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  • 101.
    Al-Daghiree, Jehan
    Örebro universitet, Institutionen för hälsovetenskaper.
    Effekten av olika hypopné-kriterier med 4% och 3% desaturation på apné/hypopné index2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Syfte: Apné/hypopné index (AHI), antalet apnéer/hypopnéer per sömntimma, är den vanligaste parametern som används för att beskriva graden av sömnapné. Syftet med studien är att undersöka effekten av olika hypopnékriterier för AHI, med desaturationsnivå 3% eller 4% d.v.s. om det finns en signifikant skillnad i AHI vid användning av hypopnékriterier 3% jämfört med 4 %.

    Metod och material: Polygrafiska registreringar från 40 patienter analyserades retrospektivt. Hypopnéer definierades först som 30–90% minskning av luftflödet under >10 sekunder förknippat med 3% desaturation. Därefter definierades hypopnéer med 4% desaturation. Patentregistreringarna tolkades manuellt på Fysiologkliniken vid Västmanlands sjukhus Västerås.

    Resultat och slutsats: En signifikant skillnad föreligger i AHI vid användning av de olika hypopnékriterierna, (p <0,001). AHI varierade från medianvärdet 8,5 (2,9–17,6) för vid användning av tolkningskriterium 4% desaturation till 15,7 (6,5–24) vid användning av tolkningskriterium 3%. Det är viktig att följa de nya uppdaterade kriterierna från American Academy of Sleep Medicine och Svenska sömnapnéregistret för att kunna ställa rätt diagnos och behandling för patienten.

    Fulltekst (pdf)
    fulltext
  • 102.
    Aldmar, Oscar
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Belin, Anders
    Örebro universitet, Institutionen för hälsovetenskaper.
    Hot och våldssituationer inom ambulanssjukvården och dess konsekvenser2022Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 103.
    Aldmar, Sofia
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Pettersson, Alexandra
    Mödrars upplevelser av att amma deras prematurfödda barn på neonatalavdelning En integrativ litteraturstudie2023Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Antalet prematurfödslar ökar globalt. Barnet riskerar att drabbas av neurologiska funktionshinder, instabil temperaturreglering, tillstånd som nekrotiserande kolit (NEC) samt bronkopulmonell dysplasi (BPD). Kängurumetoden bidrar till att barnets vitalparametrar stabiliseras samt främjar amningen. Bröstmjölken har en skyddande effekt. Ökad varaktighet av amning minskar moderns risk att drabbas av hjärt-kärlsjukdomar samt bröst- och äggstockscancer. Syfte: Att beskriva mödrars upplevelser av att amma deras prematurfödda barn på neonatalavdelning.Metod: Integrativ litteraturstudie. Resultatet baserades på 13 artiklar vilka söktes fram i databaserna PubMed, CINAHL samt PsycINFO. Analysmetoden utfördes efter Whittemore och Knafls metod. Resultat: Upplevelser av amning påverkades av vårdkontextens miljö, kultur samt kommunikation. Bröstmjölkproduktionen var en bidragande faktor till mödrars upplevelser av att amma där bröstpumpningens process, närhet, separation samt moderlig identitet påverkadeetableringen av amningen. Slutsats: Kommunikationens betydelse visade sig påverka mödrarnas upplevelser av att amma, initiera samt upprätthålla mjölkproduktionen. Närheten och separationen upplevdes påverka anknytningen mellan moder samt barn och upplevelsen av att amma.

    Fulltekst (pdf)
    Mödrars upplevelser av att amma deras prematurfödda barn på neonatalavdelning En integrativ litteraturstudie
  • 104.
    Aldugheim, Asmaa
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Berggren, Ida
    Örebro universitet, Institutionen för hälsovetenskaper.
    Erfarenheter av att delta i arbetsterapeutiska interventioner hos vuxna med depression och ångest: En litteraturstudie2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Psykisk ohälsa är ett av de största folkhälsoproblemen och de vanligaste psykiatriska tillstånden, depression och ångest kräver psykiatrisk behandling. Depression och ångest kännetecknas av nedstämdhet och brist på intresse, vilket resulterar i nedsatta funktioner och påtaglig ansträngning i vardagen. Tillstånden påverkar allvarligt möjligheten till vardagsbalans och medför på olika sätt problem för individen att vara delaktig i samhället. Syfte: Att beskriva patienters erfarenheter av att medverka i arbetsterapeutiska interventioner för vuxna med depression och ångest. Metod: En litteraturstudie där sex kvalitativa artiklar och fyra artiklar med mixad metod inkluderades. Sökningarna utfördes i databaserna Cinahl (With full text) och PsycInfo, sökningen kompletterades med en manuell sökning. De tio inkluderade artiklarna kvalitetsgranskades och artiklarnas innehåll analyserades tematiskt med en kvalitativ analys med avseende på deltagarnas erfarenheter av att delta i arbetsterapeutiska interventioner. Resultat: Den tematiska analysen identifierade tre huvudteman, med tillhörande underteman, av deltagarnas erfarenheter: ”Social gemenskap och stöd: att uppleva samhörighet med andra”, ”Kognitiva färdigheter och vardagsstruktur: att återvinna och förbättra färdigheter och struktur i vardagen” och ”Acceptans och självkännedom: att få ökad självkännedom och uppleva emotionell utveckling”. Slutsats: Resultatet visar på att patienter med depression och ångest upplever att arbetsterapeutiska interventioner kan förändra, utveckla och förbättra deras livssituation. I första hand upplevs interventionerna inte reducera patienternas symtom som sådana. Interventionerna tycks snarare dels erbjuda patienterna nya och adekvata verktyg och förhållningssätt att hantera sin vardag, livssituation och omgivning, dels hjälpa patienterna att utveckla befintliga kognitiva, emotionella och sociala förmågor att återfå och behålla en meningsfull vardag.

