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  • 1251.
    Wolters, Maike
    et al.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Boernhorst, Claudia
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Schwarz, Heike
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Rise, Patrizia
    Univ Milan, Dept Pharmacol & Biomol Sci, DiSFeB, Milan, Italy.
    Galli, Claudio
    Univ Milan, Dept Pharmacol & Biomol Sci, DiSFeB, Milan, Italy.
    Moreno, Luis A.
    Univ Zaragoza, Growth Exercise Nutr & Dev GENUD Res Grp, Zaragoza, Spain.
    Pala, Valeria
    Fdn IRCCS Ist Nazl Tumori, Dept Prevent & Predict Med, Epidemiol & Prevent Unit, Milan, Italy.
    Russo, Paola
    CNR, Inst Food Sci, Epidemiol & Populat Genet, Avellino, Italy.
    Veidebaum, Toomas
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Tornaritis, Michael
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Fraterman, Arno
    Med Versorgungszentrum Dr Eberhard & Partner Dort, Lab Med, Dortmund, Germany.
    De Henauw, Stefaan
    Univ Ghent, Fac Med & Hlth Sci, Dept Publ Hlth, Ghent, Belgium.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden.
    Lissner, Lauren
    Univ Gothenburg, Sahlgrenska Acad, Inst Med, Sect Epidemiol & Social Med, Gothenburg, Sweden.
    Molnar, Denes
    Univ Pecs, Natl Inst Hlth Promot, Pecs, Hungary.
    Ahrens, Wolfgang
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Inst Stat, Fac Math & Comp Sci, Bremen, Germany.
    Association of desaturase activity and C-reactive protein in European children2017In: Pediatric Research, ISSN 0031-3998, E-ISSN 1530-0447, Vol. 81, no 1, p. 27-32Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Desaturase enzymes influence the fatty acid (FA) composition of body tissues and their activity affects the conversion rate of saturated to monounsaturated FA and of polyunsaturated FA (PUFA) to long-chain PUFA. Desaturase activity has further been shown to be associated with inflammation. We investigate the association between delta-9 (D9D), delta-6 (D6D) and delta-5 desaturase (D5D) activity and high sensitive C-reactive protein (CRP) in young children. METHODS: In the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) cohort study children were examined at baseline (TO) and after 2 y (T1). D9D, D6D, and D5D activities were estimated from TO product-precursor FA ratios. CRP was measured at TO and T1. In a subsample of 1,943 children with available information on FA, CRP, and covariates, the cross-sectional and longitudinal associations of desaturase activity and CRP were analyzed. RESULTS: Cross-sectionally, a D9D increase of 0.01 units was associated with a 11% higher risk of having a serum CRP Percentile 75 (P75) (OR, 99% CI: 1.11 (1.01; 1.22)) whereas D6D and D5D were not associated with CRP. No significant associations were observed between baseline desaturase activity and CRP 2 y later. CONCLUSION: Cross-sectionally, our results indicate a positive association of D9D and CRP independent of weight status. High D9D activity may increase the risk of subclinical inflammation which is associated with metabolic disorders. As D9D expression increases with higher intake of saturated FA and carbohydrates, dietary changes may influence D9D activity and thus CRP. However, it remains to be investigated whether there is a causal relationship between D9D activity and CRP.

  • 1252.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Lomwong Saansook: Improving Health, Participation and Security among Thai Older Adults Using PDSA Wheel2019Conference paper (Refereed)
  • 1253.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Perspectives of Health, Participation and Security among Older Adults in Northeastern Thailand2018Conference paper (Other academic)
  • 1254.
    Wongsala, Manothai
    et al.
    Mälardalen University, Sweden.
    Anbäcken, Els-Marie
    Mälardalen University, Sweden.
    Rosendahl, Sirpa
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Manasatchakun, Pornpun
    Boromarajonani College of Nursing Chaing Mai, Thailand.
    Rungkawatt, Vilaiporn
    Boromarajonani College of Nursing Nakhonratchasima, Thailand.
    "Lomwong Saansook": A Group Meeting Using PDSA Wheel to Improve Health, Participation and Security among Thai Older Adults2019In: iHSEP2019 Conference Abstract Book: International Conference on Advancement in Health Sciences Education and Professions (iHSEP2019): Synergy and Reform for Better Health, Ministry of Public Health, Thailand , 2019Conference paper (Refereed)
    Abstract [en]

