Change search
Refine search result
1234567 151 - 200 of 993
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 151.
    Bång, A
    et al.
    University of Borås, School of Health Science.
    Grip, L
    Herlitz, Johan
    University of Borås, School of Health Science.
    Kihlgren, S
    Karlsson, T
    Caidahl, K
    Hartford, M
    Lower mortality after prehospital recognition and treatment followed by fast tracking to coronary care compared with admittance via emergency department in patients with ST-elevation myocardial infarction.2008In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 129, no 3, p. 325-332Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To describe the short-and long-term outcome among patients with an ST-elevation myocardial infarction (STEMI), assessed and treated by the emergency medical services (EMS) in relation to whether they were fast tracked to a coronary care unit (CCU) or admitted via the emergency department (ED). METHODS: Consecutive patients admitted to the CCU at Sahlgrenska University Hospital with ST elevations on admission ECG were analysed with respect to whether they by the EMS were fast tracked to the CCU or the adjacent coronary angiography laboratory (direct CCU group; n=261) or admitted via the ED (ED group; n=235). RESULTS: Whereas the two groups were similar with regard to age and previous history, those who were fast tracked to CCU were more frequently than the ED patients diagnosed and treated as STEMI already prior to hospital admission. Reperfusion therapy was more commonly applied in the CCU group compared with the ED group (90% vs 67%; <0.0001). The delay times (median) were shorter in the direct CCU group than in the ED group, with a difference of 10 min from the onset of symptoms to arrival in hospital and 25 min from hospital arrival to the start of reperfusion treatment (primary PCI or in-hospital fibrinolysis). Patients in the direct CCU group had lower 30-day mortality (7.3% vs. 15.3%; p=0.004), as well as late mortality (>30 days to five years) (11.6% vs. 20.6%; p=0.008). CONCLUSION: Among patients transported with ambulance due to STEMI there was a significant association between early recognition and treatment followed by fast tracking to the CCU and long term survival. A higher rate of and a more rapid revascularisation were probably of significant importance for the outcome.

  • 152.
    Bång, A
    et al.
    University of Borås, School of Health Science.
    Gustavsson, M
    Larsson, C
    Holmberg, S
    Herlitz, Johan
    University of Borås, School of Health Science.
    Are patients who are found deeply unconscious, without having suffered a cardiac arrest, always breathing normally?2008In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 78, no 2, p. 116-118Article in journal (Refereed)
    Abstract [en]

    AIM: To evaluate how often an ambulance crew reports abnormal breathing among patients who are found deeply unconscious but without having suffered a cardiac arrest. METHODS: Patients with Glasgow Coma Scale (GCS) 3 (1+1+1) and without cardiac arrest were retrospectively evaluated, via ambulance records, for signs of abnormal breathing. RESULTS: Of 45 patients who fulfilled inclusion criteria, 24 (53%) had signs of abnormal breathing, as reported by the ambulance crew. CONCLUSION: Signs of abnormal breathing among comatose patients with no cardiac arrest appear to be relatively common. This therefore increases the risk of starting cardiopulmonary resuscitation (CPR) in such patients, which is in accordance with the present CPR guidelines for the lay person. Whether this might do harm to such patients is not known.

  • 153. Bång, A
    et al.
    Herlitz, Johan
    University of Borås, School of Health Science.
    Grip, L
    Caidahl, K
    Karlsson, T
    Kihlgren, S
    Hartford, M
    The relative influence of age, previous history and therapeutic strategies prior to hospital admission among ambulance transported patients with ST-elevation myocardial infarction.2009In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 136, no 2, p. 213-214Article in journal (Refereed)
    Abstract [en]

    Among 388 patients with ST-elevation and myocardial infarction admitted to hospital with ambulance, we found the following to be independent predictors of the short term (30 days) mortality rate; Age and treatment with aspirin prior to hospital admission. The following were associated with long term (30 days to 5 years) mortality rate; age, a history of diabetes and fast track to CCU.