    Fulltekst (pdf)
    fulltext
  • 105.
    Al-Dulaimi, Ibrahim
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Idris, Abdulrahman
    Örebro universitet, Institutionen för hälsovetenskaper.
    Patientens upplevelser i samband med CT-colonvid misstänkt kolorektalcancer: En systematisk litteraturstudie2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Kolorektalcancer är den fjärde vanligaste dödsorsaken till följd av cancer och står för 8% avalla cancerdödsfall i hela världen. Computed Tomography colon (CTC) är en radiologiskundersökningsmetod som avbildar tarmen för att hitta tumörer och polyper som är större än 10mm i diameter. Syftet med denna studie var att beskriva patientens psykologiska och fysiskaupplevelser av CT-colon undersökning vid misstänkt kolorektalcancer. Metoden förexamensarbetet var systematisk en litteraturstudie. Resultatet var grundade sig på 17vetenskapliga artiklar som hämtades från databaserna PubMed & Cinahl. Resultatet kommeratt presenteras i två huvudkategorier och fyra subkategorier som är relaterade till patientensupplevelse inför CTC undersökning. Fysiska upplevelser och psykologiska upplevelser tillhörtill huvudkategorierna och upplevelse av smärta, tarmförberedelse, oro och ångest,bekvämlighet och förlorad integritet ingår i subkategorierna. Slutsatsen som kan dras är att CTChar rekommenderats som mer acceptabel undersökning av hela kolon. Tarmförberedelsenupplevs obehaglig samt störande för dagliga livet. Patienter som gör CTC undersökning förförsta gången upplever mer smärta vid användning av koldioxidinsufflation. Många patientersom genomgår CTC upplever oro och ångest på grund av CTC undersökningens resultat.

  • 106.
    Aldén, Matilda
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Persson, Anna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kvinnors upplevelser vid ofrivillig barnlöshet ur ett hälsoperspektiv- En litteraturstudie2018Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Kvinnors upplevelser vid ofrivillig barnlöshet ur ett hälsoperspektiv - En litteraturstudie
  • 107.
    Aldén, Vilma
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Berglind, Johanna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Arbetsterapeuters erfarenheter av arbete med sociala aktiviteter för personer med demens på vård- och omsorgsboenden: En kvalitativ intervjustudie2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Många äldre personer drabbas av demenssjukdomar och antalet personer som kommer drabbas av demenssjukdomar förväntas öka. Symptomen vid demenssjukdomar kan variera och medföra olika svårigheter i vardagen. Kognitiva funktionsnedsättningar är vanligt, vilket leder till att personen blir mer beroende av omgivningen. Arbetsterapi innebär att arbeta utifrån personens behov och önskan. Sociala aktiviteter är viktiga för att personen ska uppleva en känsla av sammanhang och gemenskap. Syfte: Att beskriva arbetsterapeuters erfarenheter av arbete med sociala aktiviteter för personer med demens på vård- och omsorgsboenden. Metod: Kvalitativ metod med semistrukturerade intervjuer. Tio arbetsterapeuter på vård- och omsorgsboenden med inriktning demens intervjuades. Kvalitativ innehållsanalys användes för dataanalys. Resultat: I resultatet framkom ett tema; “Utmanande och givande”, fyra kategorier; “Teamarbetets betydelse”, “Personcentrerad vård”, “Hinder och möjligheter i miljön” och “Meningsfull vardag”. Kategorierna representerade de delar som arbetsterapeuter beskrev utmanande och givande i arbetet med sociala aktiviteter för personer med demens på vård- och omsorgsboenden. Slutsats: Studien visar att arbetsterapeuter har en viktig roll på vård- och omsorgsboenden med inriktning demens i skapandet av sociala aktiviteter. Ett fungerande teamarbete skapade bättre förutsättningar för att kunna arbeta personcentrerat. De sociala aktiviteterna ansågs vara viktiga för att personerna skulle uppleva meningsfullhet. Resultatet visar att samtliga arbetsterapeuter ansåg att miljön på olika sätt påverkade personen i utförandet av sociala aktiviteter.

    Fulltekst (pdf)
    Arbetsterapeuters erfarenheter av arbete med sociala aktiviteter för personer med demens på vård- och omsorgsboenden - En kvalitativ intervjustudie
  • 108.
    Aleman, Soo
    et al.
    Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden; Department of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.
    Söderholm, Jonas
    AbbVie AB, Stockholm, Sweden; Department of Laboratory Medicine, Division of Clinical Microbiology, Karolinska Institutet at Karolinska University Hospital Huddinge, Stockholm, Sweden.
    Büsch, Katharina
    AbbVie AB, Stockholm, Sweden; Department of Laboratory Medicine, Division of Clinical Microbiology, Karolinska Institutet at Karolinska University Hospital Huddinge, Stockholm, Sweden.
    Kövamees, Jan
    AbbVie AB, Stockholm, Sweden.
    Duberg, Ann-Sofi
    Örebro universitet, Institutionen för hälsovetenskaper. partment of Infectious Diseases.
    Frequent loss to follow-up after diagnosis of hepatitis C virus infection: A barrier towards the elimination of hepatitis C virus2020Inngår i: Liver international (Print), ISSN 1478-3223, E-ISSN 1478-3231, Vol. 40, nr 8, s. 1832-1840Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Previous studies on hepatitis C cascade of care have been mainly focused on diagnosis and treatment rate, while less attention has been given to patients lost to follow-up (LTFU) after diagnosis. Analyses of this latter issue on population level are missing.