    Background In general, activities to promote well being among the elderly in Thailand are not selfinitiated Therefore, older people need to be encouraged to find out how to manage their daily life and activities This study applied the concept of the PDSA wheel Plan Do Study Act in order to enhance their wellbeingThe activity called Lomwong SaansookThai wordsLSmeetings implemented among older adults aged 60 and above The PDSA concepts are used to encourage participants to plan a goal, do it by themselves, and use the group dynamic with other participants in studying evaluating to improve the activities Topics of meetings included health issues, participation, and security related to the active aging concepts Objective To describe older adults¶ perceptions of changes and improvement in their daily lives after participating in LSmeetings Methodology This qualitative study employed the phenomenography method using focus group interviews which were conducted two weeks after four LSmeetings with 15 participants They were divided into two focus groups contained seven and eight participants including males and females Data were collected by field notetaking and video recordingData were analyzed by the multistage coding process to identify themes of description Results The participants described their perceptions of changes and improvements by five themes, including not familiar but possible with supporting, behaviors improving, meaningful knowledge needs, learn with each other, and success factors DiscussionConclusion Thai older people in this area had difficulties to make goals of lifestyle changes by themselves, but it was possible with the support of the moderator As a result, their healthrelated behaviors had improved The examples of a lifestyle change were improvements in fooddrink intake, exercise, and saving money; however, the causes of changing behaviors were not confirmed clearly The important factors of changing behaviors were meaningful new knowledge, group process, support from the moderator, and good relationships with health personnelAccording to the results of this study, it can be concluded that the meeting using the PDSA wheel may be able to use as a guideline providing sustainable activities for Thai older people to encourage improving individual implementation of lifestyle changes, in order to enhance their wellbeing.

  • 1255.
    Yngman-Uhlin, Pia
    et al.
    Department of Research and Development Unit, Department of Medical and Health Sciences, Linköping University, Sweden.
    Kjellsdotter, Anna
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Uhlin, F.
    Department of Nephrology and Medical and Health Sciences, Linköping University, Sweden / Region Östergötland, Linköping, Sweden / Department of Health Technologies, Tallinn University of Technology, Estonia.
    Edéll-Gustafsson, U.
    Department of Medical and Health Sciences, Linköping University, Sweden.
    Sleep Quality, Fatigue, and Health-Related Quality of Life in Patients on Initial Peritoneal Dialysis and Multiple Modalities after Two Years: A Prospective Study2019In: Nephrology Nursing Journal : Journal of The American Nephrology Nurses Association, ISSN 1526-744X, E-ISSN 2163-5390, Vol. 46, no 6, p. 615-649Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to investigate changes in sleep quality, fatigue, mental health, and health-related quality of life (HRQoL) over a two-year period among patients undergoing peritoneal dialysis treatment at home. We further explored the extent to which sleep quality, fatigue, and mental health predicted health-related quality of life outcomes. This prospective study included 55 patients. Sleep parameters changed over two years, independently of treatment. Sleep variables at baseline, to some extent, predicted sleep quality after two years. Daytime sleepiness can be a long-term problem. Findings indicate improvements in nocturnal sleep over a two-year time period, independently of dialysis treatment. In contrast, fatigue remained unchanged over the same time period. Transplantation seems to generally benefit the outcome of HRQoL. Strategies to improve sleep and HRQoL may include systematic risk factor modification and efforts to optimise symptomatic treatment. 

