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  • 51.
    Alvarado, Nathalie
    et al.
    University of Skövde, School of Life Sciences.
    Pontèn, Anna
    University of Skövde, School of Life Sciences.
    Upplevelsen av den första tiden som nyutexaminerad sjuksköterska: - En intervjustudie2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 52.
    Alvvinter, Angelica
    et al.
    University of Skövde, School of Health and Education.
    Gustafsson, Ida
    University of Skövde, School of Health and Education.
    ”Mitt KUB grumlade hela graviditeten”: Kvinnors upplevelser relaterat till genomfört KUB2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The demand on prenatal diagnosis increases among expecting parents. CUB is the most common method for the matter but doesn’t provide any diagnosis. CUB only calculates the probability of a fetus with trisomy 13, 18 or 21. Women aren’t always aware of this. Hence, careful preparations and information are necessary. This study was performed to enhance knowledge in women’s experiences in relation to have undergone CUB. Aim: To describe women’s experiences related to having undergone CUB. Method: A qualitative content analysis with an inductive approach was used. Internet was used for data collection. This collection resulted in 10 threads from bulletin board Familjeliv.se and 12 blogs which became the base for data analysis. Result: The analysis resulted in one theme: CUB is seen as an opportunity to confirm the pregnancy but leads to mixed feelings which the midwives need to support in a trustful way. Anxiety and fear are the most common emotions mentioned among women who have undergone CUB. Women felt that midwives didn’t always provide enough information or the requested information. The encounters with midwives during CUB were described as stressful and even unpleasant. Conclusion: CUB is seen as an early way to confirm the pregnancy. To reduce the anxiety, midwives need to give individualised information. Anxiety tends to obscure the pregnancy and remain a long time.

  • 53.
    Amal, Al-Otaibi
    University of Skövde, School of Health and Education. amal.se@hotmail.com.
    Faktorer som kan påverka psykisk hälsa hos flyktingar: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction: The number of refugees has increased in recent years in Europe and mainly in countries such as Germany, Sweden and Norway. Sweden received 54605 refugees in 2016 and 2017. It also has been reported that refugees flying in to European countries have an increased symptoms of psychological disease. Purpose: The purpose of the literature study is to demonstrate different factors that are important in a migration process in western countries.There may be a connection with refugees who flee to and live in European countries that they may run an increased risk of psychological disease. Method: To obtain an overall picture of various factors for psychological symptoms in adult refugees living in western countries based on a literature review. Results: The result identifies four factors for psychological disease mental illness among refugees who move to Western countries. It can be deduced that factors such as trauma experiences, social capital and access to hospital care, language and culture have an influence on the individual's psychological attitude.

  • 54.
    Andersen, Tanja
    et al.
    University of Skövde, School of Life Sciences.
    Sundesjö, Johanna
    University of Skövde, School of Life Sciences.
    Att främja sömn hos intensivvårdspatienter: En litteraturöversikt2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Sömnen är ett grundläggande behov hos människan och är därför viktig att tillgodose inom sjukvården. Ändå är sömnstörningar ett vanligt problem bland patienter i sjukhusmiljö och särskilt inom intensivvården. Sömnstörningar på en intensivvårdsavdelning orsakas ofta av frekventa omvårdnadsinsatser, behandlingar, sjukdomstillstånd samt högljudd och ovan miljö. Detta kan leda till både psykiska och fysiska konsekvenser så som försämring av immunförsvar, minskad produktion av tillväxthormoner, förlängt sjukdomsförlopp, humörförändringar och upphov av IVA-syndrom. Därför är det viktigt att vårdpersonal får kunskap om hur de bäst arbetar för att främja dessa patienters sömn. Syfte: Syftet med studien är att sammanställa och belysa forskning som beskriver omvårdnadsåtgärder och strategier för att främja sömn hos patienter inom intensivvården. Metod: En litteraturöversikt där 15 kvalitativa och kvantitativa studier analyserades. Resultat: Resultatet redogör för de tre områden som framkom ur dataanalysen och beskriver hur omvårdnadspersonal kan hjälpa patienter inom intensivvård till en bättre sömn. Dessa tre områden var: förändring av personalens arbetssätt genom utbildning, miljöförbättringar samt omvårdnadsåtgärder. Diskussion: Flera effektiva åtgärder finns presenterade i dagens forskning men fortfarande lider intensivvårdspatienter av sömnstörningar vilket gör det angeläget att fortsätta forskningen kring sömnförbättrande åtgärder hos denna patientgrupp.

  • 55.
    Andersson, Amanda
    et al.
    University of Skövde, School of Health and Education.
    Aronsson, Aina
    University of Skövde, School of Health and Education.
    Upplevelser av att leva med bipolär sjukdom: En självbiografisk studie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is a chronic disease that entails suffering for the individual. The disease characterized by recurrent manic and depressive episodes. It affects the individual's lifeworld and his or her's health experience. The nurse has a significant role to support these patients.

    Aim: The aim is to describe patients' experiences of living with bipolar disorder.

    Method: A qualitative method was used and was based on six autobiographies analyzed with meaning analysis.

    Results: The results showed five themes. These are: the experience of living in the pitch-black darkness and the clearest light, the experience of shame, the experience of losing control of their life, the experience of fear and the sense of safty and support to reduce loneliness.

    Discussion: People with bipolar disorder experience both health and illness, depending on their current state of disease. The family and society have an impact on how the individual experience their existence. With support from a nurse the person can achieve control of the disease. Their reality is constantly changing and support from a nurse is important.

    Conclusion: People with bipolar disorder experience strong emotions that affect their lives. For people to feel seen and recognized the nurse must show candidness to the individual's unique lifeworld.

  • 56.
    Andersson, Anna
    et al.
    University of Skövde, School of Life Sciences.
    Gardvik, Anna
    University of Skövde, School of Life Sciences.
    Bröstcancer och kvinnlig sexualitet: En litteraturstudie om hur kvinnor upplever att bröstcancer förändrar deras sexualitet och sexuella relation.2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The reason why the authors conducted this study was that breast cancer is one of the most common types of cancer among women. For most women the diagnosis means that the entire or parts of the breast will have to be removed. For most women the breast represents sexuality and femininity. The aim was to describe how female sexuality and sexual relationship change after breast cancer surgery and subsequent treatment. The method was a qualitative litterature review. The study resulted in three main categories: (1) a changed body – a changed sexuality, (2) a changed sexuality – a changed sexual relationship, (3) emotional changes in sexuality, and thirteen subcategories. The result shows that female sexuality changes physically as well as psychically. Most women experience changes in body image, decreased sexual desire and pleasure. Intercourse becomes painful which makes many women withdraw from their partner. Many women experience difficulties in communicating about their changed sexuality with their partner. The result also shows that sometimes health care providers give poor information to women about plausible side effects due to breast cancer surgery and subsequent treatment. Because many women with breast cancer experience sexual problems nurses should give better information about plausible side effects from the treatment and highlight these problems. Nurses should also enable conversations with women regarding their thoughts concerning their changed sexuality.

  • 57.
    Andersson, Annica
    et al.
    University of Skövde, School of Health and Education.
    Sjöberg, Emelie
    University of Skövde, School of Health and Education.
    Att möta och upptäcka elever med suicidtankar- Skolsköterskors upplevelser2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Suicide attempts among adolescents is increasing rapidly. School nurses need to use communication skills that reflect compassion by creating trusting relationships, see and meet the student in their life-world and give hope.