    AIMS: In this nationwide study of people with HCV, we aimed to estimate the proportion LTFU after HCV diagnosis, characterize them, and analyze their other healthcare contacts.

    METHODS: Patients diagnosed with chronic HCV in the Swedish National Patient register during 2001-2011 and still alive December 31, 2013, were included. The number of cured patients without need of follow-up was estimated. Visits to HCV specialist care during 2012-2013 were analysed. For those LTFU, other specialist care contacts were studied.

    RESULTS: In total 29,217 patients were included, with 24,733 with need of HCV care. 61% (n=15,007) of them were LTFU from HCV care in 2012-2013 and 58% did not attend HCV care during the second year after HCV diagnosis. The departments of surgery/orthopedic or psychiatry/dependency were the most common other non-primary healthcare contacts. Predictors for LTFU were young age, male sex, low education, presence of psychiatric/dependency diagnosis, unmarried, and longer duration since diagnosis of HCV.

    CONCLUSIONS: This study showed that almost two-thirds of patients were LTFU after HCV diagnosis, with frequent occurrence early after diagnosis. Efforts to link patients back to HCV care, in combination with early and easy access to HCV treatment and harm reduction, are necessary to reach the HCV elimination goal.

  • 109.
    Al-Essa, Abdallah
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lindroth, Wilhelm
    Örebro universitet, Institutionen för hälsovetenskaper.
    Prevention av CVK-relaterade infektioner genompatientutbildning2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Prevention av CVK-relaterade infektioner genom patientutbildning
  • 110.
    Al-Essa, Mariam
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Babic, Dijana
    Örebro universitet, Institutionen för hälsovetenskaper.
    Patienters upplevelse av tvångsvård: ur ett omvårdnadsperspektivEn litteraturstudie2019Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Patienters upplevelse av tvångsvård: ur ett omvårdnadsperspektiv En litteraturstudie
  • 111.
    Alexopoulou, Sofia
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Fart, Frida
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Jonsson, Ann-Sofie
    Örebro universitet, Restaurang- och hotellhögskolan.
    Karni, Liran
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    Kenalemang, Lame Maatla
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Krishna, Sai
    Örebro universitet, Institutionen för naturvetenskap och teknik.
    Lindblad, Katarina
    Örebro universitet, Musikhögskolan.
    Loutfi, Amy
    Örebro universitet, Institutionen för naturvetenskap och teknik.
    Lundin, Elin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Samzelius, Hanna
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Schoultz, Magnus
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Spang, Lisa
    Örebro universitet, Institutionen för hälsovetenskaper.
    Söderman, Annika
    Örebro universitet, Institutionen för hälsovetenskaper.
    Tarum, Janelle
    Örebro universitet, Institutionen för hälsovetenskaper.
    Tsertsidis, Antonios
    Örebro universitet, Handelshögskolan vid Örebro Universitet.
    Widell, Bettina
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Nilsson, Kerstin ()
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Successful ageing in an interdisciplinary context: popular science presentations2018Bok (Annet (populærvitenskap, debatt, mm))
    Fulltekst (pdf)
    Omslag
    Fulltekst (pdf)
    Successful ageing in an interdisciplinary context: popular science presentations
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  • 112.
    Alexopoulou, Sofia
    et al.
    Örebro universitet, Institutionen för humaniora, utbildnings- och samhällsvetenskap.
    Pavli, Antonia
    Örebro universitet, Institutionen för hälsovetenskaper.
    ‘Beneath this mask, there is more than flesh, beneath this mask there is an idea’: The 19th International Roundtable for the Semiotics of Law (IRSL 2018). Örebro, Sweden, May 23-252018Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Once upon a time, there was the legend of Robin Hood, the English folklore hero who was not only a skillful archer but also swordsman. Not surprisingly, the famous outlaw didn’t act alone in the deep Sherwood Forest but with the help of his band of Merry Men. His mission was to steal money from the rich and give it back to the poor. Therefore, the peasants considered Hood both as their protector and friend. Even today, Robin Hood represents in our minds a clear exemplar against any sort of oppressive authority, which in his time took the form of the Sheriff of Nottingham. Do modern heroes still exist to get inspiration by? The answer to this question is not trouble-free. A great part of people would say that the group of ‘Anonymous’ -known as ‘Anons’- falls into the category of contemporary heroes. Anons could be discerned as a ‘reincarnation’ of the digital version of Robin Hood since they fight against corruption, repression, and injustice, as he did. More precisely, the group of Anonymous is a global, Internet-based social movement of mostly young and dissatisfied people who decided to provide their own answer towards the established global governance and order. This paper will investigate the latest hacking activity of the Anonymous against a number of governmental websites in Greece. The purpose of Anonymous -as stated on their Facebook page- was to protect/defend the Greek citizens who sternly suffer because of the financial crisis and to give a ‘strong lesson’ to the elected politicians in office. Drawing on material from newspapers articles, weblogs and videos, this article aims to understand whether the group of Anonymous continues the long tradition of Robin Hood as a heroic figure/icon, or it symbolizes something radically new.