  • 1256.
    Zaar, Lina
    et al.
    University of Skövde, School of Health and Education.
    Eklind, Sandra
    University of Skövde, School of Health and Education.
    ”Skräm inte mammor i onödan”: Svenska dagstidningars bild av förlossning och förlossningsvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Graviditet och förlossning är ett känsligt tillstånd för blivande föräldrapar, vilket medför att de är lättpåverkade av olika informationskällor. Berättelser om graviditet och förlossning i massmedia är efterfrågade och förlossningsvården är ett aktuellt ämne, både medialt och politiskt. Tidningar behöver ofta locka med uppseendeväckande rubriker för att skapa intresse. Barnmorskans roll är att främja den normala graviditeten och förlossningen samt skapa trygghet och tillit hos föräldraparet. För att kunna vägleda blivande föräldrar behöver barnmorskan ha vetskap om hur förlossning och förlossningsvård framställs i massmedia. Syfte: Att beskriva hur förlossning och förlossningsvård framställs i de fyra största svenska dagstidningarna. Metod: Kvalitativ innehållsanalys med induktiv ansats användes. Datainsamling i databasen Mediearkivet utmynnade i 177 artiklar, som låg till grund för analysen. Resultat: Analysen resulterade i ett tema: Förlossning och förlossningsvård framställs oftast riskfylld, dramatisk och stressande, men sällan naturlig och stärkande. Centralt fynd var att den normala förlossningen inte fick utrymme i artiklarna. Dramatiska händelser samt en bild av att förlossningsvården är i kris var framträdande. Konklusion: Massmedia ger inte utrymme för den normala förlossningen, utan framhäver de exceptionella händelserna, vilket skapar oro och rädsla hos föräldrapar. Därmed måste barnmorskan arbeta för att sprida en mer verklighetsförankrad bild av förlossning.

  • 1257.
    Zaqout, M.
    et al.
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, Ghent, Belgium.
    Michels, N.
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, Ghent, Belgium.
    Bammann, K.
    Univ Bremen, Inst Publ Hlth & Nursing Res, Fac Human & Hlth Sci, Bremen, Germany.;Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Ahrens, W.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Sprengeler, O.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Molnar, D.
    Univ Pecs, Fac Med, Dept Pediat, Pecs, Hungary.
    Hadjigeorgiou, C.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit EPI, Gothenburg, Sweden.
    Konstabel, K.
    Natl Inst Hlth Dev, Dept Chron Dis, Ctr Behav & Hlth Sci, Tallinn, Estonia.
    Russo, P.
    CNR, Inst Food Sci, Unit Epidemiol & Populat Genet, Avellino, Italy.
    Jimenez-Pavon, D.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Moreno, L. A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, Ghent, Belgium.
    Influence of physical fitness on cardio-metabolic risk factors in European children. The IDEFICS study2016In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 40, no 7, p. 1119-1125Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of the study was to assess the associations of individual and combined physical fitness components with single and clustering of cardio-metabolic risk factors in children. SUBJECTS/METHODS: This 2-year longitudinal study included a total of 1635 European children aged 6-11 years. The test battery included cardio-respiratory fitness (20-m shuttle run test), upper-limb strength (handgrip test), lower-limb strength (standing long jump test), balance (flamingo test), flexibility (back-saver sit-and-reach) and speed (40-m sprint test). Metabolic risk was assessed through z-score standardization using four components: waist circumference, blood pressure (systolic and diastolic), blood lipids (triglycerides and high-density lipoprotein) and insulin resistance (homeostasis model assessment). Mixed model regression analyses were adjusted for sex, age, parental education, sugar and fat intake, and body mass index. RESULTS: Physical fitness was inversely associated with clustered metabolic risk (P<0.001). All coefficients showed a higher clustered metabolic risk with lower physical fitness, except for upper-limb strength (beta = 0.057; P = 0.002) where the opposite association was found. Cardio-respiratory fitness (beta = -0.124; P<0.001) and lower-limb strength (beta = -0.076; P = 0.002) were the most important longitudinal determinants. The effects of cardio-respiratory fitness were even independent of the amount of vigorous-to-moderate activity (beta = -0.059; P = 0.029). Among all the metabolic risk components, blood pressure seemed not well predicted by physical fitness, while waist circumference, blood lipids and insulin resistance all seemed significantly predicted by physical fitness. CONCLUSION: Poor physical fitness in children is associated with the development of cardio-metabolic risk factors. Based on our results, this risk might be modified by improving mainly cardio-respiratory fitness and lower-limb muscular strength.