  • 154.
    Bång, Angela
    University of Borås, School of Health Science.
    Bra bemötande kan påverka smärta och sjukdomsförlopp2007In: Samverkan 112, ISSN 1650-7487, no 1, p. 56-57Article in journal (Other (popular science, discussion, etc.))
  • 155.
    Bång, Angela
    University of Borås, School of Health Science.
    Emergency medical dispatch: the first medical response for life-threatening conditions : assessment and intervention of patients with chest pain and/or suspected cardiac arrest2002Doctoral thesis, monograph (Other academic)
  • 156.
    Bång, Angela
    University of Borås, School of Health Science.
    Rätt prehospital vård centralt vid akut hjärtinfarkt2007In: Samverkan 112, ISSN 1650-7487, Vol. 5, p. 52-53Article in journal (Other (popular science, discussion, etc.))
  • 157.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Castrén, Maaret
    Herlitz, Johan
    University of Borås, School of Health Science.
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Svensson, Leif
    Forskning och utveckling2009In: Prehospital akutsjukvård / [ed] Leif Svensson, Stockholm: Liber AB , 2009, p. 461-469Chapter in book (Other academic)
  • 158.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Grip, Lars
    Herlitz, Johan
    University of Borås, School of Health Science.
    Kihlgren, Stefan
    Karlsson, Thomas
    Caidahl, Kenneth
    Hartford, Marianne
    Lower mortality after prehospital recognition and treatment by fast tracking to coronary care compared with admittance via emergency department in patients with ST-elevation myocardial infarction2008In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 129, no 3, p. 325-332Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To describe the short-and long-term outcome among patients with an ST-elevation myocardial infarction (STEMI), assessed and treated by the emergency medical services (EMS) in relation to whether they were fast tracked to a coronary care unit (CCU) or admitted via the emergency department (ED). METHODS: Consecutive patients admitted to the CCU at Sahlgrenska University Hospital with ST elevations on admission ECG were analysed with respect to whether they by the EMS were fast tracked to the CCU or the adjacent coronary angiography laboratory (direct CCU group; n=261) or admitted via the ED (ED group; n=235). RESULTS: Whereas the two groups were similar with regard to age and previous history, those who were fast tracked to CCU were more frequently than the ED patients diagnosed and treated as STEMI already prior to hospital admission. Reperfusion therapy was more commonly applied in the CCU group compared with the ED group (90% vs 67%; <0.0001). The delay times (median) were shorter in the direct CCU group than in the ED group, with a difference of 10 min from the onset of symptoms to arrival in hospital and 25 min from hospital arrival to the start of reperfusion treatment (primary PCI or in-hospital fibrinolysis). Patients in the direct CCU group had lower 30-day mortality (7.3% vs. 15.3%; p=0.004), as well as late mortality (>30 days to five years) (11.6% vs. 20.6%; p=0.008). CONCLUSION: Among patients transported with ambulance due to STEMI there was a significant association between early recognition and treatment followed by fast tracking to the CCU and long term survival. A higher rate of and a more rapid revascularisation were probably of significant importance for the outcome.

  • 159.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Gustavsson, Mikael
    Larsson, Carina
    Holmberg, Stig
    Herlitz, Johan
    University of Borås, School of Health Science.
    Are patients who are found deeply unconscious without having suffered a cardiac arrest, always breathing normally?2008In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 78, no 2, p. 116-118Article in journal (Refereed)
    Abstract [en]

    AIM: To evaluate how often an ambulance crew reports abnormal breathing among patients who are found deeply unconscious but without having suffered a cardiac arrest. METHODS: Patients with Glasgow Coma Scale (GCS) 3 (1+1+1) and without cardiac arrest were retrospectively evaluated, via ambulance records, for signs of abnormal breathing. RESULTS: Of 45 patients who fulfilled inclusion criteria, 24 (53%) had signs of abnormal breathing, as reported by the ambulance crew. CONCLUSION: Signs of abnormal breathing among comatose patients with no cardiac arrest appear to be relatively common. This therefore increases the risk of starting cardiopulmonary resuscitation (CPR) in such patients, which is in accordance with the present CPR guidelines for the lay person. Whether this might do harm to such patients is not known.

  • 160.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Herlitz, Johan
    University of Borås, School of Health Science.
    Grip, L
    Caidahl, K
    Karlsson, T
    Kihlgren, S
    Hartford, M
    The Relative Influence of Age, Previous History and Therapeutic Strategies Prior to Hospital Admission among Ambulance Transported Patients with ST-elevation Myocardial Infarction2009In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 136, no 2, p. 213-214Article in journal (Refereed)
    Abstract [en]

    Among 388 patients with ST-elevation and myocardial infarction admitted to hospital with ambulance, we found the following to be independent predictors of the short term (30 days) mortality rate; Age and treatment with aspirin prior to hospital admission. The following were associated with long term (30 days to 5 years) mortality rate; age, a history of diabetes and fast track to CCU.

  • 161.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Herlitz, Johan
    University of Borås, School of Health Science.
    Grip, Lars
    Caidahl, Kenneth
    Karlsson, Thomas
    Kihlgren, Stefan
    Hartford, Marianne
    The relative influence of age, previous history and therapeutic strategies prior to hospital admission among ambulance transported patients with ST-elevation myocardial infarction2008In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 136, no 2, p. 213-214Article in journal (Refereed)
  • 162.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Wireklint Sundström, Birgitta
    University of Borås, School of Health Science.
    Lindra och behandla bröstsmärta/hjärtproblem hos patienter som söker ambulanssjukvård. LINDRA: en klinisk interventionsstudie2007In: Samverkan 112, ISSN 1650-7487Article in journal (Other (popular science, discussion, etc.))
  • 163.
    Bång, Angela
    et al.
    University of Borås, School of Health Science.
    Wireklint Sundström, Birgitta
    University of Borås, School of Health Science.
    Smärta och ångest engagerar forskare i ambulanssjukvård2007In: Samverkan 112, ISSN 1650-7487, Vol. 6, no 4, p. 70-71Article in journal (Other (popular science, discussion, etc.))
  • 164.
    Bångsbo, Angela
    et al.
    University of Borås, School of Health Science.
    Björklund, Anita
    Professional views on patient education in osteoporosis2010In: Archives of Osteoporosis, ISSN 1862-3522, Vol. 5, no 1-2, p. 101-110Article in journal (Refereed)
    Abstract [en]

