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  • 301.
    Dahlén, Erik
    et al.
    University of Skövde, School of Life Sciences.
    Wallenstein, Rikard
    University of Skövde, School of Life Sciences.
    När erektionen försvinner: Mäns erfarenheter av erektil dysfunktion till följd av diabetes mellitus typ 2. En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: It is commonly known that erectile dysfunction, popularly known as impotence, is caused by several factors including enlarged prostate, depression and diabetes. The erectile dysfunction caused by diabetes has a more difficult progress than other causes.Aim: The aim of this study was to illustrate sexually active men’s experiences of erectile dysfunction caused by diabetes mellitus type 2.

    Method: The chosen method was a literature review based of qualitative and quantitative articles. Ten quantitative and two qualitative articles were analysed.

    Results: Two categories were identified, Affects on life and Understanding the situation with subcategories.

    Conclusions: There is lack of knowledge about why men suffer from erectile dysfunction. Several of the men do not believe there is a treatment for their problem. If erection status was a part of the annual diabetes check-ups as well as valid information and adequate treatment the men and their partner would have better knowledge and awareness about the condition. This would also result in less anxiety, better sexual and mental health and a better relation.

  • 302.
    Dahlén, Inga Margareta
    University of Skövde, School of Life Sciences.
    Skolsköterskans upplevelse av psykisk ohälsa hos elever2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The mental unhealth is increasing of children and youth. The increasedmental problems of students can be connected to the individualization that is a part of themodern development. It is urgent to detect and treat mental unhealth as early as possible.The school nurse is central to school health nursing as she is available in the students’everyday life.Aim: To illuminate the school nurse’s experience of mental unhealth of students.Method: As data collecting method semi structured interview was chosen. The materialwas analyzed with a qualitative content analysis. The result of the analysis describes fiveschool nurse’s experiences of mental unhealth of students.Findings: The result of the analysis was six categories: Pain, Coming, Overactivity, Tired,Self damaging behaviour and friends. The result shows on a high frequency of revisits. Thestudents mostly visited for headache and stomach ache. It is mostly girls who visit theschool nurse, for boys it is more difficult to accept help.

  • 303.
    Dahlén, Ingrid
    et al.
    University of Skövde, School of Life Sciences.
    Westin, Lars
    University of Skövde, School of Life Sciences.
    Adolfsson, Annsofie
    University of Skövde, School of Life Sciences.
    Experience of being a low priority patient during waiting time at an emergency department2012In: Psychology Research and Behavior Management, ISSN 1179-1578, E-ISSN 1179-1578, Vol. 5, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Background: Work in the emergency department is characterized by fast and efficient medical efforts to save lives, but can also involve a long waiting time for patients. Patients are given a priority rating upon their arrival in the clinic based on the seriousness of their problem, and nursing care for lower priority patients is given a lower prioritization. Regardless of their medical prioritization, all patients have a right to expect good nursing care while they are waiting. The purpose of this study was to illustrate the experience of the low prioritized patient during their waiting time in the emergency department. Methods: A phenomenological hermeneutic research method was used to analyze an interview transcript. Data collection consisted of narrative interviews. The interviewees were 14 patients who had waited more than three hours for surgical, orthopedic, or other medical care.Results: The findings resulted in four different themes, ie, being dependent on care, being exposed, being vulnerable, and being secure. Lower priority patients are not paid as much attention by nursing staff. Patients reported feeling powerless, insulted, and humiliated when their care was delayed without their understanding what was happening to them. Not understanding results in exposure that violates self-esteem. Conclusion: The goal of the health care provider must be to minimize and prevent suffering, prevent feelings of vulnerability, and to create conditions for optimal patient well being.

  • 304.
    Dalal, Koustuv
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Centre for Injury Prevention and Safety Promotion (CIPSP), School of Health & Medical Sciences, Department of Public Health Science, Örebro University, Örebro, Sweden.
    Svanström, Leif
    University of Skövde, School of Health and Education. Division of Social Medicine, Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden.
    Economic Burden of Disability Adjusted Life Years (DALYs) of Injuries2015In: Health, ISSN 1949-4998, E-ISSN 1949-5005, Vol. 7, no 4, p. 487-494Article in journal (Refereed)
  • 305.
    Dalal, Koustuv
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Centre for Injury Prevention and Safety Promotion (CIPSP), School of Health & Medical Sciences, Department of Public Health Science, Örebro University, Örebro, Sweden.
    Wang, Shumei
    School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai, China.
    Svanström, Leif
    University of Skövde, School of Health and Education. WHO CC Community Safety Promotion, Karolinska Institutet, Stockholm, Sweden.
    Intimate Partner Violence against Women in Nepal: An Analysis through Individual, Empowerment, Family and Societal Level Factors2014In: Journal of Research in Health Sciences, ISSN 1682-2765, Vol. 14, no 4, p. 251-257Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The current study estimated the national prevalence rate of intimate partner violence against women (IPVAW) in Nepal. Besides, the individual level, empowerment level, family and societal level factors were assessed to relate with the victims of IPAVW in Nepal.

    METHODS: Nationally representative sample of 4210 women of reproductive age (15-49 yr) were included in the study. Household surveys using two stage sampling procedures, face to face interview with pre-tested questionnaires were performed. Emotional, physical and sexual violence were target variables. A violence variable was constructed from these three types of violence. Individual level factors were measured by age, residency, education, religion and husband's education. Empowerment factors included employment status and various decision making elements. Family and societal factors included economic status, neighborhood socioeconomic disadvantage index, history of family violence, husband's controlling behavior and other issues. Cross tabulation with chi-square tests and multivariate logistic regression were employed.

    RESULTS: Prevalence of emotional IPVAW was 17.5%, physical IPAVW 23.4% and sexual IPAVW 14.7%. Overall the prevalence of IPVAW in Nepal was 32.4%. Joint decision making for contraception, husband's non-controlling behavior to wives and friendly feelings were emerged as less likely to be IPVAW perpetration.

    CONCLUSIONS: The findings have immense policy importance as a nationally representative study and indicating necessity of more gender equality.

  • 306.
    Dalebrand, Marie
    et al.
    University of Skövde, School of Health and Education. marie_wallin@live.se.
    Karlsson Nordmalm, Johanna
    University of Skövde, School of Health and Education. johannanordmalm@hotmail.com.
    I mitt huvud var det upp och ner: Unga kvinnor med adhd och deras upplevelse under skolåren2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Girls with Attention Deficit Hyperactivity Disorder (ADHD) are at increased risk of not being detected as there is a lack of knowledge how to identifying ADHD symptoms, especially in girls. Consequently, they risk not getting adequate support during their schoolyears. In the health-promoting nursing at school, the nurse shall respond to the needs of the students in the best possible way, based on trust, science and proven experience.

    Purpose: The purpose of the study is to describe young women with ADHD and their experiences during the school years.

    Method: The study has been conducted with qualitative methodology and the material has been analyzed with a qualitative meaning analysis. The study is based on six interviews conducted via e-mail.

    Result: The analysis resulted in six categories describing young women with ADHD and their experiences during their school years; To feel mentally bad and excluded; Experience lack of understanding; Experience in the classroom; Gaining understanding; Experience getting an ADHD diagnosis; Getting an earlier ADHD-diagnosis would have facilitated.

    Conclusion: There is a lack of knowledge in school to identify ADHD in girls, and as result they are often diagnosed as late as in their teenage years. Lack of knowledge and inadequately individualized support efforts have a negative impact on school performance and mental health. 

  • 307.
    Danielsen, Maria
    et al.
    University of Skövde, School of Health and Education.
    Caroline, Lundberg
    University of Skövde, School of Health and Education.
    Kvinnors egna berättelser om upplevelser av vård vid cancerbehandling2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: About 8000 women are diagnosed with breast cancer every year in Sweden. These women meet nursing care several times during their treatment and their need of support and information is found important in several studies. To meet and understand these women’s needs, we need to know more about how they experience care. Aim: The aim of this study was to describe how women with breast cancer experience their care.  Method: The study, a meaning analysis, has been performed by analysing eight biographies written by women with experiences of having breast cancer. Result: The results show that women with breast cancer want to be seen as a unique person during their time as patient, they need support and confirmation from relatives and from nursing staff. They also express they want to be taken care of in a soft and gentle way with respect and based on their own life-world. Conclusions: Women with breast cancer want to be met as the unique persons they are in meetings with health care. By having a larger nursing perspective and more person-centred care their suffering can be relieved. Keywords: breast cancer, experience, care,

     

  • 308.
    Darcy, Laura
    et al.
    Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Health Sciences, University College Borås, Borås, Sweden.
    Björk, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Enskär, Karin
    Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Knutsson, Susanne
    Department of Nursing Sciences, CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Health Sciences, University College Borås, Borås, Sweden.
    The process of striving for an ordinary, everyday life, in young children living with cancer, at six months and one year post diagnosis2014In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 18, no 6, p. 605-612Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Health care focus is shifting from solely looking at surviving cancer to elements of attention relating to living with it on a daily basis.The young child's experiences are crucial to providing evidence based care. The aim of this study was to explore the everyday life of young children as expressed by the child and parents at six months and one year post diagnosis.

    METHODS: Interviews were conducted with children and their parents connected to a paediatric oncology unit in Southern Sweden. A qualitative content analysis of interview data from two time points, six months and one year post diagnosis, was carried out.

