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  • 451.
    Strömberg, Emma
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Kokk, Kristina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Markusson, Marie-Louise
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Närståendes behov av stöd vid palliativ vård av ett barn2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    År 2004 avled 190 barn i åldrarna 5 - 14 år i Sverige av en sjukdom som krävde palliativ vård. När dessa barn insjuknade berördes även de närstående. Syftet med denna litteraturstudie var att belysa de närståendes behov av stöd när ett barn vårdades palliativt. Studien genomfördes som en allmän litteratur studie och aktuell forskning från år 2000 - 2007 granskades och analyserades.

    Resultatet visade att närstående hade behov av empati, ärlighet och förståelse. Behov av delaktighet i omvårdnaden, det vill säga stöd att utföra en uppgift eller sköta omvårdnaden av sitt barn. Behov av information, kommunikation och undervisning, att den information som gavs var korrekt, individanpassad och utförlig. Behov av tillit till sin egen förmåga, hjälpte de närstående att känna att de beslut och de uppfattningar som de hade kring den aktuella situationen var korrekta.

    Stöd till de närstående är en av sjuksköterskans främsta uppgifter i den palliativa vården av barn. Trots kunskapen om de behov som finns och den forskning som gjorts upplever de närstående fortfarande vissa brister i stödet. Ytterligare forskning inom området behövs för att ge kunskap om varför stödet uteblir eller inte når fram till de närstående.

  • 452. Ståhlnacke, Katri
    et al.
    Söderfeldt, Björn
    Halling, Arne
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Unell, Lennart
    Axtelius, Björn
    Tillfedsställelse angående tandvård och tandvårdsbesök i en svensk ålderskohort född 19422005Ingår i: Tandhygienisttidningen. 25(3), 2005, Vol. 25, s. 61-Konferensbidrag (Övrigt vetenskapligt)
  • 453.
    Ståhlnacke, Katri
    et al.
    Örebro County Council.
    Söderfeldt, Björn
    Department of Oral Public Healt, Malmö University.
    Unell, Lennart
    Örebro County Council.
    Halling, Arne
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Axtelius, Björn
    Department of Oral Public Healt, Malmö University.
    Patient satisfaction with dental care in one Swedish age cohort: part 1 - descriptions and dimensions2007Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 31, nr 2, s. 103-111Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study were to investigate the dimensionality of satisfaction with dental care, to control the reproducibility of the analysis over time, to investigate changes between the two studied years and to relate satisfaction with elapsed time since the most recent visit to dental care. All persons born in 1942 in two counties in Sweden, Orebro and Ostergotland, were surveyed by post in 1992 at the age of 50 and resurveyed at the age of 55. There were 5363 persons responding at both times, constituting the study group. In this study, opinions are analysed about general satisfaction with dental care and about the most recent dental visit. Factor analysis, one-way ANOVA and contingency tables were used. Overall satisfaction was high both as to general satisfaction and as to the most recent dental care visit. Those with their most recent dental visit more than a year ago felt more pain, anxiety and unpleasantness and were also more generally dissatisfied. Of those having experiences of pain, anxiety and unpleasantness at most recent visit, there was an overrepresentation of non regular attenders. Factor analysis showed that the questions used revealed a stable pattern. In conclusion, the overall satisfaction with dental care was high. Differences between the two studied years were small. Persons not visiting dental care within the last year were more dissatisfied both generally and with the most recent visit. A greater number of regular attenders had no feelings of anxiety, pain or unpleasantness at all.

  • 454.
    Ståhlnacke, Katri
    et al.
    Örebro County Council.
    Söderfeldt, Björn
    Department of oral public health, Malmö University.
    Unell, Lennart
    Örebro County Council.
    Halling, Arne
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Axtelius, Björn
    Department of oral public health, Malmö University.
    Patient satisfaction with dental care in one Swedish age cohort: part II - what affects satisfaction2007Ingår i: Swedish Dental Journal, ISSN 0347-9994, Vol. 31, nr 3, s. 137-146Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to investigate satisfaction with dental care in relation to dental care factors, recent dental care experiences, past dental care experiences, general health factors, oral health factors and socio-economic factors and all over time. All persons born in 1942 in two counties in Sweden, Orebro and Ostergötland, were surveyed by post in 1992 at the age of 50, and resurveyed at the age 55. There were 5363 persons responding at both times, constituting the study group. A conceptual theoretical model was constructed to be used as a framework in the analysis. Multiple regression analysis and contingency tables were used. Factors related to satisfaction with dental care were: care organisation, cost for care, visit to dental specialist, time spent in waiting room, regular attendance, reception at dental clinic, feelings of anxiety, taking part of school dentistry, smoking, oral health factors, dental appearance and being dissatisfied 5 years previously. Change between the two study years was affected by perceived oral health, experiences from the most recent dental visit and care organisation. Oral health related factors and dental care factors like cost for care and care organisation were related to satisfaction with dental care. Likewise were experiences from the most recent dental visit and to some extent past care experiences like school dentistry. Almost no correlation was seen between socio-economic factors and satisfaction.

  • 455.
    Suhonen, Riitta
    et al.
    Health Care District of Forssa.
    Berg, Agneta
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Idvall, Ewa
    Kalmar County Council.
    Kalafati, Maria
    University of Athens, Faculty of Nursing.
    Katajisto, Jouko
    University of Turku, Department of Statistics.
    Land, Lucy
    University of Central England, Birmingham.
    Lemonidou, Chryssoula
    University of Athens, Faculty of Nursing.
    Välimäki, Maritta
    University of Turku, Department of Nursing Science.
    Leino-Kilpi, Helena
    University of Turku, Department of Nursing Science.
    Individualised care from the orthopaedic and trauma patients' perspective: an international comparative survey2008Ingår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 45, nr 11, s. 1586-1597Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Although individualised nursing care is considered a core value in nursing in different countries, international comparative studies in this area are rare. In Western countries, common hospitalised patients, e.g. orthopaedic patients, often perceive health care as impersonal rather than individualised; a term which may also have different connotations in different cultures. OBJECTIVES: To describe and compare orthopaedic and trauma patients' perceptions of individuality in their care in four European countries. DESIGN: A cross-sectional comparative study. SETTINGS: 24 orthopaedic and trauma wards in 13 acute care hospitals. PARTICIPANTS: Data were collected from orthopaedic and trauma patients in Finland (n=425, response rate 85%), Greece (n=315, 86%), Sweden (n=218, 73%) and UK (n=135, 58%) between March 2005 and December 2006. METHODS: Questionnaire survey data using the Individualised Care Scale (ICS) were obtained and analysed using descriptive and inferential statistics including frequencies, percentages, means, standard deviations, 95% confidence intervals (CI), one-way analysis of variance (ANOVA), chi2 statistics and univariate analysis of covariance (ANCOVA). RESULTS: Patients perceived that nurses generally supported their individuality during specific nursing interventions and perceived individuality in their care. There were some between-country differences in the results. Patients' individuality in the clinical situation and in decisional control over their care were also generally well supported and taken into account. However, patients' personal life situation was not supported well through nursing interventions and these patients perceived lower levels of individualised care. CONCLUSIONS: North-South axis differences in patients' perceptions of individualised care may be attributed to the way nursing care is defined and organised in different European countries. Differences may be due to the differences in regional samples, and so no firm conclusions can be made. Further research will be needed to examine the effect of patient characteristics' and health care organisation variables in association with patients' perceptions of individualised care.

