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  • 101. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Selander, John
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Åkerström, Bengt
    Sleep in relation to sickness absence, unemployment and place of residence2005Ingår i: Sleep and hypnosis, ISSN 1302-1192, Vol. 7, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study, a questionnaire survey, was undertaken to assess the influence of sickness absence and unemployment on sleep in a randomly selected group of men and women in five Swedish municipalities with very different demographic conditions, living conditions and health profiles. The survey comprised 1,948 randomly selected persons (47.7% men) of ages 20–64 years. Poor sleep was reported by 17.0% of the men and 18.5% of the women (NS). Poor sleep was 5.5 (3.5–8.6) times more common in sick listed men and 6.8 (4.7–9.9) times more common is such women than in men and women, respectively, who were not sick-listed. The proportion reporting poor sleep increased in parallel with increasing numbers of days on sickness benefit during the last year. In a multiple logistic regression analysis significant independent correlates of poor sleep in men were: being on sickness benefit (OR 2.1; 95%CI 1.1–3.8), poor somatic health (3.6; 2.0–6.3) and poor mental health (7.0; 4.0–12.3). The corresponding correlates in women were: being on sickness benefit (2.5; 1.4–4.3), poor somatic health (3.2; 1.8–5.8) and poor mental health (5.5; 3.3–9.2). Age, marital status, employment status and the place of residence were deleted by the logistic model for both sexes. It is concluded that poor sleep increased in men and women on sickness benefit but not those who were unemployed after adjustment for age, health, marital status and place of residence.

  • 102. Asplund, Ragnar
    et al.
    Marnetoft, Sven-Uno
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Selander, John
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Åkerström, Bengt
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Sleep in relation to somatic health, mental health and pain2004Ingår i: Sleep and Hypnosis, ISSN 1302-1192, Vol. 6, nr 4, s. 148-154Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The present study, a questionnaire survey, was undertaken to assess the influence of somatic health, mental health, pain and age on sleep in a group of men and women. The survey comprised 1948 randomly selected persons (47.7% men) of ages 20-64 years. Poor somatic health was reported by 12.5% of the men and 15.3% of the women and poor mental health by 8.7% of the men and 10.6% of the women. Among the men very good sleep was reported by 34.7% and rather good, rather poor and very poor sleep by 52.8%, 10.9%, and 1.6%, respectively. The corresponding frequencies in women were 32.7%, 51.9%, 12.9% and 2.5%, respectively (NS). No or very light pain was reported by 50.7% of the men and rather light, rather severe or very severe pain by 35.7%, 12.0%, and 1.6%, respectively. The corresponding frequencies in women were 48.1%, 35.4%, 14.1% and 2.4%, respectively (NS). A forward stepwise regression analysis showed that in men, more severe sleep disturbances were associated with poorer mental health (R2=0.227), pain (R2=0.292) and poorer somatic health (R2=0.304). Correspondingly, more severe sleep disturbances were associated with poorer somatic health (R2 = 0.218), poorer mental health (R2=0.280) and pain (R2=0.326) in women. Age, education, being gainfully employed and income were deleted by the regression model in both sexes. It is concluded that poor mental health exerts the most detrimental influence on sleep in men, somatic health in women, and that age does not independently affect sleep at all.

  • 103.
    Asplund, Ragnar
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Åberg, H. E.
    Nocturia and health in women aged 40-64 years2000Ingår i: Maturitas, ISSN 0378-5122, E-ISSN 1873-4111, Vol. 35, nr 2, s. 143-148Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To analyse the relationship between nocturnal micturition and health in 40- to 64-year-old women. A questionnaire study was carried out in 3669 randomly selected women (out of 6000 invited) in the County of Jamtland, Sweden. Questions were asked about the general health status of health, health development during the last 5 years, nocturnal micturition, parity, menstrual status, menopausal symptoms, hormone replacement therapy, cardiac diseases, diabetes and snoring. Poor health was reported by 10.4%. In 24.1% of the women health development had been unfavourable in the last 5 years. Poor health was reported by 4.7% of women without nocturnal micturition, and by 11.2, 20.1 and 39.0% (P < 0.0001) of women with one, two, and three or more nocturnal voiding episodes, respectively. In a multiple logistic regression analysis significant independent correlates of health were: one versus no nocturnal micturitions (odds ratio [OR] 2.2; confidence interval [CI] 1.5-3.3), two versus none (OR 3.2; 1.9-5.3), and three or more versus none (OR 6.5; 3.5-11.9), spasmodic chest pain (OR 6.6: CI 3.0-14.5)), irregular heart beats (OR 3.0; CI 2.1-4.3), diabetes (OR 5.1; CI 2.8-9.4), leg oedema greater than or equal to 6 days/month versus < 6 days/month (OR 23; CI 1.6-3.3), snoring: less than or equal to 3 times/week versus never (OR 1.4; CI 1.0-2.0), snoring 4-7 times/week versus never (OR 1.6; CI 1.1-2.2), being (5 years after versus bring before the menopause (OR 1.6; 95% CI 1.0-2.5), 5-9 years after versus before the menopause (OR 1.7; CI 1.0-2.9), greater than or equal to 10 years after versus before the menopause (OR 2.2; CI 1.3-3.7), diuretic treatment (OR 2.8; CI 1.7-4.6). The perceived state of health in 40- to 64- year-old women is profoundly affected by nocturia, independently of heart diseases, diabetes, snoring, age and menopausal status.