    Summary The aim of this study was to investigate patient education in osteoporosis, with a consensus-building Delphi survey. The results showed that the purposes of osteoporosis schools are to reduce the risk of falling, facilitate empowerment, increase levels of function and activity and teach participants to master or reduce pain. Introduction According to the World Health Organization, osteoporosis is a major health problem. The morbidity is caused by fractures associated with pain and decreased physical function, social function and well-being. The aim of this study was to investigate and reach consensus about how so-called osteoporosis schools are run by professionals in Sweden with a focus on intervention and evaluation. Method The study design was a consensus-building, threeround Delphi survey. Questionnaires were sent by web and post to an expert panel comprising 15 nurses, occupational therapists and physiotherapists. In round 1, they were asked to write descriptions within the frame of eight domains related to intervention and evaluation. In the second and third rounds, the Delphi panel was asked to mark on a Likert scale the importance of 40 statements within these domains. Results The answers showed that the purposes of osteoporosis schools are to reduce the risk of falling, facilitate empowerment, increase levels of function and activity and teach participants to master or reduce pain. The schools comprise theoretical elements as well as practical exercises. Patients with fractures related to osteoporosis are offered participation. There is a lack of a theoretical basis, as well as of evidence, for present treatment models. Evaluation ought to be done systematically, and for this purpose, different questionnaires are used. Experts assert that evaluations show that patients gain increased activity levels, function, knowledge about osteoporosis, empowerment and pain reduction. Conclusions Consensus was reached in 29 of 40 items.

  • 165.
    Bångsbo, Angela
    et al.
    University of Borås, School of Health Science.
    Lidén, Eva
    Kommunikativa processer och upplevelser av delaktighet i vård- och omsorgsplaneringsmöten2010Report (Other academic)
    Abstract [sv]

    Äldre personer med flera ohälsoproblem och komplexa vård- och omsorgsbehov är en ökande grupp i samhället. För att åstadkomma en vård och omsorg som svarar mot den enskilda personens behov är samverkan mellan olika vårdgivare och professioner en viktig utgångspunkt vid vård- och omsorgsplanering. I denna studie har vi undersökt hur delaktighet för patienter skapas vid vård- och omsorgsplaneringsmöten (VOP-möten) samt hur deltagarna upplever detta. Datamaterialet består av bandinspelade VOP-möten samt efterföljande intervjuer med mötesdeltagarna. I datamaterialet ingick dels möten som genomfördes av vård- och omsorgspersonal vars huvudsakliga arbetsuppgift är att genomföra vård- och omsorgsplaneringar (här kallade specialiserade vårdplaneringsteam), dels möten som genomfördes av personal som inte specifikt arbetade enbart med VOP-möten. De inspelade VOP-mötena analyserades utifrån dimensionerna aktiv-passiv, subjekt-objekt. I analysen belystes hur såväl patienternas, närståendes samt vård- och omsorgspersonalens förhållningssätt bidrog till den bild av patienten som framställdes under mötet. Resultatet presenteras utifrån följande kategorier: Att vara ett ”aktivt subjekt”, d v s att man är delaktig i sin vård- och omsorgsplanering och förväntas ta ansvar vid formulering av målsättningar; Att vara ett ”passivt subjekt” det vill säga patienten framstår som en hel person som lever i ett livssammanhang men som på grund av hälsoskäl eller påverkan i omgivningen inte är så delaktig vid VOP-mötet; Att vara ett ”aktivt objekt” vilket innebär att endast begränsade aspekter av personen framträder exempelvis genom att patienten bidrar till en beskrivning av sig själv som ett objekt; samt slutligen; Att vara ett ”passivt objekt” där patienten fråntas möjligheten att delta i bedömning eller planering av vård och omsorg. I resultatet beskrivs dessutom omständigheterna kring mötet, ”Samtalsramen”, samt deltagarnas upplevelser före, under och efter mötet. I resultatet framkom att patienterna i huvudsak var aktiva vid VOP-mötena och bemöttes som subjekt. Patienternas delaktighet underlättades i den här studien av att de var väl förberedda inför mötet, de visste vad mötet skulle handla om, flera hade tidigare erfarenheter av VOP-möten och de gavs möjlighet att berätta vem man var och hade varit. Patienterna beskrev i de efterföljande intervjuerna att de, inför VOP-mötet, kände en oro att självbilden skulle komma att förändras från självständighet till beroende. Patienterna beskrev i de flesta fall att de kände sig bekväma under mötet. Vidare framkom att patienterna efter mötet upplevde både att deras önskemål infriats, men också en medvetenhet om att livsavgörande beslut hade aktualiserats, vilket kunde föranleda såväl besvikelse som anpassning till en ny livssituation. Resultatet kan inte sägas representera hur VOP-möten generellt sett genomförs och upplevs. Begränsningar i datamaterialet består av att inspelningarna av VOP-möten och intervjuer ägde rum i ett område där det fanns god tillgång på korttidsplatser. Majoriteten av datamaterialet utgjordes också av möten med vårdpersonal som var särskilt erfarna och intresserade av arbetsuppgiften. Denna rapport kan därför sägas beskriva i huvudsak ”goda exempel” på vård- och omsorgsplaneringsmöten, d v s när det fungerar väl. Trots detta anser vi att den modell som beskriver hur patienterna positionerar sig och positioneras som aktiv/passiv, subjekt/objekt är giltig och möjlig att använda i alla typer av VOP-möten och kan tjäna som stöd för att förstå vad som händer och hur det händer i kommunikationsprocessen.