  • 456.
    Svensson, Anette
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Wijk, Mikaela
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Vuxnas upplevelse av stöd efter att ha fått diagnosen diabetes mellitus2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Sammanfattning

    Bakgrund: Diabetes förekommer hos 3-4 procent av Sveriges befolkning. Uppkomsten av diabetes är ofta relaterad till livsstil. Hur människor upplever att få diagnosen påverkar synen på sjukdom och framtid. Människor som får sjukdomen är i behov av stöd från vårdpersonal. Syfte: Beskriva vuxnas upplevelser av stöd efter att ha fått diagnosen diabetes mellitus. Metod: Systematisk litteraturstudie, där 8 stycken vetenskapliga artiklar granskades. Resultat: Analys av artiklar resulterade i fyra olika kategorier: bemötande, hantera negativa känslor, lära genom utbildning och accepterande/anpassning. Diskussion: Det fanns kunskapsbrist om sjukdomen bland diabetespatienter. Utbildning med stöd och ett bra bemötande från vårdpersonal kan förebygga kunskapsbrist. Slutsats: Vuxna som får diagnosen diabetes mellitus behöver ha stöd från vårdpersonal och anhöriga. Patienter behöver ha kunskap om diabetes för att egenvårds-kapacitet ska kunna utvecklas.

    Nyckelord: Diabetes, stöd, upplevelse, utbildning

    Abstract

    Background: Diabetes occurs in 3-4 per cent in the Swedish population. Diabetes is often related to the lifestyle. How people experience to receive the diagnosis affects the view of illness and future. People who get the illness need support from caregivers. Aim: Describe adults experience of support after they have received the diagnose diabetes mellitus. Method: A systematic literature review, there eight scientific articles were revised. Result: The analyse resulted in four different categories: treatment, manage negative feelings, learn by education and accepting/adaptation. Discussion: The findings showed that a lack of knowledge existed of the illness among diabetes patients. Education with support and a good treatment from the caregivers could prevent a lack of knowledge. Conclusion: Adults who receive the diagnose diabetes mellitus need support from caregivers and the next of kin. Patients need knowledge about diabetes too know how to develop self care capacity.

    Keywords: Diabetes, education, experience, support

  • 457.
    Svensson, Annika
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Wahlund, Britt-Marie
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Fosterhemsvård Med fokus på metoder vid utredning av nya familjehem, metoder vid handledning/stöd samt kunskap till blivande familjehem2007Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    This is a study of foster homes. The focus is at the methods, used at foster homes evaluations and at guidance/support the foster homes are offered.

    En questionnaire is made in Skåne, on this theme.

    Except that, it contains a fairly lot of useful information for families who are interested in becoming foster home.

    The questionnaire is made among public and private participants who evaluates new foster homes and places children (under 18 years) in Skåne.

    Because of the low answer frequency, we can’t generalize the result of the questionnaire. But the result we have obtained indicates that Kälvestens evaluation method is used frequently.

    In the subject of support/guidance we can’t see any specific methods used. There are similarity in the way our respondents describes there work in practice, like education and guidance in group, house calls, external guidance by experts and support by telephone.

  • 458.
    Svensson, Camilla
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Svensson, Cecilia
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Faktorer som påverkar livskvaliteten hos personer som laryngektomeras på grund av huvudhalscancer - en litteraturstudie2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Total laryngektomi medför förändringar i livssituationen, både tillfälliga och permanenta. Den nya livssituationen kan bli omskakande och risken för negativ påverkan på livskvaliteten är stor.

    Syfte: Syftet var att genom en litteraturstudie belysa vilka faktorer som påverkar livskvalitet hos personer som laryngektomeras på grund av huvudhalscancer.

    Metod: Systematisk litteraturstudie genomfördes. 15 artiklar analyserades och sorterades in i Huvudkategorier och Subkategorier.

    Resultat: Faktorer som påverkade livskvalitet var fysiska faktorer, nutritionsrelaterade faktorer, kommunikationsmetoder, kommunikationsförmåga, ekonomi, sociala faktorer, depression och information.

    Slutsat: Livskvaliteten påverkas efter total laryngektomi. Genom att känna till vilka faktorer som påverkar livskvaliteten kan sjukvårdspersonal hjälpa och stötta personer som har laryngektomerats och de som i framtiden kommer att genomgå laryngektomi.

  • 459.
    Svensson, Jonny
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Sjögren, Olga
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Nilsson, Ann-Christin
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Patienters förståelse för erhållen läkemedelsinformation vid utskrivning från sjukhus2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    It’s known that the drug information patients get at discharge from hospital is often insufficient. Patients’ ignorance of which drug they use and how to take them can lead to drug related problems, can cause suffering and heavy expenses.

    The aim of this study was to shed light on the patients’ understanding for drug information, which was given at discharge from hospital. The literature survey was used as a method and based upon a systematic choice of scientific articles, which were found in different databases during the period of April 1 to May 31, 2008.

    The result from eighteen chosen articles showed that there were problems in patients’ understanding of their drug information. The understanding could be influenced by different factors, among other things: age, number of prescribed drugs, how much and what kind of information the patients got at discharge. The patients thought the information they got from the nurse and the doctor had the same quality. The understanding for the drug treatment increased when the drug information was delivered in both verbal and writing and at a follow-up telephone call or meeting at home. When the understanding for the their drug treatment got better, the compliance increased and the drug related problems decreased.

    The conclusion is that the nurse plays an important role to inform and educate the patients about their drug treatment and to follow up the patients’ understanding.

  • 460.
    Svensson, Malin
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Jönsson, Linda
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Att göra de osynliga synliga En studie om barn till psykiskt sjuka föräldrar To make the invisible ones visible A study about children with psychical disturbed parents 2007Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Abstract

    The aim of this essay has been to deepen the knowledge of how professional social workers, therapists and almoners experience working with children who have psychical disturbed parents.

    By interviews we have examined the experiences of people who, through their work, comes in contact with children whose parents suffer from psychical disturbance. In our interviews we have concentrated on specific themes, such as working with these children, the situation these children are in, parenthood and cooperation with other actors in the field of action.

    Literature has earlier shown that children with psychical disturbed parents have been difficult to discover. This was confirmed in our study. Literature has also shown that the different actors in the social and psychiatric fields have had difficulties to cooperate around these children, something that was also confirmed.

    To sum up we found that all our respondents experienced that people have started to pay more notice to children with psychical disturbed parents, and the children are more visible today. We also found that all our respondents were hoping to develop cooperation with others in the field of action, a cooperation that would focus on children with psychical disturbed parents.

