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Widar, Marita
Publications (10 of 13) Show all publications
Varghese, J., Changoor, R. & Widar, M. (2010). Nurses' role in the comprehensive care of clients with brain tumour: a literature review. Indian Journal of Continuing Nursing Education, 11(1), 14-24
Open this publication in new window or tab >>Nurses' role in the comprehensive care of clients with brain tumour: a literature review
2010 (English)In: Indian Journal of Continuing Nursing Education, Vol. 11, no 1, p. 14-24Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Vellore, India: , 2010
Keywords
Brain tumour, Nursing, Role, Informal caregiver
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-12292 (URN)
Projects
-
Available from: 2010-10-21 Created: 2010-10-21 Last updated: 2017-10-17Bibliographically approved
Widar, M., Ahlström, G. & Ek, A.-C. (2009). Pain conditions after a stroke. Paper presented at Pain in Europe VI, 6th Congress of the European Federation of IASP Chapters (EFIC) Lisbon, Portugal, Sept 2009.
Open this publication in new window or tab >>Pain conditions after a stroke
2009 (English)Conference paper, Oral presentation with published abstract (Refereed)
Keywords
chronic pain, stroke
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-9011 (URN)
Conference
Pain in Europe VI, 6th Congress of the European Federation of IASP Chapters (EFIC) Lisbon, Portugal, Sept 2009
Note

Abstract, muntlig presentation

Available from: 2010-01-04 Created: 2010-01-04 Last updated: 2017-10-18Bibliographically approved
Stanley, A., Chacko, R. & Widar, M. (2008). Caregivers' perception of their problems and needs in palliative care settings: a literature review. Indian Journal of Continuing Nursing Education, 9(2), 19-29
Open this publication in new window or tab >>Caregivers' perception of their problems and needs in palliative care settings: a literature review
2008 (English)In: Indian Journal of Continuing Nursing Education, Vol. 9, no 2, p. 19-29Article in journal (Refereed) Published
Abstract [en]

Joint disease necessitates surgical interventions to relieve pain, improve stability and improve the function. Hip replacement is one of the most reliable operations in orthopaedic surgery and consistently decreases or eliminates the pain and stiffness, thereby improving quality of life. It is therefore essential for nurses to expand their understanding and ability to provide quality health care for these patients undergoing surgery. This article will sensitize the nurses to be basically prepared, update their knowledge and develop competence in providing quality care based on nursing care protocol.

Place, publisher, year, edition, pages
Vellore, India: , 2008
Keywords
palliative care, caregiver, nursing
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-6240 (URN)
Available from: 2009-04-14 Created: 2009-04-14 Last updated: 2017-10-18Bibliographically approved
Widar, M. (2007). Att leva med långvarig smärta efter stroke. In: Ulf Jakobsson (Ed.), Långvarig smärta (pp. 167-180). Lund: Studentlitteratur
Open this publication in new window or tab >>Att leva med långvarig smärta efter stroke
2007 (Swedish)In: Långvarig smärta / [ed] Ulf Jakobsson, Lund: Studentlitteratur , 2007, p. 167-180Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2007
Keywords
smärta, stroke
National Category
Nursing Social Sciences Interdisciplinary Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-4614 (URN)978-91-44-01974-1 (ISBN)
Available from: 2008-09-29 Created: 2008-09-29 Last updated: 2018-01-13Bibliographically approved
Widar, M., Ek, A.-C. & Ahlström, G. (2007). Caring and uncaring experiences as narrated by persons with long-term pain after a stroke. Scandinavian Journal of Caring Sciences, 21(1), 41-47
Open this publication in new window or tab >>Caring and uncaring experiences as narrated by persons with long-term pain after a stroke
2007 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 1, p. 41-47Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to describe how persons with long-term pain after a stroke experience their care. The study is part of a larger research project concerning a group persons suffering from long-term pain after a stroke. Qualitative interviews were performed with 43 persons suffering from central poststroke pain, nociceptive pain or tension-type headache after their stroke incident. Content congruence emerged among the narratives (n = 43), and therefore the most information-rich ones (n = 23) were selected for deeper investigation by means of qualitative content analysis. The results reveal the patients’ need for being respected, understood and supported, also for being given adequate time and information. Accessibility and continuity in the professional contacts and with regard to medical and physical treatment was emphasized. The participants’ narratives highlight the importance of the professionals having knowledge of pain and pain management.

