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  • 1.
    Aahlin, Eirik K
    et al.
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    von Meyenfeldt, Maarten
    Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands; NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, Maastricht, The Netherlands.
    Dejong, Cornelius Hc
    Department of Surgery, University Hospital Maastricht, Maastricht, The Netherlands; NUTRIM School for Nutrition, Toxicology and Metabolism, Maastricht University, Maastricht, The Netherlands.
    Ljungqvist, Olle
    Örebro universitet, Institutionen för läkarutbildning. Department of Surgery, Örebro University Hospital, Örebro; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
    Fearon, Kenneth C
    Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK .
    Lobo, Dileep N
    Division of Gastrointestinal Surgery, Nottingham Digestive Diseases Centre, National Institute for Health Research, Biomedical Research Unit, Nottingham University Hospitals, Queen's Medical Centre, Nottingham, UK .
    Demartines, Nicolas
    Hospital of Lausanne (CHUV), Lausanne, Switzerland .
    Revhaug, Arthur
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    Wigmore, Stephen J
    Clinical Surgery, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK .
    Lassen, Kristoffer
    Department of GI and HPB Surgery, University Hospital Northern Norway, Breivika, Tromsø, Norway; Institute of Clinical Medicine, University of Tromsø, Tromsø, Norway .
    Functional recovery is considered the most important target: a survey of dedicated professionals2014Ingår i: Perioperative medicine, ISSN 2047-0525, Vol. 3, artikel-id 3:5Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The aim of this study was to survey the relative importance of postoperative recovery targets and perioperative care items, as perceived by a large group of international dedicated professionals.

    Methods: A questionnaire with eight postoperative recovery targets and 13 perioperative care items was mailed to participants of the first international Enhanced Recovery After Surgery (ERAS) congress and to authors of papers with a clear relevance to ERAS in abdominal surgery. The responders were divided into categories according to profession and region.

    Results: The recovery targets 'To be completely free of nausea', 'To be independently mobile' and 'To be able to eat and drink as soon as possible' received the highest score irrespective of the responder's profession or region of origin. Equally, the care items 'Optimizing fluid balance', 'Preoperative counselling' and 'Promoting early and scheduled mobilisation' received the highest score across all groups.

    Conclusions: Functional recovery, as in tolerance of food without nausea and regained mobility, was considered the most important target of recovery. There was a consistent uniformity in the way international dedicated professionals scored the relative importance of recovery targets and care items. The relative rating of the perioperative care items was not dependent on the strength of evidence supporting the items.

  • 2.
    Aass, Lisbeth Kjelsrud
    et al.
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Moen, Øyfrid Larsen
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Skundberg-Kletthagen, Hege
    Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway.
    Lundqvist, Lars-Olov
    Örebro universitet, Institutionen för hälsovetenskaper. University Health Care Research Center.
    Schröder, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Health Sciences, Faculty of Medicine and Health Sciences (MH), Norwegian University of Science and Technology (NTNU), Gjøvik, Norway; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
    Family support and quality of community mental health care: Perspectives from families living with mental illness2022Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 31, nr 7-8, s. 935-948Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim and objectives: Describe patients' and family members' perceptions of family support from nurses and other mental healthcare professionals, and quality of care in community mental healthcare service. Further, compare the perceptions of patients and family members.

    Background: While patients value family involvement, family members feel unprepared and lack the necessary skills to be supportive. Since healthcare professionals predominantly focus on patients, they may fail to understand the complex needs of families. Family perceived support and quality of community mental health care may vary across patients and family members.

    Design and methods: Cross-sectional study with patients suffering from mental illness and family members in community mental healthcare services in Norway. Altogether 86 participants, of whom 33 patients and 33 family members had a family relationship-paired samples. Participants filled in the translated version of the Iceland Family Perceived Support Questionnaire (FPSQ-N) and Quality in Psychiatric Care-Community Out-Patient (QPC-COP) and Community Out-Patient Next of Kin (QPC-COPNK). STROBE checklist was used.

    Results: Family members scored family perceived support and quality of community mental health care lower than patients. Family members feel the loss of support. Patient and family members found the Patient-healthcare professionals' relationship to be of high quality, while family members gave low score to being respected and invited to take part in care by nurses and other mental healthcare professionals.

    Conclusion: Family members' unmet need of support highlights the need for nurses and other community mental healthcare professionals to assess complex family needs and to intervene. Barriers to collaboration exist, and family members need to be respected and invited into community mental health care. Relevance to clinical practice Contributes knowledge of how to meet the family's needs and provides a basis for further care and treatment development in similar contexts nationally and internationally.

  • 3.
    Aass, Lisbeth Kjelsrud
    et al.
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Skundberg-Kletthagen, Hege
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Schröder, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Norwegian University of Science and Technology, Gjøvik, Norway; Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Sweden.
    Moen, Øyfrid Larsen
    Norwegian University of Science and Technology, Gjøvik, Norway.
    Young Adults and Their Families Living With Mental Illness: Evaluation of the Usefulness of Family-Centered Support Conversations in Community Mental Health care Settings2020Ingår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 26, nr 4, s. 302-314Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to evaluate the usefulness of Family-Centered Support Conversations (FCSC) offered in community mental health care in Norway to young adults and their families experiencing mental illness. The FCSC is a family nursing intervention based on the Calgary Family Assessment and Intervention Models and the Illness Beliefs Model and is focused on how family members can be supportive to each other, how to identify strengths and resources of the family, and how to share and reflect on the experiences of everyday life together while living with mental illness. Interviews were conducted with young adults and their family members in Norway who had received the FCSC intervention and were analyzed using phenomenography. Two descriptive categories were identified: "Facilitating the sharing of reflections about everyday life" and "Possibility of change in everyday life." The family nursing conversations about family structure and function in the context of mental illness allowed families to find new meanings and possibilities in everyday life. Health care professionals can play an important role in facilitating a safe environment for young adults and their families to talk openly about the experience of living with and managing mental illness.