  • 113.
    Alfredsson, Anton
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sjuksköterskors upplevelser av triage vid telefonrådgivning2014Independent thesis Advanced level (degree of Master (One Year)), 5 poäng / 7,5 hpOppgave
  • 114.
    Alfredsson, Liselott
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kartläggning av avvikelserapportering vid en akutmottagning2018Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 115.
    Alfredsson, Moa
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Gryphon, Gabriella
    Örebro universitet, Institutionen för hälsovetenskaper.
    Barns och föräldrars erfarenheterrelaterade till barnets postoperativa smärta under sjukhusvistelsen En litteraturstudie2022Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 116.
    Alfredsson, Moa
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Minkkinen, Nicholas
    Örebro universitet, Institutionen för hälsovetenskaper.
    Att vårda barn i behov av palliativ vård på sjukhusEtt sjuksköterskeperspektiv2019Independent thesis Basic level (university diploma), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Att vårda barn i behov av palliativ vård på sjukhus Ett sjuksköterskeperspektiv
  • 117.
    Alfsson Stjernlöf, Maria
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Muminovic Kurtovic, Minela
    Örebro universitet, Institutionen för hälsovetenskaper.
    Orsaker som påverkar patienters följsamhet till egenvårdsråd vid diabetes mellitus typ 22015Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 118.
    Algesten Wessbo, Hanna
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Börjesson, Lina
    Örebro universitet, Institutionen för hälsovetenskaper.
    Icke-farmakologiska åtgärder för att lindra patientens preoperativa oro. En litteraturstudie2017Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 119.
    Algilani, Samal
    Örebro universitet, Institutionen för hälsovetenskaper.
    To be at one's best: The evolution of Optimal Functionality and its possible implementation in an ICT-platform2016Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    At the Nutrition and Physical Activity Research Centre for Optimal Health and Functionality through Life (NUPARC), a research gap was uncovered regarding the concept optimal functionality based on the older adult’s own perspective. The overall aim was to explore the concept of optimal functionality among older adults and the possibility of creating and developing an ICT-platform to measure it. Method: An existing cohort from NUPARC was used for recruitment in studies I-III and to some extent study IV. A scoping study design and framework was adopted for the inclusion of the articles in Study I. Study II had a descriptive design. Six focus group discussions were conducted and analysed using qualitative deductive content analysis to extend the qualitative understanding. Study III used a phenomenological approach describing the experience of mental health and its impact on the ability to function as optimally as possible. Six interviews were analysed using Giorgi’s phenomenological approach. Study IV was a feasibility study and included 8 older adults using an ICTplatform for a period of four weeks. Results: Optimal Functionality comprises three major corner stones: Body-related factors, Self-related factors and External factors (I) accompanied by nine aspects, and according to older adults it is a matter of functioning as optimally as possible (II). The three major cornerstones are intricately linked and all but the mental aspects were included in the discussions (II). Life situations affecting mental health, consequences of mental health and strategies for maintaining good mental health were described by older adults as having an impact on mental health and affecting their ability to function as optimally as possible (III). The older adults managed the usage of an ICT-tool well and it was perceived as meaningful (IV). Conclusion: Optimal functionality is holistic, subjective, dynamic and applicable to all older adults. Identification of the factors involved can help the older adults on their path to health. An ICT-platform can facilitate the identification of the factors for optimal functionality and the eventual measurement of it.

    Delarbeid
    1. Exploring the concept of optimal functionality in old age
    Åpne denne publikasjonen i ny fane eller vindu >>Exploring the concept of optimal functionality in old age
    Vise andre…
    2014 (engelsk)Inngår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 7, s. 69-79Artikkel, forskningsoversikt (Fagfellevurdert) Published
    Abstract [en]

    BACKGROUND: Aging is characterized by loss of function and represents a perspective that puts the focus on the negative aspects of aging. Thus, it is fundamental to shift the focus from loss of function to maintaining good health and personal satisfaction through life; in other words, to promote optimal functionality at a level appropriate for older adults. However, it is not yet known what constitutes optimal functionality from the older adult's own perspective.

    OBJECTIVE: To explore the concept of optimal functionality in old age from the older adult's perspective (ie, people over 65 years of age) in industrialized Western countries.

    METHODS: We undertook a scoping review and searched two electronic databases (PubMed and the Cumulative Index to Nursing and Allied Health Literature [CINAHL]) from January 2002 to July 2013 for scientific studies, using the key search term personal satisfaction. In total, 25 scientific studies were analyzed.

    RESULTS: Only six of the included articles applied a qualitative methodology. By analyzing the results of these articles, three major themes were identified as cornerstones in the concept of optimal functionality at old age: 1) self-related factors (eg, mental well-being); 2) body-related factors (eg, physical well-being); and 3) external factors equal to demographic and environmental factors.

    CONCLUSION: There is a lack of qualitative studies in the current literature, and hence of what constitutes optimal functionality from the older adult's perspective. The results outlined in this review identify three cornerstones (self-related factors, body-related factors, and external factors) of what constitutes optimal functionality at old age. However, it is vital that these findings are taken further and are evaluated through qualitative studies to reflect older adults' opinions.

    sted, utgiver, år, opplag, sider
    Dove Medical Press, 2014
    Emneord
    optimal functionality, aging, personal satisfaction
    HSV kategori
    Forskningsprogram
    Medicin; Vårdvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-33866 (URN)10.2147/JMDH.S55178 (DOI)24516333 (PubMedID)2-s2.0-84893293812 (Scopus ID)
    Tilgjengelig fra: 2014-02-20 Laget: 2014-02-20 Sist oppdatert: 2024-01-03bibliografisk kontrollert
    2. Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study
    Åpne denne publikasjonen i ny fane eller vindu >>Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study
    Vise andre…
    2016 (engelsk)Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, nr 1, artikkel-id 70Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: Decreased independence and loss of functional ability are issues regarded as inevitably connected to old age. This ageism may have negative influences on older adults' beliefs about aging, making it difficult for them to focus on their current ability to maintain a good health. It is therefore important to change focus towards promoting Optimal Functionality (OF). OF is a concept putting the older adult's perspective on health and function in focus, however, the concept is still under development. Hence, the aim was to extend the concept of optimal functionality in various groups of older adults.