    RESULTS: The process of living with cancer at six months and at one year post diagnosis revealed the child's striving for an ordinary, everyday life. Experiences over time of gaining control, making a normality of the illness and treatment and feeling lonely were described.

    CONCLUSION: Nurses have a major role to play in the process of striving for a new normal in the world post-diagnosis, and provide essential roles by giving the young child information, making them participatory in their care and encouraging access to both parents and peers. Understanding this role and addressing these issues regularly can assist the young child in the transition to living with cancer. Longitudinal studies with young children are vital in capturing their experiences through the cancer trajectory and necessary to ensure quality care.

  • 309.
    Darcy, Laura
    et al.
    Jönköping University, Jönköping, Sweden / University of Borås, Borås, Sweden.
    Björk, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Jönköping University, Jönköping, Sweden.
    Knutsson, Susanne
    Jönköping University, Jönköping, Sweden / University of Borås, Borås, Sweden.
    Granlund, Mats
    Jönköping University, Jönköping, Sweden.
    Enskär, Karin
    Jönköping University, Jönköping, Sweden.
    Following Young Children's Health and Functioning in Everyday Life Through Their Cancer Trajectory2016In: Journal of Pediatric Oncology Nursing, ISSN 1043-4542, E-ISSN 1532-8457, Vol. 33, no 3, p. 173-189Article in journal (Refereed)
    Abstract [en]

    Background: Knowledge of living with childhood cancer, through the trajectory, is sparse. Aim: The aim of this study was to follow young children's health and functioning in everyday life through their cancer trajectory. Methods: Data were gathered longitudinally from a group of 13 young children and their parents connected to a pediatric oncology unit in Sweden. The International Classification of Functioning, Disability and Health for Children and Youth structure was used to identify difficulties in health and functioning in everyday life, in interview and questionnaire data. Descriptive statistical analysis was performed to show patterns of difficulty over a 3-year period from diagnosis. Results: Difficulties experienced by children declined and changed over time. An increase in difficulties with personal interactions with others and access to and support from health care professionals was seen 2 to 3 years after diagnosis and start of treatment. Similar patterns are seen within individual children's trajectories in relation to diagnosis but individual patterns were seen for each child. Conclusions and Clinical Implications: Health care professionals need to plan for ongoing contact with school services and information and support pathways, beyond the treatment period. A person-centered philosophy of care is required throughout the cancer trajectory.

  • 310.
    Darcy, Laura
    et al.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Health Sciences, University College Borås, Borås, Sweden.
    Enskär, Karin
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Granlund, M.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Simeonsson, R. J.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden / School of Psychology and Early Childhood Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
    Peterson, C.
    CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Björk, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. CHILD Research Group, School of Health Sciences, Jönköping University, Jönköping, Sweden.
    Health and functioning in the everyday lives of young children with cancer: documenting with the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY)2015In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 41, no 3, p. 475-482Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Health care focus is shifting for children from surviving childhood cancer to living with it on a daily basis. There is a need to document health and function in the everyday lives of young children with cancer using the multidimensional framework and language of the International Classification of Functioning, Disability and Health - Children and Youth (ICF-CY).

    AIMS: The aims of this study were (1) to document health and functioning in the everyday lives of young children with cancer using ICF-CY codes and (2) to identify a comprehensive code set that can aid clinical assessment.

    METHOD: Interviews with children diagnosed with cancer and their parents, were transcribed, reviewed for content and coded to the ICF-CY using linking procedures.

    RESULTS: A comprehensive code set (n = 70) for childhood cancer was identified. The majority of content identified to codes was related to activity and participation describing social relations with family, peers and professionals, preschool attendance and play, as well as issues related to support and independence.

    CONCLUSIONS: The ICF-CY can be used to document the nature and range of characteristics and consequences of cancer experienced by children. The identified comprehensive code set could be helpful to health care professionals, parents and teachers in assessing and supporting young children's health and everyday life through the cancer trajectory. The comprehensive code set could be developed as a clinical assessment tool for those caring for young children with cancer. The universal language of the ICF-CY means that the utility of a clinical assessment tool based on identified codes can have wide reaching effects for the care of young children with cancer.

  • 311.
    Davidsson, Julia
    et al.
    University of Skövde, School of Health and Education.
    Sjöström, Ida
    University of Skövde, School of Health and Education.
    Att leva med HIV: En självbiografistudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Human Immunodeficiency Virus (HIV), is a virus disease which infects through blood and sexual contacts. A person with HIV can live without any physical symptoms if he or she gets the right treatments. When it first was discovered, the disease created a lot of fear and prejudices that to some extent still exists. Purpose: To describe people´s experiences of living with HIV. Method: Narrative analysis were six autobiographies written by people with HIV was analyzed. Results: From the analysis of data material two categories emerged, A changed life and valuing the experiences of having HIV with seven subcategories. Conclusion: People with HIV are experiencing a worse personal health due to feelings like loneliness and alienation. The prejudices about the disease can be reduced by increased knowledge in healthcare. A nurse can increase these persons wellbeing by having good knowledge about the disease, give a respectful treatment and inform about sexual health.

  • 312.
    De Bourdeaudhuij, I.
    et al.
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    Verbestel, V.
    Univ Ghent, Dept Movement & Sport Sci, B-9000 Ghent, Belgium.
    De Henauw, S.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Maes, L.
    Univ Ghent, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Huybrechts, I.
    Int Agcy Res Canc, Dietary Exposure Assessment Grp, F-69372 Lyon, France.
    Marild, S.
    Univ Gothenburg, Dept Pediat, Gothenburg, Sweden.
    Eiben, Gabriele
    Univ Gothenburg, Dept Publ Hlth & Community Med, Gothenburg, Sweden.
    Moreno, L. A.
    Univ Zaragoza, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Barba, G.
    CNR, Inst Food Sci, Avellino, Italy.
    Kovacs, E.
    Univ Pecs, Dept Paediat, Pecs, Hungary / Univ Munich, Inst Med Informat Proc Biometr & Epidemiol, Munich, Germany.;Univ Munich, German Ctr Vertigo & Balance Disorders, Munich, Germany.
    Konstabel, K.
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Tornaritis, M.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Gallois, K.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Hebestreit, A.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Pigeot, I.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Fac Math & Comp Sci, D-28359 Bremen, Germany.
    Behavioural effects of a community-oriented setting-based intervention for prevention of childhood obesity in eight European countries. Main results from the IDEFICS study2015In: Obesity Reviews, ISSN 1467-7881, E-ISSN 1467-789X, Vol. 16, p. 30-40Article in journal (Refereed)
    Abstract [en]

    ObjectiveThe objective of this paper is to evaluate the behavioural effects, as reported by the parents of the participating boys and girls, of the IDEFICS (Identification and prevention of Dietary- and lifestyle-induced health EFfects In Children and infantS) intervention. MethodsThe effectiveness of the IDEFICS intervention was evaluated through a cluster-controlled trial in eight European countries (control and intervention communities in each country) including more than 16,000 children. The 2- to 9.9-year-old children in the intervention group were exposed to a culturally adapted intervention that aimed to prevent childhood obesity through the community, schools/kindergartens and family. Parents completed questionnaires to measure water, soft drink and fruit juice intake; fruit and vegetable intake; daily TV viewing and other sedentary behaviours; daily physical activity levels and strengthening of the parent-child relationships at baseline and follow-up (2years later). Mixed models with an additional random effect for country were used to account for the clustered study design, and results were stratified by sex. ResultsThe pan-European analysis revealed no significant time by condition interaction effects, neither for boys nor girls, i.e. the analysis revealed no intervention effects on the behaviours of the IDEFICS children as reported by their parents (F=0.0 to 3.3, all p>0.05). Also very few significances were found in the country-specific analyses. Positive intervention effects were only found for sport club participation in Swedish boys, for screen time in weekends for Spanish boys and for TV viewing in Belgian girls. ConclusionAlthough no expected intervention effects as reported by the parents on diet, physical activity and sedentary behaviours could be shown for the overall IDEFICS cohort, a few favourable intervention effects were found on specific behaviours in some individual countries. More in-depth analyses of the process evaluation data are needed to obtain more insight into the relationship between the level of exposure to the intervention and its effect. 