  • 166.
    Bångsbo, Angela
    et al.
    University of Borås, School of Health Science.
    Lidén, Eva
    Tvärprofessionell samverkan för patienters/brukares delaktighet i vård- och omsorgsplanering2012Report (Other academic)
    Abstract [sv]

    Äldre personer med flera och komplexa sjukdomstillstånd är en ökande grupp i samhället. För att kunna erbjuda målgruppen en god vård ställs krav på samverkan mellan professionsföreträdare och vårdverksamheter inom såväl öppen som sluten vård och omsorg. Administrativa frågor har på olika sätt dominerat utvecklingen. Nya rutiner för informationsöverföring har införts i Västra Götaland och informationen mellan vårdgivarna skickas i datoriserad form. Det här projektet belyser patienters/brukares perspektiv kring deltagande vid vårdplanering liksom vad som händer i samband med vårdplaneringsmöten ur de professionellas perspektiv med fokus på samverkan och patienters delaktighet. Studierna har genomförts under ledning av Eva Lidén, Med. Dr med inriktning mot omvårdnadsforskning och leg. Distriktssköterska, i samarbete med projektmedarbetare och referensgrupp med företrädare för olika professioner och verksamheter. Projektet har bestått av tre delstudier under åren 2009–2011. En kartläggning genomfördes 2008 inför starten av projektet. De tre delstudierna har haft som övergripande fokus att studera förutsättningar och hinder för samverkan mellan personal från olika professioner och organisationer liksom patienters/brukares delaktighet. Personal från hälso-/sjukvården, primärvård och kommunalt anställd vårdpersonal av olika kategorier liksom patienter/brukare har i studierna bidragit med värdefull information utifrån deras erfarenheter av att medverka i vårdoch omsorgsplaneringsmöten (VOP-möten) inför patienters utskrivning från sjukhus. I föreliggande slutrapport sammanfattas i korthet de två första delstudierna, som belyser hur organisations- och verksamhetsföreträdare ser på samverkan och patienters/brukares delaktighet liksom förutsättningar och hinder för deras medverkan vid vårdplanering (Lidén 2009; Bångsbo & Lidén 2010). Det huvudsakliga innehållet utgörs av resultatet av den tredje och sista delstudien, samt en diskussion över det sammanvägda resultatet av de tre delstudierna. Delstudie tre syftade till att belysa hur vård- och omsorgspersonal i reflektionsgrupper kommunicerar kring patienters behov och sitt professionella ansvarsområde vid VOP-möten.Syftet med studien var också att beskriva om och vilka förändringar i synsätt som deltagarna upplevde före och efter interventionen i form av handledda reflektionsgrupper med deltagare från kommun, primärvård samt slutenvård. Avsikten med reflektionsgrupperna vara att öka medvetenheten om kommunikativa processer som förekommer vid VOP-möten. Resultatet av delstudie tre visade att VOP-möten i stort fungerar bättre idag än tidigare och att varierande professionsperspektiv diskuterades. Dock dominerar det organisatoriska perspektivet, med stor betydelse för gränsöverskridande samverkan. Diskussionerna bidrog enligt informanterna till en bättre förståelse för andra organisationers villkor samt en ökad medvetenhet om betydelsen av patienter/brukares delaktighet vid VOP-möten. Det sammanvägda resultatet av de tre delstudierna visar att vårdplanering är en komplex verksamhet och det har blivit tydligt i projektet att det blivit en alltmer specialiserad uppgift vilket inte med automatik innebär ökad delaktighet för patienter/brukare. Dock underlättas samverkan då de professionella kontakterna blir färre. Personkännedom och kommunikation liksom kunskap och förståelse för andra organisationers verksamhet, bidrar till organisationsöverskridande samverkan enligt datamaterialet. Det finns goda intentioner att samverka mellan professionsoch verksamhetsföreträdare, både inom den egna organisationen och med andra organisationer. När personalen samverkar inför, under och efter VOP-möten kan patienter/brukares delaktighet understödjas och förbättras. Men detta förutsätter en medvetenhet hos personalen och ett understödjande förhållningssätt, där yrkesområden och professionellt ansvar kompletterar och överlappar oberoende av organisations- eller professionstillhörighet. Det finns en stor medvetenhet i datamaterialet om hur det ska vara för att vårdplanering ska fungera så bra som möjligt men det finns olika försvårande faktorer främst på organisationsnivå. Trots detta finns goda möjligheter för en ständigt pågående utveckling.