    Methods: A qualitative study was conducted based on focus group discussions (FGD). In total 6 FGDs were performed, including 37 older adults from three different groups: group 1) senior athletes, group 2) free living older adults, group 3) older adults living in senior living homes. All data was transcribed verbatim and analyzed following the process of deductive content analysis.

    Results: The principal outcome of the analysis was "to function as optimally as you possibly can", which was perceived as the core of the concept. Further, the concept of OF was described as multifactorial and several new factors could be added to the original model of OF. Additionally the findings of the study support that all three cornerstones comprising OF have to occur simultaneously in order for the older adult to function as optimal as possible.

    Conclusions: OF is a multifaceted and subjective concept, which should be individually defined by the older adult. This study further makes evident that older adults as a group are heterogeneous in terms of their preferences and views on health and should thus be approached as such in the health care setting. Therefore it is important to promote an individualized approach as a base when caring for older adults.

    sted, utgiver, år, opplag, sider
    London, United Kingdom: BioMed Central, 2016
    Emneord
    Older adults, optimal functionality, person centered care, focus group discussions
    HSV kategori
    Forskningsprogram
    Geriatrik
    Identifikatorer
    urn:nbn:se:oru:diva-49605 (URN)10.1186/s12877-016-0244-z (DOI)000372822200002 ()27007861 (PubMedID)2-s2.0-84966415363 (Scopus ID)
    Forskningsfinansiär
    Knowledge Foundation, 20110225
    Merknad

    Funding Agencies:

    Olle Engkvist Byggmästare Foundation

    Faculty of Medicine and Health at Örebro University

    Tilgjengelig fra: 2016-04-02 Laget: 2016-04-02 Sist oppdatert: 2023-12-08bibliografisk kontrollert
    3. Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approach
    Åpne denne publikasjonen i ny fane eller vindu >>Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approach
    Vise andre…
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-50048 (URN)
    Tilgjengelig fra: 2016-04-29 Laget: 2016-04-29 Sist oppdatert: 2017-10-17bibliografisk kontrollert
    4. An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility
    Åpne denne publikasjonen i ny fane eller vindu >>An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and Feasibility
    (engelsk)Manuskript (preprint) (Annet vitenskapelig)
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-50049 (URN)
    Tilgjengelig fra: 2016-04-29 Laget: 2016-04-29 Sist oppdatert: 2017-10-17bibliografisk kontrollert
    Fulltekst (pdf)
    Introductory chapter
    Download (pdf)
    Cover
    Download (pdf)
    Spikblad
  • 120.
    Algilani, Samal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Langius-Ekelöf, Ann
    Karolinska Institutet, Stockholm, Sweden.
    Kihlgren, Annica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Blomberg, Karin
    Örebro universitet, Institutionen för hälsovetenskaper.
    An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in Ordinary Housing: Development and FeasibilityManuskript (preprint) (Annet vitenskapelig)
  • 121.
    Algilani, Samal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Langius-Eklöf, Ann
    Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
    Kihlgren, Annica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Blomberg, Karin
    Örebro universitet, Institutionen för hälsovetenskaper.
    An interactive ICT-platform for early assessment and management of patient-reported concerns among older adults living in ordinary housing: development and feasibility2017Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, nr 11-12, s. 1575-1583Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim and objectives: To develop and test feasibility and acceptability of an interactive ICT-platform integrated in a tablet for collecting and managing patient reported concerns of older adults in home care.

    Background: Using different ICT-applications, e.g. interactive tablets for self-assessment of health and health issues, based on health monitoring as well as other somatic and psychiatric monitoring systems may improve quality of life, staff and patient communication and feelings of being reassured. The European Commission hypothesize that introduction of ICT-applications to the older population will enable improved health. However, evidence-based and user-based applications are scarce.

    Design: The design is underpinned by the Medical Research Council's complex intervention evaluation framework. A mixed-method approach was used combining interviews with older adults and healthcare professionals, and logged quantitative data.

    Methods: In cooperation with a health management company, a platform operated by an interactive application for reporting and managing health related problems in real time was developed. Eight older adults receiving home care were recruited to test feasibility. They were equipped with the application and reported three times weekly over four weeks, and afterwards interviewed about their experiences. Three nurses caring for them were interviewed. The logged data was extracted as a coded file.

    Results: The older adults reported as instructed, in total 107 reports (mean 13). The most frequent concerns were pain, fatigue and dizziness. The older adults experienced the application as meaningful with overall positive effects as well as potential benefits for the nurses involved.

    Conclusions The overall findings in this study indicated high feasibility among older adults using the ICT-platform. The study's results support further development of the platform, as well as tests in full-scale studies and in other populations.

    Relevance to practice: An ICT-platform increased the older adults' perception of involvement and facilitated communication between the patient and nurses.