  • 4.
    Abay, Selamawit
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Segerdahl, Anna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kommunikation mellan vårdpersonaloch patienter med afasi till följd av strokeEn litteraturstudie2019Självständigt arbete på grundnivå (högskoleexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    Kommunikation mellan vårdpersonal och patienter med afasi till följd av stroke En litteraturstudie
  • 5.
    Abdillahi Diriye, Aliya
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Eskilsson, Julia
    Örebro universitet, Institutionen för hälsovetenskaper.
    Anhörigas erfarenheter av att vårda närstående med Alzheimers sjukdomEn litteraturstudie2023Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [sv]

    Bakgrund: Alzheimers sjukdom är den vanligaste demenssjukdomen och är en av våra största folksjukdomar. Det är en degenerativ sjukdom som är svårbehandlad. Alzheimers sjuka är i behov av vård och assistans. Anhöriga försöker anpassa sig efter de nya omständigheterna och utmaningar som Alzheimers sjukdom medför.Syftet: Syftet var att beskriva anhörigas erfarenheter av att vårda närstående med Alzheimers sjukdom.Metod: En litteraturstudie med systematisk sökning och deskriptiv design utfördes. Artiklarna söktes fram i databaserna Cinahl, Medline och PsycInfo.Resultat: Anhöriga som var vårdgivare till en anhörig med Alzheimers sjukdom upplevde många påfrestningar. Det är ett stressigt arbete och att bli vårdgivare har förändrat deras liv. Diagnosen skapade även konflikter i relationer eftersom de behövde samarbeta. Vilket kön vårdgivaren har och vilken relation som personer har till vårdtagaren spelar roll i vårdprocessen.Slutsats: Anhöriga erfarenhet att vårda närstående med Alzheimers sjukdom påverkar deras liv mestadels negativt. Det är en svår utmaning för de anhöriga att ta på sig rollen som vårdgivare. Alzheimers sjukdom ökar i världen och det är viktigt att sjuksköterskor och andra professioner inom hälso-och sjukvård kan stödja de anhöriga som är vårdgivare och få en inblick i vad de går igenom.

    Ladda ner fulltext (pdf)
    Anhörigas erfarenheter av att vårda närstående med Alzheimers sjukdom En litteraturstudie
  • 6.
    Abdinasir, Ayaan
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Forsberg, Niklas
    Familjens upplevelser av att leva med en anhörig som har Multipel Skleros: En litteraturstudie2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 7.
    Abdirahman, Fatma
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Leijon, Emma
    Örebro universitet, Institutionen för hälsovetenskaper.
    Att vårda patienter som är suicidalaUr sjuksköterskans perspektiv2020Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    Att vårda patienter som är suicidala Ur sjuksköterskans perspektiv
  • 8.
    Abdow Hussein, Mona
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kasic, Meliha
    Örebro universitet, Institutionen för hälsovetenskaper.
    Omvårdnadsåtgärder som främjarhälsa hos patienter med hjärt-­ ochkärlsjukdom.2021Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    Omvårdnadsåtgärder som främjar hälsa hos patienter med hjärt-­ och kärlsjukdom.
  • 9.
    Abdullah, Ghariba
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Abdi Yusuf, Hayat
    Örebro universitet, Institutionen för hälsovetenskaper.
    Att hantera en Kronisk Sjukdom: En litteraturstudie om kvinnors coping-strategier vid endometrios.2022Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    Att hantera en Kronisk Sjukdom: En litteraturstudie om kvinnors coping-strategier vid endometrios.
  • 10.
    Abraha, Genet
    Örebro universitet, Hälsoakademin.
    Patienters upplevda livskvalitet efter en överviktsoperation: En litteraturstudie2011Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 11.
    Abrahamsson, Anna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Aldegren, Sandra
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kan musik pre- och intraoperativt lindra patientens postoperativa smärta? -en litteraturstudie2017Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    Kan musik pre- och intraoperativt lindra patientens postoperativa smärta? -en litteraturstudie
  • 12.
    Abrahamsson, Jenny
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Gustafsson, Madelene
    Örebro universitet, Institutionen för hälsovetenskaper.
    Smärtlindrande metoder vid nålrelaterade procedurer på barn –en litteraturstudie2018Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    fulltext
  • 13.
    Abrahamsson, Linda
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Redlund, Victoria
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskans upplevelse av treskiftarbete utifrån ett biopsykosocialt perspektiv. En intervjustudie2018Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    fulltext
  • 14.
    Abrahamsson, Ylva
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Aronowitsch, Lovisa
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskors användning av ultraljud vid insättning av perifer venkateter - patientens upplevelser och påverkan på vården2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    fulltext
  • 15.
    Adam, Linnea
    et al.
    Örebro universitet, Hälsoakademin.
    Saied, Morsal
    Familjefokuserad omvårdnad: Barn med kroniska sjukdomar2011Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
  • 16.
    Adler, Madeleine
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hugosson, Elin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Att vårda både barn och vuxna på en gemensam akutmottagning: - En fenomenografisk studie 2016Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Ladda ner fulltext (pdf)
    fulltext
  • 17.
    Adolfsson, Annsofie
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    A conceptual model of miscarriage for use in clinical practice and research2010Konferensbidrag (Refereegranskat)
  • 18. Adolfsson, Annsofie
    A description of a Swedish midwifery work environment in an assistance project in West africa]1992Ingår i: Jordemodern, ISSN 0021-7468, Vol. 105, nr 1-2, s. 20-23Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
  • 19. Adolfsson, Annsofie
    Applying Heidegger's interpretive phenomenology to women's miscarriage experience2010Ingår i: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 3, s. 75-79Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Much has been written about measuring the feelings and impressions of women regarding their experience of miscarriage. According to the existential philosopher Heidegger life experiences such as the experience of a woman having a miscarriage can be interpreted and explained only in the context of the totality of the women's experiences in the past, the present, and the future. Thirteen in-depth interviews with women about their experiences of miscarriage were interpreted with respect to Heidegger's "Being and Time". By using his interpretive phenomenology the essence of the miscarriage experience was explored and defined. The women's feelings and impressions were influenced by past experiences of miscarriage, pregnancy, and births. Present conditions in the women's lives contributing to the experience include their relationships, working situation, and living conditions. Each woman's future prospects and hopes have been structurally altered with regard to their aspirations for their terminated pregnancy. The impact of miscarriage in a woman's life was found to be more important than caregiver providers and society have previously attributed to in terms of scale. The results of the interviews reveal that the women believed that only women who had experienced their own miscarriages were able to fully understand this complex womanly experience and its effects on the woman who had miscarried.