  • 461.
    Svensson, Maria
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ördén, Marie
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    "Vi både möts och inte möts" - En kvalitativ studie om politikers syn på samverkan med teamchefer inom äldreomsorgen "We both meet and don`t meet" - A gualitative study on politics vision on cooperation with supervisor in old-age care2007Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    While conducting our practical training we experienced how the structure and the complexity of the municipal administration could, from a white-collar workers perspective, become a limitation and burden for efficient work. Deriving from this experience we found an interest in how politicians reasoned with regards to their relationship with supervisor in municipal old-age care. Kouzes och Micos (1979) “Theory of organizational behavior in human service” became our point of departure. Their framework was therefore the foundation for our research and work throughout this paper.

    Our aim with this research was to examine how politicians viewed their relationship with supervisor in municipal old-age care. On the basis of the problem definition we conducted a qualitative research by interviewing eight politicians from eight different municipalities.

    The result showed that most of the respondents were satisfied with the current administrative structure and their relationship with the supervisor in municipal old-age care. Much effort was focused on working and communicating through the formal and hierarchal structure established within the municipality. However, some of the respondents had a different perception. Primarily, they viewed territorial thinking and self-centred behaviour as obstacles for efficient work.

    Keyword: collaboration, politics, supervisor in municipal old-age care, structure of municipal administration.

  • 462.
    Svensson, Marlen
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Olsson, Martina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Att slåss mot en osynlig fiende - Kvinnors upplevelser av postpartumpsykos2006Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Abstract

    Background:There are three diffrent postpartum problems a woman can suffer after a childbirth, postpartum blues that is the mildest one that almost everyone are suffering. Postpartum depression that is substantial and above 10-15 % are suffering, the most servere is postpartumpsychosis that 1-2 women per 1000 deliveries are suffering from. Aim: Illustrate womens experience during and after a postpartumpsychosis. Methods: This is a literary review of scientific articel and biographies, they are analysed with latent content analysis. Results: Six themes were found after the literature review; experience of; “unnatural frame of mind”, loss of controll, loneliness, feeling guilt, living with a label and fear that there will be a recurrence. Conclusions: To live trough a postpartumpsychosis is a very strong experience for women.

  • 463.
    Svensson, Regina
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Åkesson, Jennie
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Att bli förälder till ett prematurt barn - Litteraturstudie/Becoming a parent when a child is born premature - Literature review2006Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Background: Almost every 20th child is borne premature in Sweden, before the parents are ready to care for a new family member. The parents need to cope with the stress and anxiety of having their newborn child in the neonatal ward and influenced by nursing care of neonatal staff grow their parental role.

    Purpose: The aim of this study was to illustrate experiences of parenthood within the care of premature at the neonatal ward.

    Method: A review where 18 articles between 2000 and 2005 were chosen and examined. The articles were analysed according to VIPS, which facilitates the practical use of the result.

    Result: The study reveals that parenthood is experienced as a time dependent process with three phases, primary, secondary and tertiary, where the parent’s needs and experiences changed character. The parents experienced that they developed from passive to active in the care of the premature child when the neonatal staff guided their participation, gave information/education and support. Interventions concerned the environment and coordination was experienced as enhancing parenthood because it made it possible for the parents to be close to their premature child.

    Conclusion: There’s still interventions that needs to be done at the neonatal ward to enhance parents experience of their parenthood.

  • 464.
    Swenne, C.L.
    et al.
    Department of Cardiothoracic Surgery, Uppsala University Hospital.
    Skytt, B.
    Department of Public Health and Caring Sciences, Uppsala Science Park.
    Lindholm, Christina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Carlsson, M.
    Department of Public Health and Caring Sciences, Uppsala Science Park.
    Patients' experiences of mediastinitis after coronary artery bypass graft procedure2007Ingår i: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 41, nr 4, s. 255-264Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Few studies have focussed on patients' experiences of and suffering due to mediastinitis following Coronary Artery by-pass Graft ( CABG). Mediastinitis creates a complex and invasive experience for the patient with prolonged hospitalisation, and would be expected to be a significant stressor. The aim of the present study was to capture patients' experiences of the medical and nursing care they received for mediastinitis following CABG. Content analysis revealed three themes with regard to how the patients coped with the stress and threats of mediastinitis and its treatment and how they thought it would influence their future life. A first theme centred on physical and psychological discomfort and impact on autonomy. The staff's medical knowledge and the quality of nursing care as well as the patients' understanding of the situation influenced their experience. A second theme was how patients dealt with perceived danger and stress. Coping strategies such as problem solving, information seeking, dissociation, distraction, minimisation and expression of emotion were used to handle the situations. The third theme comprised the patients' belief that the mediastinitis would not affect the outcome of the CABG procedure, even though their confidence in this was influenced by uncertainty about the rehabilitation process.

  • 465.
    Syrén, Johanna
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Nilsson, Kamilla
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    12-åringars kunskap om karies, munhygienvanor, kostvanor samt erfarenhet av tobak2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    A tendency of impaired oral health has lately been seen among children and adolescents. The consumption of soft drinks and fruit juices is rising and at the same time many children and adolescents skip breakfast and lunch at school. That in combination with a frequent snacking increases the risk of caries. The aim of this study was to examine the knowledge of caries, oral hygiene- and dietary habits and experience of tobacco among 12-year-old schoolchildren. The study was performed in 5th grade in four different schools in the North East of Skåne in cooperation with the dental health board clinic in Näsby, Kristianstad. The study included 56 individuals who attended to the public dental health clinic in Näsby. The study showed that the 12-year-old schoolchildren had relatively good knowledge about caries prevention and good oral hygiene habits. Most of the respondents ate daily their lunch in school, while the intake of sweets and soft drinks were limited to once or twice a week. However, boys had a slightly more frequent intake of soft drinks compared to girls. Only a few individuals had tried tobacco (cigarettes or snuff). To prevent further impairment of the oral health among children and adolescents it is important that they receive knowledge of the correlation between diet and caries. In addition they need to understand the importance of a good oral hygiene and to be aware of the harm of tobacco.

  • 466.
    Särner, Barbro
    et al.
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy at Göteborg University.
    Birkhed, D.
    Department of Cariology, Institute of Odontology, Sahlgrenska Academy at Göteborg University.
    Lingström, Peter
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Approximal fluoride concentration using different fluoridated products alone or in combination2008Ingår i: Caries Research, ISSN 0008-6568, E-ISSN 1421-976X, Vol. 42, nr 1, s. 73-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present investigation was to measure the approximal fluoride (F) concentration after using different F-containing products, either alone or in combination. Ten subjects participated on a total of 17 occasions, which were randomized, distributed and divided into two trials (called trial I and trial II). The F concentration was studied after treatment with toothpicks, dental flosses, an interdental brush dipped in 0.2 or 0.32% F gels, brushing with toothpaste containing 0.32% F and a mouthrinse with 0.2% NaF solution. The results of trial I revealed that the rinsing solution resulted in the highest approximal F values, followed by toothpicks and brushing. When brushing was combined with either flossing or toothpick, the sequence order of the two methods had less influence. However, when combined with rinsing it appeared to be better to use the floss or the toothpicks first, prior to the mouthrinse. In trial II, treatment with the gels alone, and in combination with brushing, resulted in higher approximal F concentrations compared with brushing alone. The data indicate that the order of usage when combining products may be of importance when it comes to obtaining high F levels at the approximal sites and that an interdental brush with F gel after toothbrushing may be a suitable method, called 'Inter Dental Brush Gel Method', to produce elevated F concentrations at approximal sites.