  • 122.
    Algilani, Samal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Health, University Health Care Research Centre.
    Tingö, Lina
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Kihlgren, Annica
    Örebro universitet, Institutionen för hälsovetenskaper. Nutrition Gut Brain Interactions Research Centre.
    Schröder, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper. Region Örebro län. Department of Health Sciences, Faculty of Medicine and Health Science, NTNU - Norwegian University of Science and Technology, Gjøvik, Norway.
    Mental health as a prerequisite for functioning as optimally as possible in old age: A phenomenological approach2021Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 8, nr 5, s. 2025-2034Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    AIM: To describe the impact of mental health on the ability to function optimally among older adults experiencing mental health issues.

    DESIGN: This study had a descriptive qualitative design.

    METHODS: Six older females with a Hospital Anxiety and Depression Scale (HADS) score of ≥8 on either of the subscales (depression or anxiety) participated in individual interviews. All data were analysed using a phenomenological approach influenced by Giorgi.

    RESULTS: The phenomenological analysis led to a structured synthesis comprising the following three themes: (a) life situations affecting mental health, (b) consequences of mental health in everyday life and (c) strategies for maintaining mental health.

  • 123.
    Algilani, Samal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Östlund-Lagerström, Lina
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Kihlgren, Annica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Schoultz, Ida
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Schröder, Agneta
    Örebro universitet, Institutionen för hälsovetenskaper.
    Mental health as a prerequisite for functioning as optimally as possible in old age: a phenomenological approachManuskript (preprint) (Annet vitenskapelig)
  • 124.
    Algilani, Samal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Östlund-Lagerström, Lina
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Schoultz, Ida
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Brummer, Robert J.
    Örebro universitet, Institutionen för medicinska vetenskaper.
    Kihlgren, Annica
    Örebro universitet, Institutionen för hälsovetenskaper.
    Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study2016Inngår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, nr 1, artikkel-id 70Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Decreased independence and loss of functional ability are issues regarded as inevitably connected to old age. This ageism may have negative influences on older adults' beliefs about aging, making it difficult for them to focus on their current ability to maintain a good health. It is therefore important to change focus towards promoting Optimal Functionality (OF). OF is a concept putting the older adult's perspective on health and function in focus, however, the concept is still under development. Hence, the aim was to extend the concept of optimal functionality in various groups of older adults.

    Methods: A qualitative study was conducted based on focus group discussions (FGD). In total 6 FGDs were performed, including 37 older adults from three different groups: group 1) senior athletes, group 2) free living older adults, group 3) older adults living in senior living homes. All data was transcribed verbatim and analyzed following the process of deductive content analysis.

    Results: The principal outcome of the analysis was "to function as optimally as you possibly can", which was perceived as the core of the concept. Further, the concept of OF was described as multifactorial and several new factors could be added to the original model of OF. Additionally the findings of the study support that all three cornerstones comprising OF have to occur simultaneously in order for the older adult to function as optimal as possible.

    Conclusions: OF is a multifaceted and subjective concept, which should be individually defined by the older adult. This study further makes evident that older adults as a group are heterogeneous in terms of their preferences and views on health and should thus be approached as such in the health care setting. Therefore it is important to promote an individualized approach as a base when caring for older adults.

  • 125.
    Al-Haseny, Sara
    Örebro universitet, Institutionen för hälsovetenskaper.
    Skillnad i pilE genkopieantal och genuttryck mellan Neisseria meningitidis vid invasiv sjukdom eller bärarskap2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Neisseria meningitidis är en bakterie som kan leda till invasiv sjukdom eller endast orsaka bärarskap i nasopharynx. Bakterien delas in i olika serogrupper och klonala komplex. Vissa av dessa grupper och klonala komplex förekommer endast hos invasiva isolat och andra bland bärare, vilket tyder på att det finns genetiska skillnader mellan invasiva och bärarisolat. I denna studie undersöktes genen pilE som kodar för PilE proteinet och ingår i bakteriens pili. Proteinet finns i två klasser, klass 1 och klass 2. Metoden som användes för att studera eventuella skillnader i förekomst och uttryck av pilE genen var digital droplet PCR (ddPCR). Både DNA och RNA kvantifierades med ddPCR för att undersöka antalet kopior av pilE genen (DNA) samt dess uttryck (RNA) mellan invasiva isolat och bärarisolat, mellan klass 1 pilE isolat och klass 2 samt fördelning av klasserna i isolattyperna. Principen för ddPCR är att dela ett prov till tiotusentals nanodroppar där individuella droppar genomgår PCR för en senare avläsning av flourescens från prober. Resultatet visade skillnad mellan bärarisolat och invasiva isolat där de invasiva isolaten visade mindre uttryck av pilE än bärarisolat. Klass 2 isolat hade signifikant färre genuttryck än klass 1 isolat och invasiva isolat visade klass 2 i högre utsträckning än bärarisolat.

    Fulltekst (pdf)
    Skillnad i pilE genkopieantal och genuttryck mellan Neisseria meningitidis vid invasiv sjukdom eller bärarskap
  • 126.
    Al-hashimi, Sora
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kvantifiering med digital droplet polymerase chain reaction av gyrA-genen med och utan mutationen S83L2021Independent thesis Basic level (professional degree), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Den vanligaste cancerformen hos män är prostatacancer, med 10 000 nya dödsfall årligen. Vid prostatacancerdiagnostik utförs prostata biopsi. För att minska risken för komplikationer i samband med biopsi ges i Sverige en singeldos av antibiotikapreparatet Ciprofloxacin. Andelen bakterier som är resistenta mot ciprofloxacin har ökat. För detektion av genmutationer som orsakar antibiotikaresistens kan droplet digital PCR (ddPCR) användas. Det är en metod som ger en absolut kvantifiering av antalet DNA-sekvenser. Den är baserad på vatten olja-emulsionsdroppsystem. 