  • 313.
    De Decker, Annelies
    et al.
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, De Pintelaan 185 UZ 4K3, B-9000 Ghent, Belgium.
    Verbeken, Sandra
    Univ Ghent, Fac Psychol & Educ Sci, Dept Dev Personal & Social Psychol, Henri Dunantlaan 2, B-9000 Ghent, Belgium.
    Sioen, Isabelle
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, De Pintelaan 185 UZ 4K3, B-9000 Ghent, Belgium / Univ Ghent, Fac Biosci Engn, Dept Food Safety & Food Qual, Coupure Links 653, B-9000 Ghent, Belgium.
    Van Lippevelde, Wendy
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, De Pintelaan 185 UZ 4K3, B-9000 Ghent, Belgium.
    Braet, Caroline
    Univ Ghent, Fac Psychol & Educ Sci, Dept Dev Personal & Social Psychol, Henri Dunantlaan 2, B-9000 Ghent, Belgium.
    Eiben, Gabrielle
    Univ Gothenburg, Dept Publ Hlth & Community Med, Box 453, S-40530 Gothenburg, Sweden.
    Pala, Valeria
    Fdn IRCSS Ist Nazl Tumori, Dept Prevent & Predict Med, Via Venezian 1, I-20133 Milan, Italy.
    Reish, Lucia A.
    Copenhagen Business Sch, Dept Intercultural Commun & Management, Porcelaenshaven 18a, DK-2000 Frederiksberg, Denmark.
    De Henauw, Stefaan
    Univ Ghent, Dept Publ Hlth, Fac Med & Hlth Sci, De Pintelaan 185 UZ 4K3, B-9000 Ghent, Belgium / Vesalius Univ Coll Ghent, Dept Hlth Sci, Keramiekstr 80, B-9000 Ghent, Belgium.
    Palatable food consumption in children: interplay between (food) reward motivation and the home food environment2017In: European Journal of Pediatrics, ISSN 0340-6199, E-ISSN 1432-1076, Vol. 176, no 4, p. 465-474Article in journal (Refereed)
    Abstract [en]

    To understand the importance of the home food environment on unhealthy food consumption in children high in reward sensitivity, this study tested the hypothesis that the home availability of unhealthy food moderates the effect of reward sensitivity on children's fast-food consumption frequency, exerted via food cue responsiveness. Children between 7.5 and 14 years (n = 174, 50.6% boys) reported on reward sensitivity and food cue responsiveness (by means of the subscale 'external eating'). Their height and weight were measured. Parents reported on their children's fast-food consumption frequency, food cue responsiveness (by means of the subscale 'food responsiveness'), and on the home availability of unhealthy foods. Two moderated mediation models were conducted, one with the parent- and one with the child-reported food cue responsiveness as mediator. Findings suggested that with a high home availability of unhealthy foods, (a) a higher fast-food consumption frequency was found in children high in reward sensitivity and (b) the relation between reward sensitivity and the fast-food consumption frequency was mediated by external eating. Conclusions: The findings point at the importance of the home food environment in children high in reward sensitivity. They suggest to limit the home availability of unhealthy foods.

  • 314.
    De Henauw, S.
    et al.
    Univ Ghent, Fac Med & Hlth Sci, Dept Publ Hlth, Univ Hosp, B-9000 Ghent, Belgium.;Univ Coll Ghent, Vesalius Coll, Dept Hlth Sci, Ghent, Belgium.
    Michels, N.
    Univ Ghent, Fac Med & Hlth Sci, Dept Publ Hlth, Univ Hosp, B-9000 Ghent, Belgium.
    Vyncke, K.
    Univ Ghent, Fac Med & Hlth Sci, Dept Publ Hlth, Univ Hosp, B-9000 Ghent, Belgium.
    Hebestreit, A.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Russo, P.
    CNR, Inst Food Sci, Epidemiol & Populat Genet, Avellino, Italy.
    Intemann, T.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Peplies, J.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.
    Fraterman, A.
    MVZ Dortmund Dr Eberhard & Partner, Dortmund, Germany.
    Eiben, Gabriele
    Univ Gothenburg, Dept Primary Hlth Care, Gothenburg, Sweden.
    de Lorgeril, M.
    Fac Med Grenoble, TIMC IMAG, CNRS UMR 5525, Coeur & Nutr, Grenoble, France.
    Tornaritis, M.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Molnar, D.
    Univ Pecs, Natl Inst Hlth Promot, Gyermekklin, Pecs, Hungary.
    Veidebaum, T.
    Natl Inst Hlth Dev, Dept Chron Dis, Tallinn, Estonia.
    Ahrens, W.
    Leibniz Inst Prevent Res & Epidemiol BIPS, Bremen, Germany.;Univ Bremen, Fac Math & Comp Sci, Inst Stat, D-28359 Bremen, Germany.
    Moreno, L. A.
    Univ Zaragoza, Sch Hlth Sci, GENUD Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Blood lipids among young children in Europe: results from the European IDEFICS study2014In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 38, p. S67-S75Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Measurement of cholesterol and triglyceride (TG) fractions in blood has become standard practice in the early detection of atherosclerotic disease pathways. Considerable attention is given nowadays to the presence of these risk factors in children and to start preventive campaigns early in life. In this context, it is imperative to have valid comparative frameworks for interpretation of lipid levels. The aim of this study is to present sex-and age-specific reference values on blood lipid levels in European children aged 2.0-10.9 years. METHODS: Fasting blood was obtained via either venipuncture or capillary sampling. In 13 579 European non-obese children (50.3% boys), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), total cholesterol (TC), TG and TC/HDL-C ratio levels were measured with a point-of-care analyser (Cholestech). Sex- and age-specific reference values were computed with the GAMLSS method with the statistical software R. RESULTS: Reference curves and 1st, 3rd, 10th, 25th, 50th, 75th, 90th, 97th and 99th percentile values are presented. HDL-C showed a positive trend with age, from 2 years onwards, but was relatively stable above the age of 7. For LDL-C and TC, linear but small age-related trends were seen. The TC/HDL-C values showed a gradual negative trend from the age of 2 up to 6 and were relatively stable afterwards. For TG, no age trend was found (P = 0.285). Boys had higher mean HDL-C values than girls (1.414 vs 1.368 mmol l(-1)), and lower TC, LDL-C, TC/HDL-C and TG values (3.981 vs 4.087 mmol l(-1); 2.297 vs 2.435 mmol l(-1); 2.84 vs 3.01mmol l(-1); and 0.509 vs 0.542 mmol l(-1), respectively). CONCLUSIONS: These new and recent references could serve as a European orientation of blood lipid values in children in the context of standard medical practice and for the purpose of public health screening.

  • 315.
    De Henauw, S.
    et al.
    Univ Ghent, State Univ Ghent Hosp, Fac Med & Hlth Sci, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Verbestel, V.
    Univ Ghent, Fac Med & Hlth Sci, Dept Movement & Sports Sci, B-9000 Ghent, Belgium.
    Marild, S.
    Univ Gothenburg, Queen Silvia Childrens Hosp, Dept Paediat, Gothenburg, Sweden.
    Barba, G.
    CNR, Inst Food Sci, Unit Epidemiol & Populat Genet, Avellino, Italy.
    Bammann, K.
    Univ Bremen, Bremen Inst Prevent Res & Social Med, Bremen, Germany.
    Eiben, Gabriele
    Univ Gothenburg, Sahlgrenska Acad, Dept Publ Hlth & Community Med, Publ Hlth Epidemiol Unit, Gothenburg, Sweden.
    Hebestreit, A.
    Univ Bremen, Bremen Inst Prevent Res & Social Med, Bremen, Germany.
    Iacoviello, L.
    Catholic Univ, Lab Genet & Environm Epidemiol, Campobasso, Italy.
    Gallois, K.
    Univ Bremen, Bremen Inst Prevent Res & Social Med, Bremen, Germany.
    Konstabel, K.
    Natl Inst Hlth Dev, Tallinn, Estonia.
    Kovacs, E.
    Univ Pecs, Fac Med, Dept Paediat, Pecs, Hungary.
    Lissner, L.
    Department of Public Health and Community Medicine, Public Health Epidemiology Unit, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Maes, L.
    Univ Ghent, State Univ Ghent Hosp, Fac Med & Hlth Sci, Dept Publ Hlth, B-9000 Ghent, Belgium.
    Molnar, D.
    Univ Pecs, Fac Med, Dept Paediat, Pecs, Hungary.
    Moreno, L. A.
    Univ Zaragoza, Growth Exercise Nutr & Dev Res Grp, Zaragoza, Spain.
    Reisch, L.
    Copenhagen Business Sch, Copenhagen, Denmark.
    Siani, A.
    CNR, Inst Food Sci, Unit Epidemiol & Populat Genet, Avellino, Italy.
    Tornaritis, M.
    Res & Educ Inst Child Hlth, Strovolos, Cyprus.
    Williams, G.
    Univ Lancaster, Dept Philosophy, Lancaster, England.
    Ahrens, W.
    Univ Bremen, Bremen Inst Prevent Res & Social Med, Bremen, Germany.
    De Bourdeaudhuij, I.
    Univ Ghent, Fac Med & Hlth Sci, Dept Movement & Sports Sci, B-9000 Ghent, Belgium.
    Pigeot, I.
    Univ Bremen, Bremen Inst Prevent Res & Social Med, Bremen, Germany.
    The IDEFICS community-oriented intervention programme: a new model for childhood obesity prevention in Europe?2011In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 35, p. S16-S23Article in journal (Refereed)
    Abstract [en]

    Background and objectives: The European Union-as well as other parts of the world-faces a major challenge of increasing incidence of overweight/obesity. In particular, the increase in childhood obesity gives rise to a strong imperative for immediate action. Yet, little is known about the effectiveness of community interventions, and further research in this field is needed. There is, however, a growing consensus that such research should start from the paradigm that the current living environments tend to counteract healthy lifestyles. Questioning these environments thoroughly can help to develop new pathways for sustainable health-promoting communities. Against this background, the IDEFICS (Identification and prevention of dietary- and lifestyle-induced health effects in children and infants) study developed and implemented innovative community-oriented intervention programmes for obesity prevention and healthy lifestyle primarily in children aged 2-10 years in eight European countries: Sweden, Estonia, Germany, Belgium, Hungary, Italy, Spain and Cyprus. Materials and methods: The IDEFICS community-oriented intervention study mobilised an integrated set of interventional efforts at different levels of society, with the aim of facilitating the adoption of a healthy obesity-preventing lifestyle. The overall programme has been composed of 10 modules: three at community level, six at school level and one for parents. The main focus was on diet, physical activity and stress-coping capacity. The sphere of action encompassed both children and their (grand) parents, schools, local public authorities and influential stakeholders in the community. All materials for the interventions were centrally developed and culturally adapted. Results: So far, the following has been achieved: focus group research, literature review and expert consultations were done in an early phase as a basis for the development of the intervention modules. The intervention mapping protocol was followed as guide for structuring the intervention research. The overall intervention programme's duration was 2 years, but a longer-term follow-up programme is under development. Conclusions: This large-scale European effort is expected to contribute significantly to the understanding of this major public health challenge. International Journal of Obesity (2011) 35, S16-S23; doi:10.1038/ijo.2011.31