  • 167. Caidahl, K
    et al.
    Hartford, M
    Karlsson, T
    Herlitz, J
    University of Borås, School of Health Science.
    Pettersson, K
    de Faire, U
    Frostegård, J
    IGM-phosphorylcholine autoantibodies and outcome in acute coronary syndromes.2013In: International Journal of Cardiology, ISSN 0167-5273, E-ISSN 1874-1754, Vol. 167, no 2, p. 464-469Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Antibodies against proinflammatory phosphorylcholine (anti-PC) seem to be protective and reduce morbidity. We sought to determine whether low levels of immunoglobulin-M (IgM) autoantibodies against PC add prognostic information in acute coronary syndromes (ACS). METHODS: IgM anti-PC titers were measured in serum obtained within 24h of admission from 1185 ACS patients (median age 66 years, 30% women). We evaluated major acute cardiovascular events (MACE) and all-cause mortality short--(6 months), intermediate--(18 months) and long--(72 months) terms. RESULTS: Low anti-PC titers were associated with MACE and all-cause mortality at all follow-up times. After adjusting for clinical variables, plasma troponin-I, proBNP and CRP levels, associations remained at all times with MACE, short and intermediate terms also with all-cause mortality. With anti-PC titers below median, adjusted hazard ratios at 18months were for MACE 1.79 (95% confidence interval [CI]: 1.31 to 2.44; p=0.0002) and for all-cause mortality 2.28 (95% CI: 1.32 to 3.92; p=0.003). Anti-PC and plasma CRP were unrelated and added to risk prediction. CONCLUSIONS: Serum IgM anti-PC titers provide prognostic information above traditional risk factors in ACS. The ease of measurement and potential therapeutic perspective indicate that it may be a valuable novel biomarker in ACS.

  • 168. Carlsson, E
    et al.
    Berndtsson, I
    Fingren, J
    Hallén, A-M
    Lindholm, E
    Persson, Eva
    University of Borås, School of Health Science.
    Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and ostomy2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 6, p. 654-61Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer. SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study. METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms. RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail. CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months.

  • 169. Carlsson, E
    et al.
    Berndtsson, I
    Hallén, AM
    Lindholm, E
    Persson, Eva
    University of Borås, School of Health Science.
    Concerns and Quality of Life Before Surgery and During the Recovery Period in Patients With Rectal Cancer and an Ostomy2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 6, p. 654-661Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer. SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30–87); 35 men and 22 women participated in the study. METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms. RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail. CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months.

  • 170. Carlsson, Eva
    et al.
    Berndtsson, Ina
    Hallén, Ann-Marie
    Fingren, Jeanette
    Lindholm, Elisabeth
    Persson, Eva
    University of Borås, School of Health Science.
    Concerns and Quality of life in patients being operated for rectal cancer with a stoma2009Conference paper (Refereed)
  • 171. Carlsson, Eva
    et al.
    Berndtsson, Ina
    Persson, Eva
    University of Borås, School of Health Science.
    Berndtsson, Ina (Editor)
    Carlsson, Eva (Editor)
    Stomibandagering2008In: Stomi- och tarmopererad - ett helhetsperspektiv, Studentlitteratur , 2008, p. 69-81Chapter in book (Other academic)
  • 172. Carlsson, Eva
    et al.
    Gylin, Meta
    Nilsson, Laila
    Svensson, Katarina
    Alverslid, Ingrid
    Persson, Eva
    University of Borås, School of Health Science.
    Positive and negative aspects of colostomy irrigation: a patient and WOC nurse perspective2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 5, p. 511-516Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Colostomy irrigation (CI) is an effective method to achieve fecal continence in selected persons with a colostomy. The primary aims of the study were to find out to what extent the WOC nurses used CI in their practice and what kind of information the WOC nurses gave patients if they provided explanations and potential solutions when irrigation was not successful in preserving continence. A further aim was to find out, from a patients' perspective, the positive and negative aspects of practicing CI and how they perform CI. METHODS: The study employed a mixed quantitative and qualitative approach. Data from WOC nurses were obtained by means of a structured questionnaire and by means of structured telephone interviews with patients who performed CI. SUBJECTS AND SETTING: Questionnaires were sent out to 89 WOC nurses in Sweden, and 61 (69%) questionnaires were returned. Thirty-nine patients, median age 67 years, from 5 hospitals participated in the interview study. RESULTS: Sixty-four percent of the WOC nurse respondent always informed patients about CI. Forty-four percent of patients did not remember all the information they had been given by the WOC nurse regarding CI before starting with the procedure. Eighty-seven percent reported changing routines from how they initially performed CI over the years. Almost all (97%) of the respondents described positive aspects of CI. The 2 primary positive aspects described by participants were (1) feeling secure and (2) having an empty pouch. CONCLUSION: Persons living with a colostomy who regularly performed CI reported positive benefits associated with the procedure including a feeling of security and having an empty pouch. Despite these potential benefits, not all patients with a colostomy who are appropriate candidates for CI are offered information about the method from the WOC nurses.