    Syftet med denna studie var att optimera och validera en digital droplet PCR för att detektera och kvantifiera mutationen S83L i gyrA genen från faecesprover, samt att jämföra digital droplet resultat från studieprover med odlingsresultat från resistensbestämning och ration mellan S83L allelen och vildtyps allelen i prover tagna före och efter biopsi.

    För att optimera och validera metoden användes prover tagna före och efter biopsi från nio patienter som genomgått en transrektal prostatabiopsi och fått en dos antibiotika profylax i samband med ingreppet. 

    Den optimala annealingtemperaturen bedömdes vara 60°C och den optimala  primer- och probekoncentrationen bestämdes till 1,2 µM respektive 0,4µM. Dessa koncentrationer gav lägst antal falskt positiva droppar. Den minsta detektionsnivån för S83L gyrA (EC40) var 160 kopior/ml och för vildtyps gyrA (EC108) var det 78 kopior/ml.

    Resultatet från valideringen visade att både vildtyps gyrA och S83L gyrA kunde detekteras och kvantifieras i rektalprover från samtliga patienter.

    Fulltekst (pdf)
    fulltext
  • 127.
    Ali, Amna
    Örebro universitet, Institutionen för hälsovetenskaper.
    Autonomic dysfunction is associated with cardiac remodeling in heart failure patients – The HARVEST study2017Independent thesis Advanced level (degree of Master (Two Years)), 20 poäng / 30 hpOppgave
    Abstract [en]

    Background: Orthostatic hypotension (OH) is a cardinal sign of autonomic dysfunction, and a common comorbidity in patients with heart failure. The relationship between OH and structural cardiac anomalies has not been sufficiently explored.

    Purpose: To assess relations between orthostatic blood pressure (BP) responses during active standing and echocardiographic findings in patients with heart failure.

    Methods: 149 patients hospitalized for heart failure (mean age: 74.0 years; mean ejection fraction (EF) 40±16%) were examined with conventional echocardiograms and active-standing test. Associations between left atrial volume, right atrial volume, left ventricular mass, left ventricular diameter and right ventricular diameter and the difference between supine and standing systolic/diastolic BP were examined.

    Results: A total of 33 patients met conventional OH criteria i.e. systolic/diastolic BP decrease ≥20/10 mmHg. In linear regression models, decrease in systolic BP upon standing was associated with greater left ventricular mass. Decrease in systolic BP was also borderline significant associated with greater left atrial volume.

    Conclusions: Orthostatic decline in systolic BP among older heart failure patients is associated with structural cardiac changes such as increased left ventricular mass, independently of traditional risk factors and LVEF.

  • 128.
    Ali, Anisa
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Barsati, Isabella
    Örebro universitet, Institutionen för hälsovetenskaper.
    Arbetsterapeuters erfarenheter av interventioner för personer med fatigue - En intervjustudie2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 129.
    Ali, Bekhal
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Sangary, Josette Fadi
    Örebro universitet, Institutionen för hälsovetenskaper.
    - Att vårdas på sjukhus efter stroke.2021Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    - Att vårdas på sjukhus efter stroke.
  • 130.
    Ali, Hasharawi
    Örebro universitet, Institutionen för hälsovetenskaper.
    En jämförelse mellan semiautomatiskt och manuellt beräknad ejektionsfraktion.2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bedömningen av vänsterkammares funktion är grundläggande för prognostisering och diagnosticering vad gäller hjärtsjuka patienter. För att undersöka den vänstra kammaren används ultraljud, s k ekokardiografi. För att bedöma vänsterkammarfunktionen undersöks olika parametrar och en av de viktigaste parametrarna som bedöms är vänsterkammarens ejektionsfraktion (LVEF). LVEF har blivit den dominerande kliniska metoden som används för att skatta vänsterkammarens systoliska funktion. 

    Vid ekokardiografiundersökning används ett antal olika avbildningsmodaliteter. I denna studie jämförs den manuella Simpson´s biplanmetoden med den semiautomatiska metoden, Automated Two Dimensional Cardiac Quantification (a2DQ). Syftet med studien är att ta reda på om det föreligger en statistisk signifikant skillnad vid beräkning av LVEF mellan metoderna. 

    Ekokardiografiundersökningar från 24 hjärtfriska män och kvinnor mellan 18-32 år inkluderas i studien. En manuell tvådimensionell (2D) bildinsamling låg till grund för båda analysmetoderna. Beräkningen utfördes i apikal fyr- och tvårumsvy för att erhålla LVEF. Resultatet visade likvärdiga medelvärden och spridningsmått för mätmetoderna. Ett två-sidigt parat t-test visade att det inte föreligger någon signifikant skillnad i beräknad LVEF mellan den semiautomatiska och den manuella Simpson´s biplanmetoden (p> 0,05). Studien påvisade även att metoderna har en god korrelation och konstaterar att en optimal bildkvalité krävs för båda mättekniker. 