    Ladda ner fulltext (pdf)
    fulltext
  • 20. Adolfsson, Annsofie
    Barnmorskans avancerade kliniska omvårdnad vid gynekologisk öppenvårdsmottagning2011Ingår i: Avancerad klinisk sjuksköterska: avancerad klinisk omvårdnad i teori och praxis / [ed] Lisbeth Fagerström, Lund: Studentlitteratur AB, 2011, 1, s. 355-376Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 21.
    Adolfsson, Annsofie
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Confronting the inevitable: a conceptual model of miscarriage for use in clinical practice and research2010Ingår i: , 2010Konferensbidrag (Refereegranskat)
  • 22.
    Adolfsson, Annsofie
    School of Life Sciences, University of Skövde, Skövde, Sweden; Department of Obstetrics and Gynecology, Skaraborg Hospital, Skövde, Sweden.
    Meta-analysis to obtain a scale of psychological reaction after perinatal loss: focus on miscarriage2011Ingår i: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 4, s. 29-39Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Pregnancy has different meanings to different women depending upon their circumstances. A number of qualitative studies have described the experience of miscarriage by women who had desired to carry their pregnancy to full term. The aim of this meta-analysis was to identify a scale of psychological reaction to miscarriage. Meta-analysis is a quantitative approach for reviewing articles from scientific journals through statistical analysis of findings from individual studies. In this review, a meta-analytic method was used to identify and analyze psychological reactions in women who have suffered a miscarriage. Different reactions to stress associated with the period following miscarriage were identified. The depression reaction had the highest average, weighted, unbiased estimate of effect (d(+) = 0.99) and was frequently associated with the experience of perinatal loss. Psychiatric morbidity was found after miscarriage in 27% of cases by a diagnostic interview ten days after miscarriage. The grief reaction had a medium d(+) of 0.56 in the studies included. However, grief after miscarriage differed from other types of grief after perinatal loss because the parents had no focus for their grief. The guilt is greater after miscarriage than after other types of perinatal loss. Measurement of the stress reaction and anxiety reaction seems to be difficult in the included studies, as evidenced by a low d(+) (0.17 and 0.16, respectively). It has been recommended that grief after perinatal loss be measured by an adapted instrument called the Perinatal Grief Scale Short Version.

    Ladda ner fulltext (pdf)
    fulltext
  • 23. Adolfsson, Annsofie
    Miscarriage: women’s experience and its cumulative incidence2006Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Many women experience miscarriage every year. Every fourth woman who has given birth reports that she has previous experience of miscarriage. In a study of all women in the Swedish Medical Birth Register 1983-2003, we found that the number of cases of self reported miscarriage had increased in Sweden during this 21 year period. This increase can be explained by the introduction of sensitive pregnancy tests around 1990, as well as an increase in the mean age of the mothers, by approximately 3 years, during the observation period. The risk of miscarriage is 13% with the first child. With subsequent pregnancies, the risk of miscarriage is 8%, 6% and 4% with the second, third and fourth child, respectively.

    Thirteen of these women who had suffered a recent miscarriage were interviewed four months later, and their feelings of guilt and emptiness were explored. Their experience was that they wanted their questions to be answered, and that they wanted others to treat them as the mothers to be that they felt themselves to be. They also experienced the need for time to grieve their loss.

    Measurement of grief by means of the Perinatal Grief Scale (PGS) is used in research but has also been proposed for clinical use. We have translated this psychological instrument to Swedish, back-translated and tested it in a small pilot study. In a randomized controlled study, women with early miscarriage were allocated, either to a structured visit (study group) or a regular visit (control group) to a midwife. The structured visit was conducted according to the Swanson caring theory. We could conclude that the structured visit had no significant effect on grief compared to the regular visit, as measured using the PGS. However, women with the sub-diagnosis missed abortion have significantly more grief four months after early miscarriage, regardless of visit type.

    We also performed a content analysis of the tape-recorded structured follow-up visit. The code-key used was Bonanno and Kaltman’s general grief categorization. Women’s expression of grief after miscarriage was found to be very similar to the grief experienced following the death of a relative. Furthermore, the grief was found to be independent of number of children, women’s age, or earlier experience of miscarriage.

    Conclusions: Every fourth woman who gives birth reports that she has also experienced early miscarriage. The experience of these women is that they have suffered a substantial loss and their reaction is grief similar to that experienced following the death of a relative.

    Delarbeten
    1. Cumulative incidence of previous spontaneous abortion in Sweden in 1983-2003: a register study
    Öppna denna publikation i ny flik eller fönster >>Cumulative incidence of previous spontaneous abortion in Sweden in 1983-2003: a register study
    2006 (Engelska)Ingår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 85, nr 6, s. 741-747Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    AIM: The aim of this study is to find out how common miscarriages are among women who have delivered a child. METHODS: The numbers of deliveries and miscarriages were extracted from the Swedish Medical Birth Register between 1983 and 2003. Linear regression was performed in order to investigate whether the increasing mean age of mothers or differences in pregnancy identification methods could explain the increased frequency of miscarriage. RESULTS: The reported number of miscarriages increased each year during the 21-year period, with a marked increase between 1991 and 1993 and only a slight increase during the final 10 years. For primiparous women, the frequency of reported miscarriages per delivery increased from 8.6% in 1983 to 13.9% in 2003. The corresponding figures for 2-parous women showed an increase from 14.5% to 21.3% respectively. Women aged 30-34 years had an odds ratio of 1.43 (95% CI 1.40-1.45) to suffer spontaneous abortion compared to the age group 25-29 years. Linear regression showed that an increase in mean age at delivery could only partly explain the increase in the frequency of reported miscarriages. A possible explanation could be differences in methods of identifying early pregnancy. CONCLUSION: Of all women who deliver a child, nearly 20% have experienced previous miscarriage. The increased mean age of women could only explain a small portion of the seen increase in miscarriage. The marked increase from 1991 to 1993 is interesting. Possible reasons for the increase are discussed.

    Nyckelord
    Abortion, Spontaneous/*epidemiology
    Nationell ämneskategori
    Medicin och hälsovetenskap
    Forskningsämne
    Medicin
    Identifikatorer
    urn:nbn:se:oru:diva-27333 (URN)10.1080/00016340600627022 (DOI)000238188100017 ()16752269 (PubMedID)2-s2.0-33745700356 (Scopus ID)
    Tillgänglig från: 2013-02-05 Skapad: 2013-02-05 Senast uppdaterad: 2023-12-08Bibliografiskt granskad
    2. Guilt and emptiness: women's experiences of miscarriage
    Öppna denna publikation i ny flik eller fönster >>Guilt and emptiness: women's experiences of miscarriage
    2004 (Engelska)Ingår i: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 25, nr 6, s. 543-560Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Women who lose an early pregnancy are shocked when they are first given the information that they have miscarried. Later they feel guilt and emptiness. Heideggerian interpretive phenomenology has been used with 13 women from southwest Sweden to uncover their lived experience of miscarriage. Women plan their future with a child during early pregnancy. When miscarriage occurs it is not a gore, an embryo, or a fetus they lose, it is their child. They feel that they are the cause of the miscarriage through something they have done, eaten, or thought. They feel abandonment and they grieve for their profound loss; they are actually in bereavement.