  • 467.
    Söderlund, Eva
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ytell, Sara
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    "Om du inte ser mig finns jag inte" Om barn som bevittnar våld i hemmet: "If you don't see me I don't exist" About children who witness domestic violence.2006Självständigt arbete på avancerad nivå (magisterexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Children that are exposed to domestic violence are placed in a vulnerable situation and they are not been given their own identity during the family conflict resolution process. Focus is mostly directed towards the parents and their conflict-filled situation. The aim of this study is to talk with professionals and take part of their experiences with regards to the phenomenon of children who witness domestic violence. The study is conducted from a child/crime victim perspective and is restricted to men's violence against women. A qualitative method is used which consist of interviews involving representatives of BRIS, the Police, Social Service, a Woman Shelter, and two Crisis Centers with different concentrations. Our sources in the study agreed with the notion that these children which are expose to such violence ought to be defined crime victims; consequently, they will require professional help and support. The system theory and crisis theory were utilized in this study as Cullberg states in order to explain our results.

    The parents often believe that their children do not see or hear the violence when it takes place, but our sources disagree with this notion. The study concludes that there remain a lot to be done with regards to working with children which are exposed to such violence. The importance of more education and understanding of the situation which children face is a necessity and can not be overemphasized. Finally, the study highlights a need for authorities to work more together and learn from each other. The main conclusion is that there is an urgent need for the adult world to be aware of the presence of the child during an adult dispute, take greater responsibility, to consult and to act accordingly with a view of decreasing the unreported cases involving children.

  • 468.
    Söderlund, Eva
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ytell, Sara
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    ”Om du inte ser mig finns jag inte” Om barn som bevittnar våld i hemmet ”If you don’t see me I don’t exist” About children who witness domestic violence 2006Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Children that are exposed to domestic violence are placed in a vulnerable situation and they are not been given their own identity during the family conflict resolution process. Focus is mostly directed towards the parents and their conflict-filled situation. The aim of this study is to talk with professionals and take part of their experiences with regards to the phenomenon of children who witness domestic violence. The study is conducted from a child/crime victim perspective and is restricted to men's violence against women. A qualitative method is used which consist of interviews involving representatives of BRIS, the Police, Social Service, a Woman Shelter, and two Crisis Centers with different concentrations. Our sources in the study agreed with the notion that these children which are expose to such violence ought to be defined crime victims; consequently, they will require professional help and support. The system theory and crisis theory were utilized in this study as Cullberg states in order to explain our results.

    The parents often believe that their children do not see or hear the violence when it takes place, but our sources disagree with this notion. The study concludes that there remain a lot to be done with regards to working with children which are exposed to such violence. The importance of more education and understanding of the situation which children face is a necessity and can not be overemphasized. Finally, the study highlights a need for authorities to work more together and learn from each other. The main conclusion is that there is an urgent need for the adult world to be aware of the presence of the child during an adult dispute, take greater responsibility, to consult and to act accordingly with a view of decreasing the unreported cases involving children.

  • 469.
    Theander, Eva
    et al.
    Hässleholm Hospital.
    Edberg, Anna-Karin
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Preventive home visits to older people in Southern Sweden2005Ingår i: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 33, nr 5, s. 392-400Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: It seems urgent to further develop and modify models of preventive measures in order to prolong a healthy functional and social situation for older people, as this population is increasing globally. The aim of the study was to describe a Swedish model of preventive home visits for persons aged 78 years with the focus on the effect on physical and social well-being, and the participants' and the visitors' experience of the home visits.

    METHOD: Three annual visits were performed and included 150 persons, 78 years old at the first visit. Data were collected in the form of a structured interview with the persons who received the visits and as a questionnaire for their visitors.

    RESULTS: Differences over time could be seen for the participants' physical and social activity, indicating that there was a deterioration between year one and two that was not seen in year three. The results further showed that the participants felt more secure and well informed as a result of the visits. The visitors said that they had gained a new, more positive view of older people and increased job satisfaction as a result of the visits and emphasized the impact on their own professional development.

    CONCLUSION: As no control group was used, the interpretation of effects concerning health factors has to be interpreted with caution. The visits did, however, have a positive impact on the participants and the visitors.

  • 470.
    Thornblad, Caroline
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Fredriksson, Marie
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Kvinnors upplevelse av lidande i samband med hjärtinfarkt2009Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Hjärtinfarkt är en av våra vanligaste folksjukdomar idag. Det är lika vanligt att avlida av hjärtinfarkt för båda könen. Vid hjärtinfarkt kan lidandet vara stort och se olika ut. Syfte: Syftet med studien är att beskriva kvinnors upplevelser av lidande i samband med hjärtinfarkt. Metod: Kvalitativa vetenskapligt granskade artiklar från databaserade sökningar användes i denna litteraturstudie. Resultat: Fyra kategorier framkom, dessa var: upplevelser av lidande innan hjärtinfarkten brutit ut, upplevelser av lidande vid insjuknandet, upplevelser av lidande under sjukhusvistelsen och upplevelser av lidande efter sjukhusvistelsen. Slutsats: Kvinnorna lider ofta av atypiska symtom vilket gör att kvinnornas lidande kan se annorlunda ut. En annan orsak som gör lidandet stort för kvinnorna är att de känner ett stort ansvar för hem och familj, vilket de inte klarar av efter att de blivit sjuka. Livet förändras radikalt efter att ha drabbats av en hjärtinfarkt. Kvinnorna känner ofta en stor existentiell osäkerhet och en osäkerhet inför framtiden. Genom att ha kännedom om kvinnors lidande vid hjärtinfarkt kan ett annat synsätt och bemötande inom vården minska kvinnors lidande. Det är viktigt att sjuksköterskan kan tillgodose kvinnans individuella behov.

  • 471.
    Torefalk, Sandra
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Holmén, Lina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Tandhygienisters uppfattning av att identifiera och behandla tandvårdsrädda patienter - En kvalitativ studie2009Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Syfte: Syftet med studien var att belysa hur tandhygienister på tandvårdskliniker för allmäntandvård identifierar tandvårdsrädda patienter och hur de uppfattar att behandla dessa.

    Material och metod: Materialet inhämtades genom intervjuer med elva tandhygienister som arbetade på Folktandvårdskliniker inom allmäntandvård i Kristianstad med omnejd. Metoden var kvalitativ och data analyserades med en innehållsanalys. Intervjuerna transkriberades och analyserades och resulterade i tre huvudkategorier som beskrev hur tandhygienister identifierar tandvårdsrädda patienter och upplever att behandla dessa. Kategorierna var patienternas beteende, psykologiskt tillstånd och hantering.

