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Eriksson, Mats, ProfessorORCID iD iconorcid.org/0000-0002-5996-2584
Publikasjoner (10 av 147) Visa alla publikasjoner
Eriksson, M. & Campbell-Yeo, M. (2019). Assessment of pain in newborn infants. Seminars in Fetal & Neonatal Medicine, 24(4), Article ID UNSP 101003.
Åpne denne publikasjonen i ny fane eller vindu >>Assessment of pain in newborn infants
2019 (engelsk)Inngår i: Seminars in Fetal & Neonatal Medicine, ISSN 1744-165X, E-ISSN 1878-0946, Vol. 24, nr 4, artikkel-id UNSP 101003Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Hospitalized newborn infants experience pain that can have negative short- and long-term consequences and thus should be prevented and treated. National and international guidelines state that adequate pain management requires valid pain assessment. Nociceptive signals cause a cascade of physical and behavioral reactions that alone or in combination can be observed and used to assess the presence and intensity of pain.

Units that are caring for newborn infants must adopt sufficient pain assessment tools to cover the gestational ages and pain types that occurs in their setting. Pain assessment should be performed on a regular basis and any detection of pain should be acted on. Future research should focus on developing and validating pain assessment tools for specific situations.

sted, utgiver, år, opplag, sider
Saunders Elsevier, 2019
Emneord
Infant, Newborn, Pain, Pain Measurement
HSV kategori
Forskningsprogram
Omvårdnadsforskning med medicinsk inriktning
Identifikatorer
urn:nbn:se:oru:diva-73582 (URN)10.1016/j.siny.2019.04.003 (DOI)000485212200006 ()2-s2.0-85064155906 (Scopus ID)
Tilgjengelig fra: 2019-04-08 Laget: 2019-04-08 Sist oppdatert: 2019-11-12bibliografisk kontrollert
Stenninger, E., Blomberg, K., Eriksson, M. & Brorson, L.-O. (2019). Epilepsi: 50 års uppföljning. In: : . Paper presented at Barnveckan 2019, Örebro, Sweden, 1-4 April, 2019.
Åpne denne publikasjonen i ny fane eller vindu >>Epilepsi: 50 års uppföljning
2019 (svensk)Konferansepaper, Oral presentation only (Annet vitenskapelig)
Emneord
Epilepsi, Uppföljning
HSV kategori
Forskningsprogram
Omvårdnadsforskning med medicinsk inriktning
Identifikatorer
urn:nbn:se:oru:diva-73486 (URN)
Konferanse
Barnveckan 2019, Örebro, Sweden, 1-4 April, 2019
Tilgjengelig fra: 2019-04-03 Laget: 2019-04-03 Sist oppdatert: 2019-04-09bibliografisk kontrollert
Flacking, R., Breili, C. & Eriksson, M. (2019). Facilities for presence and provision of support to parents and significant others in neonatal units. Acta Paediatrica, 108(12), 2186-2191
Åpne denne publikasjonen i ny fane eller vindu >>Facilities for presence and provision of support to parents and significant others in neonatal units
2019 (engelsk)Inngår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 108, nr 12, s. 2186-2191Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Aim: To describe parental facilities for staying in neonatal units, visiting policies, and access to emotional support during hospitalization.

Methods: A cross‐sectional design was used in which a survey was presented to all neonatal units in Sweden; 34 out of 38 units participated (89%).

Results: The findings showed that in 50% of the units, parents could stay 24/7 for the infant's entire hospital stay. In 32% of the units, siblings could stay the night with their parents. Units had policies on restrictions for visits by siblings (80%), grandparents (59%), friends and relatives (71%). All units offered counselling to parents, and some units offered peer‐to‐peer groups (24%), diaries (35%), relaxation techniques (6%) or internet parental forums (6%). All units enabled parents to be at home with their infant and to visit the unit for check‐ups (35%) or to have staff visits at home (65%).

