ersta Sköndal University College / Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Department of Health Care Sciences, Ersta Sköndal University College, Sweden.
    Henoch, Ingela
    Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Sweden / University of Gothenburg Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, Sweden.
    Swedish nursing students' reasoning about emotionally demanding issues in caring for dying patients2014In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 20, no 4, p. 194-200Article in journal (Refereed)
    Abstract [en]

    AIM: To describe nursing students' reasoning about emotionally demanding questions concerning the care of dying patients.

    METHODS: The Frommelt Attitude Toward Care of the Dying (FATCOD) Scale was completed by students at the beginning of their education, and there was great variation in the responses to five items. At a follow-up measurement in the second year, an open-ended question, 'How did you reason when completing this question?', was added to each of the these five items. Qualitative content analysis was used to analyse the responses.

    RESULTS: Of 140 students who completed the FATCOD, 111 provided free-text responses. The analysis of these responses revealed three themes: death perceptions, the students' understanding of their current situation, and the nurse's responsibility.

    CONCLUSION: This study provides useful information on students' reasoning about emotionally demanding questions relating to the care of dying patients. Such knowledge is valuable in helping students to overcome their fear and fulfil their expectations concerning their future proficiency.

  • 1097.
    Strang, Susann
    et al.
    Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Henoch, Ingela
    Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Danielson, Ella
    Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden / Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Neurobiology, Care Science and Society, Division of Nursing, Karolinska Institute, Solna, Sweden.
    Melin-Johansson, Christina
    Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
    Communication about existential issues with patients close to death—nurses' reflections on content, process and meaning2014In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611, Vol. 23, no 5, p. 562-568Article in journal (Refereed)
    Abstract [en]

    Objective: Encountering dying patients with implicit existential questions requires the nurses to have positive and comfortable attitude to talking about existential issues. This paper describes the nurses' reflections on existential issues in their communication with patients close to death. Methods: Nurses (n=98) were recruited from a hospital, hospices and homecare teams. Each nurse participated in five group reflection sessions that were recorded, transcribed and analysed using qualitative content analysis. Results: Three domains and nine themes emerged. The content domain of the existential conversation covered living, dying and relationships. The process domain dealt with using conversation techniques to open up conversations, being present and confirming. The third domain was about the meaning of existential conversation for nurses. The group reflections revealed a distinct awareness of the value of sensitivity and supportive conversations. Conclusion: This study supports the assertion that experience of talking about existential issues and supporting environment make nurses comfortable when counselling patients close to death. It was obvious from this study that having the courage to be present and confirming, having time and not trying to 'solve' every existential problem were the most important factors in conversations with the patients close to death. © 2013 John Wiley & Sons, Ltd.

  • 1098.
    Stridsborg, Emma
    et al.
    University of Skövde, School of Health and Education.
    Västlund, Lovisa
    University of Skövde, School of Health and Education.
    Livet efter stroke: Patientperspektiv genom självbiografier2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Stroke is a widespread disease and can lead to misery and disabilities. Theemotions and identity can change. Health and misery can be seen as processes and theexperiences of these are individual. Aim: Illuminate the experience of life after stroke –from the patient’s perspective. Method: Narrative method was used in order to investigatethe patient’s perspective. Seven autobiographies were read and analyzed. During theanalysis essential parts appeared which formed themes and lead to the results of this paper.Result: After the stroke weariness and other difficulties was experienced this affected thepatient’s life. Identity and body image changed. Difficulties with language appeared anddemanded a new way of communication. The stroke was shameful but in the end it offeredhope. It is meaningful for stroke patient’s to share experiences with others in similarsituations. It is difficult to manage fatigue, emotions and communication. Conclusion: Theexperience of stroke is individual and it is important for health care to support the patientin its rehabilitation and establish meeting places for sharing. Further research is necessaryto ensure good health care for stroke patients.

  • 1099.
    Strålman, Julia
    et al.
    University of Skövde, School of Health and Education.
    Englund, Theresia
    University of Skövde, School of Health and Education.
    Att behöva få en andra chans i livet: En kvalitativ studie i samband med hjärttransplantation2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today, heart failure is a widespread disease and heart transplantation is the only long-term treatment. The nursing profession is about promoting health and well-being of the patient to strengthen the quality of life. Aim: To describe patients’ experiences in connection with a heart transplant. Method:  In the study, a qualitive method has been used with narrative material consisting of autobiographies. The study is written from a patient perspective to present patients’ experiences. Results: The result shows that patients experience, in connection with heart transplantation, a change in everyday life, uncertainty, disappointment and guilt, but then again, they also prove to be grateful to have survived the operation and their relatives’ support. Lack of support from nurses describes creating a feeling of insecurity and quality of life varied in the context of heart transplantation. Conclusion: Heart failure changes the patient’s whole life and undergoing a heart transplant is a major strain physically and mentally. The nurse must be strong in the nursing profession to support the patient to alleviate health and well-being.

  • 1100.
    Strålman, Malin
    et al.
    University of Skövde, School of Health and Education.
    Österlund, Felicia
    University of Skövde, School of Health and Education.
    Ett dolt yrke: Sjuksköterskors uppfattning om operationssjuksköterskans profession2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: There is a shortage specialized nurses both national and international which leads to increasing waiting time for surgery and a suffering for the patient. The lack of operating theater nurses makes it important to examine how the profession is seen and if it needs to be illuminated to make it more interesting. Purpose: The purpose was to examine nurses' perceptions of the operation theatre nursing profession. Method: A descriptive cross-sectional study with a quantitative approach containing qualitative elements based on web survey with open and closed response options. Result: Nurses consider the knowledge of the operating nursing profession to be satisfactorily. The profession is considered as important, physical demanding and unknown for nurses outside the operating ward. Conclusion: The operating theater nurse is considered as important for the patient safety and is an important part of the surgical team. Despite that nurses consider themselves having knowledge of the profession the operating theater nurse is considered a hidden profession and there is a need to further make the profession visible. 

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