  • 316.
    de la Rosée, Tommy
    University of Skövde, School of Life Sciences.
    Sjuksköterskans uppfattningar om vård av barn på sjukhus i samband med barnets diabetesdebut2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Approximately 600 young people in the ages 0-14 years get diagnosed with diabetes mellitus type 1 in Sweden each year. The numbers of young people that get diagnosed with diabetes mellitus type 1 increase continuously. In connection with the diabetes debut, the entire family is affected. Parents, relatives and children must learn to live with the disease and above all, try to adapt the everyday existence on the basis of the new conditions that comes with the disease. To make this adaptation possible, the healthcare contributes with important knowledge and care, especially during the diseases debut. The aim of this study was to describe the nurse's way of experiences about care of children on hospitals in connection with the child's diabetes debut. A qualitative method and a phenomenographic approach were used in order to describe variations and ways of experience at the nurses. Data collection occurred during interviews. The result describes the nurse's way of experience in three categories: information, questions and the way out of the hospital. The result shows that the nurses notice problems and scarcity in the information they handle. They saw that the adaption to the everyday is important and that the nurses have an important role in this guidance. The knowledge from this study shows that it’s important to see the child together with the family. It also shows the value of good follow-up.

  • 317.
    Deiana, Virginia
    et al.
    University of Skövde, School of Health and Education.
    Bengtsson, Christina
    University of Skövde, School of Health and Education.
    Sjuksköterskors följsamhet till handhygienrutiner: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Following guidelines for hand hygiene is a basic part of the daily routine of nurses to help prevent healthcare associated infections. Over 1500 patients die every year as the result of poor adherence to hand hygiene guidelines. Health care associated infections result in care suffering for the patient which could have been prevented with higher adherence to hand hygiene guidelines. Aim: The aim of the literature review was to identify what causes nurses adherence to hand hygiene guidelines in a hospital setting. Method: The method used was a literature review where both qualitative and quantitative articles were analyzed. Results: Three main categories emerged from the analysis; risk for infectivity, peers willingness to give feedback and organizational shortcomings, with eight subcategories. Conclusion: Poor adherence to hand hygiene guidelines increases the risk of health care associated infections. To prevent care suffering for the patient there is a need for a deeper understanding for nurses’ adherence to hand hygiene guidelines.

  • 318.
    Delin, Paula
    et al.
    University of Skövde, School of Health and Education.
    Rågård, Sandra
    University of Skövde, School of Health and Education.
    Vegetarisk kost: ur ett hälsofrämjande samt sjukdomsperspektiv2017Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Background: Vegetarians have made a lifechanging decision to not eat meat and therefore have an eating pattern consisting of vegetable products.

    Purpose: The systematic literature overview examines how a vegetarian diet affect health from a health promoting and disease perspectives.

    Method: A systematic literature overview based on 11 scientific articles that have been examined from a positive and negative approach of a vegetarian diet.

    Results: A vegetarian diet can both be positive and negative to a persons health. The study shows a positive health for the participants with risk of diseases because there are health promoting effects as well as risks for malnutrition caused by lack of knowledge both regarding short term and long-term diets.

    Discussion: The research shows that the area regarding vegetarian diets is not a wellresearched area and more research is needed. Both negative and positive effects with this diet can be found. The health promoting effect are reduced risk of cardiovascular disease, and the negative effects are the risk of malnutrition when animal products are excluded from the diet with a lack of knowledge regarding the subject.

  • 319.
    Dicander, Madeleine
    et al.
    University of Skövde, School of Health and Education.
    Rosenqvist, Rosanna
    University of Skövde, School of Health and Education.
    Föräldrars erfarenheter av kommunikation med skolsköterskor2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this qualitative study was to describe parents´ experiences of communication with school nurses. School nurses work with health promotion and health prevention education, and they meet children in their natural environment in school several times in children´s education. Health promotion are most successful if there is a cooperation between school nurses and children´s parents and it is important that the communication is well-functioning. Interviews were conducted with a group of parents to find out how they experience the communication with school nurses. By analysis of the content of the interviews, using themes of meaning as a method, four themes of meaning were found: School nurses´ ability to provide commitment and care, School nurses accessibility for school children and parents, Uncertainties concerning the school nurse profession can affect communication and Informative communication- positive and negative experiences. Part of these themes is also available to read in the competence description for school nurses, and they are all key parts in the profession of the school nurse. In summary, the result show that parents mostly experience the communication as positive with the school nurses. However, there are some areas that could be improved, for example the choice of means to communicate in different contexts, and increased accessibility to school nurses. The result also show that parents do not have the knowledge of what education school nurses have or what tasks included in the school nurses´ assignments.

  • 320.
    Didriksson, Annika
    University of Skövde, School of Health and Education.
    Jordbrukares psykiska hälsa: en litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Within the agricultural profession, there are many stress factors. The suicide statistics show that the profession is associated with an even globally increased risk of suicide. How sustainable is agriculture's psychosocial resilience when urbanization, globalization and prevailing climate-change affect the conditions for agriculture and for the individuals who work with food production. Can available scientific literature explain which factors affect the farmer's mental health? Aim: The purpose of this literature rewiev is to demonstrate that the incidence of mental illness in the agricultural sector is a real problem and to get answers to what factors affect the farmers' mental health. The rewiev also aims to achieve a greater understanding in the reader about the mental health of farmers. Methods: A literature study, in which qualitative and quantitative articles have been studied. Articles were searched in the databases Medline and CINAHL and the content was analyzed to meet the criteria of the study. Results: Ten scientific articles were included for analysis and four themes emerged: Working life, Social relations, Geographical location and Stigma. Geographical isolation from healthcare and social meeting places increase isolation and are risk factors for mental illness. Higher prevalence of mental illness among farmers is explained by time pressure, stigmatization of the profession and societal changes which can have a negative effect on mental health.  Conclusion:  Farmers' health is vulnerable and there are reasons to worry about their mental health. But the agricultural profession is also associated with several protective factors that should be strengthened in order to reduce the risk of mental problems.

  • 321.
    Didriksson, Emilia
    et al.
    University of Skövde, School of Health and Education.
    Gripenwald, Iri
    University of Skövde, School of Health and Education.
    Förstärkt föräldraskap - utökade hembesök: Barnhälsovårdssköterskors och föräldrarådgivares erfarenheter av att stödja föräldrar i deras föräldraskap2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The parenting usually entails great joy but can also involve major challenges. Parenting is not always experienced positively, on occasion it can be very stressful. Studies show that early intervention can enhance the parenting role and promote connection between the child and the parent and thus facilitate illness prevention in children.

     Aim: To illustrate child health, nurses and parenting counselors provided extended home

    visits for new parents.  

     Method: A qualitative design and the phenomenological approach are used. Seven

    interviews were carried out with Child health nurses and parenting counselors. The results

    were analyzed with a content analysis.

     Results consist of four headings; Prerequisites for good cooperation, The importance of the meeting place, Concrete support for parents, Challenges to support parents

     Conclusion: The result shows that the project helped child health nurses and parenting counselors provide increased security and support in the parenting role. They have learned that the collaboration in the project has been experienced positively as they together can support families with their specific knowledge. Their view is that the families appreciate the support offered and it is easier for them to discuss sensitive topics in their own home. The prerequisites for being able to respond to challenges in the project require staff support from the manager and training in different cultural approaches.

  • 322.
    Djapo, Medisa
    et al.
    University of Skövde, School of Life Sciences.
    Gustafsson, Ellinor
    University of Skövde, School of Life Sciences.
    Åhl, Isabell
    University of Skövde, School of Life Sciences.
    Betydelsen av stöd för postmenopausala kvinnor med bröstcancer: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Breast cancer is the most common cancer among women in Sweden.  In 2008 there were about 7300 women diagnosed with breast cancer and of these 72 per cent were 55 years or older. Earlier research showed that postmenopausal women with breast cancer aged 55 years and older felt that they were not getting enough support from health professionals and relatives.

    Aim: The aim of this study is to describe how postmenopausal women with breast cancer experience different types of support and how these affect their health.

    Method: A literature review was used in which 16 qualitative and quantitative studies were examined and analyzed according to Friberg (2006).

    Results: The data analysis of the articles revealed five themes and these are: emotional support, health professionals` support, relatives´ support, religious support and information support. We found that these supports are important for postmenopausal women´s health and quality of life.

    Conclusions: Different types of support from relatives and health professionals are perceived as important for postmenopausal women with breast cancer. More research is needed to get a better understanding of which supports that are important for postmenopausal women with breast cancer and how it affects their health.