    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Vårdvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-25616 (URN)10.1080/07399330490444821 (DOI)15354621 (PubMedID)2-s2.0-3042592129 (Scopus ID)
    Tillgänglig från: 2012-08-30 Skapad: 2012-08-30 Senast uppdaterad: 2023-12-08Bibliografiskt granskad
    3. Translation of the short version of the Perinatal Grief Scale into Swedish
    Öppna denna publikation i ny flik eller fönster >>Translation of the short version of the Perinatal Grief Scale into Swedish
    2006 (Engelska)Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, nr 3, s. 269-273Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    INTRODUCTION: Women's emotions and grief after miscarriage are influenced not only by the context in which the miscarriage occurred but also by their past experience, the circumstances around the miscarriage and their future prospects. Their emotions therefore express a specific form of grief. Normally the time needed to work through the loss varies. A number of different scales, measuring women's emotions and grief after miscarriage have been published. One instrument that measures the specific grief, such as the grief after miscarriage is the Perinatal Grief Scale (PGS) that was designed to measure grief after perinatal loss and has good reliability and validity.

    AIMS: The purpose of this study was to translate the PGS into Swedish and to use the translation in a small pilot study.

    MATERIAL AND METHOD: The original short version of the PGS was first translated from English into Swedish and then back-translated into English, using different translators. During translation and back-translation, not only the linguistic and grammatical aspects were considered but also cultural differences. The Likert 5-point and a 10-point scale were tested in a pilot study where 12 volunteers anonymously answered the PGS twice. The intra-personal correlations were compared and analysed with weighted kappa-coefficient.

    FINDINGS: In all, five different versions were tested before the final Swedish version was established. The weighted kappa-coefficient for the volunteers was 0.58, which is regarded as representing good reproducibility.

    CONCLUSION: The PGS was translated successfully into Swedish and could be used in a Swedish population. As this work is rather time-consuming we therefore wish to publish the Swedish version so that it may be used by other researchers.

    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Vårdvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-25613 (URN)10.1111/j.1471-6712.2006.00404.x (DOI)000239865900005 ()16922980 (PubMedID)2-s2.0-33747620299 (Scopus ID)
    Tillgänglig från: 2012-08-30 Skapad: 2012-08-30 Senast uppdaterad: 2023-12-08Bibliografiskt granskad
    4. Effect of a structured follow-up visit to a midwife on women with early miscarriage: a randomized study
    Öppna denna publikation i ny flik eller fönster >>Effect of a structured follow-up visit to a midwife on women with early miscarriage: a randomized study
    2006 (Engelska)Ingår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 85, nr 3, s. 330-335Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Background: Women's grief after miscarriage is substantial and important. Women who experience early miscarriage do not constitute a homogenous group. The aim of this study is to measure whether a structured follow-up visit to a midwife (group 1) at 21-28 days after early miscarriage could reduce the women's grief, measured using the perinatal grief scale Swedish short version (PGS) after a further 3 months (i.e. 4 months after the miscarriage), compared to a regular follow-up visit to a midwife (group 2).

    Methods: We performed an open randomized study of women who experienced early miscarriage (n = 88). The midwife's attitude in group 1 came from Swanson science theory of midwifery. In group 2, the women were offered only the ordinary type of consultation at a regular visit. A questionnaire with the PGS was used in both groups. Four months after the miscarriage, a second questionnaire with the same perinatal grief scale was sent by post.

    Results: There was a 30% greater reduction in grief in group 1 than that in group 2, when comparing the first and second measurements (not significant). The biggest differences were in the subscales active grief and difficulty in coping. Women with the subdiagnosis missed abortions had, as a group, significantly higher PGS scores at both visits, especially in active grief and difficulty in coping, regardless of the type of follow-up visit.

    Conclusions: A structured follow-up visit did not, in comparison with a regular follow-up visit, imply any significant reduction in grief as measured using the PGS scale. However, the subgroup missed abortion had more extensive grief than the other women with miscarriage. Structured follow-up visits are not imperative for all women with early miscarriage.

    Ort, förlag, år, upplaga, sidor
    Oslo, Norway: Taylor & Francis, 2006
    Nyckelord
    Early miscarriage, grief, midwife, support, treatment
    Nationell ämneskategori
    Reproduktionsmedicin och gynekologi Omvårdnad
    Forskningsämne
    Omvårdnadsvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-25614 (URN)10.1080/00016340500539376 (DOI)000236110500012 ()16553182 (PubMedID)2-s2.0-33645461138 (Scopus ID)
    Tillgänglig från: 2012-08-30 Skapad: 2012-08-30 Senast uppdaterad: 2023-12-08Bibliografiskt granskad
    5. Applicability of general grief theory to Swedish women's experience after early miscarriage, with factor analysis of Bonanno's taxonomy, using the Perinatal Grief Scale
    Öppna denna publikation i ny flik eller fönster >>Applicability of general grief theory to Swedish women's experience after early miscarriage, with factor analysis of Bonanno's taxonomy, using the Perinatal Grief Scale
    2010 (Engelska)Ingår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 115, nr 3, s. 201-209Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    BACKGROUND: Grief is a normal phenomenon but showing great variation depending on cultural and personal features. Bonanno and Kaltman have nonetheless proposed five aspects of normal grief. The aim of this study was to investigate if women with miscarriage experience normal grief.

    MATERIAL AND METHODS: Content analyses of 25 transcribed conversations with women 4 weeks after their early miscarriages were classified depending on the meaning-bearing units according to Bonanno and Kaltman's categories. In the factor analyses, these categories were compared with the Perinatal Grief Scale and women's age, number of children and number of miscarriages, and gestational weeks.

    RESULTS: Women with miscarriage fulfill the criteria for having normal grief according to Bonanno and Kaltman. All of the 25 women had meaning-bearing units that were classified as cognitive disorganization, dysphoria, and health deficits, whereas disrupted social and occupational functioning and positive aspects of bereavement were represented in 22 of 25 women. From the factor analysis, there are no differences in the expression of the intensity of the grief, irrespective of whether or not the women were primiparous, younger, or had suffered a first miscarriage.