  • 104.
    Asplund, Ragnar
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Åberg, Hans
    Family Medicine Stockholm, Karolinska Institutet, SE 141 57, Huddinge.
    Sleep complaints in women of ages 40-64 years in relation to sleep in their parents2001Ingår i: Sleep Medicine, ISSN 1389-9457, E-ISSN 1878-5506, Vol. 2, nr 3, s. 233-237Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: To study the occurrence of sleep complaints in women in relation to such complaints in their parents. Background: Sleep complaints are common and may be affected by many somatic, mental, and life-style and environmental factors. Methods: A cross-sectional questionnaire survey was undertaken among 3669 randomly selected women of ages 40-64 years. The women were asked about their own health and sleep and their recollection of the sleep of their parents. Results: The frequency of poor sleep was low among women reporting that neither parent had sleep disturbances. Sleep disturbances in the father, mother and both parents implied a 2.5 (95% confidence interval, 2.0-3.2), 2.5 (2.1-3.0) and 4.8-fold (3.4-6.8) increase in sleep complaints in the investigated women, respectively. The frequencies of numerous awakenings, difficulty in falling asleep again and too little sleep increased similarly. A series of logistic regression analyses revealed that all sleep characteristics were evaluated more negatively in women who reported sleep disturbances in their parents and also reported themselves to be in poor health. All sleep variables deteriorated with age. Because data regarding parent sleep was based on subjects' recall of that sleep, the results should be interpreted with some caution. Conclusions: The frequency of sleep complaints in womem aged from 40 to 64 years was increased if sleep disturbances were reported in their parents.

  • 105.
    Aspman, Ellinor
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Karlsson, Hanna
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Samverkan i Kronoberg: - ett lyckat samarbete?2008Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Samverkan i Kronobergs län bedrivs mellan försäkringskassa och arbetsförmedling. Verksamheten innebär arbetslivsinriktad rehabilitering för individer. Under 2007 presenterade länet ett mycket gott resultat för verksamheten och låg i topp jämfört med övriga län. Därav finns intresse att studera verksamheten. Studiens syfte är att beskriva det samverkansarbete som sker mellan myndigheterna i verksamheten Samverkan och att generera hypoteser som kan förklara de goda resultatsiffror Kronobergs län har presterat. Studien är utformad som en beskrivande fallstudie med sammansatt design. Det vill säga en studie av ett nutida fenomen som vi i vår forskarroll har haft liten kontroll över, kombinerat med att vi har frågor med ”hur” och ”varför” formulering.  Vi har använt oss utav såväl kvalitativ- som kvantitativ data. För att återge en bred bild har metodtriangulering använts.  Empirisk data har inhämtats genom enkätundersökning samt djupintervjuer. Analys av data har skett genom SPSS (kvantitativ) och Open Code (kvalitativ).

     

    Genom studien framträdde en rad olika faktorer som kan anses mer eller mindre bidragande till länets resultatsiffror. Dessa resulterade i olika konklusioner som kunde kopplas till det presenterade positiva resultatet gällande tydlig och konkret målsättning, ett utvecklat teamarbete och nuvarande ledarstil.