  • 323.
    Djurberg, Annica Maria
    et al.
    University of Skövde, School of Life Sciences.
    Granberg, Anna Helena
    University of Skövde, School of Life Sciences.
    Sjuksköterskors attityder och förhållningssätt till patienter med fetma: en litteraturöversikt2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Fetma är en sjukdom som drabbar allt fler människor i världen, och problemet beräknas öka bland befolkningen. Många människor med fetma får hjälp av sjukvården för att få stöd i en livsstilsförändring. Alla patienter har rätt att bli behandlade med respekt och värdighet, utifrån den de är, oberoende av kroppsstorlek eller personlighet. Syfte: Syftet med studien var att belysa sjuksköterskors attityder och förhållningssätt till patienter med fetma utifrån tidigare forskning. Metod: Studien bestod i en litteraturöversikt över tidigare publicerad forskning. Datamaterialet som format resultatet inom ämnet begränsades till åtta vetenskapliga artiklar, av både kvalitativ och kvantitativ ansats. Resultat: Fem teman med subtema framstår: känsligheten runt patientens vikt och livssituation, -patientens eget ansvar för sin vikt och livsföring, -beteende och personlighet, -kunskap, utbildning och utrustning, -sjuksköterskans ansvar. Slutsats: Sjuksköterskors attityder till patienter med fetma, positiva och negativa, påverkar patientens möjlighet att uppleva tillfredsställelse och genomföra en livsstilsförändring. I studien framgår även att en god relation mellan patient och sjuksköterska är en förutsättning för att patienten ska få förtroende för sjuksköterskan och känna sig trygg i sin situation.

  • 324.
    Do, Loan Minh
    et al.
    Outpatient Department, National Hospital of Paediatrics, Hanoi, Vietnam / Section for Epidemiology and Social Medicine (EPSO), Department of Public Health and Community Medicine, Institute of Medicine at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Larsson, Viveca
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Tran, Toan Khanh
    Family Medicine Department, Hanoi Medical University, Hanoi, Vietnam.
    Nguyen, Huong Thanh
    Faculty of Social Sciences, Behaviour and Health Education, Hanoi School of Public Health, Hanoi, Vietnam.
    Eriksson, Bo
    Health Metrics, Department of Public Health and Community Medicine, Institute of Medicine at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Ascher, Henry
    Section for Epidemiology and Social Medicine (EPSO), Department of Public Health and Community Medicine, Institute of Medicine at the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden / Angered Hospital, Gothenburg, Sweden.
    Vietnamese mother's conceptions of childhood overweight: Findings from a qualitative study2016In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 9, article id 30215Article in journal (Refereed)
    Abstract [en]

    Background: Childhood overweight and obesity is a new and emerging problem in Vietnam. The so far observed prevalence increases have pointed to the need for public health intervention strategies with parents as crucial resources for change. Objective: The aim of this study was to understand mothers' conceptions of childhood overweight. Design: Four focus group discussions were conducted with a total of 33 mothers of preschool children, 4-6 years old, living in urban and rural districts of Hanoi, Vietnam. The discussions were audio taped and transcribed verbatim. The obtained data were analyzed using the principles of phenomenography. Results: Four main categories with 13 subcategories emerged in the process of analysis. The first category, called 'Concept of overweight', contained mothers' views on childhood overweight. A major concern was the negative aspects of overweight such as impaired social interaction and health problems. The second category, 'Identification of overweight', described the ways mothers use to recognize overweight in children: own experience, growth chart, and public or health care system's information. The third category, 'Causes of overweight', showed mothers' understanding of factors possibly contributing to overweight development: unhealthy food and lifestyle, genetic susceptibility, parent's lack of knowledge, and limited time to take care of children as well as economic improvement. The fourth category, 'Management of overweight', described the ways mothers use to manage a child's weight problem: control of their food intake, increasing their physical activity, and encouraging their child self-control. However, they find such strategies difficult to implement and their intentions are sometimes challenged by the child's grandparents. Conclusions: The study gives an understanding of the mothers' conceptions of four important and practically useful aspects of overweight in children. The findings highlight the roles of media and the health care system in enhancing a social awareness of the problem and the need for prevention. Growth charts need to be used more regularly and consciously in child health care for early detection of children at risk and as a tool for information to parents. When designing intervention programs, the entire extended families, especially grandparents and their roles, need to be considered.

  • 325.
    Dreimane, Baiba
    et al.
    University of Skövde, School of Life Sciences.
    Hagman, Wiebke
    University of Skövde, School of Life Sciences.
    Familjens upplevelser av sorg när en närstående vårdas i livets slutskede: en litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Being faced with the end of life of a loved one has an extensive impact on the whole family, altering their lives and causing grief and suffering. Aim: The aim of this study was to describe family experiences of grief, what impact bereavement had on their lives and also how nurses can support them in their situation. Method: A literature study was conducted and 14 scientific articles were reviewed and analyzed. Result: Three main themes emerged: family’s grief, impact on the family and encounters with health professionals and their support. Families were surprised by their intense grieving reactions.  An open communication between family and patient was often difficult to maintain. Families were affected by the situation with for example family conflicts, a tendency towards isolation and poor health caused by the workload of patient care. Support given by health care professionals was experienced as both positive and negative. Conclusion: Grief is a far more complicated phenomenon than expected. It has to be looked at individually and in its own context each time it occurs. Improved communication skills and an orientation toward family centered care are needed to improve family’s suffering and grief experience.

     

  • 326.
    Drevhage, Pernilla
    et al.
    University of Skövde, School of Life Sciences.
    Thorén, Erica
    University of Skövde, School of Life Sciences.
    Informationens betydelse för patienten med hjärtinfarkt i det akuta skedet2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Information should be seen as an integrated part in caring for patients´ that suffer from acute myocardial infarction. The nurse´s support and communication is an important part in caring for the patient. It is of significance that the nurse has an ability to provide knowledge and understanding under busy conditions in the emergency ward. In that way the patient can participate and have ability to take part in their own care and treatment.The aim with the study is to elucidate the information's importance for the patient at the acute phase of his myocardial infarction. The method that has been used is a literature study and the result comprizes in 12 articles, 10 qualitative and 2 quantitative. In the result, five categories has shown. These are: The patient´s experience of the information, the nurse´s roll when giving information, communication between the nurse and the patient, the nurses support to the patient and the patient´s anxiety and fear. The result in the literature study shows that good information in plain language reduces the patient´s worries and anxiety and increases the patient´s understanding of his/her condition. Patients who are given relevant and individual information feel satisfaction with the care and experience an increased well-being.

  • 327.
    du Rietz Söderström, Ann
    University of Skövde, School of Life Sciences.
    Barnsjuksköterskors erfarenheter i möten med små underviktiga barn och deras föräldrar2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of child health care is to promote health and development for all children, to early identify problems that concern children´s growth and development and to prevent ill-health among children. Today in our society the proportion of children who are underweight are few.

    The aim with this study was to describe paediatric nurses experience in meeting with underweight children and their parents. Interviews were implemented and analyzed according to qualitative content analysis. Focus was placed on looking at differences and interpretations in the text content. The analyse resulted in six main categories, such as a need of sensitivity and a holistic view from the nurse, difficulties in handling the meeting because lack of tools. A positive experience which facilitated the meeting was the emotional sensitivity from the parents. In their work the nurses used different facilities. It was also described how the nurse influenced the meeting with the family.

    It would be desirable to have guidelines for how to handle underweight children.

  • 328.
    Dudley, Sandra
    et al.
    University of Skövde, School of Health and Education.
    Olsson, Pirjo
    University of Skövde, School of Health and Education.
    Mina fötter är viktiga!: En intervjustudie om erfarenheter av egenvård av fötter hos personer med diabetes typ 22019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Foot complications are common among people with type 2 diabetes and can be prevented through self-care. The diabetes specialist nurse can help the person integrate diabetes into their life world, and find strategies for self-care.

    Aim: Describing experiences of foot self-care among people with type 2 diabetes.

    Method: A qualitative method with inductive approach was used. 12 individual interviews were conducted and the data was analyzed using qualitative content analysis.

    Results: There were prerequisites and obstacles for self-care. Prerequisites were strategies for life-style changes, taking responsibility for foot self-care along with consultation, support and aids. Obstacles included limitations in psychological, bodily, physical and organizational factors. A theme: knowledge creates control and drive emerged.

    Discussion: The results support previous research about the needs of people with diabetes in regards to self-care. Dialogue and cooperation with the diabetes specialist nurse was needed for the person to become an active part in care and self-care. Working cooperation resulted in that the person felt in control and was able to take informed decisions about self-care.

    Conclusion: Knowledge about the connection between diabetes and foot care was crucial when it came to self-care and the diabetes specialist nurse became a resource for information and support.

  • 329.
    Edlund Berg, Camilla
    et al.
    University of Skövde, School of Health and Education.
    Hald Göthberg, Birgitte
    University of Skövde, School of Health and Education.
    En systematisk litteraturstudie om utbrändhet, confoundingfactorer och effektiva interventioner2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction Behavioral and mental disorders, including burnout syndrome, represent a serious public health issue with increasing prevalence in the last 30 years, especially in 2010-2015 where women were overrepresented in the statistics.

    Aim This study aimed to identify evidence based interventions and relevant psychosocial work factors with regards to stress related ill health and burnout. The focus group was women, age 18-64 years.