    CONCLUSION: Women's experience of grief after miscarriage is similar to general grief after death. After her loss, the woman must have the possibility of expressing and working through her grief before she can finish her pregnancy emotionally. The care-giver must facilitate this process and accept that the intensity of the grief is not dependent on the woman's age, or her number of earlier miscarriages.

    Nationell ämneskategori
    Reproduktionsmedicin och gynekologi Omvårdnad
    Forskningsämne
    Vårdvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-25610 (URN)10.3109/03009731003739851 (DOI)000281013000008 ()20636255 (PubMedID)2-s2.0-77954841916 (Scopus ID)
    Anmärkning

    Per-Göran Larsson is also affiliated toDepartment of Obstetrics and Gynecology, Skaraborgs sjukhus, Kärnsjukhuset Skövde, Skövde, SwedenandDivision of Women and Child Health, Department of Clinical and Experimental Medicine, Faculty of Health and Sciences, Linköping University, Linköping, Sweden

    Tillgänglig från: 2012-08-30 Skapad: 2012-08-30 Senast uppdaterad: 2023-12-08Bibliografiskt granskad
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  • 24.
    Adolfsson, Annsofie
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Missfall2006Ingår i: , 2006Konferensbidrag (Övrigt vetenskapligt)
  • 25. Adolfsson, Annsofie
    Women's well-being improves after missed miscarriage with more active support and application of Swanson's caring theory2011Ingår i: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 4, s. 1-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    PURPOSE: The purpose of this study was to provide better organization and more efficient use of resources within the health care system in order to identify women with nonviable pregnancy earlier in their gestation terms and also to identify those women who experience severe grief reaction after the miscarriage. The proposed solution is to offer an appointment with a gynecologist during regular office hours after consultation with the patient's midwife to women experiencing symptoms and who are concerned with the viability of their pregnancy. Unnecessary contact with the emergency room by the patients would be reduced as a result of this improvement in organization. The aim of the study was to give the women experiencing missed miscarriage an increased sense of well-being by applying Swanson's Caring Theory to their recovery, in addition to the better organization and more efficient use of resources.

    METHOD: Both the original study from 2002 to 2003 and the later study from 2004 to 2005 applied Swanson's Caring Theory in the follow-up care management of the women, but only the later study was influenced by the changes made in the health care system. In the past, diagnosis of missed miscarriage was delayed because women experiencing minor symptoms were not highly prioritized in the health care system. More active support was introduced in order to get the proper information to the patient throughout the health care system. The size of the original study database was n = 43, compared with the later study database, which was n = 56. All of the women answered the Perinatal Grief Scale (PGS) questions twice, 1 month and 4 months after their diagnosis. Some additional questions about their circumstances unrelated to the PGS were also mailed to the women 4 months after their diagnosis.

    RESULTS: As a result of the more active support, women felt that they received professional care when they needed it most. The patients were satisfied that they were treated as if they were suffering from normal grief. The group score above the limits for deep grief 4 months after diagnosis was significantly lowered. The chances of receiving their diagnosis at an appointment during office hours increased (odds ratio 3.38). Sick leave time of more than a week was reduced from 44% in the original study to 22% in the later study.

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  • 26.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Heidegger’s interpretive phenomenology given the understanding that experience from the past affecting the present and the future in women who had miscarried2005Ingår i: , 2005Konferensbidrag (Refereegranskat)
  • 27.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Jönköping, Sweden.
    Sorgen vid missfall, kvalitativ innehållsanalys av strukturerat samtal med barnmorska2005Konferensbidrag (Refereegranskat)
  • 28.
    Adolfsson, Annsofie
    et al.
    Department of Obstetrics and Gynecology, Central Hospital, Skövde, Sweden; Department of Molecular and Clinical Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Berterö, Carina
    Division of Nursing Science, Department of Medicine and Care, Faculty of Health Science, Linköping University, Linköping, Sweden.
    Larsson, Per-Göran
    Department of Obstetrics and Gynecology, Central Hospital, Skövde, Sweden; Department of Molecular and Clinical Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
    Effect of a structured follow-up visit to a midwife on women with early miscarriage: a randomized study2006Ingår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 85, nr 3, s. 330-335Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Women's grief after miscarriage is substantial and important. Women who experience early miscarriage do not constitute a homogenous group. The aim of this study is to measure whether a structured follow-up visit to a midwife (group 1) at 21-28 days after early miscarriage could reduce the women's grief, measured using the perinatal grief scale Swedish short version (PGS) after a further 3 months (i.e. 4 months after the miscarriage), compared to a regular follow-up visit to a midwife (group 2).

    Methods: We performed an open randomized study of women who experienced early miscarriage (n = 88). The midwife's attitude in group 1 came from Swanson science theory of midwifery. In group 2, the women were offered only the ordinary type of consultation at a regular visit. A questionnaire with the PGS was used in both groups. Four months after the miscarriage, a second questionnaire with the same perinatal grief scale was sent by post.

    Results: There was a 30% greater reduction in grief in group 1 than that in group 2, when comparing the first and second measurements (not significant). The biggest differences were in the subscales active grief and difficulty in coping. Women with the subdiagnosis missed abortions had, as a group, significantly higher PGS scores at both visits, especially in active grief and difficulty in coping, regardless of the type of follow-up visit.

    Conclusions: A structured follow-up visit did not, in comparison with a regular follow-up visit, imply any significant reduction in grief as measured using the PGS scale. However, the subgroup missed abortion had more extensive grief than the other women with miscarriage. Structured follow-up visits are not imperative for all women with early miscarriage.