  • 173. Carlsson, Eva
    et al.
    Persson, Eva
    University of Borås, School of Health Science.
    Omvårdnad av patienter med kolorektala sjukdomar2012In: Omvårdnad vid kirurgiska sjukdomar, Lund: Studentlitteratur , 2012, p. 75-92Chapter in book (Refereed)
  • 174.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Johansson Sundler, Annelie (Editor)
    Roxberg, Åsa (Editor)
    Det nakna vårdandet2008Report (Other academic)
  • 175.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Det våldsamma mötet: om hot och våld i psykiatrisk vård.2006Conference paper (Refereed)
  • 176.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Det våldsamma mötets fenomenologi: om hot och våld i psykiatrisk vård2004Doctoral thesis, monograph (Other academic)
  • 177.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Encounters between aggressive patients and caregivers1999Conference paper (Refereed)
  • 178.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Hot och våld i psykiatrisk vård2009In: Psyche – Nordisk tidskrift för psykiatriske sykepleier, Vol. 3, no 1, p. 24-26Article in journal (Other academic)
    Abstract [sv]

    Hot och våld inom vård är idag ett aktuellt område som vi kan ta del av från massmedia med jämna mellanrum. Våldsamma incidenter har identifierats inom all vård både i Sverige och internationellt och kan utgöra ett betydande problem både för personal, medpatienter, anhöriga och för patienten själv. Det finns både en förväntan och ett särskilt ansvar vilande på vårdpersonal. I psykiatrisk omvårdnad förväntas att vårdpersonal kan hantera situationer med inslag av aggression, hot och våld på ett professionellt sätt utan att tillfoga patienten onödigt lidande. Här krävs kunskap men också förståelse inför patienten situation och patientens upplevelser. Forskning inom frågor som rör arbetsmiljö visar att förekomst av hot och våld inom vård kan skapa allvarliga arbetsmiljöproblem. Risker finns för personal att drabbas av långvariga psykosociala problem, vilket kan innebära minskad arbetsglädje, skuld och självanklagelser. När vårdare känner skuld över att inte klara av sitt jobb, anklagar sig själv för att inte våga, kan känslan av professionell inkompetens att misslyckas i sin gärning som vårdare infinna sig.

  • 179.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Hot och våld: patienters och vårdares upplevelser av våldsamma möten2009Conference paper (Other academic)
  • 180.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Ilska, osäkerhet och känslan av existentiell kränkning2009In: Vårdande vid psykisk ohälsa – på avancerad nivå / [ed] Gunnel Svedberg, Petra Svedberg, Henrika Jormfeldt, Ingela Skärsäter, Lena Wiklund Gustin, Lund: Studentlitteratur AB , 2009, p. 237-254Chapter in book (Other academic)
    Abstract [sv]

    Utgångspunkten är genomgående patientens perspektiv. Efter en historisk tillbakablick på hur det varit att vårdas inom psykiatrin riktas blickarna mot aktuell forskning inom området. Boken tar fasta på olika upplevelser som kan prägla personens värld oberoende av diagnos. Ett vårdvetenskapligt perspektiv på psykisk hälsa lyfts fram liksom livsförståelsens betydelse för hur denna formas.

  • 181.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Möten med aggressiva patienter i psykiatrisk vård: en fenomenologisk studie av praktiskt vårdande kunskap1998Conference paper (Refereed)
  • 182.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Patients longing for autehentic personal care2006Conference paper (Refereed)
  • 183.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Rädsla för att möta våldsamma patienter med psykisk ohälsa2007Conference paper (Other academic)
  • 184.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    The encounters with aggressive patients in psychiatric care: A Phenomenological Study1997Conference paper (Refereed)
  • 185.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Uncovering Tacit Caring Knowledge2002Conference paper (Refereed)
  • 186.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Våldsamma möten2008In: Rättspsykiatriskt vårdande : vårdande av lagöverträdare med psykisk ohälsa / [ed] Sjögren Reet, Studentlitteratur , 2008, p. 129-155Chapter in book (Other academic)
  • 187.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Vård som berör: en studie av våldsamma möten inom psykiatrisk vård2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 3, p. 29-34Article in journal (Refereed)
  • 188.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Svensson, Leif (Editor)
    Vårdvetenskaplig analys av våldsamma möten inom ambulanssjukvård2009In: Prehospital akutsjukvård, Stockholm: Liber , 2009, p. 48-54Chapter in book (Other academic)
  • 189.
    Carlsson, Gunilla
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Dahlberg, H
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Patients longing for authentic personal care: A phenomenological study of violent encounters in psychiatric settings2006In: Mental Health Nursing, ISSN 1353-0283, Vol. 27, no 3, p. 287-305Article in journal (Refereed)
    Abstract [en]

    This article focuses on patients' violence against caregivers. Several studies show that violence and threats within the health care setting are an increasing problem. Encounters that become violent have been the issue of many debates but the phenomenon is still not fully understood. It is important to understand the course of events in violent encounters, both for the sake of the patients and the caregivers' well-being. The aim of this study was to describe the essence of violent encounters, as experienced by nine patients within psychiatric care. Guided by a phenomenological method, data were analyzed within a reflective lifeworld approach. The findings explicate violent encounters characterized by a tension between “authentic personal” and “detached impersonal” caring. “Authentic personal” patients are encountered in an undisguised, straightforward, and open way, and they sense unrestricted respect that caregivers would show another human being. In these encounters violence does not develop well. However, in caring that is “detached impersonal,” the encounters are experienced by the patients as uncontrolled and insecure. These encounters are full of risks and potential violence.