    Method A systematic literature study was used with studies selected from PubMed. The results were analyzed using qualitative content analysis.

    Results Factors related to psychosocial factors and burnout differed by gender. Women were exposed to more risks for burnout, and experienced less access to prevention factors in work environments, compared to men. The most common interventions were cognitive behavioral therapy, coaching and physical activity. Lack of supervisor support had a key role in the development of burnout for men. Existing supervisor support is a preventive factor for women. Women used private networks for emotional support, while men developed their professional networks.

    Discussion Prevention factors in burnout differed between men and women. Burnout interventions focused on individual level despite the need for primary level interventions. Leadership should prioritize reducing risk factors for burnout.

  • 330.
    Edman Wallér, Jon
    University of Skövde, School of Health and Education.
    Vårdplatsbyten och Clostridium difficile-infektion: En fall-kontroll-studie2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: Clostridium difficile is a spore-forming bacterium; the spores are highly resilient and can survive for long periods of time in the hospital environment. Most Clostridium difficile infections (CDI) are hospital-acquired. Colonization of spores or vegetative bacteria in the large intestine is necessary for infection to occur; the risk of infection is modulated by the state of the intestinal microbiome and the host´s immune status. Patient-to-patient transmission within and between wards are commonplace in modern healthcare, exposing patients to more of the hospital environment where spores may exist. Aim: To determine whether changing room and/or ward is a risk factor for developing CDI when adjusted for other known risk factors. Method: A case-control study of all hospital-acquired CDI cases at Södra Älvsborg Hospital, Borås, Sweden, during two years: 2012 and 2015. Odds ratios were calculated using univariate logistic regression analysis followed by multivariate logistic regression analysis to evaluate statistically significant (p<0,05) variables identified by the univariate analysis. Results: Patient transfers were not more common in the case group when data was adjusted for other known risk factors. In the multivariate model, length of stay [A1] alone was the only statistically significant variable (OR per additional day of care: 1.07, 95 % confidence interval: 1.02-1.12). Conclusion: The study could not demonstrate patient transfers as an independent risk factor for CDI, though replicating the study on a larger patient sample might be valuable.

  • 331.
    Edvardsson, Anton
    et al.
    University of Skövde, School of Life Sciences.
    Nilsson, Karin
    University of Skövde, School of Life Sciences.
    Omvårdnadsåtgärder vid andningssvårigheter hos patienter med sjukdomen KOL: En litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: COPD is a disease that increasingly affects more patients around the world; by 2020 is it is projected to be the third most common cause of death. There is no cure against COPD. Moreover, difficulty breathing affects the patient’s quality of life physically and mentally. However, with extensive care patients and their relatives can experience wellbeing in spite of the illness. PURPOSE: The aim of this study is to illustrate how nurses can ease the suffering of patients with COPD with a starting point from the patient’s wishes and the nurse’s experience. METHOD: The study was a literature review based on existing researched data material based on nine scientific articles of qualitative and quantitative nature.

    RESULT: Three themes emerged: the continuously exchange of knowledge; saving the patients strength; and give security and support. The continuously exchange of knowledge refers to knowledge exchange between nurse and patient during the caring process. The second theme describes how the patient’s breathing is affected by the planning of everyday life. The last theme illustrates the mental aspects. CONCLUSION: This study shows a good relationship between patient and nurse is important to create security and support which are the most important things for patients suffering from COPD.

  • 332.
    Edvardsson, Kristina
    et al.
    University of Skövde, School of Life Sciences.
    Carlsson, Johanna
    University of Skövde, School of Life Sciences.
    Bolinder, Catarina
    University of Skövde, School of Life Sciences.
    Patientens delaktighet i vården: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The patient’s role in health care has changed over the past decade. Today they are more aware of the rights they have in care. All people have the legal right to information and participation in decision making concerning their own care. To include the patient in their own healthcare the approach from the nurse is very important. Research has shown that there still remains a gap in the patients right to participation and because of that, it is important to know what the patients experience as participation and how the nurses could promote this. Aim: The aim of this study is to describe patients’ experience of participation and how nurses believe that they should approach to promote the patient’s participation. Method: The study is a literature review in which both qualitative and quantitative articles were used. Result: The result of the study has shown that patient’s experience participation when they get information and knowledge, which leads to patient feel control over the situation. Patients also experience participation when they have a good relationship with nurses. In order to promote patients participation nurse need to establish a good relationship, provide information, help to control and ensure the patients resources. Discussion: It is important that the nurse always reflect over the patient’s participation and to increase their knowledge in both education and professional activities

  • 333.
    Egnell, Maria
    University of Skövde, School of Health and Education.
    SKOLSKÖTERSKORS MOTTAGNING SOM ETT OMVÅRDNADSVERKTYG: -Skolsköterskors erfarenhet av att använda fysisk miljö på skolsköterskemottagningen som stöd i arbetet med skolbarn2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Title: The environment as a tool in nursing

    - School nurses experiences from using the physical environment in their office supporting schoolchildren

    Author: Egnell, Maria

    Department: School of Health and Education, University of Skövde

    Course: Master Degree project in Nursing, OM854A, 15 ECTs

    Supervisor: Thorstensson, Stina

    Examiner: Larsson, Margareta

    Pages: 28

    Keywords: School nurses, environment, health environment, nursing, children

     

     

     

    Background: According to research, the physical environment effects children’s well-being. School nurses offer a range of nursing activities promoting health to schoolchildren and to support school performances. The nursing activities occur at school in a psychosocial as well as a physical environment. The school nurses office as a health environment, affects meetings and schoolchildren that occur within it. School nurses take support in the physical environment in their work with schoolchildren. The field has not yet been researched as an important part of nursing at school.

     

    Aim: The aim of this study was to elucidate the school nurses perceptions of using the ward atmosphere at their office, as a tool in nursing.

     

    Method: A qualitative research method was selected for the study. The result emerged through qualitative content analysis. Five school nurses from various schools in Gothenburg were interviewed, using semi structured interviews.

     

    Results: Three major categories and six subcategories emerged during the analysis. Major categories were: offering a health environment for well-being, to be present in the environment for the children and to use the environment for health education.

     

    Conclusion: The school nurses strived to make the office a place for well-being. They also used it for health information, as a sanctuary and as a connection point that considers children’s need for integrity. How the school nurses used the environment depended on who they were as individuals, as the field until now, not has gone through research. Obstacles depended on all those around, with too little knowledge in what school nurses work consist of and also from a complexity in being available to the children. 

  • 334.
    Ehrnström, Ulrika
    et al.
    University of Skövde, School of Health and Education.
    Einarsson, Charlotte
    University of Skövde, School of Health and Education.
    Fysisk aktivitets positiva effekter på folkhälsan2018Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction

    The brain is what is most affected by regular exercise in the human body. Exercise often affects the concentration, memory, sleep, and creativity. Having a passive lifestyle increases the risk of developing many of our common diseases, such as obesity, diabetes, osteoporosis, and cardiovascular diseases.

    Method

    This thesis is based on an overview of literature, where ten scientific articles have been read, examined, and analysed. The result is based on scientific articles that were peer-reviewed.

    Result

    All articles confirm the hypothesis of a connection between physical activity and positive effects. A large number of articles also suggest to the need for further research on the subject in order to eventually establish physical activity as a protective factor and alternative treatment for welfare disease symptoms. Also for physical and mental well-being with improved learning abilities in both school and at leisure.

    Discussion

    A review of ten scientific articles shows a strong connection between physical activity and positive effects. In a longer perspective there is potential for physical activity to become a recognized treatment method to alleviate symptoms such as obesity, depression, mental health, and to achieve a better average result in school.

  • 335.
    Eiben, Gabriele
    et al.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Andersson, C. S.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Rothenberg, E.
    Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Department for Clinical Nutrition, Sahlgrenska University Hospital, Göteborg, Sweden.
    Sundh, V.
    Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Steen, B.
    Department of Geriatric Medicine, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden.
    Lissner, L.
    Department of Primary Health Care, Sahlgrenska Academy at Göteborg University, Göteborg, Sweden / Nordic School of Public Health, Göteborg, Sweden.
    Secular trends in diet among elderly Swedes – cohort comparisons over three decades2004In: Public Health Nutrition, ISSN 1368-9800, E-ISSN 1475-2727, Vol. 7, no 5, p. 637-644Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The purpose of this study was to compare dietary practices among different birth cohorts of 70-year-old Swedes, who were examined between 1971 and 2000.

    SETTING: Göteborg, Sweden.

    DESIGN: Four population-based samples of 1360 70-year-olds, born in 1901, 1911, 1922 and 1930, have undergone health examinations and dietary assessments over a period of almost three decades. One-hour diet history (DH) interviews were conducted in 1971, 1981, 1992 and 2000 with a total of 758 women and 602 women. The formats and contents of the dietary examinations were similar over the years. Statistical analysis of linear trends was conducted, using year of examination as the independent variable, to detect secular trends in food and nutrient intakes across cohorts.

    RESULTS: At the 2000 examination, the majority of 70-year-olds consumed nutritionally adequate diets. Later-born cohorts consumed more yoghurt, breakfast cereals, fruit, vegetables, chicken, rice and pasta than earlier-born cohorts. Consumption of low-fat spread and milk also increased, along with that of wine, light beer and candy. In contrast, potatoes, cakes and sugar were consumed less in 2000 than in 1971. The ratio of reported energy intake to estimated basal metabolic rate did not show any systematic trend over time in women, but showed a significant upward trend in men.