  • 1258.
    Zaqout, Mahmoud
    et al.
    Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, Ghent, Belgium.
    Michels, Nathalie
    Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, Ghent, Belgium.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany.
    Börnhorst, Claudia
    Leibniz Institute for Prevention Research and Epidemiology BIPS, Bremen, Germany.
    Molnár, Dénes
    Department of Pediatrics, Medical Faculty, University of Pécs, Pécs, Hungary.
    Moreno, Luis A.
    GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain.
    Eiben, Gabriele
    Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Siani, Alfonso
    Epidemiology and Population Genetics, Institute of Food Sciences, National Research Council, Avellino, Italy.
    Papoutsou, Stalo
    Research and Education Institute of Child Health, Strovolos, Cyprus.
    Veidebaum, Toomas
    Department of Chronic Diseases, National Institute for Health Development, Tallinn, Estonia.
    De Henauw, Stefaan
    Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 4K3, Ghent, Belgium.
    Associations between exclusive breastfeeding and physical fitness during childhood2018In: European Journal of Nutrition, ISSN 1436-6207, E-ISSN 1436-6215, Vol. 57, no 2, p. 545-555Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Exposure to breastfeeding improves the survival, health, and development of children; therefore, breast milk is recommended as the exclusive nutrient source for feeding term infants during the first 6 months. This cross-sectional study aimed to determine the possible association between exposure to exclusive breastfeeding and physical fitness performance in children and, if so, whether this association is influenced by the breastfeeding duration.

    METHODS: A total of 2853 (52.3 % girls) European children from the IDEFICS study aged 6-11 years with complete data on physical fitness (cardiorespiratory fitness, muscular strength, flexibility, balance, speed) and exclusive breastfeeding duration (never, 1-3, 4-6, 7-12 months) were included in the present study. Multivariate and mixed linear regression models were estimated and adjusted for sex, age, birth weight, diet, physical activity, body mass index, and parental factors (age, body mass index, educational attainment).

    RESULTS: We found a positive association between exclusive breastfeeding and lower-body explosive strength (β = 0.034) as well as flexibility (β = 0.028). We also found a positive association between breastfeeding and balance in boys (β = 0.039), while this association was negative in girls (β = -0.029). To improve lower-body explosive strength, 1-3 months of exclusive breastfeeding were enough; a longer duration did not lead to increasing benefit. In contrast, 4-6 months of breastfeeding were necessary to have any benefit on flexibility or balance, although this became nonsignificant after adjustment for body mass index and physical activity.

    CONCLUSIONS: Exclusive breastfeeding seems a natural way of slightly improving some physical fitness components (mainly lower-body muscle strength) and thus future health.

  • 1259.
    Zare, Zahra
    et al.
    Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Iran.
    Sadeghi-Bazargani, Homayoun
    Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Iran.
    Ranjbar, Fatemeh
    Research Center of Psychiatry and Behavioral sciences, Tabriz University of Medical Sciences, Tabriz, Iran.
    Stark Ekman, Diana
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Farahbakhsh, Mostafa
    Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
    Maghsoudi, Hemmat
    Department of Surgery, Sina Burn Center, Tabriz University of Medical Sciences, Iran.
    Ekman, Robert
    Department of Architecture and Civil Engineering, Chalmers University of Technology, Gothenburg, Sweden.
    Nasiri, Farideh
    Sociologist at Tabriz University of Medical Sciences, Iran.
    Psychometric Properties of a New Instrument for Assessing Irrational Thoughts in Burn Victims (Scale of Irrational Thoughts After Burn Injuries)2017In: Journal of Burn Care & Research, ISSN 1559-047X, E-ISSN 1559-0488, Vol. 38, no 5, p. e834-e841Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to develop and evaluate a scale for assessing irrational thoughts among burned patients. The present study was mixed (qualitative-methodologic) which was performed in several stages such as investigating similar or related scales, interviewing with patients and psychologists. Content validity was calculated by modified KAPPA basis on relevance and clarity. The reliability of the scale was measured using internal consistency and the test-retest method. To determine the construct validity, exploratory factor analysis approach using maximum likelihood extraction with varimax rotation was conducted. A total of 329 burned patients were recruited from Tehran, Tabriz, and Kermanshah provinces of Iran. Modified kappa scores were 0.80 and 0.91 for relevance and clarity of the items included in scale. The Cronbach alpha for overall scale, subscale 1, and subscale 2 were 0.89, 0.88, and 0.8, respectively. Test-retest reliability was also acceptable (intraclass correlation coefficient = 0.80). The best solution from the maximum likelihood analysis of the 39 items of the scale revealed two factors corresponding to the two subscales with 14 items that subscale 1 (self-acceptance) consisted of 10 statements accounting for 60% of the variance (eigenvalue = 5.04) and subscale 2 (distastefulness and pity) consisted of four statements accounting for 40% of the variance (eigenvalue = 1.53). The scale reflects acceptable levels of validity and reliability in assessing the irrational thoughts among Iranian patients. Moreover, the testing populations of both patients with burned faces and patients with other burned body parts indicates that the scale may also be applicable for patients' burn disfigurements on any part of their bodies.