  • 106.
    Astner, Linda-Mari
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Jonsson, Eva Camilla
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Sjuksköterskans och patientens upplevelse i samband med sjukvårdsrådgivning2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Introduktion: Telefonsamtal till sjukvårdsrådgivningen har ökat och telefonsjuksköterskan har en svår roll att utan visuell kontakt bedöma individens behov. Patienter som ringer är sårbara och beroende av hjälp. De flesta samtal resulterar i råd om egenvård. Syfte: Var att belysa sjuksköterskor och patienters upplevelser i samband med sjukvårdsrådgivning. Metod: En litteraturöversikt har gjorts och resultatet av 17 artiklar sammanställdes. Resultat: Fem huvudkategorier framkom: Saknad av visuell kontakt, svåra samtal, sjuksköterskans arbetssituation, sjuksköterskans egenskaper och patientens upplevelse av sjukvårdsrådgivning. Telefonsjuksköterskan hade en komplicerad arbetsuppgift med att guida och bedöma vården för vårdsökande. De ansåg att de hade ett värdefullt arbete som var både utvecklande och stimulerande. För patienterna var det viktigt att bli bemötta med respekt och bli betrodda. Diskussion: Det kunde skapa en oro och osäkerhet i bedömningen att inte få tala till den berörda personen direkt. Sjuksköterskan förlitade sig på sin erfarenhet då beslutstöden kunde brista i informationen. För patienten var det viktigt att få delta i beslutsprocessen och få ett gott bemötande för att känna tillfredställelse. Slutsats: Denna studie visar att mer forskning kring patientens upplevelse är nödvändig för att utveckla sjukvårdsrådgivningen ytterligare.

  • 107.
    Audulv, Åsa
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Being creative and resourceful: Individuals’ abilities and possibilities for self-management of chronic illness2011Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Individuals’ self-management styles are crucial for how they manage to live with illness. Commonly investigated factors include social support, self-efficacy, health beliefs, and demographics. There is a gap in the literature with regard to in-depth studies of how those factors actually influence an individual’s self-management.

     

    The aim of this thesis was to investigate the underlying mechanisms of self-management from the perspective of individuals living with chronic illness.

     

    Interviews were conducted with 47 individuals with various chronic illnesses, some of them repeatedly over two and a half years (a total of 107 interviews). The material was analysed with; constructive grounded theory, content analysis, phenomenography, and interpretive description.

     

    The Self-management Support Model identified aspects that influenced participants’ self-management: economic and social situation, social support, views and perspectives on illness, attribution of responsibility, and ability to integrate self-management into an overall life situation. For example, individuals with a life-oriented or disease-oriented perspective on illness prioritized different aspects of self-management. People who attributed internal responsibility performed a more complex self-management regimen than individuals who attributed external responsibility. In conclusion, individuals who were creative and resourceful had a better chance of tailoring a self-management regimen that suited them well. People in more disadvantaged positions (e.g., financial strain, limited support, or severe intrusive illness) experienced difficulty in finding a method of self-management that fit their life situation.

     

    These findings can inspire healthcare providers to initiate a reflective dialogue about self-management with their patients.

  • 108.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norbergh, Karl-Gustaf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Being free of symptoms or experiencing mental wellbeing – different ways of understanding wellness among people living with chronic illness2009Konferensbidrag (Refereegranskat)
  • 109.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norbergh, Karl-Gustaf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The impact of illness - Various ways of perceiving illness influences on self-management among people living with chronic disease2010Ingår i: The impact of illness - Various ways of perceiving illness influences on self-management among people living with chronic disease, 2010Konferensbidrag (Refereegranskat)
  • 110.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norbergh, Karl-Gustaf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The influence of illness perspectives on self-management of chronic disease2011Ingår i: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, E-ISSN 1752-9824, Vol. 3, nr 2, s. 109-118Artikel i tidskrift (Refereegranskat)
  • 111.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norbergh, Karl-Gustaf
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    The integration of chronic illness self-management2012Ingår i: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 22, nr 3, s. 332-345Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Self-management is crucial for people living with chronic diseases, but the actual process of integrating self-management has not been explored in depth. In this article, we investigate the integration of self-management into the lives of people with chronic illness. In this longitudinal study, we used an interpretive description approach. Twenty-one individuals were interviewed regularly during the first 3 years after they were diagnosed with a chronic condition. We found self-management integration to be an ongoing process that included four phases: seeking effective self-management strategies, considering costs and benefits, creating routines and plans of action, and negotiating self-management that fits one's life. The participants managed the phases according to their context, e.g., illness experience, life situation, personal beliefs, and social support. Health care providers should therefore facilitate self-management integration by providing support that is adjusted to the person's phase of self-management integration and life context.