     

    Purpose: To describe the school nurses' experiences of encountering and discovering students with suicidal thoughts.

     

    Method: The study is based on a qualitative meaning analysis where eight school nurses by email wrote stories about their experiences to answer the purpose.

     

    Results: School nurses experiences of discovering students with suicidal thoughts is to have knowledge about the different symptoms that can be displayed by the student. The school nurses experiences of these symptoms where: Destructive behaviours, depressive symptoms, psychosomatic symptoms and problematic home situations. In the meeting with students who have suicidal thoughts, school nurses emphasize the importance of asking about suicidal thoughts, remain, listen and give hope.

     

    Conclusion: School nurses experience many risk factors that leads to that they can better detect and meet students with suicidal thoughts. To identify those risk factors are a big part of the school nurses work. This study results provide a greater knowledge and more experience for health professionals to encounter students with suicidal thoughts.

  • 58.
    Andersson, Ann-Sofi
    et al.
    University of Skövde, School of Health and Education.
    Åkesson, Louise
    University of Skövde, School of Health and Education.
    Kvinnors upplevelser av sin sexualitet under och efter avslutad bröstcancerbehandling: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Treatment against breast cancer can cause women various side effects, including dry mucous membranes, itching, as well as deformation of one or both breasts. All in all these side effects can affect women´s experience of their sexuality and create a suffering for them. More knowledge is needed about women´s experience of their sexuality, so the nurses can provide good care and strengthen the sexual health of women. Aim: The aim of this study is to describe women´s experience of their sexuality during and after treatment of breast cancer. Method: A literature review based on three quantitative and six qualitative studies. Result: Change in body image and sexuality during or after breast cancer treatment, were a common experience among women. Anxiety and depression was common related to weight gain. However, there were women who experienced change in a positive direction after breast cancer. Concern about being insufficient in their sexual relationships with their partner was found. Women experienced lack of information about treatments and their side effects. Discussion: Both physical and mental disorders were experienced by women with breast cancer. Women needed more information before, during, and after treatment for breast cancer. In order to provide personalized care, nurse´s need to see the whole woman and meet her individual needs of caring. Conclusion: Communication both between nurses, women and their partners could strengthen women in their sexual health.

  • 59.
    Andersson, Caroline
    et al.
    University of Skövde, School of Health and Education.
    Haage, Malin
    University of Skövde, School of Health and Education.
    Hur patienter med stomi upplever sin förändrade kropp: En litteraturlöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 60.
    Andersson, Catarina
    et al.
    University of Skövde, School of Health and Education.
    Hermansson Cederin, Susanne
    University of Skövde, School of Health and Education.
    Kunskap om och attityder till munhälsa och munvård bland personal inom kommunal vård och omsorg.: En enkätstudie.2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 61.
    Andersson, Catarina
    et al.
    University of Skövde, School of Life Sciences.
    Linda, Thomée
    University of Skövde, School of Life Sciences.
    Hem ljuva hem?: Upplevelsen av att vara närstående till en människa med demenssjukdom boende på särskilt boende2010Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Caring for a person with dementia in special care facilities requires resources like personnel, facilities and medicine. It takes adequate educated staff with personal qualities to create a long-lasting relationship with relatives and residents. Aim: The aim of this study was to examine the experience of being a relative to a person with dementia living in a nursing home. Method: A literature review was conducted in which ten scientific studies were examined and analyzed according to Friberg (2006). Results: Five themes emerged from the analyses describing relatives’ experiences of nursing home care, activities, surroundings and integrity as well as coping strategies. Conclusions: Personal relations are of outmost importance for the experience of being a relative to a person with dementia living in a nursing home. Education and guiding of staff and relatives might prohibit misunderstandings and may help to avoid conflicts.

  • 62.
    Andersson, Charlotte
    et al.
    University of Skövde, School of Health and Education.
    Svan, Olivia
    University of Skövde, School of Health and Education.
    Obesitaskirurgi - en väg till förändrat beteende?: En litteraturbaserad studie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Since 1945 obesity has tripled globally and exceeds more than 650 million people in 2016. It results in at least 2.8 million deaths annually and surpass the deaths followed by starvation. There is stigmatization around obesity which may adversely affect the physical and psychological health of the victims. Obese people generally experiences a poorer quality of life. Bariatric surgery has become an increasingly used tool to curb the ongoing obesity epidemic. A behavioural change is required after surgery in order for the weight loss to persist. A sense of coherence is central to health and whether an individual is capable of moving towards health in the presence of stressors. Aim: To describe patient’s experiences of life after bariatric surgery. Method: A literature based study where the data consisted of twelve qualitative articles. Results: From the analysis three categories emerged; from chaos to control, a changed mindset and a changed life and nine subcategories. Conclusion: Life after bariatric surgery was complex and there were differences in capability regarding changing ones behaviour. Nurses need to have a holistic perspective and individualise the support. 

  • 63.
    Andersson, Christina
    et al.
    University of Skövde, School of Health and Education.
    Lindberg, Cecilia
    University of Skövde, School of Health and Education.
    Hälsorisker hos flickor vilka använde sociala medier: en litteraturöversikt2016Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction: Social media has created a new arena for integration. Social media seems to affect young girls mental health. The purpose of the literature review is to examine some health risks among girls aged 11 to 17 years born after 1993 witch has been exposed to through social media. Method: Ten original articles published in the past five years have been sought out through PubMed. Relevant articles were reviewed and thematized based on health risks which are found in the overview. Results: The literature review examined previous research on health risks in young girls born after 1993 in the use of social media. Girls tend to be more affected by the comments and are affected over time which can lead to depression and anxiety. Self-harm and suicidal tendencies are directly linked to depression. Self-confidence is affected by comments on social media. Girls tend increasingly to suffer from psychosomatic disorders due to use of social media. Social media can increase the feeling of fear and insecurity. The girls' body image is influenced by social media, which ultimately can lead to eating disorders. Discussion: The use of social media can be seen as a health risk in young girls. Nevertheless, the impact of social media is seen as on of the triggers for other underlying causes. Social media can also provide health benefits.

  • 64.
    Andersson, Helen
    et al.
    University of Skövde, School of Health and Education.
    Hjertaker, Karin
    University of Skövde, School of Health and Education.
    Upplevelser av att leva med juvenil idiopatisk artrit: En litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In Sweden 200-250 children and youths are affected with juvenile idiopathic arthritis (JIA) every year. JIA is one of the most common causes of short-term and long-term disability and impairment of quality of life during childhood. The entire family is affected when a family member becomes ill. Aim: The aim with this study was to illustrate how a prolonged disease as JIA is experienced by children, youths and their families. Method: The method used was a general literature overview. In total 7 quantitative and 5 qualitative articles. Result: During analysis one main themes were identified. This was experiences of being different. The result showed that the experiences of living with JIA is individual but common for many of the families is a sense of being different. Conclusion: When a child or youth is struck by protracted disease, this also affects family members. The life situation is affected, and also the life situation for parents, brothers and sisters is changed. Every child and youth who is affected by JIA is unique, and has its own reality. As a nurse it is meaningful to see the entire individual, and to involve its family in to the nursing.