  • 1260.
    Zaytoun, Maria
    University of Skövde, School of Health and Education. mariazaytoun@hotmail.com.
    Sjuksköterskors erfarenheter av att vårda och bemöta äldre med demenssjukdom: En litteraturbaserad studie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Dementia is a common disease and is among the leading causes of disability amongst elderly people. Dementia disease can lead to personality changes, memory disorders, confusion and communication difficulties, amongst other things. These symptoms demand nurses to adapt their way of nursing and treating to offer the best possible care. Aim: The aim with a literature-based study is to describe nurses’ experiences with nursing and treating elderly with dementia disease. Method: In the following study a total of 10 articles of qualitative nature have been reviewed and analyzed in a structured manner. Result: The following four themes have been identified regarding the studied articles; The caring creates a variety of emotions, the importance of having prerequisites, knowledge about the individual behind the disease and the importance of being able to communicate and interact. Conclusion and clinical implications: Good treatment is a prerequisite for good care. To treat elderly with dementia the right preconditions like, time, a person-centered approach, knowledge about the disease and communication skills are necessary. The result can contribute to an increased understanding of nurses by describing other nurses' actual experiences of how nursing and treatment of elderly with dementia disease can be seen in practice.   

  • 1261.
    Zeijlon, Jessika
    et al.
    University of Skövde, School of Life Sciences.
    Lidestam, Magdalena
    University of Skövde, School of Life Sciences.
    Vad förebygger depression bland äldre: en litteraturstudie2012Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Late-life depression is a major public health problem which causes emotional suffering among individuals and their relatives, and also leads to increased health care costs. In Sweden the prevalence of late-life depression is approximately 12-15 % among those aged 65 and older. The aim of this literature review was to compile and examine previous research considering late-life depression-preventive factors. Literature searches were made in the databases LibHub, PubMed and Cinahl using the keywords: prevention, depression, depressive symptoms, elderly, old and old people. Twelve scientific articles were selected and analyzed. Five main themes were identified. Theme activity showed conflicting results, dietary supplements were effective in one of two studies and social support was an important factor in preventing depression and counteracts the negative effects of stressful life events and economic stress. Cognitive strategies such as “positive restructuring” and CBT treatment were found to have an effect on depression symptoms. An intervention program including training of nursery care staff had significant effect, especially in nursing homes with a high prevalence of depression. Conclusion: Further literature studies and further deepening of the different themes are needed to draw accurate conclusions. There is a need for more research in this area, larger studies and longer follow-up is needed.