    CONCLUSIONS: The diet history method has captured changes in food selections in the elderly without changing in general format over three decades. Dietary quality has improved in a number of ways, and these findings in the elderly are consistent with national food consumption trends in the general population.

  • 336.
    Eiben, Gabriele
    et al.
    Department of Primary Health Care, Göteborg University, Sweden.
    Dey, D. K.
    Department of Geriatric Medicine, Göteborg University, Sweden.
    Rothenberg, E.
    Department of Geriatric Medicine, Göteborg University, Sweden / Department of Clinical Nutrition, Sahlgrenska University Hospital, Göteborg, Sweden.
    Steen, B.
    Department of Geriatric Medicine, Göteborg University, Sweden.
    Björkelund, C.
    Department of Primary Health Care, Göteborg University, Sweden.
    Bengtsson, C.
    Department of Primary Health Care, Göteborg University, Sweden.
    Lissner, L.
    Department of Primary Health Care, Göteborg University, Sweden.
    Obesity in 70-year-old Swedes: Secular changes over 30 years2005In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 29, no 7, p. 810-817Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: Secular increases in obesity have been widely reported in middle-aged adults, but less is known about such trends among the elderly. The primary purpose of this paper is to document the most recent wave of the obesity epidemic in population-based samples of 70-y-old men and women from Goteborg. Additionally, we will investigate the influences of physical activity, smoking and education on these secular trends. POPULATIONS AND METHODS: Five population-based samples of 3702 70-y-olds (1669 men and 2033 women) in Goteborg, Sweden, born between 1901 and 1930, were examined in the Gerontological and Geriatric Population Studies (H70) between 1971 and 2000. Cohort differences in anthropometric measures were the main outcomes studied. Physical activity, smoking habits and education were assessed by comparable methods in all cohorts. Subsamples of the women in the latest two cohorts (birth years 1922 and 1930) were also part of the Prospective Population Study of Women in Goteborg. In these women, it was possible to examine body mass index (BMI) and waist-to-hip circumference ratio (WHR) longitudinally since 1968. RESULTS AND CONCLUSIONS: Significant upward trends were found for height, weight, BMI, waist circumference (WC), WHR, prevalence of overweight (BMI >= 25 kg/m(2)) and obesity ( BMI >= 30 kg/m(2)) across cohorts in both sexes. In 2000, 20% of the 70-y-old men born in 1930 were obese, and the largest increment (almost doubling) had occurred between the early 1980s and the early 1990s. In 70-y-old women the prevalence of obesity was 24% in 2000, a 50% increase compared to the cohort born 8 y earlier. BMI increased over time in all physical activity, smoking and education groups, with the exception of neversmoking men. Although 70-y-old women in 2000 were heavier than cohorts examined 8 y previously, data from the women studied longitudinally revealed that these differences were already present in earlier adulthood. In conclusion, the elderly population is very much part of the obesity epidemic, although secular trends in BMI were detected slightly earlier in men than in women. The health implications of these secular trends should be focused on in future gerontological research.

  • 337.
    Eiben, Gabriele
    et al.
    Department of Primary Health Care, Göteborg University, Sweden.
    Lissner, L
    Department of Primary Health Care, Göteborg University, Sweden.
    Health Hunters - an intervention to prevent overweight and obesity in young high-risk women2006In: International Journal of Obesity, ISSN 0307-0565, E-ISSN 1476-5497, Vol. 30, no 4, p. 691-696Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of the study was to develop and implement an obesity and weight gain prevention program targeted to a high-risk group. Method: Women, 18-28 years old, with at least one severely obese parent, were randomized to the intervention or control group of the 'Health Hunters' program. During 1 year of follow-up, the intervention group received an individualized behavioral program focusing on food choice, physical activity and other lifestyle factors. Anthropometric measures, DXA-based body composition and fitness levels were measured at baseline and after 1 year. Self-reported changes in obesity-related behaviors were also assessed. Results: Baseline examinations were conducted in 40 women, of whom 30 completed follow-up examinations 1 year later. Pregnancy was the most common reason for failure to complete the study. Compared to the control group (which gained weight), the intervention group displayed significant improvements in body weight, body mass index, waist circumference, waist-to-hip ratio and self-reported physical activity. Changes in body composition, although not significant, suggested that the intervention tended to be associated with improved body composition. Further analysis of changes in diet and fitness in relation to concurrent weight changes indicated that the strongest 'protective' associations were for energy percent protein, fiber density and fitness. Conclusion: Pilot data from the Health Hunters obesity prevention program indicates that it is effective in high-risk young women with familial predisposition for obesity.

  • 338.
    Eiben, Gabriele
    et al.
    Sahlgrenska akademin, Göteborgs universitet, Sweden.
    Mårild, Staffan
    Sahlgrenska akademin, Göteborgs universitet, Sweden.
    A healthy diet: key factor in efforts to tackle child obesity2014In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 11, p. 489-92Article in journal (Other academic)
  • 339.
    Eimersson, Joar
    et al.
    University of Skövde, School of Health and Education.
    Kapanen, Erik
    University of Skövde, School of Health and Education.
    Prostatacancer: En kvalitativ innehållsanalys av mäns upplevelser av sjukdomen2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Prostate cancer is the most common form of cancer affecting men in Sweden. Purpose: The purpose of the study is to describe men's experiences of prostate cancer. Method: Four autobiographies have been analyzed through a qualitative content analysis with inductive approach. Results: The results show that men affected by prostate cancer experience anxiety, existential thoughts and feelings of lost identity as well as masculinity. The results also show that urinary incontinence and impotence are central experiences of the disease. This puts men in a whole new everyday situation with planning and adaptation as an effect. The men adapt to situations and accept that life will continue to be uncertain. Discussion: Urinary incontinence and impotence are perceived as highly contributing factors to ill health. This causes frustration, anger and a sense of shame towards his partner. Conclusion: Prostate cancer changes a man's life. Men experience the message as life-changing with a lot of anxiety, but they still see life worth living.

  • 340.
    Einberg, Eva-Lena
    et al.
    Högskolan Kristianstad.
    Wilhsson, Marie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Elevhälsan ska vara en promotiv insats för barns hälsa2019In: Hälsopromotion i teori och praktik: olika arenor och målgrupper / [ed] Åsa Bringsén, Petra Nilsson Lindström, Stockholm: Liber, 2019, 1, p. 79-94Chapter in book (Other academic)
  • 341.
    Einberg, Eva-Lena
    et al.
    Högskolan Kristianstad.
    Wilhsson, Marie
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Skolsköterskans hälsofrämjande arbete med ett kontextuellt perspektiv2019In: Skolsköterskans hälsofrämjande arbete / [ed] Eva K. Clausson, Siv Morberg, Lund: Studentlitteratur AB, 2019, 2, p. 73-84Chapter in book (Other academic)
  • 342.
    Einesson, Ronja
    et al.
    University of Skövde, School of Health and Education.
    Kvick, Amanda
    University of Skövde, School of Health and Education.
    "Ingen hade förberett mig på de förändringar som skulle påverka hela min sexualitet": Att beskriva kvinnors upplevelse av kommunikation om sexualitet i vården vid gynekologisk cancer2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Sexuality and sexual health have a different meaning for each individual. Gynecological cancer can change the image of sexuality because of bodily changes created by the treatment and that involves both the physical and psychological impact. Suffering from gynecological cancer causes concerns about changes in sexuality, anxiety and existential questions.

    Aim: The aim of the study is to describe women's experience of communication about sexuality in their care during gynecological cancer. 

    Method: A literature review where ten qualitative articles and one quantitative article has been analyzed. 

    Result: Three themes emerged after analyzing the articles; when communication gaps, differences in information, and the environment ́s impact on communication. Women experience a lack of communication and information about sexuality in their healtcare. 

    Discussion: There are support-systems for nurses that can help them increase communication about sexuality. Good communication in gynecological cancer leads to increased well-being, confidence and knowledge about the disease.

    Conclusion: The care for women with gynaecological cancer is not based on a holistic perspective. The communication and information about sexuality and sexual health is poor and it leads to suffering and mental ilness. This should be adressed and it is an area of need that needs to be improved drastically.

  • 343.
    Ejdebäck, Tobias
    et al.
    University of Skövde, School of Health and Education.
    Gustavsson, Olof
    University of Skövde, School of Health and Education.
    Upplevelser av att leva med hemodialys vid kronisk njursvikt: Ett patientperspektiv2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Chronic kidney disease in later stages demands dialysis-treatment. Haemodialysis is the most common type of dialysis and is usually performed at a hospital ward. Haemodialysis brings different complications and side effects that can be perceived tough for patients. Beyond the side effects the patients also receives fluid and diet restrictions. These factors affects the patient’s everyday life. Aim: The aim is to describe patients, with chronic kidney disease, experiences of living with haemodialysis. Method: The method of choice is a literature-based study. Result: The result is presented in three main categories. Patients describes different experiences of how haemodialysis affects the body, both positive and negative. During the treatment different existential thoughts and feelings related to the own mortality appears. Patients describes that they seek support with both related and health personnel but that it can be tough to talk about existential thoughts. Conclusion: Haemodialysis treatment had a limiting effect on patient’s life, they experience an increased feeling of loneliness. A central factor for patients to be able to find support was that they feel reliance and trust in health personnel.