  • 112.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norbergh, Karl-Gustaf
    Department of Public Health and Research, Sundsvall Hospital, Sweden.
    Who's in charge? The role of responsibility attribution in self-management among people with chronic illness2010Ingår i: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 81, nr 1, s. 94-100Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: To explore how responsibility attribution influences self-management regimens among people with chronic illness. METHODS: This qualitative content analysis included 26 interviews with people living with chronic illness. RESULTS: The participants attributed responsibility to internal, external or a combination of these factors, meaning that they either assumed responsibility for self-management or considered other people or factors responsible. Internal responsibility was associated with a multifaceted self-management regimen, whereas external responsibility was related to "conventional" self-management such as taking medication, managing symptoms and lifestyle changes. CONCLUSION: How responsibility is attributed is vital for the way in which individuals perform self-management. In this study, those who attributed responsibility to external factors mainly performed recommended behaviours to control their illness. In contrast, to take charge of their illness and be an active participant in the care, individuals must take responsibility for themselves, i.e. internal responsibility. PRACTICE IMPLICATIONS: Health-care providers should acknowledge and support individuals' wishes about various levels of responsibility as well as different kinds of patient-provider relationships.

  • 113.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norbergh, Karl-Gustaf
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hörnsten, Åsa
    An ongoing inner negotiation process. A Grounded Theory study concerning self-management among people living with chronic illness.2009Konferensbidrag (Refereegranskat)
  • 114.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Norbergh, Karl-Gustaf
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Hörnsten, Åsa
    An ongoing process of inner negotiation – a Grounded Theory study of self-management among people living with chronic illness2009Ingår i: Journal of Nursing and Healthcare of Chronic Illness, ISSN 1752-9816, E-ISSN 1752-9824, Vol. 1, nr 4, s. 283-293Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim.  The aim of this study was to better understand the main concern of self-management processes among people with chronic illness.

    Background.  One aspect of living with chronic illness is self-management that can reduce the illness impact on daily life and promote future health. Although factors that influence self-management have been identified in previous research, little attention has been brought to the process of making self-management decisions. In clinical settings, use of a theory could facilitate patient-empowering approaches.

    Method.  The data collection for this Grounded Theory was mostly conducted in 2006. Data were collected by interviews with 26 adults with a variety of chronic illnesses, including rheumatoid arthritis, diabetes mellitus, inflammatory bowel syndrome, multiple sclerosis, ischaemic heart disease and chronic kidney failure.

    Results.  Individuals are conflicted by competing preferences when taking decisions about self-management. Consequently, the decision-making process can be understood as an ongoing inner negotiation between different incompatible perspectives, e.g. social needs vs. medical needs. The process of negotiating self-management starts with the individual’s considering beliefs about health and illness, which make the individual face illness threats and the need for self-management. Several aspects influence negotiating self-management namely, assessing effects of self-management; evaluating own capacity; perceiving normality or stigmatisation; and experiencing support and external resources. The process has been demonstrated in a model.

    Conclusions.  The process of negotiating self-management is an ongoing inner debate rather than a one-time decision. This opens up new ways of understanding, and communicating with, patients. The described model also links behavioural theories and research findings in a comprehensive understanding.

    Relevance to clinical practice.  This model could be applicable as a communication tool for health-care providers in identifying barriers to, and resources in, self-management behaviour among individuals with chronic illness.

  • 115.
    Audulv, Åsa
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Mittuniversitetet, Fakulteten för humanvetenskap, Avdelningen för omvårdnad. School of Occupational Therapy, Dalhousie University, Halifax, Canada.
    Packer, Tanya
    School of Occupational Therapy, Dalhousie University, Halifax, Canada.
    Versnel, Joan
    School of Occupational Therapy, Dalhousie University, Halifax, Canada.
    Identifying gaps in knowledge: A map of the qualitative literature concerning life with a neurological condition2014Ingår i: Chronic Illness, ISSN 1742-3953, E-ISSN 1745-9206, Vol. 10, nr 3, s. 192-243Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Objectives: To describe patterns in the qualitative literature regarding the everyday experience of living with a neurological condition; to identify areas of depth as well as gaps in the existing knowledge base.

    Methods: An extensive search of the literature yielded 474 articles meeting the inclusion criteria. Data extraction, based on scrutiny of both abstract and full text article included country of origin, diagnosis, stated aim, methodological framework/design, participants, and data collection method(s). Studies were categorized into 27 topics within four broad foci.

    Results: Four broad foci describe the field: impact and management, daily activities and occupations, impact on family, and the healthcare experience. Overall the research is unevenly distributed by diagnosis; some are well represented while others are the subject of little research. Even diagnoses well represented in quantity can be limited in breadth.

    Discussion:Possible explanations for the patterns of emphasis include: a focus on issues and problems, highlighted points of contact between patients and healthcare providers, and ability of participants to voice their views. The literature is also characterized by limited across diagnoses research or that comparing the experience of people with different diagnoses. There is a need for more research in particular diagnoses; more varied data collection methods and acknowledgement of ethnicity, gender, discrimination, and social inequalities.