  • 1262.
    Åberg, Cecilia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Att lära i den verksamhetsförlagda delen av utbildningen2015In: Reflektion i lärande och vård - en utmaning för sjuksköterskan / [ed] Mia Berglund, Margaretha Ekebergh, Lund: Studentlitteratur AB, 2015, 1, p. 145-162Chapter in book (Refereed)
  • 1263.
    Åman Svensson, Mattias
    University of Skövde, School of Health and Education. mattias.aman.svensson@gmail.com.
    Att behandla depression hos äldre: en global utmaning2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The older population makes up the largest group of people struck by mental depression. Meanwhile it is also the most rapidly increasing population group suffering from depression. There is a lack of research in this field and there are indications that older people do not respond to treatment in the same way as the younger population. The aim of this literature review is to examine methods of treatment for depression in the elderly population.Method: A systematic literature review with thematic content analysis of quantitative data.Results: Fifteen articles were included. The analysis resulted in four themes: Physical activity, Therapy, Social interaction, Medical treatment. Conclusion: There are indications of treatments with good effect, but it is difficult to identify possible clinical implications due to heterogeneity within the study population. More studies in the field focusing on subgroups are needed.

  • 1264.
    Öberg, Isabella
    University of Skövde, School of Health and Education.
    Copingstrategier för sjuksköterskor i mötet med döden inom vården: En kvalitativ litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1265.
    Öhlin, Linnéa
    et al.
    University of Skövde, School of Health and Education.
    Kjellén, Malin
    University of Skövde, School of Health and Education.
    ”DET HÄR ÄR JAG FÖR ALLTID”: En kvalitativ studie baserad på bloggar skrivna av människor som lever med hiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The human immunodeficiency virus (HIV) is a cause of chronic disease discovered in America in the 1980s. People living with HIV have since the discovery of the disease been exposed to discrimination, stigmatization and exclusion. Today effective treatment enables people with HIV to live a life without reduced lifespan. Purpose: The aim of the study is to describe people's experience of living with HIV in Sweden. Method: Narrative method based on qualitative data in form of blogs written by people living with HIV. Google database from google LLC was searched for relevant material. Result: The notification of HIV causes feelings of shock, fear and anxiety of death. Concurrent with the shocking message, a considerable need to converse occurs. However, many people also experience a fear of rejection when they tell others that they are HIV positive. This fear also have a negative impact on their sex life, since many of the them prefer to refrain from sexual relations rather than telling about the virus. Despite these difficulties, people living with HIV create strategies that make life manageable, and express a gratitude for lessons learned since exposure. Conclusion: The toughest challenge for people living with HIV is to deal with the prejudices and stigmatization by people in their surrounding.

  • 1266.
    Österlind, Jane
    et al.
    Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Ersta Sköndal University College, Department of Health Care Sciences, Stockholm, Sweden.
    Prahl, Charlotte
    Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Ersta Sköndal University College, Department of Health Care Sciences, Stockholm, Sweden.
    Westin, Lars
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Strang, Susann
    Sahlgrenska Academy, University of Gothenburg, Institute of Health and Care Sciences, Sweden / Angered Hospital, Sweden.
    Bergh, Ingrid
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Henoch, Ingela
    Ersta Sköndal University College and Ersta Hospital, Palliative Research Centre, Stockholm, Sweden / Angered Hospital, Sweden / University of Gothenburg Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Sweden.
    Hammarlund, Kina
    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.
    Nursing students' perceptions of caring for dying people, after one year in nursing school2016In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 41, p. 12-16Article in journal (Refereed)
    Abstract [en]

    Aim: To describe Swedish nursing students' perceptions of caring for dying people after the first year of a three year in a nursing programme at three university nursing schools in Sweden. Methods: Interviews (n = 17) were undertaken with nursing students at the end of their first year. A phenomenographic approach was used to design and structure the analysis of the nursing students' perceptions. Results: The analysis resulted in five categories: 1) from abstract to reality, 2) from scary to natural, 3) increased knowledge can give bad conscience, 4) time limits versus fear of end-of-life conversations, and 5) meeting with relatives. Conclusion: Nursing students need to be prepared both theoretically and within practice to encounter death and dying and to care for dying persons. By combining their theoretical knowledge of dying and death with their own encounters of death and dying people in practice, the students can be supported to develop an understanding of dying and death as a natural part of life rather than something frightening. 

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