  • 65.
    Andersson, Helena
    et al.
    University of Skövde, School of Life Sciences.
    Lövgren , Daniel
    University of Skövde, School of Life Sciences.
    Husdjur i vården på särskilt boende, personalens uppfattningar2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Former studies show that people living in nursinghomes are often suffering from feelings of depression and loneliness. The staff working at the nursing homes is often occuped with daily chores and the time for social interaction with the residents are limited. This results in feelings of desolations and anxiety. Troughout the centuries, man have always depended on pets as a company and comfort. Studies show that general health improves when interaction with animals occur. The purpose of this study was to describe the staff’s opinion of a pet in nursinghomes and what influence or meaning it may have on the care of the residents. A qualitative interview study was made to examen the purpose of the study. Seven assistant nurses were interviewed. Results show that pets have a positive affect on human beings. They often make people around them feel more joyful and relaxed. The residents in nursing homes, who have experienced a pet living with them at the unit, have showed a calming, positive effect in their behaviour. Dogs and cats are among the most popular animals as a company because of the satisfaction of stroking and its friendly nature. Allergy, fear for some animals and the potential risk for the animal to cause injury to it self or others occurs. The authors acknowledge the need for futher research about animals involved in caregiving.

  • 66.
    Andersson, Henrik
    et al.
    University of Skövde, School of Life Sciences.
    Leyton, Moa
    University of Skövde, School of Life Sciences.
    Kan sjuksköterskan hjälpa överviktiga barn och deras familjer : En litteraturöversikt2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Övervikt och fetma hos barn ökar dramatiskt framförallt i västvärlden. Barn som blivit överviktiga i tidig ålder har tecken på sjukdom i många organ och har större risk att förbli överviktiga och sjuka som äldre. Fetma hos barn påverkar livskvaliteten. Syfte: Utifrån aktuell forskning undersöka om sjuksköterskan kan hjälpa överviktiga barn och deras familjer. Metod: Uppsatsen är en litteraturöversikt med både kvalitativa och kvantitativa artiklar som främst söktes i databaserna Cinahl och Medline. Data materialet analyserades enligt Fribergs analysförfarande. Fokus lades vid artiklarnas resultat, diskussioner och konklusioner. Resultat: Sjuksköterskans uppgift är att ta upp problem om barns övervikt med föräldrar. Det känsliga ämnet får inte hindra att vården erbjuder hjälp. Sjuksköterskan kan guida familjen med överviktsproblematik och föra en dialog med motiverande samtal för att familjen skall hitta sin egen väg. Sjuksköterskan kan också diskutera strategier och ge förslag på beteendeförändring. Föräldrar spelar en central roll i barns viktnedgång. Att utbilda och uppmuntra föräldrar påverkar indirekt barnet. Diskussion: Det kan vara svårt för sjuksköterskan att ta upp frågan om övervikt, men då hon gör det skall hon börja att prata med föräldrarna. För att familjen skall kunna göra en positiv beteendeförändring behövs det utbildning inom kost och motion.

  • 67.
    Andersson, Jan-Otto
    University of Skövde, School of Life Sciences.
    Prehospital smärtbedömning: En litteraturgenomgång2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Patienter med smärta är det vanligaste problemet sjukvårdspersonalen möter inom akutsjukvården.  Att bemöta patientens smärta är en grundläggande arbetsuppgift för sjuksköterskan inom den prehospitala vården. Vårdaren behöver utföra en professionell bedömning av patientens smärta för att utifrån smärtanalysen göra sitt bästa för att lindra eller förhindra lidande och möjliggöra en upplevelse av förändrad hälsa och välbefinnande.

     

    Syftet var att sammanställa tidigare forskning om prehospital smärtbedömning och beslut om smärtomhändertagande.

     

    Metoden som användes var litteraturöversikt. Ur resultatet framkom två teman och åtta undertema. Huvudteman var; att bedöma patientens smärta och att värdera patientens smärta inför beslut om smärtomhändertagande. Utifrån patientens beskrivning och smärtbedömningen som består av smärtskattning, fysiologiska och fysiska förändringar, värderas patientens smärta i relation till vårdarens egen erfarenhet, patientens beteende, kulturella skillnader och samspelet med patienten. Även hela situationen som tiden, risk för att skada och transporten till sjukhus värderas. Prehospital smärtanalys är en komplex bedömning där vårdaren möter patienter vid många olika situationer med varierande smärttillstånd och problematik. Ambulanspersonalen behöver behärska olika former av smärtskattning och sträva efter att ge bedömningen tid och vara nära patienten. Behovet av forskning inom prehospital smärtbedömning är fortfarande stort.

  • 68.
    Andersson, Jennie
    et al.
    University of Skövde, School of Life Sciences.
    Andersson, Annelie
    University of Skövde, School of Life Sciences.
    Patienters upplevelser av bemötande från sjuksköterskor på en akutmottagning: En litteraturstudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A great deal of the reports which arrives to the patient´s committee is about bad encounters. Patients who seek care at an emergency department should not feel inferior or unsafe because of a bad encounter from the nursing staff. A professional and caring encounter will give power and raise the wellbeing within the patient and that must be offered to the patient. A raised feeling of wellbeing might reduce the sense of bad health. The group of patients this study focuses on is the patients which arrive to the emergency department with a non urgent diagnosis. They often experience a lower rate of good encounters than the patients with an urgent diagnosis. The aim of this study was to highlight what´s important for the patient in the nurse-patient encounter in an emergency department. The search for literature was done in databases. A literaturereview was made from articles and an analysis was made where patient’s similarities and differences in the experience of the encounter sought out. The authors found twelve themes presented in possibilities and difficulties so that the patient will experience that the encounter I satisfying. The result shows that if the nurse’s take some time for the patient and gives them information, treats them as individuals and with respect, the patient feel empowerment to handle the situation. It is of importance for the nurse to understand how the patient experiences the encounter. A good encounter from the nurse can make the patient feel a raised wellbeing and a presence of health. This is a possibility for the patient to gain a feeling of better health.

  • 69.
    Andersson, Jenny
    et al.
    University of Skövde, School of Life Sciences.
    Franzén, Sara
    University of Skövde, School of Life Sciences.
    BVC-sjuksköterskors erfarenheter av att möta immigrerade familjer2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 70.
    Andersson, Jimmy
    et al.
    University of Skövde, School of Life Sciences.
    Söderlund, Tina
    University of Skövde, School of Life Sciences.
    Wennerberg, Martina
    University of Skövde, School of Life Sciences.
    Yrkesrelaterad stress inom kommunal hemsjukvård ur ett vårdarperspektiv2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 71.
    Andersson, Johan
    et al.
    University of Skövde, School of Life Sciences.
    Runsten, Andreas
    University of Skövde, School of Life Sciences.
    Sjuksköterskans erfarenheter av mötet med närstående till patienter med hjärtstopp inom den prehospitala sjukvården2007Independent thesis Basic level (degree of Bachelor), 10 points / 15 hpStudent thesis
    Abstract [en]

    The encounter between the nurse and relatives is of great significance within healthcare treatment, not the least in prehospital emergency care. Nurses within the ambulance services will in complicated situations meet chocked relatives of patients with cardiac arrest. The aim of the study is to describe nurses’ experiences of the encounter with relatives of patients with cardiac arrest within the prehospital emergency care.