  • 29.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgssjukhus Skövde, Sweden.
    Effekten av strukturerat återbesök till barnmorska för kvinnor med tidiga missfall: en randomiserad studie2004Ingår i: , 2004Konferensbidrag (Refereegranskat)
  • 30.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgssjukhus Skövde, Sweden.
    Missfall, cumulativ incidence och kvinnors upplevelser2005Konferensbidrag (Refereegranskat)
  • 31.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgs sjukhus, Skövde, Sweden.
    The effect of structured second visit to midwifes in women with early miscarriage: a randomized study2004Konferensbidrag (Refereegranskat)
  • 32.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Larsson, Per-Göran
    Skaraborgs sjukhus Skövde, Sweden.
    The effect of structured second visit to midwifes in women with early miscarriage: a randomized study2005Konferensbidrag (Refereegranskat)
  • 33.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Finnerup Andresen, Janne
    Örebro Läns Landsting, Örebro, Sweden.
    Brattström Edgren, Kristin
    Örebro Läns Landsting, Örebro, Sweden.
    Why obese women feel better about their "big" condition when they are pregnant: a qualitative study performed in Sweden2013Ingår i: Open Journal of Obstetrics and Gynecology, ISSN 2160-8792, E-ISSN 2160-8806, Vol. 3, s. 544-552Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Overweight and obesity as measured by the body mass index (BMI) is an increasing problem worldwide according to the World Health Organization (WHO) [1]. Women having a body mass index greater than or equal to30 kg/m2 are considered to be obese and they run a greater risk of complications when they are pregnant. Complications such as high blood pressure, gestational diabetes, risk of intrauterine fetal death and slower delivery when giving birth to the baby are risks that can affect the well being of the woman and the child. According to the study on the women, the midwife’s most important role when meeting with the pregnant obese woman is to inform them about potential risks during pregnancy. The midwife must withhold judgment. For many women living with obesity means that they are not seen as the person they actually are. Obese women feel that they do not conform to the societal ideal of an attractive woman because of their size and because of other people’s prejudices regarding their obesity. When an obese woman becomes pregnant they may feel more comfortable with their standing in society because there is a happy explanation for the size of their abdomen. They experience that they are happy and proud about their stomach and this gives them a sense of relief and belonging.

  • 34.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Granevik, Karin
    Primärvården Skaraborg, Skövde, Sverige.
    Paulsson, Kerstin
    Primärvården Skaraborg, Skövde, Sverige.
    The reasons why women do not participate in the papsmear screening and testing program in Sweden2012Ingår i: Advances in Sexual Medicine, ISSN 2164-5191, Vol. 2, s. 31-37Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Cervical cancer is the second most common type of cancer among women worldwide. In Sweden cervical cancer is the fifteenth most common cancer among women and accounts for 1.9 percent of all female cancers. The Swedish Pap smear screening program is enabling early detection of cell changes in order that treatment may be administered to pre- vent the development of cancerous cells. There are approximately four hundred and fifty cases of cervical cancer de-tected each year in Sweden and of these cases, approximately seventy five percent occur in women who do not partici-pate in the screening and testing program. The purpose of this study was to illustrate and examine the reasons why women did not participate in the program even though they had received a notice that they had an appointment for a Pap smear test. In the study fourteen women from a district in the west of Sweden were interviewed. In order to analyse the interviews a qualitative content analysis according to Lundman and Graneheim was used. The analysis resulted in the development of three categories which were identified as communication, treatment and subterfuge (reasons or excuses for not participating). The theme of the study was the professional treatment of the women’s conditions. In the inter-views the women emphasize the importance of professional treatment that is administered with respectful and sympa-thetic care throughout the whole healthcare system regardless of where and when the visit was conducted. Efficient or-ganization and clear communication would minimize the inconvenience for the women during their visit.

  • 35.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. University College of Southeast Norway, Tonsberg, Norway.
    Hagander, Anna
    University College, Skövde, Sweden.
    Mahjoubipour, Farzane
    University College, Skövde, Sweden.
    Larsson, Per-Göran
    Department of Obstetrics and Gynaecology, Skaraborg Hospital, Skövde, Sweden; University of Linköping, Linköping, Sweden.
    How Vaginal Infections Impact Women's Everyday Life: Women's Lived Experiences of Bacterial Vaginosis and Recurrent Vulvovaginal Candidiasis2017Ingår i: Advances in Sexual Medicine, ISSN 2164-5191, Vol. 7, nr 1, s. 1-19Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Reoccurring symptoms and persistent problems that continue post treatment can becharacteristic of the vaginal infections Bacterial Vaginosis (BV) and recurrent vulvovaginalcandidiasis (RVVC). The purpose of this study was to describe women’s lifeexperiences in managing the symptoms of bacterial vaginosis and Candida. Sixteenwomen were recruited and participated in an interview study when they contacted aSwedish gynecology clinic with vaginal complaints that ranged from and includedabnormal discharge, irritation itching along with serious malodor. An interpretivephenomenological approach was used with an individual interview to get a more intimateunderstanding of the women experiencing these problems. The finding of thisstudy shows that managing the recurrent symptoms of the infections remains to be achallenge for women as it has a clearly negative impact on the quality of their lives.Four themes developed: frustration and mood disorders, intimacy changes in the relationship,exposure, hope and relief. The women had high hopes of eliminating thesymptoms within the six-month study period. The treatment program, with itswell-developed guidelines and continuity of care within the context of the studygreatly improved the quality of life of these women. Women had feelings of frustrationand anxiety when nothing could cure their problem while they had also a greathope to get rid of the symptoms with a long striking treatment. Well-developedguidelines and continuity of care can help these women to have an improved qualityof life.

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  • 36.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Hogström, Lars
    Department of Obstetrics and Gynecology, Central Hospital, Skövde, Sweden.
    Johansson, Marianne
    Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Janson, Per Olof
    Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Berg, Marie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Francis, Jynfiaf
    Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, Gothenburg, Sweden.
    Sogn, Jan
    Department of Obstetrics and Gynecology, Central Hospital, Uddevalla, Sweden.
    Hellström, Anna-Lena
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Livskvalitet bland par i Sverige efter adoption, efter IVF och efter spontan befruktning och förlossning2011Ingår i: Svenska barnmorskeförbundet 300 år. Stockholm Abstrakt bok, 2011Konferensbidrag (Refereegranskat)
  • 37.
    Adolfsson, Annsofie
    et al.
    School of Life Sciences, University of Skövde, Skövde, Sweden; Department of Obstetrics and Gynaecology, Skaraborg Hospital, Skövde, Sweden.
    Jansson, Malin
    School of Life Sciences, University of Skövde, Skövde, Sweden.
    Prototype for Internet support of pregnant women and mothers with type 1 diabetes: focus group testing2012Ingår i: Psychology Research and Behavior Management, E-ISSN 1179-1578, Vol. 5, s. 97-103Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The aim of this study was to pilot test a prototype website called MODIAB-web designed to support pregnant women and mothers with type 1 diabetes.

    METHOD: A focus group was undertaken and the results were analyzed using qualitative content analysis.

    RESULTS: Eight subthemes were identified, comprising "blood glucose versus insulin," "application for smart phones," "the time aspect," "interface and technology," "forum," "direct link to the diabetes midwife," "ask the expert," and "lack of contact information." These subthemes were condensed into two main themes. The first theme was "easily understood interface, but in need of a more blood-glucose focused orientation" and the second theme was "forum for interaction with both equals and experts."

