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Måltidsrelaterade situationer och näringstillstånd ur patienters med kroniskt obstruktiv lungsjukdom och sjuksköterskors perspektiv
Örebro University, Department of Health Sciences.ORCID iD: 0000-0002-1991-1555
2006 (Swedish)Licentiate thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Örebro: Örebro universitet , 2006. , 68 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 3
Keyword [en]
COPD, nursing, nutritional status, nutritional assessment, experience, interview, diary, vignette technique, meal-related situation
National Category
Nursing
Research subject
Nursing Science
Identifiers
URN: urn:nbn:se:oru:diva-36124Libris ID: 10148974OAI: oai:DiVA.org:oru-36124DiVA: diva2:740725
Presentation
2005-03-31, Hörsal Musikhögskolan Örebro universitet, Fakultetsgatan 1, Örebro, 11:30 (Swedish)
Opponent
Supervisors
Available from: 2014-08-26 Created: 2014-08-26 Last updated: 2017-10-17Bibliographically approved
List of papers
1. Living with chronic obstructive pulmonary disease: Part I. Struggling with meal-related situations: experiences among persons with COPD
Open this publication in new window or tab >>Living with chronic obstructive pulmonary disease: Part I. Struggling with meal-related situations: experiences among persons with COPD
2005 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 19, no 3, 230-239 p.Article in journal (Refereed) Published
Abstract [en]

Reduced nutritional intake with low and decreased body weight can be a component of normal ageing. There is, however, also a greater risk for reduced nutritional intake within certain diagnoses, especially for chronic diseases. Malnutrition in chronic obstructive pulmonary disease (COPD) is caused by many factors. The relationship between COPD and low values of body mass index (BMI) is a known independent risk for mortality. For optimal support and care with special focus on nutritional status and interventions, caregivers need more knowledge about the meal-related situations (i.e. shopping for food, cooking and eating) of COPD patients. The aim of this study was to describe experiences of meal-related situations as viewed from the individual's perspective. The sample included eight women and five men with COPD recruited from five primary health clinics. The participants' average age was 68.9 years, with values of forced expiratory volume in 1 second (FEV(1) percentage) ranging from 18 to 69 and BMI values from 15 to 40. A descriptive design with qualitative interviews and self-reported diaries were used and the data were later analysed using content analysis. Findings showed consistency between informants' COPD, nutritional status and descriptions of experiences in meal-related situations. Findings were disease-specific but were also found to be general- and age-related. Respondents described physical influences and positive and negative feelings in their meal-related situations. Feelings of dependence, level of activity, transport of food, having company or being alone, appetite, hunger and need of time were also mentioned. Most research reports reduced nutritional status from a medical perspective. To our knowledge, no study has reported the positive and negative feelings that arise when eating in persons with COPD. Malnutrition for persons with COPD is not only caused by eating difficulties: eating is an integral part of social situations as shown in this study.

National Category
Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-2900 (URN)16101851 (PubMedID)
Available from: 2008-02-12 Created: 2008-02-12 Last updated: 2017-10-18Bibliographically approved
2. Living with chronic obstructive pulmonary disease (COPD): Part II. RNs' experience of nursing care for patients with COPD and impaired nutritional status
Open this publication in new window or tab >>Living with chronic obstructive pulmonary disease (COPD): Part II. RNs' experience of nursing care for patients with COPD and impaired nutritional status
2007 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 1, 56-63 p.Article in journal (Refereed) Published
Abstract [en]

This study is the second part of a project with the main purpose of obtaining a deeper understanding of the consequences of living with chronic obstructive pulmonary disease (COPD) concerning meal-related situations and an impaired nutritional status. COPD is a slowly progressive lung disease that results in several complications, including malnutrition. Nutritional status is an important part of COPD treatment, and there are criteria recommended for nutritional assessment and interventions among patients with COPD. Despite this, patients with extreme malnutrition and unnoticed weight loss are reported. The aim of the study was to investigate how Registered Nurses (RNs) in primary care describe nutritional assessment practices and interventions in COPD patients with impaired nutritional status. An interview approach using semistructured questions and case vignettes was chosen. The sample included 19 RNs working specifically with COPD patients. Data from interviews were analysed using qualitative content analysis, and nine categories corresponding to the aim were identified. The RNs reported that their assessment of nutritional status was based largely on intuition. Assessment also included detection of the patients' current beliefs and being sensible about information provision - When and How. Interventions were supportive eating interventions, practical and cognitive participation, and making patients aware of the illness trajectory. An overall category that influenced nursing was respecting patients' feelings of shame and guilt about a self-inflicted disease. It seems that RNs use intuition because of a lack of knowledge of systematic methods of nutritional assessment. The findings also indicate that the RNs attempted to build a relationship of trust with the patients rather than provide early information on sensitive topics (e.g. nutritional information). The study reports areas of nursing care for COPD patients that must be improved in the future

Place, publisher, year, edition, pages
Oxford: Blackwell, 2007
National Category
Social Sciences Interdisciplinary Nursing
Research subject
Caring Sciences w. Medical Focus
Identifiers
urn:nbn:se:oru:diva-2901 (URN)10.1111/j.1471-6712.2007.00441.x (DOI)17428215 (PubMedID)
Available from: 2008-02-12 Created: 2008-02-12 Last updated: 2017-10-18Bibliographically approved

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