  • 344.
    Ek, Kristina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Andershed, Birgitta
    Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden / Department of Nursing, Gjøvik University College, Gjøvik, Norway.
    Sahlberg-Blom, Eva
    School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
    Ternestedt, Britt-Marie
    Department of Palliative Care Research, Ersta Sköndal University College, Stockholm, Sweden / Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    "The unpredictable death" - The last year of life for patients with advanced COPD: Relatives' stories2015In: Palliative & Supportive Care, ISSN 1478-9515, E-ISSN 1478-9523, Vol. 13, no 5, p. 1213-1222Article in journal (Refereed)
    Abstract [en]

    Objective: The end stage of chronic obstructive pulmonary disease (COPD) is described as prolonged and the symptom burden for patients with COPD is often high. It progresses slowly over several years and can be punctuated by abrupt exacerbations that sometimes end in sudden death or recovery of longer or shorter duration. This makes it difficult to identify the critical junctures in order to prognisticate the progress and time for death. patients with COPD often express a fear that the dying process is going to be difficult. There is a fear that the dyspnea will worsen and lead to death by suffocation. The present article aimed to retrospectively describe the final year of life for patients with advanced COPD with focus on death and dying from the perspective of relatives. Method:Interviews were conducted with relatives of deceased family members who had advanced COPD. In total, 13 interviews were conducted and analyzed by menas of content analysis. Result: All relatives described the patients as having had a peacful death that did not correspond with the worry expressed earlier by both the patients and themselves. during the final week of life, two different patterns in the progress of the illness trajectory emerged: a temporary improvement where death was unexpected and a continued deterioration where death was inevitable. Sigificance and Results: The patients and their realtives lived with uncertainty up until the time of death. Little support for psychosocial and existential needs was avaiable. It is essential for the nurse to create relationship with patients and relatives that enable them to talk about dying and death on their own terms.

  • 345.
    Ek, Kristina
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Browall, Maria
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Eriksson, Monika
    Skaraborg Hospital, Skövde, Sweden.
    Eriksson, Irene
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Healthcare providers’ experiences of assessing and performing oral care in older adults2018In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12189Article in journal (Refereed)
  • 346.
    Ek, Malena
    et al.
    University of Skövde, School of Health and Education.
    Karlson, Malin
    University of Skövde, School of Health and Education.
    Distriktssköterskors erfarenheter av att främja egenvård hos patienter med venösa bensår2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Leg ulcers are a growing problem causing pain, limited mobility and reduced quality of life. Through promotion of self-care for patients with venous leg ulcers, wound healing can be improved. Self-care is a health measure that qualified professionals can decide a person can exert him or herself or with assistance from others. Nurses’ key role is to foster and optimize adherence to self-care. Patient participation leads to better fulfillment of the goals for the care and treatment.

    Purpose: The purpose of this study was to elucidate the district nurses’ experiences of promoting self-care in patients with venous leg ulcers.

    Method: Data were analyzed using qualitative content analysis and an inductive approach. Ten interviews with district nurses were conducted.

    Results: Analysis of the data produced four categories with eleven sub-categories; Involve the patient in treatment, Create consensus for change, Collaborate with the patient and Observe the patient's lack of participation.

    Conclusion: Our results showed that self-care is promoting to patients with venous leg ulcers, but that the district nurses lacked common guidelines. The district nurses can by taking the time to promote self-care advice give the patient a greater understanding why self-care is needed to promote wound healing. 

  • 347.
    Ek, Tova
    et al.
    University of Skövde, School of Health and Education.
    Johansson, Alexandra
    University of Skövde, School of Health and Education.
    Sjuksköterskans erfarenheter av att uppmärksamma depression hos äldre: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Depression in the elderly is a growing problem. The disease is considered to be underdiagnosed, which means that the number of elderly people with depression is estimated to have a hidden number. The symptoms of depression are easily confused with other diseases or as signs of old age. The nurse has a nursing responsibility to ensure that the elderly get the help they need to avoid unnecessary suffering. The aim of the study is to describe the nurse's experience of identifying depression in the elderly. The method used is a literature review of qualitative research. The results revealed five main sections describing the nurse's experience of paying attention to depression in the elderly. "The importance of creating a good relationship", "Time with the patient can be crucial", "Collaboration with other healthcare professionals required", "Use of screening tools facilitates" and "Knowledge and education." The result shows that the nurse can identify depression if the relationship is good between the nurse and patient. However, many nurses experience problems with getting enough time to create good relationships. Nurses experience that knowledge about depression is inadequate and many want more education in the subject. The conclusion is that nurses need more knowledge about depression and more training in using different screening tools to detect depression early, this can lead to the development of care and reduce suffering for the elderly.

  • 348.
    Ekberg Rydén, Siri
    University of Skövde, School of Life Sciences.
    Unga människors upplevelse av övervikt. Vilken roll har skolsköterskan?: En litteraturöversikt2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Ungdomstiden är en kritisk period i livet med fysiska och psykiska förändringar. Övervikt och fetma ökar bland unga människor och påverkar deras hälsa. Syftet med denna studie var att beskriva unga människors egna upplevelser av övervikt och detta gjordes i en litteraturöversikt. Tre databaser användes för litteratursökningen, som genomfördes med hjälp av nyckelord som bedömdes relevanta för ämnet. Artiklarna bearbetades och resultatet sammanställdes i fyra olika områden: Kroppsuppfattning och utseende, Upplevd hälsa, Sociala relationer, Skolsituationen. Både uppmätt och upplevd övervikt påverkade självkänslan och vardagen för de unga människorna i varierande grad. Flickor uppfattade sig ofta som överviktiga även om deras BMI var normalt. BMI, Body Mass Index (kroppsmasseindex), är ett mätvärde där kroppsvikt bedöms i förhållande till kroppslängd. Skolsituationen kunde vara svår för unga människor med övervikt eller fetma. Skolsköterskan har en stor del i arbetet med att främja elevers hälsa eftersom lärande och hälsa har ett samband. I detta arbete bekräftades att skolsköterskan behöver kunskap om unga människors egna upplevelser av övervikt.

  • 349.
    Ekblom, Eva- Lena
    et al.
    University of Skövde, School of Life Sciences.
    Götesson, Elin
    University of Skövde, School of Life Sciences.
    Sjuksköterskans moraliska dilemman och förhållningssätt i mötet med abortpatienten: en litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    En sjuksköterska ställs dagligen inför moraliska ställningstaganden. När en patients livsstil och val inte stämmer överens med sjuksköterskans egna värderingar vid exempelvis en abort kan det vara problematiskt att ge en objektiv vård och ett gott bemötande. Syftet med litteraturstudien är att beskriva hur sjuksköterskan handskas med egna moraliska dilemman som uppstår i mötet med abortpatienten och hur sjuksköterskan hanterar dessa dilemman för att skapa förutsättningar för god vård. Metoden som valdes var en litteraturstudie där tolv artiklar analyserades som svarade på studiens syfte och frågeställningar. Ur studiens resultat framkom tre huvudteman, vilka var Egna värderingar och etiska principer i konflikt, Att tvingas ta ställning och Behov av stöd för växt i yrkesprofessionen. Denna studies resultat visar att sjuksköterskor, beroende av anledning till aborten var positivt eller negativt inställda. Genom att sjuksköterskor tog ställning i abortfrågan hanterade de dessa dilemman på olika sätt. Moraliska konflikter och emotionell stress var hög hos sjuksköterskor som upplever att det behövs fler diskussionsforum och fler stödgrupper för att diskutera och reflektera över dessa dilemman. Det är viktigt att sjuksköterskor klargör sina egna värderingar eftersom oreflekterade värderingar oavsiktligt kan påverka vården. Genom klara riktlinjer, diskussionsforum och en yrkesutveckling genom kollegial handledning kan sjuksköterskan stödjas i sitt arbete och få tillfälle att reflektera och diskutera svåra situationer som uppstått med patienter.

  • 350.
    Ekeberg, Helena
    et al.
    University of Skövde, School of Life Sciences.
    Larsson, Kristina
    University of Skövde, School of Life Sciences.
    Distriktssköterskors erfarenhet av hälsofrämjande arbete: En kvalitativ intervjustudie2010Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The Health Care Nurse plays an important role in motivating patients to implement lifestyle changes. Unhealthiness causes risks of developing long-lasting diseases and other complications. Living conditions and living habits are of great significance in terms of human health.  Lifestyle changes, in contrast to drugs, often have an impact on both risk markers and states of diseases. The purpose of this study was to describe district nurses’ experiences when motivating patients to take part in health-promoting lifestyle changes. The study is based on a qualitative method with an inductive approach. Through interviews, data was collected from six health care nurses and analyzed using a qualitative content analysis. The results are based on two categories, quality of the professional support together with evidence and experiences important to the changing process. These categories formed the theme: Health Care Nurses´, sensitivity and knowledge are the guiding principles in terms of motivating patients to pursue a healthier lifestyle. The results of our study show that it is important to listen and to acknowledge the patient to be able to support them emotionally.  Undergoing lifestyle changes require explanation and information. The changing process requires tools, the informants must have a reflective attitude to be able to work based on evidence. The patient needs to realize the importance of making a lifestyle change and also be prepared to take the losses. When doing so the patients will learn that they gain more than they lose.

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