  • 190.
    Carlsson, Gunilla
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Drew, N
    Nyström, Maria
    University of Borås, School of Health Science.
    Violent encounters in psychiatric care: a phenomenological study of embodied caring knowledge2004In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 25, no 2, p. 191-217Article in journal (Refereed)
    Abstract [en]

    This article focuses on encounters that become violent, a problem in health care that has been the issue of many debates but is still not fully understood. Violent encounters refer to events where the patient expresses an aggressive and hostile attitude toward the caregiver. This study is part of a bigger project that aims to elucidate violent encounters from the caregivers' as well as the patients' perspectives. The purpose of this particular study was to describe the essence of violent encounters from the caregivers' perspective. Guided by a phenomenological method, data were analyzed within a reflective lifeworld approach. The essence of a violent encounter between caregivers and patients, as experienced by the caregivers, is a critical moment characterized by a tension between presence and distance, a moment where everything is happening at the same time. There are important meaning differences in relation to the violent encounter being viewed as positive rather than negative, based on the caregivers' ability to be present and their capacity in these trying situations to manage their fear. The findings also make explicit the particular knowledge that is needed for the caregiver to manage the threat of violence in a creative way.

  • 191.
    Carlsson, Gunilla
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Drew, Nancy
    Encountering Violence and Aggression in Mental Health Nursing: A Phenomenological Study of Tacit Caring Knowledge2000In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 21, no 5, p. 533-545Article in journal (Refereed)
    Abstract [en]

    Violence is a growing psychosocial problem in the health care working environment. Literature shows that nurses are physically assaulted, threatened, and verbally abused more often than other professionals. However, some nurses are able to relate to clients in a way that produces positive resolution. This study explored the phenomenon of positive encounters with aggressive and violent clients. Guided by a phenomenological method, data were analyzed within a lifeworld perspective. The essential meaning of the phenomenon of caregivers' experiences of encountering violent clients is described as an "embodied moment," which is explicated by seven themes of meaning, "respecting one's fear and respecting the client," "touch," "dialogue," "situated knowledge," "stability," "mutual regard," and "pliability." The authors discuss the meaning of the outcome and propose both theory and praxis-oriented activities toward decreasing aggression and violence in health care.

  • 192.
    Carlsson, Gunilla
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Lützen, Kim
    Uncovering Tacit Caring Knowledge2002In: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769X, Vol. 3, no 2, p. 144-151Article in journal (Refereed)
    Abstract [en]

    The aim of this article is to present re-enactment interviewing and to propose that it can be used to reveal tacit caring knowledge. This approach generates knowledge not readily attainable by other research methods, which we demonstrate by analysing the epistemological and methodological underpinnings of re-enactment interviewing. We also give examples from a study where re-enactment was used. As tacit knowledge is often characteristic of care, re-enactment interviewing has the potential to engage the informant in a holistic mode and thereby reveal wisdom of the body. When the care provider recalls an event, the details are articulated, which contributes to in-depth data, which subsequently serves as a basis for trustworthy analysis.

  • 193.
    Carlsson, Gunilla
    et al.
    University of Borås, School of Health Science.
    Hantilson, Ulrica
    Nyström, Maria
    University of Borås, School of Health Science.
    Reflective team -. a clinical intervention for sustainable care improvement2014In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 15, no 3, p. 378-389Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to illustrate conditions for the successful implementation of a work model for sustainable care improvement, called Reflecting Team (RT). For this study team leaders were trained in a caring science education programme to lead the reflective processes, and RTs were introduced into two caring contexts. Within the study professional caregivers involved in the implementation of RT were interviewed, and their statements were interpreted according to a life world hermeneutic approach. Dialectic themes emerged that established four prerequisites for successful implementation of RT. A comprehensive understanding suggests that the lowest common denominator for the four prerequisites is mutual interaction. Thus, an atmosphere of sharing was found to be necessary. The challenge of creating such an atmosphere in a caring unit is the focus of the discussion section.

  • 194. Carlsson, P
    et al.
    Liss, P-E
    Sandman, Lars
    University of Borås, School of Health Science.
    Svar till Nils-Eric Sahlin: Vi håller med om att vårt förslag till reviderade riktlinjer för prioriteringar behöver analyseras ytterligare2008In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 105, no 47, p. 3458-3459Article in journal (Other (popular science, discussion, etc.))
    Abstract [sv]

    Tvärtemot vad Nils-Eric Sahlin hävdar kräver en mer flexibel ordning mellan etiska principer mer av etisk reflektion. Vårt förslag är en vidareutveckling av den tidigare etiska plattformen, som i vissa avseenden innehöll brister i etisk reflektion och koppling av denna till praktiken. Nils-Eric Sahlin diskuterar i Läkartidningen 37/2008 (sidorna 2465-6) ett förslag från PrioriteringsCentrum i Linköping som bl a efterlyser en översyn av riksdagens principer och riktlinjer för prioriteringar från 1997. Vi välkomnar en livaktig diskussion kring hur arbetet med öppna prioriteringar ska kunna realiseras i vårt land.