    Resultat: Tandhygienisterna försöker att vara lugna och fokuserade på att hjälpa och behandla den tandvårdsrädde patienten på ett så tillfredställande sätt som möjligt. De försöker också att planera behandlingen tillsammans med patienten. Tandhygienisterna upplever ingen märkbar stress eller olust i anslutning till behandlingen av tandvårdsrädda patienter. Mer kunskap om tandvårdsrädsla efterfrågades av flertalet tandhygienister.

    Konklusion: Tandhygienisterna är medvetna i sitt arbete med tandvårdsrädda patienter.

  • 472.
    Täckström, Linda
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Johansson, Annette
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Björkegren Lundholm, Anne
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Relations in palliative care2006Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Abstract

    Background: Relation means the relationship between two parts. By creating a good relation between nurse and patient you can conduce a better caring. Aim: The aim of the study was to illustrate the relation within palliative care from nurse- patient perspective. Method: The study is a literature review where ten articles were analysed with qualitative content analysis. Results: The findings showed that knowledge, communication, continuity, silence and availability were the most important thing for the nurse in the relationship. Energy, regular contacts, having time and the nurse being able to listen was most important for the patient. In the encounter between the nurse and patient, communication is fundamental for understanding in the conversation where the patient tried to find information about treatment, medicament and the illness. The most valuable was being able to talk about feelings. You must get to know the patient as the person he is to be able to know his interests and what he considers important. Continuity is a prerequisite to make the patient feel safe and secure. Conclusion: Being able to pay attention to unspoken needs and understanding why the patient reacts the way he does is a proof that knowledge has appeared.

    Keywords: Relationship, relation nurse – patient, communication, palliative care.

  • 473.
    Ulander, Kerstin
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Utvärdering: projekt "Kliniska adjunkter vid Ängelholms Sjukhus", 2004-20052007Rapport (Övrig (populärvetenskap, debatt, mm))
  • 474.
    Ulander, Kerstin
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Axelsson, Carolina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Lindholm, Christina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Verksamhetsberättelse 2006: verksamhetsförlagd utbildning sjuksköterskeprogrammet2007Rapport (Övrig (populärvetenskap, debatt, mm))
  • 475.
    Ulander, Kerstin
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Torfadóttir, Òlina
    Axelsson, Carolina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Lindholm, Christina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Eating and nutrition2007Rapport (Övrigt vetenskapligt)
  • 476.
    Ulander, Kerstin
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Torfadóttir, Ólina
    Fjordungssjukrahusid, Akureyri.
    Axelsson, Carolina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Lindholm, Christina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Point prevalence study of eating and nutrition March 2006: at Fjordungssjukrahusid, Akureyri, Iceland in cooperation with Kristianstad University2007Rapport (Övrigt vetenskapligt)
  • 477.
    Vavrova, Andrea
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Kristinsson, Vavlentina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Patienters upplevelser av och tandhygieniststudenters kunskaper om dålig andedräkt vid en högskoleutbildningsklinik i Kristianstad - en enkätstudie2005Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    The purpose of the study was to describe the patients’ perception of and the dental hygienist students’ knowledge regarding bad breath (halitosis) in a University educational clinic in Kristianstad. The study is based on a waitingroom survey (n=100), and a studentpoll (n=40).

    The result of the patientpoll showed that 58 % felt that they rather would not talk about bad breath, and that 44 % found it that embarrassing to talk about. However 81 % experienced that they were bothered by bad breath from other people. The majority 98 % felt that it was important to smell good from the mouth and 90 % would appreciate if someone could spoke to them that they had bad breath. The studentpolls demonstrated that 75 % was familiar with the term halitosis, and that 77 % knew how this could be treated. The conclusion of this study was, that bad breath is something that many individuals are bothered by, and that more then 58 % of the patients did not want to talk about. The studentpoll showed that the dentalhygienist students had god knowledge regarding halitosis and how halitosis could be treated. The majority of the students wanted more theoretical and practical education regarding the ethiology and treatment of halitosis.

  • 478.
    Wahlgren, Katarina
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Olsson, Linda
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Kursu, Satu
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Patientens upplevelser av smärta vid venösa bensår och dess påverkan på livet: Patient´s experiences of pain at venous leg ulcer and the effects on their daily life.2006Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Background: Patients with leg ulcer suffers often of woundpain. Healthcare professionals will strive after having knowledge and understanding for how woundpain influences the patient's quality of life. Aim: The aim is to elucidate the patient's experiences of pain at venous leg ulcer and the effects on their daily life. Method: The procedure has been a systematic literature overview with a systematic search in different databases. The search resulted in nine scientific articles. Results: In the result, four central categories arrived; how the patient's lives were changed, how the patient's psychic health was changed, how the patient's experience of nursing and how the patient's thoughts about the future where. Conclusion: Although each people is unique so exists that certain phenomena that are too many common patients with difficult healing leg ulcer and that has importance for their quality of life. It is important with a good communication average patient and nurse when it comes to handling the pain at venous leg ulcer.

  • 479.
    Wanstadius, Maria
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Andersson, Katarina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Att motivera ungdomar till fysisk aktivitet och bra kostvanor2005Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Övervikt och fetma är i dag ett snabbt ökande hälsoproblem i Sverige och övriga världen, framförallt bland barn och ungdomar. En betydande orsak till att övervikten i Sverige ökat är en felaktigt sammansatt kost och att vi blivit fysiskt inaktiva i allt större omfattning. Genom att motivera barn och ungdomar att delta i fysiska aktiviteter och äta hälsosammare kan positiva hälsokonsekvenser uppnås. Syftet var att undersöka kost- och motionsvanor bland elever i skolår 9, samt jämföra hur flickor respektive pojkar kan motiveras till bra kost- och motionsvanor. Vi valde att genomföra en enkätundersökning på elever i skolår 9 i Kristianstads kommun, där sammanlagt 235 elever besvarade enkäten. Resultatet visade att eleverna i skolan skulle kunna motiveras av fler idrottslektioner, gratis frukt på rasterna samt att få möjlighet att påverka såväl skollunchen som idrottslektionernas innehåll. En könsskillnad som framkom var att inom skolidrotten motiverades flickor i högre grad än pojkar av prova-på-dagar utan tävlingsmoment, medan pojkarna främst motiverades av idrottsturneringar som skolan anordnar. Slutsatsen av denna studie är att skolan är en viktig arena för att motivera barn och ungdomar till bra kost- och motionsvanor. Genom att utveckla undervisningen i idrott och hälsa och främja hälsosamma kostvanor i skolmiljön, kan skolan bidra till att skapa bestående motivation och intresse för kost och motion hos eleverna.