Place, publisher, year, edition, pages
Oxford: Blackwell, 2007
Keywords
"caring", chronic pain", "stroke", "content analysis"
National Category
Nursing Social Sciences Interdisciplinary Nursing
Research subject
vårdvetenskap
Identifiers
urn:nbn:se:oru:diva-4613 (URN)10.1111/j.1471-6712.2007.00449.x (DOI)
Available from: 2008-09-29 Created: 2008-09-29 Last updated: 2018-01-13Bibliographically approved
Widar, M., Ek, A.-C. & Ahlström, G. (2007). Living with long-term pain after stroke. Paper presented at 8th Quadrennial Congress of European Assocaition of Neuroscience Nurses.
Open this publication in new window or tab >>Living with long-term pain after stroke
2007 (English)Conference paper, Oral presentation only (Other academic)
Abstract [en]

Objectives

The general aim of this thesis was to classify and describe long-term pain two years after a stroke and to describe the experiences of pain, and the consequences it has on the persons’ lives.

Material and methods

The studies comprised 43 persons, 13 women and 30 men, aged 33-82 years, with pain after stroke and no other major pain conditions and able to participate in an interview and independently answer questionnaires.

The studies were conducted from a multidimensional perspective on pain, combining quantitative and qualitative methods. Clinical examinations were somatic, neurological and Quantitative Sensory Testing (QST). The Pain-O-Meter, ADL staircase, Self-reported impairment, SF-36 and Hospital Anxiety and Depression Scale were used. Qualitative interviews were performed and analyzed with content analysis.

Results

Three types of pain were classified: Neuropathic (central post-stroke pain) (n=15), nociceptive/mainly shoulder pain (n=18) and tension-type headache (n=10). Pain onset, within one to six months in most of the cases was after discharge from the hospital. Continuous pain or pain almost every day was reported by nearly two-thirds. The pain was mostly described as troublesome, annoying and tiring in all groups. The rating of pain intensity revealed individual differences among the participants within the pain groups. In addition to long-term pain, the participants suffered several impairments and nearly half of them were dependent on others, and two-thirds on assistive devices. Several coping strategies were described, most often problem-focused. Their health-related quality of life was decreased, mostly related to their long-term pain and physical impairments. Their experiences of caring revealed the need of improvements in knowledge about long-term pain, attention and understanding among the professionals, and continuity in the contacts.

Conclusion

All professionals need knowledge about pain conditions after stroke. Pain assessment and classification, regular follow-up and documentation are required in order to prevent unnecessary suffering. Patients need attention, understanding and continuity in contacts with professionals. Further, information and education about pain and treatment/caring interventions are required in the case of both the sufferer and next of kin.

Keywords
long-term pain, stroke
National Category
Social Sciences Interdisciplinary Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-4616 (URN)
Conference
8th Quadrennial Congress of European Assocaition of Neuroscience Nurses
Available from: 2008-09-29 Created: 2008-09-29 Last updated: 2018-01-13Bibliographically approved
Widar, M. (2005). Omvårdnad vid stroke: state of the art. In: Omvårdnad vid stroke: state of the art (pp. 43-45). Stockholm: Gothia
Open this publication in new window or tab >>Omvårdnad vid stroke: state of the art
2005 (Swedish)In: Omvårdnad vid stroke: state of the art, Stockholm: Gothia , 2005, p. 43-45Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Stockholm: Gothia, 2005
Keywords
långvarig smärta, stroke, coping, livskvalitet, omvårdnad
National Category
Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-5233 (URN)91-7205-471-9 (ISBN)
Available from: 2009-01-31 Created: 2009-01-31 Last updated: 2017-10-18Bibliographically approved
Widar, M., Ek, A.-C. & Ahlström, G. (2004). Coping with long-term pain after a stroke. Journal of Pain and Symptom Management, 27(3), 215-225
Open this publication in new window or tab >>Coping with long-term pain after a stroke
2004 (English)In: Journal of Pain and Symptom Management, ISSN 0885-3924, Vol. 27, no 3, p. 215-225Article in journal (Refereed) Published
Abstract [en]

The aim of this qualitative study was to describe pain, coping strategies, and experienced outcome of coping with long-term pain conditions after a stroke. Forty-three participants were interviewed: 15 with central post-stroke pain (CPSP), 18 with nociceptive pain, and 10 with tension-type headache. Analysis of the data was by content analysis. Pain-related problems described were incomprehensibility regarding the pain, disturbed sleep, fatigue, diminished capacity, mood changes, and stress in relationships. Different coping strategies were used; the most common were making the pain comprehensible, planning of activities, taking medications, communicating, and distractions. Changing body position, making comparison, and enduring the pain were common in central or nociceptive pain, rest and relaxation in tension-type headache. Communicating their pain gave a feeling of perplexity and resignation. Satisfaction was reported in the cases of consideration shown by others. Pain after a stroke requires specialized knowledge in order to understand the patient's experiences and to enhance coping.