    The collection of data was conducted through interviews with eight nurses within the ambulance services. The informants have rendered encounters they’ve had with relatives of patients with cardiac arrest. The interviews were recorded and transcribed. Thereafter a qualitative content analysis was made on the texts, from where three major themes, and a number of sub themes, emerged. The three major themes were “Communicating with relatives”, “Managing relatives’ reactions” and “Acting ethically correct towards relatives”.

    The result shows that the nurse’s way of communicating affects the encounter. Through a convincing and distinct manner the nurse seeks contact with relatives. This makes it possible to convey calmness to the relatives, and help them comprehend the situation. Sometimes though, relatives can project their grief and despair onto the nurse, who may be accused of not having done enough. It was detected, that relatives may be a second priority in a cardiac arrest-situation where there has only arrived one set of ambulance crew. Through experience the chances to reach a good encounter increases.

  • 72.
    Andersson, Josefine
    et al.
    University of Skövde, School of Life Sciences.
    Karlsson, Johnny
    University of Skövde, School of Life Sciences.
    Hiv-positivas erfarenheter av möten med vårdpersonal i allmänna vården: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim of this study was to describe HIV-carriers’ experiences of encounters with caregivers in the public health care.

    The result is based on experiences of eight respondents. The participants had lived with HIV from three to twenty-three years. The data was collected by qualitative interviews.

    The results show that HIV-carriers have a low trust of the secrecy in the public health care. They experience resistance in form of long wait and of being denied care and treatment. People with HIV mean that caregivers get scared, distant and avoid physical contact after being told about the HIV-diagnosis. HIV-carriers experience that health care staff waste resources and devote themselves in unnecessary protective measures. They also describe afear of contact with the public health care.

    Positive experiences have by the HIV-positive been described as not being given any special treatment due to their illness. If the medical staff is understanding, open minded and don´t ask strange questions it infuses a sense of security. HIV-carriers appreciate encounters where the information about their blood-borne virus are being received with equanimity and does not trigger any negative reactions.

  • 73.
    Andersson, Kerstin
    et al.
    University of Skövde, School of Life Sciences.
    Uggeldahl, Danijela
    University of Skövde, School of Life Sciences.
    Distriktssköterskors erfarenheter av kommunikation med patienter i palliativ hemsjukvård: -en intervjustudie2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    About 90 000 people die every year in Sweden. Some of them die in their homes. In the community, the district nurse has responsibility for palliative care. This study is based on nine interviews with district nurses working in community home care in three different communities. Its aim is to describe district nurses’ experiences of communication with patients in palliative home care. A comprehensive theme evolved which was named The multifaceted communication could be described on the basis of two categories: The simple communication and The difficult communication. The analysis resulted in following seven subcategories: To be successful in communication, Patients’ acceptance of their situation, To be there for the patients, To communicate with patients when relatives are on the same level, Failure in communication, Patients’ lack of acceptance of their situation and Meeting relatives and people close to the patient when they are not on the same level. As student district nurses and authors, we hope that this study will increase the awareness of how district nurses experience communication in palliative care and thereby increase our knowledge and improve communication between district nurses and patients in palliative care.

  • 74.
    Andersson, Kristin
    et al.
    University of Skövde, School of Life Sciences.
    Lundblom Bäckström, Maria
    University of Skövde, School of Life Sciences.
    Sjuksköterskans möjligheter att hjälpa kvinnor med bröstcancer att hantera fatigue: En Litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Fatigue is a side effect for women with breast cancer undergoing adjuvant therapy. The nurse can through nursing interventions help these women to manage and reduce side effects of fatigue. The concept of empowerment and the Orem theory of self-help can beviewed as a basis for the nurse in nursing. Purpose: To describe how women with breast cancer during adjuvant treatment, manage and reduce symptom of fatigue with the help of nursing care interventions, founded in the concept of empowerment and self-help. Method: Literature-based study based on twelve qualitative and quantitative articles. Results: The incidence of fatigue remains, but different methods can reduce levels. Exercise and movement can alleviate the degree of fatigue. Musclerelaxation exercises resulted in decreased levels and decreased perception of fatigue. A balanced sleep and reduced stress resulted in positive effects on perceived fatigue. Conclusion: There are several of nursing interventions that are possible to implement both for nurses alone and also with other professions. Together can nurses and their patients determine the degree of fatigue and tailor an individual care plan. Exercise program and group interventions with empowerment as a basis can be used to strengthen and help these women manage fatigue.

  • 75.
    Andersson, Lina
    et al.
    University of Skövde, School of Life Sciences.
    Svensson, Anna
    University of Skövde, School of Life Sciences.
    Det vårdande och icke vårdande mötet med personer som har ett alkoholmissbruk: en litteraturöversikt2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    BACKGROUND: Today, more and more Swedish people are drinking more frequently and in larger quantities. Alcohol abuse is painful for the victim and his family, while being a widespread and costly problem for society. Healthcare professionals are knowledgeable about alcohol and its effects and can therefore play a very important role in the healthcare prevention related to alcohol and substance abuse. AIM: The aim of this study is to describe the care of patients with an alcohol abuse with a special focus on treatment and care relationship. METHOD: A literature review in which nine research articles were analyzed. RESULT: Nurses felt that questions about alcohol consumption were difficult to handle in practice when the questions could be experienced as insulting and bring the patient strong emotions. While patients want to be open about their addiction and, therefore, which they are asked about their alcohol habits. CONCLUSION: To treat and care for people with alcohol abuse can cause special difficulties. The result shows that the balance between the desire to care and to not always believe the patient makes the meeting more difficult. While the health professionals must take the step to dare to ask questions about alcohol consumption.

  • 76.
    Andersson, Linda
    University of Skövde, School of Health and Education.
    Kvinnors upplevda sexuella hälsa efter bröstcancer: En litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Over one million women worldwide are diagnosed with breast cancer every year. In Sweden, the disease is estimated to reach over seven thousand. The treatment includes surgery, hormones and cytostatic witch is strenuous and can change the woman’s body image and their sexual health. Aim: The aim of this study was to describe experienced sexual health from resulting symptoms among women with breast cancer treatment. Method: The study is a literature study where 15 articles were summarized in the result. Result: Breast cancer treatment affected the woman's experience of her body as less feminine and less attractive. Difficulties such as dry vaginal mucous membranes, pain during intercourse and decreased sexual desire are other experienced health factors that have been affected. Talking about their sexual health problems with healthcare providers was difficult and they feel that it’s not a priority for health care. Discussion: Communication on sexual health is part of the nurse's task. Information between healthcare providers is missing and the woman considers it difficult to re-address her sexual problems. The woman's experience of being less attractive related to breast reduction considered be created by the ideal women in society. Furthermore, the discuss is about if pain in the vagina is a side effect to treatment or is it the feeling that they must satisfy their partners sexual needs who creates reduced libido and excitement. 