Conclusion: Facilities for parents to stay with their infant during hospitalization and to have significant others visit are good, but there is room for improvement. During the transitional phase to being at home, parents are facilitated in being at home before the infant is discharged and are supported by the unit, which must be considered beneficial for parents.

sted, utgiver, år, opplag, sider
Wiley-Blackwell Publishing Inc., 2019
Emneord
emotion, neonatal care, parents, professional support, social support
HSV kategori
Forskningsprogram
Pediatrik; Omvårdnadsvetenskap
Identifikatorer
urn:nbn:se:oru:diva-75424 (URN)c (DOI)000484771100001 ()31350769 (PubMedID)
Tilgjengelig fra: 2019-07-29 Laget: 2019-07-29 Sist oppdatert: 2019-12-11bibliografisk kontrollert
Brorson, L.-O., Eriksson, M., Blomberg, K. & Stenninger, E. (2019). Fifty years' follow-up of childhood epilepsy: Medical outcome, morbidity, and medication. Epilepsia, 60(3), 381-392
Åpne denne publikasjonen i ny fane eller vindu >>Fifty years' follow-up of childhood epilepsy: Medical outcome, morbidity, and medication
2019 (engelsk)Inngår i: Epilepsia, ISSN 0013-9580, E-ISSN 1528-1167, Vol. 60, nr 3, s. 381-392Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objective: To describe the long‐term prognosis of childhood epilepsy, with special emphasis on seizure remission, relapse, medication, associated neurologic impairment, mortality rate, and cause of death.

Methods: A prospective longitudinal study on a population‐based total cohort of 195 children with epileptic seizures in 1962‐1964. Data were collected from medical records and a questionnaire.

Results: Follow‐up data from 94% of the initial cohort showed the best long‐term prognosis for seizure freedom for children with no intellectual or neurologic impairment. These children had later seizure onset, shorter total duration of epilepsy, and were more often medication free. Only a few of them had isolated relapses. Generalized, rather than focal, epilepsy was associated with fewer relapses and less ongoing medication. The “true incidence” group, with onsets during the inclusion period of 1962‐1964, had the best long‐term prognosis for seizure freedom, with 90% seizure‐free after 50 years. Although only 10% of this group had ongoing seizures at follow‐up, 22% still used anticonvulsive medication, often with old drugs, that is, phenobarbital or phenytoin, as one of the anticonvulsive drugs. The standardized mortality ratio (SMR) was 2.61 for the whole group, with no difference between those with or without other neurodeficits. Those who died young either had neurologic impairment or died from epilepsy‐related conditions; later deaths often followed non–epilepsy‐related conditions. No one in the incidence group died of SUDEP (sudden unexpected death in epilepsy).

Significance: This 50‐year, long‐term follow‐up of a cohort of persons with childhood epilepsy in general demonstrates a better outcome for seizure freedom compared to our follow‐up after 12 years and to previous reports. We also report a low incidence of seizure relapses. Remission of seizures does not automatically lead to termination of medication. The mortality rate associated with SUDEP was lower than previously reported.

sted, utgiver, år, opplag, sider
Wiley-Blackwell, 2019
Emneord
cause of death, long-term follow-up, medication, mortality, relapse, seizures
HSV kategori
Forskningsprogram
Medicin; Omvårdnadsforskning med medicinsk inriktning
Identifikatorer
urn:nbn:se:oru:diva-71610 (URN)10.1111/epi.14643 (DOI)000460315700004 ()30663037 (PubMedID)2-s2.0-85060353799 (Scopus ID)
Merknad

Funding Agencies:

OÖrebro University Faculty of Medicine and Health  

Research Committee at Region Örebro County  

Föreningen Margaretahemmet, Sweden 

Tilgjengelig fra: 2019-01-21 Laget: 2019-01-21 Sist oppdatert: 2019-06-18bibliografisk kontrollert
Blomberg, K., Brorson, L.-O., Stenninger, E. & Eriksson, M. (2019). Fifty-year follow-up of childhood epilepsy: Social, psychometric, and occupational outcome. Epilepsy & Behavior, 96, 224-228
Åpne denne publikasjonen i ny fane eller vindu >>Fifty-year follow-up of childhood epilepsy: Social, psychometric, and occupational outcome
2019 (engelsk)Inngår i: Epilepsy & Behavior, ISSN 1525-5050, E-ISSN 1525-5069, Vol. 96, s. 224-228Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: The objective of this study was to explore and describe the experience of a childhood diagnosis of epilepsy and its consequences for the experiences of daily life over a span of 50 years.