  • 480.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Etik och ätande2003Ingår i: Westergren, Albert (red.), Svårigheter att äta, Lund: Studentlitteratur , 2003, s. 147-155Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 481.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Konsekvenser av svårigheter att äta2003Ingår i: Westergren, Albert (red.), Svårigheter att äta, Lund: Studentlitteratur , 2003, s. 147-155Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 482.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Nutrition and its relation to mealtime preparation, eating, fatigue and mood among stroke survivors after discharge from hospital: a pilot study2008Ingår i: The Open Nursing Journal, ISSN 1874-4346, Vol. 2, s. 15-20Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Eating difficulties and nutritional deficits are common among persons with acute stroke and during rehabilitation. Little is known about such problems after discharge from hospital. In addition the relationship between fatigue and nutritional status among stroke survivors living in the community remains to be explored. The aim of this pilot study was to describe mealtime preparation, eating, fatigue, mood and nutritional status among persons with stroke six months after discharge from hospital and to explore associations between these factors. Patients were interviewed six months poststroke. Standardised questions and methods were used. The mean age of the 89 respondents was 77.2 (SD 6.6) years, 44 were women and 45 men. Difficulties with swallowing, ingestion and energy to eat occurred among 27%, 20% and 7% respectively. Difficulties with cooking and buying food occurred among 57% and 56% respectively and 41% were at nutritional risk. Feeling full of energy less than some of the time was experienced by 61% while 15% had felt gloomy and sad at least some of the time during the previous four weeks. Considering activities of daily living (ADL), having a less favourable nutritional status was significantly predicted by difficulties with buying food, difficulties with ingestion and being a woman. Considering psychological state (mood and energy), having a less favourable nutritional status was significantly predicted by a lack of energy and high age. This study supports the occurrence of a nutritionally related fatigue by means of “lack of energy”. The associations between poor nutritional status and fatigue can work in both directions. Thus persons with fatigue are more prone to have poor nutritional status and those with poor nutritional status are at greater risk of fatigue. Besides fatigue also difficulties with buying food and ingestion are associated with nutritional risk. As nutritional deficits occur a long time after stroke onset it is important to assess aspects of mealtime preparation and the eating process and when necessary provide food delivery service and eating assistance in order to prevent a vicious circle of undernourishment and fatigue to develop.

  • 483.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Påverkan på ätandet när man blir äldre2003Ingår i: Westergren, Albert (red.), Svårigheter att äta, Lund: Studentlitteratur , 2003, s. 47-53Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 484.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Sjukdomars inverkan på ätandet2003Ingår i: Svårigheter att äta / [ed] Westergren, Albert, Lund: Studentlitteratur , 2003, s. 67-74Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 485.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Svårigheter att äta2003Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
    Abstract [sv]

    I denna bok sätts äldres ätande i fokus i stället för, som brukligt är, deras nutrition. Författarna utgår från de senaste forskningsrönen och visar på den praktiska betydelsen av forskningens resultat.

    Följande aspekter på äldres ätande tas upp:

    • ätandet ur ett socialt och kulturellt perspektiv

    • måltidsvanor, måltidsmiljö och rutiner

    • åldrandets, sjukdomars och munhälsans inverkan på ätandet

    • bedömning, behandling och bekräftelse vid svårigheter att äta

    • konsekvenser av svårigheter att äta

    • etiska aspekter på ätande

    • utbildning om ätande.

    Boken är allmängiltigt för alla som på något sätt arbetar med måltidsrelaterade uppgifter och äldres ätande på sjukhus, inom särskilt och ordinärt boende. Boken vänder sig även till studerande inom högskola och universitet.

    VÅRDlitt-serien är en utveckling av den tidigare FoU-serien som Vårdförbundet initierat i syfte att stärka medlemmarna i den professionella yrkesutövningen.

    Syftet med serien är att:

    • stimulera till utveckling av läromedel och fackböcker

    • göra kunskapen tillgänglig

    • synliggöra dess tillämpbarhet

    • sprida angelägen kunskap.

  • 486.
    Westergren, Albert
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Upptäckt av svårigheter att äta på sjukhus2003Ingår i: Svårigheter att äta / [ed] Westergren, Albert, Lund: Studentlitteratur , 2003, s. 75-89Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 487.
    Westergren, Albert
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Karlsson, Siv
    Department for Rehabilitation Medicine, Central Hospital Kristianstad, Northeast Skåne Healthcare District.
    Andersson, Pia
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ohlsson, Ola
    Department of Internal Medicine, Central Hospital Kristianstad, Northeast Skåne Healthcare District.
    Hallberg, Ingalill
    Department of Nursing, Faculty of Medicine, Lund University.
    Eating difficulties, need for assisted eating, nutritional status and pressure ulcers in patients admitted for geriatric stroke rehabilitation2001Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 10, nr 2, s. 257-269Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe the types and extent of eating difficulties, the need for assistance when eating, the nutritional status and pressure ulcers in consecutive patients (n = 162) admitted for stroke rehabilitation over a period of 1 year. Structured observations and assessments of eating, nutritional status (subjective global assessment of nutritional status), pressure ulcers and activities in daily living (Katz ADL-index) were performed by a nurse who also trained the staff to perform these assessments. Difficulties in eating were found in 80%, and 52.5% were unable to eat without assistance. Eating difficulties were: 'eats three-quarters or less of served food' (60%), difficulties in 'manipulating food on the plate' (56%), 'transportation of food to the mouth' (46%), 'sitting position' (29%), 'aberrant eating speed' (slow or forced) (26%), 'manipulating food in the mouth' (leakage, hoarding, chewing difficulties) (24%), 'swallowing difficulties' (18%), 'opening and/or closing the mouth' (16%), and 'alertness' (9%). Thirty-two percent were undernourished (49% of patients needing assisted eating and 13% of those not needing assistance, P < 0.0005). Among patients who were dependent in one or more functions according to the Katz ADL-index, 15% had pressure ulcers. The strongest eating variables for predicting nutritional status were 'alertness', 'swallowing difficulties', 'eats three-quarters or less of served food', and 'aberrant eating speed'. Nutritional status could in turn significantly predict pressure ulcers. Eating difficulties among patients with stroke are complex and the patient's situation before stroke adds to this complexity, especially among those dependent on assisted eating. As difficulties occur both among patients needing and not needing assisted eating, all patients with stroke admitted for rehabilitation need to be systematically assessed for eating difficulties and action needs to be taken to facilitate eating, especially as patients with eating difficulties risk becoming undernourished and in turn developing pressure ulcers.