  • 77.
    Andersson, Lisa
    et al.
    University of Skövde, School of Life Sciences.
    Nilsson, Sara
    University of Skövde, School of Life Sciences.
    Svåra samtal - en del av sjuksköterskans vardag: En intervjustudie2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    In the daily work of a nurse, talking to patients is part of the nursing care. Communication can be very difficult, and some conversations are harder than others. To make it easier for inexperienced nurses to relate and handle these conversations it’s important to establish what conversations nurses consider difficult and what the most challenging aspects are, and this was the aim of this study. Only a few previous studies describe what nurses consider difficult communication, and none of them focus on what the nurses perceive as the most challenging aspects. A qualitative method was chosen and content analysis was used as an analyze method. The study comprises interviews with six nurses in one hospital in the west of Sweden. The results of the analysis show six main categories which contain six nurses’ descriptions of what they consider to be the most difficult communication. The categories are: communication when the personal chemistry don’t match, hopeful communication when delivering negative notification, communicating with angry patients, sensitive communication, conciliating communication with relatives, and being presence in communication under stress. What all nurses found most challenging was, to be present in the conversation to keep the patients hope and help the patient accept their situation.

  • 78.
    Andersson, Liselotte
    et al.
    University of Skövde, School of Life Sciences.
    Hillberg, Jenny
    University of Skövde, School of Life Sciences.
    Att leva med en livshotande sjukdom: en studie av självbiografier2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    A life-threatening disease is a crisis and a suffering. Previous research are focused on terminally ill patients experiences and shows the importance of open communication, to live a active normal life and that peoples apprehension about death is different. The aim of this study was to describe how it is to live with a life-threatening disease in a every day life, based on autobiographies. The study is based on a qualitative approach and a analysis of six autobiographies. The results is presented in five themes. Each theme is described separately with help from quotation from the autobiographies. The results shows that the experiences of living with a life- threatening disease involves a need to live a every day life as it used to be, to get a increased well-being. It even includes a uncertainty future and a constant anxiety and fear. To have someone to share the experience with, a good support and to feel confidence from nursing staff is important. How peoples life situation are influenced by the life-threatening disease and how important it is that nursing staff confirm patients experience are discussed.

  • 79.
    Andersson, Malin
    et al.
    University of Skövde, School of Health and Education. a14malan@student.his.se.
    Velin, Veronica
    University of Skövde, School of Health and Education. a13verve@student.his.se.
    Upplevelser av att leva med bipolär sjukdom: En självbiografistudie2016Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Backround: Patients with bipolar disorder/disease has episodes with depression and mania. During these episodes the ability to manage emotions, work and economy becomes more difficult. With increased understanding of their disorder, the taboo subject of bipolar disorder can decrease. Aim: The aim to this study was to describe patient´s experiences of living with bipolar disorder. Method: A qualitative research was used to analyze five biographies, which are written by patients living with bipolar disorder. Result: In the result different themes emerged which describe patient´s experiences living with bipolar disorder/disease. The themes which stood out were: The desire to get help, to accept bipolar disorder and the importance of relatives support and the feeling of being different. Conclusion: Patients with bipolar disorder needs support from relatives to get more attention from medical staff to view the entirety of the patient´s disease. Early diagnosis, treatment can be initiated which reduces the risk of suicide attempts and self harm in the patient. Increased knowledge about bipolar disorder can lead to a better working life for the patients.

  • 80.
    Andersson, Malin
    et al.
    University of Skövde, School of Health and Education.
    Ytterberg, Elin
    University of Skövde, School of Health and Education.
    I väntan på ett barn: En litteraturöversikt som beskriver pars behov inom infertilitetsvård2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Involuntary infertility is a common problem in couples of fertile age and affects around 15–20% of all couples in the Western world who wish to have children. Infertility and the care can contribute to poorer health, which can be stressful for both parties in the couple. The process can also lead to a suffering were the nurse has an important role to play. To respond to the couple and meet their wishes, it is important to study the needs they experiences. Aim: To describe the needs couple experiences in connection with infertility care. Method: A literature review where data material consisted of seven scientific articles, two of which were quantitative, four qualitative and one of mixed method. Results: From the result, three themes appeared, Support, Respect and understanding and An Adapted and developed environment. There were also six sub-themes. Conclusion: Meeting couples in infertility care can be complex and further knowledge about what needs they are experiencing can be important. As a nurse, it is important to contribute with support and information regarding the process. It is also important to individualize the care and look to each couple's own wishes. Respect and understanding as well as adaptation and development of the organization are urgent where higher instances should become involved.

  • 81.
    Andersson, Mari
    et al.
    University of Skövde, School of Health and Education.
    Jarlemyr, Eva
    University of Skövde, School of Health and Education.
    Se mig, hör mig, fråga mig...: Upplevd psykisk ohälsa under skoltiden hos personer med bipolär sjukdom2016Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Since it is known that mental illness is increasing, it is important to investigate how students with mental illness perceive their health in school and how they feel that school nurses could or should act. Bipolar disorder is a chronic, cyclical mood disorder, depression, hypomania and mania, which can be caused by both genetic factors as well as environmental factors. It is important that there is a high awareness of the condition among those who meet children with problems. School nurses are central to student health work and children's representatives, they must dare to look, listen and ask them about mental illness.The aim of the study was to describe how people with bipolar disorder experienced their mental health at school. The study was conducted using qualitative method. The study is based on interviews with nine people diagnosed with bipolar disorder, which was analyzed using the narrative method. The result shows how the informants' mental health was reflected in the home, along with the family and at school. The informants describe the difficulties of life, including severe depression, elevated mood, low self-esteem and stress. It is meaningful to all experienced mental illness in different ways at school. The perception was that there was ignorance about mental illness in those who work in the school. Common was that the informants are not asked for help and did not want to ask for help, but at the same time wished someone would look, listen and ask them. The conclusion is that the school needs to pay attention to children's mental health.

  • 82.
    Andersson, Maria
    et al.
    University of Skövde, School of Life Sciences.
    Larsson, Jörgen
    University of Skövde, School of Life Sciences.
    Upplevelser av att leva med hjärtsvikt: En litteraturbaserad studie2011Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: The majority of the epidemiological studies show that heart failure is increasing all over the Western world. The increase of patients with heart failure increases the need for healthcare to understand how patients live with this disease, which is important in the process for the patients to adjust to the distressing illness experience.Aim: The aim of this study is to describe patient's with heart failure experience how their disease affect their daily life.Method: Literature based study with qualitative research that follows Friberg (2006) method of analyzing which 14 articles were reviewed.Result: Five themes was identified: (1) a new and uncertain situation, (2) changes of patient’s psychological and physical abilities, (3) changes of the social life, (4) adjustment and acceptance of the situation with new meaning and identity, (5) anxiety about death and the unpredictable nature of the disease. Living with heart failure was characterized by distressing symptoms, restrictions in daily life, changes in social life and their identity, and anxiety about death and the unpredictable nature of the disease.Conclusion: The experience of health and quality of life is individual. Distinct information about the disease and self care to the patient is needed for improved control, experience of health and quality of life.