METHODS: A descriptive mixed method design was chosen. Data were collected through a survey returned by 86 persons (59% response rate) who had received diagnoses of epilepsy as children. The survey contained questions about education, vocation, family status, and included the 14-item Hospital Anxiety and Depression Scale (HAD). Additionally, interviews (n = 11) were conducted and analyzed by interpretative description.

RESULTS: Few persons reported that the childhood diagnosis of epilepsy had affected their choice of education, work, or leisure activities. However, 20% reported that the diagnosis had caused problems in school or at work and had restricted their activities of daily living. Sixty-six percent of the participants were married, and 68% had children; of those, 12 (20%) reported that one or more of the children had also had seizures. Almost all reported no anxiety (82%) and no depression (90%). The results of the interviews revealed a balancing act between 'Controlling and managing the situation' and 'Not being restricted by the condition'.

SIGNIFICANCE: This long-term follow-up over a 50-year life-span of persons who received childhood diagnoses of epilepsy suggests that the consequences for education, work, and leisure activities were few. Most of the participants had developed strategies to manage their situation.

sted, utgiver, år, opplag, sider
Elsevier, 2019
Emneord
Life-situation, Long-term follow-up, Seizures, Epilepsy, Child, Life-span
HSV kategori
Forskningsprogram
Omvårdnadsvetenskap
Identifikatorer
urn:nbn:se:oru:diva-74623 (URN)10.1016/j.yebeh.2019.01.034 (DOI)000472472900033 ()31176891 (PubMedID)2-s2.0-85066789610 (Scopus ID)
Merknad

Funding Agencies:

Faculty of Medicine and Health, Örebro University  

Föreningen Margaretahemmet, Sweden 

Tilgjengelig fra: 2019-06-07 Laget: 2019-06-07 Sist oppdatert: 2019-08-09bibliografisk kontrollert
Dahlberg, K., Jaensson, M., Eriksson, M., Nilsson, U. & Odencrants, S. (2019). Holding it together – patients’ perspectives on postoperative recovery when using an e-assessed follow-up. In: : . Paper presented at 5th International Conference for PeriAnaesthesia Nurses (ICPAN 2019), Cancun, Mexico, November 5-8, 2019.
Åpne denne publikasjonen i ny fane eller vindu >>Holding it together – patients’ perspectives on postoperative recovery when using an e-assessed follow-up
Vise andre…
2019 (engelsk)Konferansepaper, Oral presentation with published abstract (Fagfellevurdert)
Abstract [en]

Background: Today the majority of surgeries are performed as day surgery. After surgery patients are responsible for their own recovery and self-care is a central part of postoperative recovery after day surgery.

Aim: To explore patients’ experience of postoperative recovery after day surgery when using a mobile phone application (app) for follow-up.

Design: Qualitative interview study with a descriptive and explorative design.

Settings: Four day surgery units in different parts of Sweden.

Participants: Eighteen participants who had undergone day surgery, ≥18 years of age and used a mobile app for follow-up on postoperative recovery after day surgery. Participants were purposively selected.

Methods: Interviews were individual and semi-structured. Thematic analysis as described by Braun and Clarke (2006) was used to analyze the data.

Findings: From the data two themes and six subthemes emerged: 1) Give it all you´ve got, with the subthemes Believing in own capacity, Being prepared and Taking action, 2) The importance of feeling safe and sound, with the subthemes Feeling safe and reassured, Not being acknowledged and Not being left alone. The first theme, Give it all you´ve got, describes how participants themselves act and contribute to improve their recovery. The second theme, The importance of feeling safe and sound, describes the importance of support from next of kind and health care during patients postoperative recovery.

Conclusions: Recovery after day surgery is a complex process, in which the patients need to prepare for and manage their recovery. This study highlights the importance of own preparation as crucial for a smooth recovery. Also, to have an easy way to get in contact with health care after day surgery, such as using digital follow up, may be a counteract for feeling left alone after surgery.

Implications for perianaesthesia nurses and future research

In perianesthesia nursing it is important to acknowledge patients need for support during postoperative recovery. It is also important to support patients in their preparation for surgery since this preparation has an impact on how the postoperative recovery is experienced. Further studies should explore how perianesthesia nurses can support patients to improve the pre-recovery phase in order to optimize postoperative recovery.

HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-77936 (URN)
Konferanse
5th International Conference for PeriAnaesthesia Nurses (ICPAN 2019), Cancun, Mexico, November 5-8, 2019
Tilgjengelig fra: 2019-11-18 Laget: 2019-11-18 Sist oppdatert: 2019-11-18bibliografisk kontrollert
Ullsten, A., Volgsten, U., Klässbo, M. & Eriksson, M. (2019). Live lullaby singing during painful procedures in preterm and term infants. In: : . Paper presented at 12th International Symposium on Pediatric Pain (ISPP 2019), Basel, Switzerland, June 16-20, 2019.
Åpne denne publikasjonen i ny fane eller vindu >>Live lullaby singing during painful procedures in preterm and term infants
2019 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
Abstract [en]

Introduction: Infant-directed singing is a medium for parents and infants to communicate in a mutual relationship. Infant-directed singing is a multisensory biopsychosocial communication that also applies to ill and vulnerable hospitalised infants. The first Nordic implementation process of family-centred neonatal music therapy started in Sweden at the Central Hospital in Karlstad by the first author in March 2010 (Fig. 1). Live lullaby singing during painful procedures is the first clinical trial to measure the pain-relieving effects of live lullaby singing during venepuncture in preterm and term neonates.

Method: 38 infants were subjected to venepuncture with and without live lullaby singing, in a randomised order with a cross over design. Parent-preferred lullabies were performed live by a music therapy student and standard care (facilitated tucking and oral glucose) was provided for all infants. Behavioural and physiological pain responses were assessed. The data from the RCT was analysed with qualitative and quantitative methods.

Results: During the lullaby procedures the physiological patterns were more stable and regular. Lullaby singing significantly calmed the infants’ respiration before venepuncture (Fig. 2). There were nonsignificant indications of fewer and shorter skin punctures with lullaby singing. The behavioural pain responses did not show any significant differences between the live lullaby singing and standard care procedures, however, nor did they indicate that live lullaby singing was harmful or stressful.

Conclusion: Live singing with infants is a biopsychosocial communicative interaction. A music therapist specialised in family-centred neonatal music therapy methods can mentor parents how to use live lullaby singing in connection to painful procedures. More research is needed to explore the potential benefits of family-centred music therapy as procedural support including the voice of the parents.

Emneord
Pain management, premature infants, music therapy, infant directed singing, lullaby
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-74654 (URN)
Konferanse
12th International Symposium on Pediatric Pain (ISPP 2019), Basel, Switzerland, June 16-20, 2019
Tilgjengelig fra: 2019-06-11 Laget: 2019-06-11 Sist oppdatert: 2019-06-12bibliografisk kontrollert
Eriksson, M. & Norman, E. (2019). Modernt tänk i neonatal smärtbehandling. In: : . Paper presented at Svenskt smärtforum, Malmö, Sweden, October 17-18, 2019.
Åpne denne publikasjonen i ny fane eller vindu >>Modernt tänk i neonatal smärtbehandling
2019 (svensk)Konferansepaper, Oral presentation only (Annet vitenskapelig)
Emneord
Nyfödda barn, underburna barn, smärta
HSV kategori
Forskningsprogram
Omvårdnadsforskning med medicinsk inriktning; Pediatrik; Anestesiologi
Identifikatorer
urn:nbn:se:oru:diva-77427 (URN)
Konferanse
Svenskt smärtforum, Malmö, Sweden, October 17-18, 2019
Tilgjengelig fra: 2019-10-17 Laget: 2019-10-17 Sist oppdatert: 2019-10-22bibliografisk kontrollert
Pettersson, M., Olsson, E., Ohlin, A. & Eriksson, M. (2019). Neurophysiological and behavioural measures of pain during neonatal hip examination. In: : . Paper presented at 12th International Symposium on Pediatric Pain (ISPP), Basel Switzerland, June 16-20, 2019.
Åpne denne publikasjonen i ny fane eller vindu >>Neurophysiological and behavioural measures of pain during neonatal hip examination
2019 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
Abstract [en]

Introduction and Purpose: In Sweden, all newborns are examined before discharge from the maternity ward to rule out innate abnormalities. Parts of this procedure, such as the hip examination, appear to cause pain and discomfort. Pain in newborns can have both short- and long-term negative consequences and preventing and treating this pain is therefore an important part of medical care. There are several ways to recognize and assess pain in newborn infants. Scales such as the Premature Infant Pain Profile-Revised (PIPP-R) are recommended, but recently physiological and neurophysiological measures, e.g. Near-in-frared spectroscopy (NIRS) and Galvanic Skin Response (GSR) have been suggested as superior pain measuring methods. The aim of the study was to test the hypothesis that neonatal hip examination causes pain in newborns.