Keywords
långvarig smärta, stroke, coping
National Category
Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-5228 (URN)10.1016/j.jpainsymman.2003.07.006 (DOI)
Available from: 2009-01-31 Created: 2009-01-31 Last updated: 2017-10-18Bibliographically approved
Widar, M., Ahlström, G. & Ek, A.-C. (2004). Health-related quality of life in persons with long-term pain after a stroke. Journal of Clinical Nursing, 13(4), 497-505
Open this publication in new window or tab >>Health-related quality of life in persons with long-term pain after a stroke
2004 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, no 4, p. 497-505Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

No study has, to our knowledge, previously been published on health-related quality of life (HRQoL) in a group suffering from long-term pain after a stroke.

AIM:

The aim of the present study was to describe HRQoL in persons with long-term pain after a stroke, and to compare this with different types of pain conditions, age, gender and household status.

DESIGN:

This study has a design combining qualitative and quantitative methods.

METHODS:

Forty three participants suffering from long-term pain after a stroke were included. A qualitative interview was performed and then analysed by means of latent content analysis. In addition, two self-report questionnaires, SF-36 and the Hospital Anxiety and Depression Scale (HAD Scale), were used.

RESULTS:

The qualitative data revealed that physical and cognitive functioning, economic security and good relationships, support and having the ability to be together with family and friends were important factors with regard to experienced HRQoL. No significant differences were found in SF-36 and the HAD Scale with regard to the different types of pain. The older age group had decreased physical functioning in SF-36. The men had more decreased vitality than the women.

CONCLUSION:

The results show, that the participants in this study have a lower HRQoL due to their long-term pain than those in previous studies on stroke survivors. It is evident that further research is needed with longitudinal studies and larger populations to gain more knowledge and thereby provide better supportive care.

RELEVANCE TO CLINICAL PRACTICE:

Awareness and understanding of the patients' perceptions and transitions with regard to their life situation and suffering from long-term pain after a stroke is important in order to support a maintained or increased HRQoL. This is also important after the acute stage and rehabilitation, including quality of life of the relatives, especially to older and dependent persons.

Keywords
långvarig smärta, stroke, hälsorelaterad livskvalitet, livskvalitet
National Category
Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-5227 (URN)10.1046/j.1365-2702.2003.00815.x (DOI)
Available from: 2009-01-31 Created: 2009-01-31 Last updated: 2017-12-14Bibliographically approved
Widar, M. & Ahlström, G. (2002). Disability after a stroke and the influence of long-term pain on everyday life. Scandinavian Journal of Caring Sciences, 16(3), 302-310
Open this publication in new window or tab >>Disability after a stroke and the influence of long-term pain on everyday life
2002 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 16, no 3, p. 302-310Article in journal (Refereed) Published
Abstract [en]

Pain after a stroke is a symptom often forgotten, unnoticed although it is reported to be a great problem in care. The aim of this study was to describe disability after a stroke and how long-term pain influences everyday life according to the Multidimensional Pain Inventory - Swedish language version (MPI-S) and to test the reliability of this instrument. Forty-three persons were investigated 2 years after the stroke incident: 15 with central post-stroke pain (CPSP), 18 with nociceptive pain mainly in the shoulder and 10 with tension-type headache. Data collection was performed through the MPI-S and a questionnaire regarding assistive devices, also structured interviews based on the Activities of Daily Living (ADL) staircase and the Self-report impairment questionnaire. The results show that the persons suffered moderate to severe pain. Almost half were dependent in ADL. The most often reported impairments and use of assistive devices concerned mobility and/or motion. This was most frequent in persons with nociceptive pain. There were significant differences in persons with central pain and nociceptive pain compared with tension-type headache with regard to mobility- and/or motion-related activities. No statistical differences emerged between age, gender, different types of pain and the MPI-S scales, nor any significant differences in degree of pain as between different types of pain according to the Self-report impairment questionnaire. The reliability analysis of the MPI-S shows good homogeneity in all scales except Interference, Life Control and Affective Distress. This is the first study with MPI-S on mainly older persons and on stroke patients, thus further research is needed on this instrument as well as on which specific activities evoke the pain. This is in order to offer adequate treatment, care and support to persons with pain after a stroke.

Keywords
långvarig smärta, stroke, disability, funktionsnedssättning, dagligt liv, ADL
National Category
Nursing Social Sciences Interdisciplinary
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-5229 (URN)10.1046/j.1471-6712.2002.00090.x (DOI)
Available from: 2009-01-31 Created: 2009-01-31 Last updated: 2018-01-13Bibliographically approved
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