  • 83.
    Andersson, Melinda
    et al.
    University of Skövde, School of Health and Education.
    Gustavsson, Clara
    University of Skövde, School of Health and Education.
    Att leva med ett dödshot: När bröstcancern tog över livet2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Every day women in Sweden suffer from breast cancer, that also is the most common cancer form for women. Getting a breast cancer diagnosis is overwhelming and puts the whole life situation at stake, especially when these women are in the middle of working life with family and children. It is important for nurses to know how these women experience their situation in order to provide the best care possible. Aim: The aim of the study was to describe women's experiences of living with breast cancer. Method: A qualitative survey method with an inductive approach was chosen where the data consisted of autobiographies. Results: From the analysis of the data, seven themes are shown; a time of uncertainty, a willingness to survive, an urgent treatment, hopeful signs, a supportive environment, changing view of life and a changed body. Conclusion: Women with breast cancer live a turbulent life that causes several stressful treatments that affect their quality of life. The experience is individual and requires support from both close relatives and healthcare professionals, to help the women get through the disease process as they feel exposed to the disease.

  • 84.
    Andersson, Millan
    et al.
    University of Skövde, School of Health and Education.
    Grönberg, Frida
    University of Skövde, School of Health and Education.
    Föräldrars upplevda behov av stöd när deras barn lever med diabetes typ 1: En litteraturöversikt2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Type 1 diabetes mainly affects children and the disease is shifting towards younger ages. To suffer from diabetes may involve lifestyle changes, which can be stressful for both the child and the parents. Parents must take great responsibility for the child’s treatment and are therefore in need of support from the surroundings and the nurse to deal with the situation. A good support can mean that parents can integrate diabetes in their daily life, as well as increase the feeling of hope. Aim: To describe parents’ perceived need of support when their child is living with type 1 diabetes. Method: Eleven qualitative articles formed the basis of the literature review and these were analyzed using a qualitative content analysis. The search was conducted in the databases CINAHL, MEDLINE and PubMed. Results: Four themes emerged during the analysis that responded to the parents’ perceived need of support. These were the desire to be understood, not to be judged and accused, the desire for confirmation and to feel security and trust. Conclusion: The need for support was great both from the social surroundings and the diabetes team. The nurse should work from a person-centered approach in order to meet the parents’ individual needs of support.

  • 85.
    Andersson, My
    University of Skövde, School of Life Sciences.
    Sjuksköterskors upplevelser av hot och våld inom akutsjukvård2008Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: An indisputable right for nurses is to have a safe and secure work environment so they can deliver a high quality care. To bring a clear definition of what threat and violence are, is an important part in the work to prevent threat and violence. One part of the problem is that the experience and understanding of threat and violence can be different from one person to another. Aim: The aim of this quality study was to emphasize Nurses experience of threat and violence at workplace. Method: The method used in this study was qualitative interviews in the sense to bring out the nurses experience. Four nurses at four different emergency divisions were interviewed. Results; Two leading categories emerged with 12 subcategories. The leading categories are: nurse’s experience of threat and violence and nurse’s management of threat and violence. Conclusion; This study shows that nurses experience threat and violenc at their workplace and that the increased amount of violence in the society reflects on what happens at the hospitals.

  • 86.
    Andersson, My
    et al.
    University of Skövde, School of Health and Education.
    Pettersson, Annika
    University of Skövde, School of Health and Education.
    Förutsättningar att vårda patient med trauma nivå-1: En kvalitativ intervjustudie av operationssjuksköterskans erfarenheter2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Trauma care is included in Swedish healthcare services. A patient in need of trauma care is treated by the severity of injuries. According to national guidelines trauma is divided into two different levels, level-1 being the most severe that often require lifesaving efforts. Operating theater nurses is one of the team members that is part of the operative care. Professional competence is required along with stress resistance in the pre- and intraoperative care.

    The aim: The aim of the study was to illustrate experiences of operating theater nurse´s care of patients with trauma level-1 with focus on qualifications.  

    Method: A qualitative method was used where the data material was analyzed with qualitative content analysis. The data is based on interviews with ten operating theater nurses from a University hospital and a regional hospital.

    Results: One main theme with three underlying categories emerged. Operating theater nurses participation in provided care and sense of safety is an overall theme that contains three categories which are personal and professional resources, learning resources and organizational resources, each with associated subcategories.

    Conclusion: Participation in the trauma care, sense of safety and a variety of learning sources was evident as qualifications for care. Structure and leadership was further conditions that emerged as important parts for collaboration that enhances the possibility for the operation theater nurse to perform trauma care level-1.

  • 87.
    Andersson Ohlin, Johanna
    et al.
    University of Skövde, School of Health and Education.
    Wängefors, Rebecca
    University of Skövde, School of Health and Education.
    Jag ska inte dö idag. Patienters upplevelser av att ha biverkningar vid cellgiftsbehandling: En självbiografisk studie2017Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Cancer is a disease with over 200 different types. Treatment with cytostatics is common, cancer cells are attacked, but the healthy cells can also be affected. This result in different side effects that can affect the life quality in a negative way, although many of the side effects are minor.  The primary role as a nurse is to work for the protection of health and wellbeing in the patient care.

    Purpose: The purpose was to describe patient experiences of having side effects in chemotherapy.

    Method: The study was based on a qualitative method where autobiographies with a narrative quality has been studied.

    Result: The result show four themes that include experiences about having side effects in chemotherapy. The result also show the experiences about how side effects give limitations in life, experiences about how the feelings to the side effects are different from day to day and the importance of support through side effects. The themes presented in the result together show the experiences of having side effects in chemotherapy.

    Conclusion: Through an insight into the experiences, the nurse can meet and understand the patient's individual need for support and thereby prevent suffering of side effects during chemotherapy.

  • 88.
    Andersson, Rebecca
    et al.
    University of Skövde, School of Health and Education.
    Furubrink, Viktoria
    University of Skövde, School of Health and Education.
    Skolsköterskans upplevelse av processen att göra en orosanmälan till socialtjänsten2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Today, it is common that many children do not receive proper care in their own homes. In order to obtain proper support and help, the Social Welfare Services needs to be alerted as to the predicament of these children. Unfortunately, medical and health care personnel too often fail to report maltreatment, even though it is their obligation to do so.

    Aim: The aim of this study is to describe the experience of the school nurses in the process reporting child maltreatment.

    Method: The study was conducted using a qualitative method with a phenomenological approach, where 13 school nurses participated and shared their experiences via email correspondance. The data was analyzed by meaning analysis.

    Result: The experiences of the school nurses in connection with reporting suspicions of maltreatment were summarized into five different categories: experiencing emotional involvement in the child's situation, experiencing discomfort associated with reporting, experiencing a sense of security in the reporting process, experiencing that cooperation with Social Welfare Services has impact, and experiences of dealing with their own emotions in various forums.

    Conclusion: The school nurses experienced complex circumstances in connection with reporting suspicions of maltreatment. The result therefore shows the need for increased knowledge regarding this, in order to either change or further improve upon the work of reporting child maltreatment. 