Methods: The infant was placed on an examination table and a video camera was placed so the face of the newborn was filmed. A pulse oximeter probe, NIRS optodes and GSR electrodes were attached to the infant. Heart auscultation was chosen to be used as a non-painful comparative to hip examination.

Results: The results showed higher pain scoring for the hip examination than for the heart auscultation. NIRS, showed a significant difference in HbO2 on both sides of cortex (p=0,011 and p=0,017). Mean PIPP-R went from 3.0 during the heart auscultation to 8.1 during the hip examination (p=0.000). GSR analyses showed significant increase in area under small peaks during the hip examination (p=0.016), however not when measured in peaks per second (p=0.104). The interrater reliability for NIRS interpretations had an ICC-range of 0,93-1,0 (p<0,001). 

Conclusion: We conclude that neonatal hip examinations are painful and that the pain should be treated, e.g. with oral sweet solution.

Emneord
Pain, newborn infant, hip examination
HSV kategori
Identifikatorer
urn:nbn:se:oru:diva-74655 (URN)
Konferanse
12th International Symposium on Pediatric Pain (ISPP), Basel Switzerland, June 16-20, 2019
Tilgjengelig fra: 2019-06-11 Laget: 2019-06-11 Sist oppdatert: 2019-07-03bibliografisk kontrollert
Eriksson, M., Pettersson, M., Olsson, E. & Ohlin, A. (2019). Neurophysiological and behavioural measures of pain during neonatal hip examination. In: : . Paper presented at Svenskt smärtforum, Malmö, Sweden, October 17-18, 2019.
Åpne denne publikasjonen i ny fane eller vindu >>Neurophysiological and behavioural measures of pain during neonatal hip examination
2019 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
Abstract [en]

Background: In Sweden, all newborns are examined before discharge from the maternity ward to rule out innate abnormalities. Parts of this procedure, such as the hip examination, appear to cause pain and discomfort. Pain in newborns can have both short- and long-term negative consequences and preventing and treating pain is therefore an important part of medical care. There are several ways to recognize and assess pain in newborn infants. Scales such as the Premature Infant Pain Profile-Revised (PIPP-R) are recommended, but recently physiological and neurophysiological measures, e.g. Near-infrared spectroscopy (NIRS) and Galvanic Skin Response (GSR) have been suggested to have pain-assessing properties.

Aim: The aim of the study was to test the hypothesis that neonatal hip examination causes pain in newborns. 

Method: The infant was placed on an examination table and a video camera was placed so the face of the newborn was filmed. A pulse oximeter probe, NIRS optodes and GSR electrodes were attached to the infant. Heart auscultation was chosen to be used as a non-painful comparative to hip examination.

Results: The results showed higher pain scoring for the hip examination than for the heart auscultation. NIRS, showed a significant difference in HbO2 on both sides of cortex. Mean PIPP-R went from 3.0 during the heart auscultation to 8.1 during the hip examination. GSR analyses showed significant increase in area under small peaks during the hip examination. 

Conclusion: We conclude that neonatal hip examinations are painful and that the pain should be treated, e.g. with oral sweet solution. 

Emneord
Pain, newborn infants, hip examination
HSV kategori
Forskningsprogram
Omvårdnadsforskning med medicinsk inriktning
Identifikatorer
urn:nbn:se:oru:diva-77277 (URN)
Konferanse
Svenskt smärtforum, Malmö, Sweden, October 17-18, 2019
Tilgjengelig fra: 2019-10-14 Laget: 2019-10-14 Sist oppdatert: 2019-10-21bibliografisk kontrollert
Organisasjoner
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0002-5996-2584