    CONCLUSION: The women in this study had positive impressions of several of the MODIAB-web functions, including a forum for pregnant mothers with type 1 diabetes and the possibility of being able to put their blood glucose levels into a diagram which could be sent directly to the diabetes midwife. Access to articles and information via the "fact" tab and the ability to ask questions of experts were also significantly helpful to women in the focus group. Pregnant women and mothers with type 1 diabetes can gain support from such a Web-based self-help system.

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  • 38.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Johansson, Cecilia
    Nilsson, Emma
    Swedish women's emotional experience of the first trimester in a new pregnancy after one or more miscarriages: a qualitative interview study2012Ingår i: Advances in Sexual Medicine, ISSN 2164-5191, Vol. 2, nr 3, s. 38-45Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to evaluate how Swedish women describe their emotional state of being during the eighth week through the eleventh week after they have become pregnant again after suffering a previous miscarriage. Method: A qualitative content analysis with an inductive approach has been used to analyze fourteen interviews that served as the data base for this study. The content analysis resulted in the development of five categories which evolved into one primary theme. Findings: The five categories identified were Worry and preoccupation; Distance; managing their feelings; Mourning what is lost; Guarded happiness and expectations. These categories were compiled into a main theme, “Worry consumes a lot of energy, but on the other side lies happiness”. This theme focused on whether the women could feel any happiness about being pregnant again despite their concerns with the previous miscarriage. Conclusions: The emotional states of the women when they get pregnant again are typically characterized by anxiety, worry and concerns about their current pregnancy. The women have a tendency to distance themselves emotionally from their pregnancy but also strive to find the joy of being pregnant again. During the new pregnancy they find themselves in need of support from their family and friends as well as in need of support from the healthcare system.

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  • 39.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jordmorfag, Innen
    Fakultet for helsevitenskap, Institutt for sykepleievitenskap – Vestfold, University College of Southeast, Kongsberg, Norway.
    The EKC-Model Provides Empathy, Knowledge and Care for Women that Encounter Health issues During the Reproductive Life2016Ingår i: International Journal of Gynecology & Clinical Practices, ISSN 2394-4986, Vol. 3, artikel-id 121Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The EKC model (Empathy, Knowledge and Care) provides the necessary empathy, knowledge andcare for the women who encounter health issues during their reproductive life. This approach to caring requires that healthcare workers are knowledgeable in order to confirm that a patient has suffered a miscarriage or a IUFD (Intra-uterine fetus death). Through understanding and training in the EKC model the healthcare professional increases their ability to be sympathetic and empathetic to a patient’s needs. The workers get training in sexual and reproductive health in order to intimately understand how they affect the lives of individuals and their families.                                                                            l

    Sexual and reproductive health is a cross-sectional science that includes medicine, psychology, sociology and the caring sciences. Some of the more commonly experienced issues are in the areas of spontaneous abortion, miscarriages, invitrofertilization and adoption. Issues such as sexual abuse and violence towards women is another issue that is treatable with the EKC model. Pregnant women with diabetes type 1 fall under “maternity and diabetes” issues.

    Intimate knowledge about how the grieving process works is essential to be able to provide the necessary support to the patient. It is possible that the support will give them the courage and motivation to try and conceive again. One key aspect of the EKC model is to provide open and clear communication between the healthcare personnel and the patient, whether that communication is done face-to-face or otherwise. The structured EKC conversation provides a viable tool to help healthcare professionals assist their patients in coming to terms and resolving their loss.

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  • 40.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Kjellström, Barbara
    EKO-modellen: en personalhandbok om förlorad graviditet2014 (uppl. 1)Bok (Övrigt vetenskapligt)
  • 41.
    Adolfsson, Annsofie
    et al.
    School of Life Sciences, University of Skövde, Skövde, Sweden.
    Larsson, Per-Göran
    School of Life Sciences, University of Skövde, Skövde, Sweden.
    Applicability of general grief theory to Swedish women's experience after early miscarriage, with factor analysis of Bonanno's taxonomy, using the Perinatal Grief Scale2010Ingår i: Upsala Journal of Medical Sciences, ISSN 0300-9734, E-ISSN 2000-1967, Vol. 115, nr 3, s. 201-209Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Grief is a normal phenomenon but showing great variation depending on cultural and personal features. Bonanno and Kaltman have nonetheless proposed five aspects of normal grief. The aim of this study was to investigate if women with miscarriage experience normal grief.

    MATERIAL AND METHODS: Content analyses of 25 transcribed conversations with women 4 weeks after their early miscarriages were classified depending on the meaning-bearing units according to Bonanno and Kaltman's categories. In the factor analyses, these categories were compared with the Perinatal Grief Scale and women's age, number of children and number of miscarriages, and gestational weeks.

    RESULTS: Women with miscarriage fulfill the criteria for having normal grief according to Bonanno and Kaltman. All of the 25 women had meaning-bearing units that were classified as cognitive disorganization, dysphoria, and health deficits, whereas disrupted social and occupational functioning and positive aspects of bereavement were represented in 22 of 25 women. From the factor analysis, there are no differences in the expression of the intensity of the grief, irrespective of whether or not the women were primiparous, younger, or had suffered a first miscarriage.

    CONCLUSION: Women's experience of grief after miscarriage is similar to general grief after death. After her loss, the woman must have the possibility of expressing and working through her grief before she can finish her pregnancy emotionally. The care-giver must facilitate this process and accept that the intensity of the grief is not dependent on the woman's age, or her number of earlier miscarriages.

  • 42.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Larsson, Per-Göran
    Skaraborgs sjukhus, Skövde, Sweden.
    Kvinnors sorg efter missfall kan minska med ändrade vårdrutiner2006Konferensbidrag (Refereegranskat)
  • 43. Adolfsson, Annsofie
    et al.
    Larsson, Per-Göran
    Translation of the short version of the Perinatal Grief Scale into Swedish2006Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, nr 3, s. 269-273Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    INTRODUCTION: Women's emotions and grief after miscarriage are influenced not only by the context in which the miscarriage occurred but also by their past experience, the circumstances around the miscarriage and their future prospects. Their emotions therefore express a specific form of grief. Normally the time needed to work through the loss varies. A number of different scales, measuring women's emotions and grief after miscarriage have been published. One instrument that measures the specific grief, such as the grief after miscarriage is the Perinatal Grief Scale (PGS) that was designed to measure grief after perinatal loss and has good reliability and validity.