  • 488.
    Westergren, Albert
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Lindholm, Christina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Axelsson, Carolina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ulander, Kerstin
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Både undernäring och övervikt inom vård och omsorg november 2005: en punktprevalensstudie kring ätande och näring2007Rapport (Övrigt vetenskapligt)
  • 489.
    Westergren, Albert
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Lindholm, Christina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Axelsson, Carolina
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ulander, Kerstin
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Prevalence of eating difficulties and malnutrition among persons within hospital care and special accommodations2008Ingår i: The Journal of Nutrition, Health & Aging, ISSN 1279-7707, E-ISSN 1760-4788, Vol. 12, nr 1, s. 39-43Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVES: The aim of this study was to explore the prevalence of eating difficulties and malnutrition among persons in hospital care and in special accommodations. DESIGN: The cross-sectional observational study was performed in Nov. 2005. SETTING: Hospitals and special accommodations. PARTICIPANTS: Out of 2,945 persons, 2,600 (88%) agreed to participate (1,726 from special accommodations and 874 from hospitals). In total all special accommodations in six municipalities and six hospitals were involved. MEASUREMENTS: Risk of undernutrition was estimated as at least two of: body mass index below recommendation, weight loss and/or eating difficulties. Overweight was graded based on body mass index (if 69 years or younger: 25 or above: if 70 years or older: 27 or above). RESULTS: The mean age of those living in hospitals was 69 years and 53% were women, while the corresponding figures for those in special accommodations were 85 years and 69% women. In hospitals and special accommodations, eating difficulties were common (49% and 56% respectively) and about one quarter had a body mass index (BMI) below the limits (20% and 30% respectively) and one-third above the limit (39% and 30% respectively) thus only about 40% had a BMI within the limits. Both in hospitals and in special accommodations 27% were considered to have a moderate or high risk of undernutrition. CONCLUSION: Only about 40% in special accommodations and hospital care have a BMI within the recommended limits. As both low and high BMI are frequent in both settings, the focus of care should not only be on undernutrition but also on overweight. Using the Swedish criteria for defining risk of undernutrition seems to give a slightly lower prevalence than has been shown in previous Swedish studies, but this can be due to an underestimation of the occurrence of eating difficulties.

  • 490.
    Westergren, Albert
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Petersson, Karin
    Kost- och restaurangverksamheten, Kristianstads kommun.
    Kunskaper och attityder hos personal som deltagit i studiecirklar kring ätande & näring2007Rapport (Övrigt vetenskapligt)
  • 491.
    Westergren, Albert
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Petersson, Karin
    Kost- och restaurangverksamheten, Kristianstads kommun.
    Utvärdering av studiecirklar på temat "Ätande och näring": genomförda vår och höst 2006 samt vår 20072007Rapport (Övrig (populärvetenskap, debatt, mm))
  • 492.
    Westergren, Maja
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Södergren, Oscar
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Spiritual and Existential needs in palliative care2006Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Background: Previous research has shown that the understanding and knowledge about the spiritual needs is not given high priority among nursing staff. During the latest years the body and its functions has controlled the healthcare and the spiritual needs has been placed in the background. All humans have spiritual needs that must be satisfied irrespective of religious background. Aim: The aim of this study was to in a caring perspective illustrate patients’ spiritual and existential needs in palliative care. Method: The study is a literature review where 12 articles has been analyzed and summarized to give an overview of rescent research. The approach for the work of the analysis of the articles was qualitative content analysis. Results: The spiritual needs increase in palliative care. To handle the increased needs coping strategies are needed. Nursing staff, relatives and religion are considered by the patient to be important resourses in order to handle the situation. The spiritual needs are not always payed attention to because of lack of knowledge among health care personal. Discussion: The older generation are most likely more spiritual and religious convinced. The sum of this becomes that most of the palliative care patients have a religious belief, that might explain the meaning of spirituality in palliative care. Conclusion: The spiritual needs increase in palliative care and the most important as a nurse is to pay attention to and answer these needs. Through education and increased awareness of spiritual needs, the palliative care could improve considerably.

  • 493.
    Westerman, Linda
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Ohlsson, Sofia
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Patienters beskrivning av att vårdas på isoleringsrum -en litteraturstudie2006Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Background: Every day patient´s get isolated in hospitals as a consequense of infection control purposes. Physical isolation can result in lack of human contact and a new unknown environment for the patient. Those two factors can easily cause stress within the patient and create anxiety for the future. Aim: The aim of the study was to describe patient´s experience of being nursed in an isolation room. Method: The method that was used was a literature research, where earlier research findings were read and put together. Results: In most studies patient´s experience negative feelings such as depression, anxiety and other mood disturbances. Positive feelings like being alone was also described. Other categories that occurred was the need for information, the environment and contact with staff and relatives. Discussion: The nurse has a big influence on the patient´s experience and it´s important to have a close relationship with the patient. It´s also important that she can sit down quietly with the patient and have an open discussion regarding the patient´s care and give room for eventual questions. Through knowledge and understanding she can hopefully reduce the negative effects of isolation that might occur.

  • 494.
    Westford, Marie
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Bjud på en kopp kaffe: .. En fallstudie ur klientperspektiv/ Let´s talk over a cup of coffee A case studie from a clientperspective2006Studentuppsats (Examensarbete)
    Abstract [sv]

    The purpose of this essay at bachelor level was to increase the understanding regarding the experiences of a client’s meetings with different public authorities. The method used was a case study viewed from a client’s perspective and based upon three qualitative interviews with one client. Theories were used to create order and to analys the empiric material. The interviewed person talked about feelings such as dishonour, unfair treatment and feeling powerless.

    The informant wanted to reclaim the power of her life, to have influence and self-determination. Being a client and turn to different authorities for help can lead to divergent.

  • 495.
    Wiberg, Sandra
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Upplevelse av arbetsglädje och känsla av sammanhang - en enkätstudie bland anställda på en högskola 2006Självständigt arbete på avancerad nivå (magisterexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Man spends most part of the day at work and is therefore influenced by it’s ambience. That’s why it’s important that the environment at work is health promoting and can function as a supportive environment. The purpose of this study was to describe job satisfaction among employees and to analyse a possible connection between job satisfaction and employees experiences of SOC. The approach in this study was quantitative and the method used was a questionnaire. The sample consisted of employees at a university in the south of Sweden. The response rate of the questionnaire was 65,5 % meaning that 133 individuals answered. The result revealed a significant difference between employees with low SOC and employees with high SOC according to experience of job satisfaction. Employees with a high SOC did in fact enjoy going to work daily in a higher rate then employees with low SOC. This study shows that there is a relation between job satisfaction and high SOC. A high SOC is an important factor because employees with high SOC experience more meaningfulness, development, excitement and they also experience more involvement in the job.

  • 496.
    Wiberg-Lind, Malin
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Larsson, Gunilla
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Att ha en förälder med cancer: En litteraturstudie om ungdomars reaktioner. / To have a parent with cancer: A literature review about adolescents reactions2009Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    För ungdomar som är mitt uppe i frigörelseprocessen från föräldrarna kan det vara en känslomässig balansgång när en förälder insjuknar i cancer. Det är viktigt att denna oro uppmärksammas och bekräftas för att inte ge långsiktiga negativa konsekvenser. Syftet med litteraturstudien var att belysa ungdomars reaktioner när en förälder har cancer. Studien genomfördes som en allmän litteraturstudie. Nio vetenskapliga studier inkluderades i resultatet. Fyra olika tema identifierades, familjens inverkan på ungdomars reaktioner, ångest och depressionssymtom, stressrelaterade symtom och motstridiga känslor och reaktioner. Det framkom att familjen hade en stor inverkan på ungdomars reaktioner. Ett gott känslomässig klimat och tillåtelse att uttrycka sina känslor minskade ångesten. Ungdomar som hade förmåga att separera känslorna kring föräldern med cancersjukdom och sitt vardagliga liv för övrigt visade sig ha lägre nivåer av ångest och stressymtom. Det visade sig att flickor till mödrar med cancer var de som visade upp fler reaktioner än vad pojkarna gjorde. Skolsköterskans uppgift kan vara att identifiera de ungdomar som är mest sårbara och behöver extra stöd då en förälder har cancer.

    Abstract in English:

    Adolescents in the process of teenage liberation from their parents can find themselves in an emotional balancing act if a parent falls ill to cancer. Therefore, it is important to acknowledge and recognize the potential negative consequences this will have for the adolescent in the long-term. The aim of this study was to highlight how adolescents react to a parent falling ill with cancer. The study was carried out using a general literature review of the results from nine scientific studies. Four different themes were identified: the family’s response to the youth’s reaction, anxiety and depression symptoms, stress related symptoms, and contradictory feelings and reactions. An environment with good emotional support and freedom to express one’s feelings reduced anxiety. Adolescents that had the ability to separate their emotional feelings about their parent’s cancer illness and their daily activities generally showed a lower level of anxiety and stress symptoms. The study showed that girls, with mothers that had fallen ill with cancer, exhibited more reactions than boys did. In cases where a adolescent’s parent falls ill with cancer, it is suggested that school nurses identify those adolescents that are most vulnerable and in need of extra support.

  • 497.
    Williamsson, Maria
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Holmer, Annelie
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Upplevelser i samband med en obotlig cancersjukdom: En litteraturstudie baserad på vetenskapliga artiklar samt självbiografier2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    BACKGROUND: One of the nurse’s areas of responsibility is to relieve suffering. Research has shown that nurses give an indication of an emotional load in the interaction with dying patients. This means that patients need of relieved suffering gets disregarded because of nurse’s fear of the unknown. Nurses can get an understanding through putting herself into the perspective of the patient, and through that she can reduce suffering. One way is to read autobiographies that describe experiences of diseases, which contributes to the nurse’s competence. AIM: The aim of the study was to illustrate people’s experiences of living with an incurable cancerdisease. METHOD: A qualitative literature review that was based on five phenomenological scientific articles and two autobiographies. Interpretation of the literature was based on Graneheim and Lundmans content analysis. RESULT: Two main categories for scientific articles and autobiographies developed into: "changes experiences in the relation to yourself", which included changes of identification and changes of the body and "changed experiences in the relation to others", which resulted in for example to be disregarded and to be a burden for others. CONCLUSION: The suffering can be identified and relieved if the nurses gets knowledge from patients own experiences of how to live with an incurable cancerdisease. Further research needs to be done in the topic of nursing dying patients, to acquire the knowledge needed to cope with the fear.

  • 498.
    Zeba, Cecilia
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Sedeki, Ismail
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Vilken information och instruktion om munhygien, kost, fluor och tobak med hänsyn till diagnos får patienter som behandlas av tandhygieniststuderande vid Högskolan Kristianstad?2005Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    ABSTRACT

    What kind of information and instructions with the consideration to diagnosis do patients, treated by the dental hygienist students at the University Kristianstad, get regarding oral hygiene, diet, flour and tobacco.

    The aim of this study was to examine what kind of information and instructions regarding oral hygiene, diet, flour and tobacco have patients treated by the dental hygienist students at the University Kristianstad, if they had the diagnosis caries or periodontitis. The study is based on a review of dental records of adult patients from twenty years on a supportive treatment program. In all 640 patients were enrolled at the clinic, 20050309. A selection of 100 patients treated at the clinic from 2000 was made. Fifty off the dental records should have the diagnosis caries and fifty the diagnosis periodontitis.

    Between 70-90 percent of the records had no data regarding information about caries, gingivitis or periodontitis. Furthermore, there between 8-68 percent of the records hade no data regarding information and instruction in oral hygiene, flour products or approximal dental aids. Nineteen patients used tobacco according to available data. In the records of 7 patients with the diagnosis caries and 3 patients with the diagnosis periodontitis, no data was available on tobacco use and its consequences. The conclusion for this study is that the records obtained by dental hygienist students are inadequate.

  • 499.
    Zenthio, Anna
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Svantesson, Madelaine
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Dagligt liv för personer med schizofreni - En litteraturstudie i omvårdnad2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Schizofreni är en psykisk sjukdom där personen har förändrade verklighetsuppfattningar såsom vanföreställningar, tankestörningar, förvirring och hallucinationer. Schizofreni kan ge svårigheter i exempelvis relationer och arbete. Genom att fokusera på att förstå händelser i personens dagliga liv får sjuksköterskan kunskap om problem och varför dessa uppstått. Sådan kunskap kan hjälpa sjuksköterskan att utforma omvårdnadsåtgärder som matchar personens behov. Syfte: Syftet med litteraturstudien var att belysa dagligt liv för personer med schizofreni och därmed öka sjuksköterskans kunskap om personens omvårdnadsbehov.

    Metod: En allmän litteraturstudie baserad på fem kvalitativa artiklar och 15 kvantitativa artiklar. Resultat: De faktorer som påverkade dagligt liv för personer med schizofreni var relationer, sysselsättning och hälsotillstånd.

    Slutsats: Litteraturstudien visar att personer med schizofreni har problem i sitt dagliga liv som kan åtgärdas med hjälp av meningsfulla aktiviteter, möjlighet till arbete, förbättrade sociala färdigheter och ökad motivation. Sjuksköterskan kan motivera och stödja personen att skaffa ett arbete eller annan meningsfull aktivitet för att stärka personens självförtroende och självständighet. Vidare forskning behövs om hur sjuksköterskan kan motivera en person med schizofreni till att börja arbeta och utföra dagliga aktiviteter i hemmet.

  • 500.
    Örn, Nina
    et al.
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Beijer, Emma
    Högskolan Kristianstad, Institutionen för hälsovetenskaper.
    Barns psykiska hälsotillstånd - efter flykt från krig och våld2008Självständigt arbete på grundnivå (kandidatexamen)Studentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: I dagsläget beräknas 20 miljoner människor vara på flykt världen över. År 2006 fick Sverige in 6320 ansökningar om uppehållstillstånd gällande barn. Flyktingbarn kan ha varit med om traumatiska händelser i hemlandet, såsom krig och våld vilket kan förändra deras psykiska hälsotillstånd. Syfte: Att belysa barns psykiska hälsotillstånd efter flykt från krig och våld. Metod: Studien genomfördes som en systematisk litteraturstudie med kvalitativ ansats. Resultat: Flyktingbarn mår psykiskt dåligt när de emigrerat, problem som visar sig är posttraumatiskt stressyndrom, depression, ångest, rädsla, sömnproblematik och psykosociala problem. Diskussion: Ju fler traumatiska upplevelser barnen varit med om desto sämre mår de psykiskt. Det är viktigt att sjuksköterskan har kunskap om flyktingbarnens bakgrund och deras psykiska hälsotillstånd för att kunna ge ett adekvat bemötande och god omvårdnad. En omvårdnadsteori sjuksköterskan kan arbeta utifrån är Madeleine Leiningers transkulturella omvårdnadsmodell som syftar till att försöka förstå en kultur inifrån och förstå kulturens egna sätt att uppfatta sjukdom.

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