  • 116. Augutis, M
    et al.
    Levi, R
    Asplund, Kenneth
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Berg-Kelly, K
    Psychosocial aspects of traumatic spinal cord injury with onset during adolescence: a qualitative study2007Ingår i: Journal of Spinal Cord Medicine (JSCM), ISSN 1079-0268, E-ISSN 2045-7723, Vol. 30, nr Suppl1, s. S55-64Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND/OBJECTIVE: Spinal cord injury (SCI) occurring during adolescence poses additional challenges because of the concurrent age-specific bio-psychosocial development. Full understanding of the psychosocial dimensions of rehabilitation requires exploration of the patient perspective. The objective of this study was to focus on psychosocial factors from the patient perspective in persons who had previously sustained a SCI during early and mid-adolescence (11-15 years of age). METHODS: Twenty-four of the 28 persons who had sustained a SCI in Sweden from 1985 to 1996 participated in the study. Semistructured interviews were made an average of 10 years after injury. Narratives were analyzed qualitatively according to content analysis. RESULTS: Parents and peers were found to have formed a crucial network. Parents frequently acted as advocates in interactions with health care providers, as supporters, and as containers of sorrow, frustration, and anger. Peers acted as promoters of activity and identity development. However, health care providers were perceived as not making sufficient use of this network. CONCLUSIONS: Rehabilitation professionals might be encouraged to increase their knowledge of adolescence medicine to better meet the specific needs and demands of persons in this age group. It is further suggested that parents and peers be considered important partners in the joint rehabilitation effort.

  • 117.
    Aurell, Susanna
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Rasmusson Billström, Linnea
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Vilka råd bör distriktssköterskan ge föräldrar till barn med feber?: En integrativ litteraturstudie2012Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Feber drabbar barn någon eller några gånger om året, framförallt under småbarnstiden. En vanlig missuppfattning är att feber är ett potentiellt farligt tillstånd som kräver behandling. I motsats till detta har feber gynnsamma effekter när det kommer till kroppens bekämpande av infektioner. Kunskapsläget bland distriktssköterskor som ska tillhandahålla föräldrar rådgivning kring feber och febernedsättande läkemedel varierar, varför föräldrar riskerar att erhålla motstridiga och direkt felaktiga råd. Syfte: Syftet med denna litteraturstudie var att beskriva föräldrars kunskap rörande feber hos barn samt att belysa vårdpersonals attityder kring feberhantering. Metod: Arbetet har utförts i form av en integrativ litteraturstudie som inkluderade totalt 15 artiklar, såväl kvalitativa som kvantitativa. Integrativ studiedesign tillåter kvantitativa data att kvalificeras och kvalitativa data att kvantifieras så att de kan kombineras och sammanfogas till en gemensam helhet. Resultat: Det finns brister i kunskapen om feber hos barn hos vårdpersonal och föräldrar. Feberfobi är en samlande term för den okunskap och oro som riskerar leda till övernitisk behandling med antipyretika, både genom föräldrars eget initiativ och efter rekommendation från vårdpersonal. Feberkramper kan inte förhindras med febernedsättande läkemedel, trots det erhåller barn läkemedel i detta syfte och utsätts därmed för onödig biverkningsrisk. Diskussion: Ett behov av djupare kunskap hos både vårdpersonal och föräldrar finns för att inte evidensbaserad behandlingsregim ska riskera att gå förlorad till förmån för inadekvata och hemsnickrade varianter med onödig administration av antipyretika och vidare spridning av feberfobi.

    Nyckelord: Antipyretika, Barn, Feber, Feberfobi, Kunskap, Litteraturstudie

  • 118.
    Avelin, Pernilla
    et al.
    Akademin för Hälsa Vård och Välfärd, Mälardalens Högskola.
    Erlandsson, Kerstin
    Akademin för Hälsa Vård och Välfärd, Mälardalens Högskola.
    Hildingsson, Ingegerd
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Davidsson Bremborg, Anna
    Lunds Universitet.
    Rådestad, Ingela
    Sofiahemmet Högskola.
    Make the stillborn baby and the loss real for the siblings-parents’ advice on how the siblings of a stillborn baby can be supported2012Ingår i: Journal of Perinatal Eduction, ISSN 1548-8519, Vol. 21, s. 1-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aimed to investigate parents' advice to other parents on the basis of their own experiences of siblings' taking leave of a stillborn sister or brother. The study was a Web questionnaire study of 411 parents. The thematic content analysis resulted in two categories: “Make the stillborn baby and the loss real for the siblings“ and “Take the siblings' resources and prerequisites into account.“ Parents' advised that siblings should see and hold the stillborn baby and, thus, be invited and included into the leave-taking process with respect to the siblings' feelings, resources, and prerequisites. Based on these findings, professional caregivers can usefully be proactive in their approach to facilitate and encourage the involvement of siblings.

  • 119.
    Avelin, Pernilla
    et al.
    Akademin för Hälsa, Vård och Välfärd, Mälardalens högskola.
    Erlandsson, Kerstin
    Akademin för Hälsa, Vård och Välfärd, Mälardalens Högskola.
    Hildingsson, Ingegerd
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Rådestad, Ingela
    Sophiahemmet Univ Coll, Stockholm, Sweden.
    Swedish parents' experiences of parenthood and the need for support to siblings when a baby is stillborn2011Ingår i: Birth, ISSN 0730-7659, E-ISSN 1523-536X, Vol. 38, nr 2, s. 150-158Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:

    It has been argued that having a stillborn baby in the family affects older siblings more than parents realize. The aim of this study was to describe parenthood and the needs of siblings after stillbirth from the parents' perspective.

    Methods:

    Six focus groups were held with 27 parents who had experienced a stillbirth and who had had children before the loss. The discussion concerned parents' support to the siblings, and the sibling's meeting, farewell, and memories of their little sister or brother. Data were analyzed using qualitative content analysis.

    Results:

    The overall theme of the findings was parenthood in a balance between grief and everyday life. In the analysis, three categories emerged that described the construction of the theme: support in an acute situation, sharing the experiences within the family, and adjusting to the situation.

    Conclusions:

    The siblings' situation is characterized by having a parent who tries to maintain a balance between grief and everyday life. Parents are present and engaged in joint activities around the stillbirth together with the siblings of the stillborn baby. Although parents are aware of the sibling's situation, they feel that they are left somewhat alone in their parenthood after stillbirth and therefore need support and guidance from others. (BIRTH 38:2 June 2011).

  • 120.
    Avestedt, Malin
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Udenius, Lillemor
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Att leva med ALS: En litteraturöversikt av patienters och anhörigas erfarenheter2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 121.
    Axelsson, Bertil
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    What is the Place for an Effect of Surgery to Prevent And/or to Treat Cancer Pain2011Ingår i: European Journal of Cancer, ISSN 0959-8049, E-ISSN 1879-0852, Vol. 47, s. S45-S45Artikel i tidskrift (Övrigt vetenskapligt)
  • 122.
    Axelsson, Bertil
    et al.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap. Östersund Hospital.
    Stellborn, P
    Palliative Team at Långbro Park, Sweden.
    Ström, G
    Palliative Team at Södertälje, Sweden.
    Analgesic effect of paracetamol on cancer related pain in concurrent strong opioid therapy. A prospective clinical study2008Ingår i: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 47, nr 5, s. 891-895Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction. In palliative cancer care, when approaching death, swallowing difficulties and the burden of tablet intake frequently makes us reconsider each individual drug prescribed. Through the last two decades the routine of always combining a strong opioid with paracetamol has been widely spread in Sweden. Clinical experience has challenged this routine as many patients seem to manage equally well without paracetamol. To find out whether this might be of clinical importance, we wanted to perform a more systematic registration. Material and methods. Thirty-four incurable cancer patients with well controlled pain (NRS 4), treated by specialised palliative home care teams, with ongoing medication with the strong opioid paracetamol combination was recruited to this prospective clinical study. The effect of completely stopping paracetamol medication was evaluated four days later at follow-up. Results. At follow-up nine patients (26%) felt more pain compared to when they entered the study, two patients (6%) felt less pain and 23 (68%) felt no difference. When asked about their preference about future paracetamol treatment 18 patients (53%) wanted to stop taking it, six patients (18%) wanted to continue with regular paracetamol medication as before, and ten patients (29%) wanted to take paracetamol as needed. No clinical predictors of paracetamol response could be identified. Discussion. The results of this study indicate that a critical evaluation, in every patient, of the subjective additive analgesic effect of paracetamol in concurrent strong opioid therapy is advisable and that stopping paracetamol medication not necessarily implies increased pain. Rather in some patients the cessation of paracetamol medication is experienced as a relief as pain control is maintained with a lesser tablet burden.

  • 123.
    Axelsson, I.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Barn med okontrollerad astma sällan bättre av ökad dos inhalerade steroider2011Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, s. 976-977Artikel i tidskrift (Refereegranskat)
  • 124.
    Axelsson, I.
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Metaanalys av vacciner mot kikhosta2011Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, nr 9, s. 463-Artikel i tidskrift (Övrigt vetenskapligt)
  • 125.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    75. Smärtlindring för spädbarn: Översikt över randomiserade studier [pain treatment in infants: overview over randomized studies] (peer-reviewed). Läkartidningen 2000:97(44):4971-2. 2000Ingår i: Läkartidningen, ISSN 0023-7205, Vol. 97, nr 44, s. 4971-4972Artikel i tidskrift (Refereegranskat)
  • 126.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Acute otitis media in children: to treat or not to treat?2000Ingår i: Paediatric pulmonology and allergology, ISSN 1392-5261, Vol. 3, nr 3, s. 1022-1032Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Every day millions of children world-wide take antibiotics against acute otitis media despite the fact that this treatment has not been shown to benefit the otherwise healthy, average AOM patient. Treatment differs greatly between similar, developed countries. These differences do not seem to be based on rational causes but on differences in mentality and culture. An adoptions of Dutch guidelines for AOM in the USA should result in 400.000 fewer US children on antibiotics during one average day! The incidence of severe complications (mastoiditis, meningitis) must be carefully monitored but there is no evidence that these complications are more common in the Netherlands than in the USA. The number of patients who die due to bacteria made antibiotic-resistant by overuse of antibiotics when treating AOM in children is unknown, but is most probably significant (this is never included in "good versus harm" calculations). We know little about what treatment is best for children suffering from AOM in poor countries, but it is probably wise to be more aggressive there and to adapt a freer usage of antibiotics than is advisable in rich countries.

  • 127.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Advances in airway infections. 1. Pneumonia in children: systematic review. 2. Acute otitis media in children: systematic review.2004Övrigt (Övrigt vetenskapligt)
    Abstract [en]

    Peer reviewed. Also published in Hungarian (translated by Tamas Nyeste) and Swedish (translated by I. Axelsson).

  • 128.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Antibiotika ökar risken för hemolytiskt uremiskt syndrom: Escherichia coli O157:H72000Ingår i: Läkartidningen, ISSN 0023-7205, Vol. 97, nr 25, s. 3060-3060Artikel i tidskrift (Övrigt vetenskapligt)
  • 129.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Cervarix mot Gardasil: hälsoekonomisk tävling eller cancer-prevention?2011Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 108, nr 44, s. 2212-2212Artikel i tidskrift (Övrigt vetenskapligt)
  • 130.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Clinical evidence, Cochrane och PubMed (Compendium, 18 pp.).2001Övrigt (Övrigt vetenskapligt)
  • 131.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Cochrane-möte i Sydafrika. The number of South Africans living with AIDS-HIV has risen 12 percent to 4.7 million, or one in nine of the population, the goverment said on Tuesda [www.CNN.com on March 20, 2001, the day before publication of my paper]: Evidensbaserad medicin möter tredje världen2001Ingår i: Läkartidningen, ISSN 0023-7205, Vol. 98, nr 12, s. 1368-1369Artikel i tidskrift (Refereegranskat)
  • 132.
    axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Cochrane-översikt om att förebygga navelinfektioner: Antiseptisk lösning är onödig i i-länder men livräddande i u-länder; evidensbaserad medicin2002Ingår i: Läkartidningen, ISSN 0023-7205, Vol. 99, nr 14, s. 1563-1566Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    One million newborn infants die every year by bacterial infections, which often have entered the body via the umbilicus. A Cochrane systematic review on "Topical umbilical cord care at birth" by J Zupan and P Garner is reviewed. Zupan and Garner conclude that simply to keep the umbilical cord dry and clean is sufficient for healthy, term neonates in rich countries; disinfectants do not offer any advantage. However, cleaning the umbilical cord with disinfectants may reduce the risk of serious bacterial infections in babies in poor countries or in neonatal wards. Observational studies in poor countries indicate that the life of numerous infants can be saved if pregnant women are vaccinated against tetanus and disinfectants are substituted for harmful cord care traditions. This Cochrane review is credible, but it should be updated and considered tentative since no data on sepsis are included. The search strategy should be better described and observational studies (case control and cohort studies) from poor countries should be included since there are no randomized control trials from these countries.

  • 133.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Commentary: Malaria vaccine was safe for infants and did not interfere with the immunogenicity of coadministered antigens2009Ingår i: Evidence-Based Medicine, ISSN 1356-5524, E-ISSN 1473-6810, Vol. 14, nr 3, s. 87-87Artikel, forskningsöversikt (Övrigt vetenskapligt)
  • 134.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Commentary: Oral prednisolone did not improve outcomes in preschool children with an attack of wheezing2009Ingår i: Evidence-Based Medicine, ISSN 1356-5524, E-ISSN 1473-6810, Vol. 14, nr 3, s. 77-77Artikel, forskningsöversikt (Övrigt vetenskapligt)
  • 135.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Evidence-based Child Health: 1. Evidence-Based Medicine: what it is, and what it isn't. 2. Evidence-Based Child Health: what it is, and why it should be used. 3. A brief history of EBM. 2004Övrigt (Övrigt vetenskapligt)
  • 136.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Evidence-based child health and epidemiology: glossary. (Peer-reviewed. Also Hungarian version, translated by T Nyeste, and Swedish version, translated by I. Axelsson: Ordlista för evidensbaserad barnmedicin och epidemiologi.)2004Övrigt (Övrigt vetenskapligt)
    Abstract [en]

    About 170 entries

  • 137.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Evidensbaserad medicin: Vinstkrav försämrar och fördyrar vården2012Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 109, nr 4, s. 165-166Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Undvik vård på sjukhus eller vårdhem som drivs med vinstkrav. Landstingen bör inte sluta avtal med sådana institutioner. Det är ett par av de slutsatser som Inge Axelsson drar efter att ha gått igenom litteraturen om kvalitet och kostnad i vård med respektive utan krav på vinst.

  • 138.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Gör vapnen svåråtkomliga2011Övrigt (Övrig (populärvetenskap, debatt, mm))
  • 139.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    HPV-Vaccination av svenska flickor; HPV-Vaccination av vuxna kvinnor och män: [HPV-vaccination of Swedish girls; HPV-vaccination of adult women and men].2011Rapport (Övrigt vetenskapligt)
  • 140.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Internationell utblick [International review]2004Ingår i: Läkare mot kärnvapen, ISSN 1400-2256, nr 96, s. 20-21Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 141.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Järntillskott till barn medför inte fler infektioner2003Ingår i: Läkartidningen, ISSN 0023-7205, Vol. 99, nr 11, s. 926-926Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 142.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Kan antibiotika öka risken för HUS?: Motstridiga svar i metaanalys2002Ingår i: Läkartidningen, ISSN 0023-7205, nr 44, s. 4383-4383Artikel i tidskrift (Övrigt vetenskapligt)
  • 143.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Kliniska tecken på appendicitis acuta: CRP eller LPK förhöjt hos alla vuxna och hos de flesta barn2001Ingår i: Läkartidningen, ISSN 0023-7205, Vol. 98, nr 36, s. 3808-3808Artikel i tidskrift (Övrigt vetenskapligt)
  • 144.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Krupp (pseudokrupp, falsk krupp) [Clinical practice guidelines for croup; peer-reviewed]. 2001Övrigt (Övrigt vetenskapligt)
    Abstract [sv]

    b) Printed book: p. 23-26 i Axelsson I et al., Lungsjukdomar - Öppen vård.

  • 145.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Medicina basada en la evidencia en la práctica: tratar o no tratar la otitis media? [Evidence-based medicine in practice: to treat or not to treat otitis media?]1999Ingår i: Pediatría Atención Primaria, Vol. 1, nr 4, s. 629-637Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Axelsson I. ; also published electronically: http:// ).

  • 146.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Navelvård [topical umbilical cord care].2002Övrigt (Övrigt vetenskapligt)
  • 147.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Paediatric cases 20042004Övrigt (Övrigt vetenskapligt)
  • 148.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Paediatric news 20042004Övrigt (Övrigt vetenskapligt)
  • 149.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Paracetamol plus ibuprofen reduced fever in young children faster than paracetamol alone but not ibuprofen alone2009Ingår i: Evidence-Based Medicine, ISSN 1356-5524, E-ISSN 1473-6810, Vol. 14, nr 6, s. 174-Artikel i tidskrift (Övrigt vetenskapligt)
  • 150.
    Axelsson, Inge
    Mittuniversitetet, Fakulteten för humanvetenskap, Institutionen för hälsovetenskap.
    Pneumoni hos barn. [Clinical practice guidelines for pneumonia in children.] a) Electronic version:www.internetmedicin.se, Göteborg 2003; latest update 2004.2003Övrigt (Övrigt vetenskapligt)
    Abstract [en]

    b) Printed book: p. 40-46 i Axelsson I et al., Lungsjukdomar - Öppen vård. Göteborg: Internetmedicin.se, 2004.

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