    AIMS: The purpose of this study was to translate the PGS into Swedish and to use the translation in a small pilot study.

    MATERIAL AND METHOD: The original short version of the PGS was first translated from English into Swedish and then back-translated into English, using different translators. During translation and back-translation, not only the linguistic and grammatical aspects were considered but also cultural differences. The Likert 5-point and a 10-point scale were tested in a pilot study where 12 volunteers anonymously answered the PGS twice. The intra-personal correlations were compared and analysed with weighted kappa-coefficient.

    FINDINGS: In all, five different versions were tested before the final Swedish version was established. The weighted kappa-coefficient for the volunteers was 0.58, which is regarded as representing good reproducibility.

    CONCLUSION: The PGS was translated successfully into Swedish and could be used in a Swedish population. As this work is rather time-consuming we therefore wish to publish the Swedish version so that it may be used by other researchers.

  • 44.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Larsson, Per-Göran
    Skaraborgssjukhus Skövde, Sweden.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sweden.
    Missfall: kvinnans upplevelser2004Ingår i: , 2004Konferensbidrag (Refereegranskat)
  • 45.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Larsson, Per-Göran
    Skaraborgs Sjukhus Skövde.
    Berterö, Carina
    Hälsohögskolan i Jönköping, Sverige.
    Swansons omvårdnadsteori tillämpad vid samtal med barnmorska efter tidiga missfall2005Ingår i: Konferens Reproduktiv Hälsa, Svenska Barnmorskeförbundet, 2005Konferensbidrag (Refereegranskat)
  • 46.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Larsson, Per-Göran
    Örebro universitet, Institutionen för läkarutbildning.
    Wijma, Barbro
    Institutionen för klinisk och experimentell medicin, Linköpings universitet.
    Berterö, Carina
    Department of Medical and Health Sciences, Linköpings universitet.
    Guilt and emptiness: women's experiences of miscarriage2004Ingår i: Health Care for Women International, ISSN 0739-9332, E-ISSN 1096-4665, Vol. 25, nr 6, s. 543-560Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Women who lose an early pregnancy are shocked when they are first given the information that they have miscarried. Later they feel guilt and emptiness. Heideggerian interpretive phenomenology has been used with 13 women from southwest Sweden to uncover their lived experience of miscarriage. Women plan their future with a child during early pregnancy. When miscarriage occurs it is not a gore, an embryo, or a fetus they lose, it is their child. They feel that they are the cause of the miscarriage through something they have done, eaten, or thought. They feel abandonment and they grieve for their profound loss; they are actually in bereavement.

  • 47.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Lindén, Karolina
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Sparud Lundin, Carina
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    Larsson, Per-Göran
    Department of Obstetrics and Gynecology, Skaraborg Hospital, Skövde, Sweden.
    Berg, Marie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
    A web-based support for pregnant women and new mothers with type 1 diabetes mellitus in Sweden (MODIAB-Web): study protocol for arandomized controlled trial2014Ingår i: Trials, E-ISSN 1745-6215, Vol. 15, s. 513-Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Background: Women with type 1 diabetes face particular demands in their lives in relation to childbearing. During pregnancy, in order to optimize the probability of giving birth to a healthy child, their blood glucose levels need to be as normal as possible. After childbirth, they experience a 'double stress': in addition to the ordinary challenges they face as new mothers, they also need to focus on getting their blood glucose levels normal. To improve self-management of diabetes and overall well-being in women with type 1 diabetes, a person-centered web-based support was designed to be tested in a randomized controlled trial (RCT) to be used during pregnancy and early motherhood. This protocol outlines the design of this RCT, which will evaluate the effectiveness of the specially designed web-based support for mothers with type 1 diabetes in Sweden.

    Methods: The study is designed as an RCT. The web support consists of three parts: 1) evidence-based information, 2) a self-care diary, and 3) communication with peers. The primary outcome is general well-being evaluated with the Well-Being Questionnaire short version (W-BQ12) and diabetes management evaluated with the Diabetes Empowerment Scale, short version (SWE-DES). Women attending six hospital-based antenatal care centers in Sweden are invited to participate. The inclusion period is November 2011 to late 2014. The allocation of participants to web support (intervention group) and to usual care (control group) is equal (1:1). In total, 68 participants in each group will be needed to reach a statistical power of 80% with significance level 0.05.

    Discussion: The web support is expected to strengthen the women's personal capacity and autonomy during pregnancy, breastfeeding, and early motherhood, leading to optimal well-being and diabetes management.

  • 48.
    Adolfsson, Annsofie
    et al.
    Örebro universitet, Institutionen för hälsovetenskap och medicin.
    Renström, Ragna
    Skaraborgssjukhus Skövde, sweden.
    Kvalitetshandbok, gynmottagningen, KSS1998Konferensbidrag (Övrigt vetenskapligt)
  • 49.
    Adolfsson, Annsofie
    et al.
    Department of Obstetrics and Gynecology, Central Hospital Skövde, Skövde, Sweden; School of Life Sciences, University of Skövde, Skövde, Sweden.
    Tullander-Tjörnstrand, Karin
    Department of Obstetrics and Gynecology, Central Hospital Skövde, Skövde, Sweden.
    Larsson, Per-Göran
    Department of Obstetrics and Gynecology, Central Hospital Skövde, Skövde, Sweden; School of Life Sciences, University of Skövde, Skövde, Sweden.
    Decreased need for emergency services after changing management for suspected miscarriage2011Ingår i: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 90, nr 8, s. 921-923Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    We investigated the effect of a changed routine to identify women with a nonviable pregnancy, in order to utilize health care resources more efficiently during office hours rather than relying on emergency care services. From hospital register data about where and when women with miscarriages were treated, there was a significant trend during a nine-year period for miscarriages to be more rarely diagnosed (p-value<0.001) in the emergency ward after office hours. The proportion of miscarriages that were diagnosed and handled at the emergency ward decreased from 31% in 2001 to 17% in 2009. Furthermore, the number of women showing up with bleeding at the emergency ward, but who also had a normal viable pregnancy, declined during the same period (p-value<0.01). Women with suspected miscarriage benefit from structured information and standardized management and can effectively be scheduled for day-time assessment including ultrasound with a concomitant reduced need for emergency services.

  • 50.
    Adolfsson, Christoffer
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Tomaszewski, Maciej
    Örebro universitet, Institutionen för hälsovetenskaper.
    Ambulanspersonalens erfarenheter av att utföra triage vid massolycksfall En deskriptiv litteraturstudie på systematisk grund2019Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
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