  • 89.
    Andersson, Sandra
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Dahlfors, Cecilia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Stillasittande som enskild riskfaktor: En litteraturöversikt om hur vuxna påverkas av ett stillasittande beteende2018Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction: In today's modern, well-developed and increasingly digitized society, people are given the opportunity to live much more sedentary lives than before. More research today indicates that long-term sedentary as a single risk factor is a contributing factor in developing illness and public health diseases such as diabetes, cardiovascular disease and obesity. Aim: The aim of the literature review is to investigate how sedentary behavior as an individual risk factor affects adult human health as well as highlight the factors that contributes to sedentary behavior. Method: In order to respond to the aim, an integrated literature survey has been conducted based on ten scientific original articles. The searches have been made through the databases Pubmed, Cinahl and PsycARTICLES. The articles were then examined and analyzed using the Whittemore and Knafl (2005) analytical method. Results: Longer moments of sedentary had a clear connection between several physiological effects in the body. When breaks were taken, it generated several health-promoting effects such as increased blood glucose absorption, increased calorie consumption, and reduced BMI. In those who were less seated, there was also a reduced risk of dying in e.g. Heart disease. Risk factors such as a poor work environment, where one lives, and an elevated BMI, were found to have adverse effects that led to increased sedentary behaviors. Conclusion: As much as 60% of the waking time is spent sedentary this is considered a risk factor in order to develop public health diseases in the long run. Important aspects that were seen to counteract this were to regularly take shorter breaks to interrupt longer moments of sedentary. Although a healthy level of physical activity is achieved, it is not enough if the rest of the day is spend sedentary. This constitutes a need for new, clearer and achievable guidelines for how people should limit their sedentary behavior. 

  • 90.
    Andersson, Sandra Paolin
    et al.
    University of Skövde, School of Health and Education.
    Berg, Johanna
    University of Skövde, School of Health and Education.
    Hur unga flickor i åldrarna 12-19 årpåverkas psykiskt av media, i förhållande till sina kroppar: En litteraturstudie2014Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
  • 91.
    Andersson, Sophia
    University of Skövde, School of Health and Education.
    Effekterna av fysisk aktivitet vid depression: En litteraturöversikt2018Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [sv]

    INLEDNING Depression är en vanligt förekommande folksjukdom som växer globalt och kan innebära stort lidande för den drabbade. SYFTE Ge en översikt av effekterna av fysisk aktivitet vid depression. METOD En litteraturöversikt genomfördes genom att tio vetenskapliga originalartiklar valdes ut som studerade effekterna av fysisk aktivitet på depression. Dessa sammanställdes och analyserades fram till fyra gemensamma teman. RESULTAT Majoriteten av studierna visade signifikant förbättring av depressionsnivå efter intervention jämfört med kontrollgrupp. Fysisk aktivitet som komplement till antidepressiv medicinering har positiv effekt på depressionens svårighetsgrad och kan även minska behovet av höga doser antidepressiv medicin. Placeboeffekt kunde uteslutas. Enbart en studie observerade ingen påverkan på depression, hos vilken resultatet bör tolkas med hänsyn till ett begränsat studiedeltagande. DISKUSSION Fysisk aktivitet kan vara mer effektivt än traditionell behandling av antidepressiv medicinering. Den praktiska tillämpningen av att rekommendera fysisk aktivitet inom vården kan däremot vara komplex. Vinstintressen, okunskap och gamla vanor kan eventuellt försvåra en praktisk tillämpning av fysisk aktivitet som behandling. SLUTSATS Slutsatsen är att effekten av fysisk aktivitet på depression är behandlande och lindrande. Fysisk aktivitet står stark som effektiv behandlingsmetod mot depression såväl i sig eller i kombination med traditionell behandling, beroende på svårighetsgrad. Mer studier behövs för att identifiera de mest effektiva kombinationerna av fysisk aktivitet med andra behandlingsmetoder i förhållande till depressionsnivå och målgrupp.

  • 92.
    Andersson, Susanne
    University of Skövde, School of Life Sciences.
    Med risk för diabetes: Studier av symtom, självskattad hälsa och erfarenheter av att leva med risk för att utveckla typ 2 diabetes2012Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Background: Individuals with impaired glucose tolerance (IGT) have a high risk of developing both type 2 diabetes mellitus (T2DM) and cardiovascular disease. T2DM is a common chronic disease in a global perspective, and it is estimated to continue to grow, which is a serious health problem. It is of significance to increase knowledge about persons with IGT to direct preventive activities more efficiently thus to limit its progression to T2DM.

    Aim: The overall aim was to describe experiences of living with the increased risk of type 2 diabetes, and to identify self-reported symptoms and bodily sensations associated to prediabetes by the persons themselves. Specific aim were to explore the associations between experiences of sleep, vitality and self-rated health, respectively, and IGT.

    Methods: The design was explorative and descriptive. Participants were randomly selected from a cross-sectional population-based survey in two municipalities in Southwestern of Sweden. Data were collected by means of interviews and a questionnaire about life-style and health.

    Results: Living with prediabetes means living in the borderline between health and type 2 diabetes. Living in the borderline and the balance between opportunities and obstacles were interpreted as a burdensome sense of living with increased risk of developing type 2 diabetes, although this feeling could be changed so you could see either opportunities or obstacles. Persons with IGT are experiencing symptoms, which they relate to their elevated plasma glucose level associated with IGT. The diagnosis in itself gave them something to relate to because they received confirmation and a possible explanation for their symptoms. In men a statistically significant age-adjusted association was found between self-reported lack of sleep and IGT: It did not weaken after further adjustment for BMI, smoking, education, and leisure time physical activity No such associations were found in females. Corresponding age-adjusted statistically significant associations between low vitality and IGT in both men and women were successively lost with multivariate adjustments. Both men and women with low self-rated health had a worse risk factor profile than those with high self-rated health and a statistically significant crude association between self-rated health and IGT. After controlling for major lifestyles factors and biomedical variables the association remained only in men.

    Conclusions: A special focus must be directed towards persons with prediabetes as they experience both opportunities and obstacles. Although prediabetes is often described as a condition without symptoms, persons with IGT experienced many symptoms, which they related to their IGT. Insufficient sleep and low self-rated health may be a risk factor for IGT in men. A generous sampling of plasma glucose, HbA1c and oral glucose tolerance tests is suggested, even in vague symptoms. There is a link between the measurable (signs) and the perceived in form of symptoms, interpreted as “the guiding feeling”. This should be considered in pedagogical encounters with patients to prevent the onset of type 2 diabetes.

  • 93.
    Andersson, Susanne
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Berglund, Mia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Vestman, Caroline
    Primary Health Care Center, Gullspång, Sweden.
    Kjellsdotter, Anna
    University of Skövde, School of Health and Education. University of Skövde, Health and Education. Research and Development Centre, Skaraborg Hospital Skövde, Skövde, Sweden.
    Experiences of specially trained personnel of group education for patients with type 2 diabetes: A lifeworld approach2019In: Nursing Open, E-ISSN 2054-1058, Vol. 6, no 2, p. 635-641Article in journal (Refereed)
    Abstract [en]

    Aim:To describe how the group education process for people with type 2 diabetes is experienced by diabetes nurses and dietitians who support the patients’ learning, in a primary care setting.

    Design:The project took place at two primary care settings in the south of Sweden.

    Methods:Data collected from focus‐group interviews and reflection notes were subjected to phenomenological analysis.

    Results:The specially trained personnel experienced that group education made it possible for the patients to learn through reflection concerning their own and others’ experiences. Furthermore, group education entailed increased knowledge for the trained personnel. When the patients were challenged to make changes in their lives with the illness, the personnel experienced that both patients and personnel supported each other. The study concludes that the trained personnel person‐centred approach, with help of the didactic model, get tools to support patients learning.