  • 195. Carlsson, Per
    et al.
    Garpenby, Peter
    Nedlund, Ann-Charlotte
    Sandman, Lars
    University of Borås, School of Health Science.
    Öppna prioriteringar i vård och omsorg: var står vi idag och hur ska vi komma vidare?2014Report (Other academic)
  • 196. Carlsson, Per
    et al.
    Hoffman, Mikael
    Levin, Lars-Åke
    Sandman, Lars
    University of Borås, School of Health Science.
    Wiss, Johanna
    Prioritering och finansiering av läkemedel för behandling av patienter med sällsynta sjukdomar2012Report (Other academic)
    Abstract [sv]

    Den pågående Läkemedels- och apoteksutredningen har i ett tilläggsdirektiv fått i uppdrag att analysera behovet av särskilda lösningar vid beslut om subventionering för särläkemedel. Ett särläkemedel är ett läkemedel som uppfyller vissa villkor och därmed omfattas av ett särskilda stimulansåtgärder innan godkännande av läkemedelsmyndighet samt möjlighet, men inte rätt, till ensamrätt på marknaden under 10 år. Till villkoren hör bl.a. att läkemedlet är avsett för att diagnostisera, förebygga eller behandla livshotande tillstånd eller tillstånd med kronisk funktionsnedsättning och som högst 5 av 10 000 personer i gemenskapen lider av vid ansökningstillfället.

  • 197. Carlsson, Per
    et al.
    Liss, Per-Erik
    Sandman, Lars
    University of Borås, School of Health Science.
    Fortsatt analys behövs av förslaget till reviderade riktlinjer för prioriteringar2008In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 105, no 47, p. 3458-3459Article in journal (Other (popular science, discussion, etc.))
  • 198. Carlsson, Per
    et al.
    Liss, Per-Erik
    Sandman, Lars
    University of Borås, School of Health Science.
    Replik till Nils-Eric Sahlin: Fortsatt analys behövs av förslaget till reviderade riktlinjer för prioriteringar2008In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 105, no 47, p. 3458-3459Article in journal (Other academic)
    Abstract [sv]

    Tvärtemot vad Nils-Eric Sahlin hävdar kräver en mer flexibel ordning mellan etiska principer mer av etisk reflektion. Vårt förslag är en vidareutveckling av den tidigare etiska plattformen, som i vissa avseenden innehöll brister i etisk reflektion och koppling av denna till praktiken.

  • 199. Claesson, A
    et al.
    Druid, H
    Lindqvist, J
    Herlitz, J
    University of Borås, School of Health Science.
    Cardiac disease and probable intent after drowning2013In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 31, no 7, p. 1073-7Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this study is to determine the prevalence of cardiac disease and its relationship to the victim's probable intent among patients with cardiac arrest due to drowning. METHOD: Retrospective autopsied drowning cases reported to the Swedish National Board of Forensic Medicine between 1990 and 2010 were included, alongside reported and treated out-of-hospital cardiac arrests due to drowning from the Swedish Out of Hospital Cardiac Arrest Registry that matched events in the National Board of Forensic Medicine registry (n = 272). RESULTS: Of 2166 drowned victims, most (72%) were males; the median age was 58 years (interquartile range, 42-71 years). Drowning was determined to be accidental in 55%, suicidal in 28%, and murder in 0.5%, whereas the intent was unclear in 16%. A contributory cause of death was found in 21%, and cardiac disease as a possible contributor was found in 9% of all autopsy cases. Coronary artery sclerosis (5%) and myocardial infarction (2%) were most frequent. Overall, cardiac disease was found in 14% of all accidental drownings, as compared with no cases (0%) in the suicide group; P = .05. Ventricular fibrillation was found to be similar in both cardiac and noncardiac cases (7%). This arrhythmia was found in 6% of accidents and 11% of suicides (P = .23). CONCLUSION: Among 2166 autopsied cases of drowning, more than half were considered to be accidental, and less than one-third, suicidal. Among accidents, 14% were found to have a cardiac disease as a possible contributory factor; among suicides, the proportion was 0%. The low proportion of cases showing ventricular fibrillation was similar, regardless of the presence of a cardiac disease.

  • 200. Claesson, A
    et al.
    Lindqvist, J
    Herlitz, J
    University of Borås, School of Health Science.
    Cardiac arrest due to drowning-changes over time and factors of importance for survival2014In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 85, no 5, p. 644-648Article in journal (Refereed)
    Abstract [en]

    AIM: To evaluate changes in characteristics and survival over time in out-of-hospital cardiac arrest (OHCA) due to drowning and describe factors of importance for survival. METHOD: Retrospectively reported and treated drowning cases reported to the Swedish OHCA registry between 1990 and 2012, n=529. The data were clustered into three seven-year intervals for comparisons of changes over time. RESULTS: There were no changes in age, gender, witnessed status, shockable rhythm or place of OHCA during the time periods. Bystander CPR increased over time, 59% in interval 1992-1998, versus 74% in interval 2006-2012 (p=0.005). There was a decrease in delay between OHCA and calling for the Emergency Medical Service (EMS) over the years, while calling for the EMS to arrival increased in terms of time. Survival to hospital admission appears to have increased over the years (p=0.009), whereas survival to one month did not change significantly over time. In a multivariate analysis, witnessed status, female gender, bystander CPR, place-home and EMS response time were associated with survival to hospital admission. For survival to one month, place, age, shockable rhythm and logarithmised delay from calling for an ambulance to arrival were of significance for survival. CONCLUSION: In OHCA due to drowning, over a period of 20 years, bystanders have called for help at an earlier stage and administered CPR more frequently in the past few years. Survival to hospital admission has increased, while shockable rhythm and early arrival of the EMS appear to be the most important factors for survival to one month.

1234567 151 - 200 of 993
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf