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  • 1.
    Berg, Agneta
    et al.
    Kristianstad University, School of Health and Society.
    Rask, Marie
    Kristianstad University, School of Health and Society.
    Patienternas syn på individualiserad vård på en ortopedisk klinik2008Report (Other academic)
    Abstract [sv]

    Samhället ställer ökade krav på uppföljning av hälso- och sjukvårdens kvalitet. Individualiserad vård anges som något av det mest centrala i vården och omvårdnaden av patienten (ICN, 2006) och betonas i olika policy- och kvalitetsdokument både nationellt och internationellt (Nilsson, 2005, OECD, 2004). I närsjukvårdsprofileringen och utvecklingen som redovisats för Nordöstra Skåne betonas att vården skall utgå från patientens behov (Region Skåne, 2003) och innefatta utveckling av nya vård- och behandlingsformer där patienten och närstående står i fokus. Behovet av vård och omvårdnad och dess utförande varierar då en patient blir inlagd på sjukhus och det är viktigt att beakta att patienten och dennes närstående kan känna sig sårbara och utsatta (Hälso- och Sjukvårdsrapporten från 2001). Utvärderingar som belyser ett helhetsperspektiv på vårdtagarna är viktiga och måste innehålla både medicinska- och omvårdnadsdata. I föreliggande rapport är det det omvårdnadsperspektivet som står i centrum.

  • 2.
    Rask, Marie
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Linnaeus University.
    Swahnberg, Katarina
    Linnaeus University.
    Oscarsson, Marie
    Linnaeus University.
    Notification of an abnormal Pap smear result: an intervention study2018In: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 28, no 2Article in journal (Refereed)
    Abstract [en]

    This study aims to assess whether notification of an abnormal Pap smear result via a phone call, delivered by a trained healthcare provider, has an effect on women's HRQoL, coping and awareness of HPV. For this intervention study, women were consecutively recruited from a women's health clinic in Sweden. Women in the intervention group (n = 113) were notified of their Pap smear result via a phone call by a trained healthcare provider, while those in the comparison group (n = 122) were notified via a standard letter. A questionnaire was used to collect data. The results found no significant differences between the groups for HRQoL. However, 42.5% of women in the intervention group versus 48.3% in the comparison group reported anxiety. Women in the intervention group were more satisfied with the manner in which they were notified of their abnormal result than those in the comparison group (92.0% vs. 67.2%; p < 0.001), more aware of HPV (71% vs. 50%; p = 0.001), and called healthcare services less often (10.6% vs. 18.0%; p = 0.113), no significance. In conclusion, notification of an abnormal Pap smear result via a phone call does not increase women's HRQoL or reduce their anxiety.

  • 3.
    Rask, Marie
    et al.
    Kristianstad University, Faculty of Health Science, Avdelningen för sjuksköterskeutbildningarna och integrerad hälsovetenskap. Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Linnaeus University.
    Swahnberg, Katarina
    Oscarsson, Marie
    Swedish women's awareness of human papillomavirus, and health-related quality of life, anxiety, and depression after a notification of an abnormal Pap smear result: a cross-sectional study.2019In: European Journal of Cancer Prevention, ISSN 0959-8278, E-ISSN 1473-5709, Vol. 28, no 2, p. 96-101Article in journal (Refereed)
    Abstract [en]

    This study aims to assess (a) women's awareness of the human papillomavirus (HPV), (b) women's health-related quality of life (HRQoL) and levels of anxiety and depression symptoms, and (c) to compare the outcomes between women who are aware of the sexually transmitted nature of the HPV infection and women who are not. Swedish women who have been notified of an abnormal Pap smear result completed a questionnaire. This questionnaire consisted of sociodemographic characteristics, items on awareness of HPV, and how to cope with the Pap smear result and the instruments: the Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia and the Hospital Anxiety and Depression Scale (HADS). Data were analyzed using descriptive statistics, Student's t-test, χ-tests, Fisher's exact test, the Mann-Whitney U-test, and Fisher-Freeman-Halton exact test. In total, 122 women participated. The women reported a median (quartile 1-quartile 3) score of 87.6 on the Functional Assessment of Chronic Illness Therapy - Cervical Dysplasia (81.8-107.0), compatible with a good HRQoL. The median (quartile 1-quartile 3) scores on HADS-anxiety and HADS-depression were 7.0 (4.0-10.0) and 3.0 (1.0-5.3), respectively; however, 48.4% of the women reported anxiety (compared with 20% in a normal population). There were no statistically significant differences in the median scores in any of the scales, including the prevalence of distress between the subgroups. Women with abnormal Pap smear results have a good HRQoL; they can become anxious, but not depressed. Awareness of HPV as a sexually transmitted infection is low, but being aware does not impact on women's HRQoL or on anxiety and depression.

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