  • 94.
    Andersson, Susanne
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Karlsson, Veronika
    Department of Health Sciences, University West, Trollhattan, Sweden.
    Bennet, Louise
    Center for Primary Health Care Research, Family Medicine, Department of Clinical Sciences, Lund University, Malmö, Sweden.
    Fellbrant, Klas
    Family Medicine, Department of Primary Health Care, Skövde, Sweden.
    Hellgren, Margareta
    Institute of Medicine, Department of Primary Health Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Attitudes Regarding Participation in a Diabetes Screening Test among an Assyrian Immigrant Population in Sweden2016In: Nursing Research and Practice, ISSN 2090-1429, E-ISSN 2090-1437, article id 1504530Article in journal (Refereed)
    Abstract [en]

    Immigrants from the Middle East have higher prevalence and incidence of type 2 diabetes (T2D) compared with native Swedes. The aim of the study was to describe and understand health beliefs in relation to T2D as well as attitudes regarding participation in a screening process in a local group of Assyrian immigrants living in Sweden. A qualitative and quantitative method was chosen in which 43 individuals participated in a health check-up and 13 agreed to be interviewed. Interviews were conducted, anthropometric measurements and blood tests were collected, and an oral glucose tolerance test was performed. In total, 13 of the 43 participants were diagnosed with impaired glucose metabolism, 4 of these 13 had TD2. The interviewed participants perceived that screening was an opportunity to discover more about their health and to care for themselves and their families. Nevertheless, they were not necessarily committed to taking action as a consequence of the screening. Instead, they professed that their health was not solely in their own hands and that they felt safe that God would provide for them. Assyrians' background and religion affect their health beliefs and willingness to participate in screening for TD2.

  • 95.
    Andersson, Susanne
    et al.
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Svanström, Rune
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    Ek, Kristina
    University of Skövde, Health and Education.
    Rosén, Helena
    Health Sciences, University of Lund, Lund.
    Berglund, Mia
    University of Skövde, School of Health and Education. University of Skövde, Health and Education.
    'The challenge to take charge of life with long-term illness': Nurses' experiences of supporting patients' learning with the didactic model2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 23-24, p. 3409-3416Article in journal (Refereed)
  • 96.
    Andrée, Linnea
    et al.
    University of Skövde, School of Health and Education.
    Gillberg, Patrik
    University of Skövde, School of Health and Education.
    Orsaker till övervikt och fetma hos barn i Sverige: En litteraturöversikt2018Independent thesis Basic level (university diploma), 5 credits / 7,5 HE creditsStudent thesis
    Abstract [en]

    Introduction: Overweight and obesity among children in Sweden is becoming more frequent. In Sweden over 300 000 children is believed to be overweight or obese and the subject is therefore a public health problem. Overweight and obesity can cause large costs for the society and deteriorating health for the children.

    Purpose: The purpose of this literature review was to understand and highlight the causes for increased overweight and obesity among children under the age of 18 in Sweden.

    Method: The literature review was performed by using searches in the databases PubMed and CINAHL in which ten scientific articles were chosen.

    Result: Sleep, socioeconomic status, illness, diet, physical activity and mental illness are all reasons that have contributed to the increased overweight and obesity among children in Sweden.

    Discussion: The causes regarding overweight and obesity among swedish children is hard to determine, this literature review shows some reasons that in many cases are connected. The subject is complex and requires large-scale actions to deal with.

  • 97.
    Andréen, Sofia
    University of Skövde, School of Health and Education.
    Socialt välbefinnade hos barnmorskor inom förlossnings-/ BB-vård: En tvärsnittsstudie baserad på Job Related Social Well-being Scale2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 98.
    Andrén, Emelie
    et al.
    University of Skövde, School of Health and Education.
    Svensson, Daniel
    University of Skövde, School of Health and Education.
    Personers upplevelser av att leva med bipolär sjukdom: En studie av självbiografier2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Bipolar disorder is a chronic condition which is characterised by elevated mood swings with manic and depressive episodes. It has impact on the person’s lifeworld and his or her experience of health. The chronic disorder causes suffering for the person. The essential role of the nurse is to be supportive and educate. Aim: To describe peoples’ experiences to live with bipolar disorder. Method: A qualitative study were five autobiographies was studied. The method of analytics is narrative analysis. Results: The result has six categories. Those are: the emotional rollercoaster, the euphoric boundlessness, darkest before dawn, the different reality, impact on the social life, in contact with care. Discussion: People with bipolar disorder experiences health, illness and suffering depending on which episode they are in. It’s important to have people in their vicinity who is understanding and who cares to find peace. The nurse acts as support in the dynamic mood swings the people can have and can contribute with information how to handle the disorder. Conclusion: To live with bipolar disorder means constant mood swings. The care should have a open mind and answer to the person in their lifeworld. It’s important as nurse to create a balance to ease suffering and encourage health.

  • 99.
    Andrén, Martina
    et al.
    University of Skövde, School of Health and Education.
    Stenman, Isabelle
    University of Skövde, School of Health and Education.
    Anorexia nervosa - unga kvinnors upplevelser av mötet med vårdpersonalen: En självbiografistudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Anorexia nervosa usually affects young women. The disease is based on askewed perception of the body, which leads to dieting to reach an ideal weight. Individualswith anorexia nervosa can have bad self-image and low self-confidence which can result intoself-destructive behavior and suffering. The nurse during the meeting needs to show trustand create safety for the patient. Professional support by communication and interaction canestablished a good care relationship. Aim: To describe how young women diagnosed withanorexia nervosa experience the meeting with health professionals. Method: The datamaterial consists of five autobiographies that have been analyzed with qualitative contentanalysis. Results: The analysis revealed four categories; feel unfairly treated, ending up indisadvantage, exposed to abuse of power and compulsion, hope and confidence. A total ofeight subcategories emerged. Conclusion: The meeting with healthcare is experienced bothnegatively and positively. It is important that healthcare professionals respect the youngwomen’s autonomy and engage them in their healthcare. That the healthcare should becharacterized by an ethical perspective and that time is given in the meeting is important.Good treatment, adequate knowledge and non-judgmental attitudes from healthprofessionals are important.

  • 100.
    Annerfalk, Alice
    et al.
    University of Skövde, School of Health and Education. a.annerfalk@gmail.com.
    Svensson, Ida
    University of Skövde, School of Health and Education.
    Sociala mediers effekt på ungdomar och unga vuxnas psykiska hälsa: En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Introduction: In recent years, the use of social media has increased significantly in young people. 92 percent of all 13 to 16-year-olds today use social media where the most common media are Facebook, Instagram and Snapchat. Something else that increases at the same rate as social media is mental illness in young people. Aim: The purpose of this literature study is to investigate whether adolescents and young adults (age 13-24) use of social media has any effects on their mental health and well-being. Method: The method is a literature study in which 21 peer reviewed articles have been analyzed to answer the questions. Result: Social media proved to have both a negative and a positive effect on young people. Psychological consequences could be demonstrated and explained by how social media are used, how often they are used and different mediating variables. The strongest mediation was shown to be FoMO, the fear of missing something out if not constantly checking through their social media. Social media was also shown to be a health-promoting tool if used in moderation, as the individual then develops his or her communication skills and strengthens the social interaction and support. Conclusion: Social media have both positive and negative effects on mental health. However, the conclusion in this literature study is that the negative effects outdo the positive effects, and social media should therefore be used with more caution and reflection.

     

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