  • 131.
    Ali, Sihaam
    Örebro universitet, Institutionen för hälsovetenskaper.
    Validering av metod för IgG eller IgM bestämning hos anti-M immuniserade gravida kvinnor2016Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    fulltext
  • 132.
    Alizadeh Big, Nima
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Kudoori, Rami
    Örebro universitet, Institutionen för hälsovetenskaper.
    Tinnitus hos CI-användare: En systematisk litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Tinnitus hos CI-användare
  • 133.
    Alkman, Mimmi
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lindqvist, Elvira
    Örebro universitet, Institutionen för hälsovetenskaper.
    Omvårdnadens betydelse inom pediatrik- En litteraturstudie om anhörigas syn på omvårdnad av deras barn medcancerdiagnos2023Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Cancer är ett samhällsproblem och en sjukdom som drabbar många barn världenöver. Sjukdomen påverkar både det sjuka barnet samt samtliga anhöriga, det innebär en storlivsförändring. Det blir många vistelser på sjukhuset och därmed en kontinuerlig kontakt medsjukvården. Både föräldrar och syskon till det cancersjuka barnet blir involverade i vårdenoch sjukdomen vilket gör att det är av stor vikt att de känner sig trygga och välomhändertagna.Syfte: Att beskriva anhörigas upplevelse av omvårdnaden av deras barn som drabbats avcancer.Metod: En litteraturöversikt utifrån kvalitativa data har använts i arbetet. Databaserna somhar använts för att söka fram artiklar var Cinahl, PubMed samt Medline. Alla artiklar sominkluderades och besvarade artikelns syfte har blivit kvalitégranskade.Resultat: En god kommunikation tillsammans med ett gott bemötande och uppbyggnaden aven trygg relation med vårdpersonalen anses utifrån resultatet vara viktiga faktorer förföräldrarna. Syskon ingår i resultatet och det visar sig att även syskon påverkas av att encancerdiagnos tillkommer i familjen, det förändrar deras vardag och mycket blandade känsloruppstår.Slutsats: God kommunikation är viktigt för föräldrar och syskon till ett cancersjukt barn.Kommunikationen bör barn anpassas för att det sjuka barnet inte ska exkluderas från denegna vården. För föräldrar är relationen till sjukvårdspersonalen viktigt för att skapa tillit ochtrygghet. Syskonen upplevde utanförskap vilket därmed visar att det är viktigt att involverasyskon i det cancersjuka barnets omvårdnad.Nyckelord: Barncancer, upplevelse, anhöriga och kommunikation

  • 134.
    Alkrad, Ahmad
    Örebro universitet, Institutionen för hälsovetenskaper.
    Arbetsterapeutiska interventioner och dess effekt på handfunktionen hos personer med reumatoid artrit: En litteraturstudie2022Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Arbetsterapeutiska interventioner och dess effekt på handfunktionen hos personer med reumatoid artrit - En litteraturstudie
  • 135.
    Al-Kuheli, Taghreed Salman Dawood
    Örebro universitet, Institutionen för hälsovetenskaper.
    En jämförelse mellan planar scintigrafi och Single-Photon Emission Computed Tomography (SPECT) för bestämning av volymen på tyreoidea inför radiojodbehandling2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Hypertyreos är en överfunktion i tyreoidea, varvid frisättningen av tyreoideahormonerna tyroxin och trijodtyronin är förhöjd. Den ökade frisättningen av tyreoideahormonerna påverkar ämnesomsättningen i kroppen. Graves sjukdom, toxisk multinodös struma och toxiskt adenom är olika varianter av hypertyreos. Hypertyreos behandlas på tre olika sätt; tyreostatika, operation eller radiojodbehandling.

    Vid radiojodbehandling är det viktigt att tyreoideavolymen bestäms. Tyreoideavolym är en viktig parameter för att bestämma mängden radioaktivt jod som skall ges till patienten. Tyreoideavolymen kan uppskattas utifrån olika metoder som planar scintigrafi, Single-Photon Emission Computed Tomography (SPECT), ultraljud och Magnetic Resonance Imaging (MRI).             

    I den här studien som genomförs på nuklearmedicinavdelning i Falu lasarett används två metoder, planar scintigrafi respektive SPECT.                                                                                                   Syftet med denna studie är att jämföra hur uppskattningen av tyreoideavolymen skiljer sig mellan de två metoderna samt vilken metod som anses mer robust. Det vill säga den metod som ger lägst spridning i volym för olika operatörer.

    Studien omfattade 23 patienter med olika diagnos av hypertyreos. Resultatet visade att volymsuppskattningen av tyreoidea skiljer sig mellan planar scintigrafi och SPECT samt mellan olika diagnos av hypertyreos. Slutsatsen är att SPECT har visat sig ge en lägre spridning i volym vid volymsuppskatting av tyreoidea än planar scintigrafi för det utvalda patientunderlaget.  

  • 136.
    Allansson, Emma
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Rosendal, Ebba
    Örebro universitet, Institutionen för hälsovetenskaper.
    Personers upplevelse av att leva med tarmstomi En litteraturstudie om hur livet kan påverkas efter en operation2020Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Fulltekst (pdf)
    Personers upplevelse av att leva med tarmstomi En litteraturstudie om hur livet kan påverkas efter en operation
  • 137.
    Allvin, Renée
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. Clinical Skills Center, Örebro University Hospital, Örebro, Sweden.
    Bisholt, Birgitta
    Department of Health Science, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; Department of Health care Sciences, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
    Blomberg, Karin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Bååth, Carina
    Department of Health Science, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; Faculty of Health and Welfare, Östfold University College Fredrikstad, Halden, Norway.
    Wangensteen, Sigrid
    Department of Health Sciences in Gjøvik, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
    Self-assessed competence and need for further training among registered nurses in somatic hospital wards in Sweden: a cross-sectional survey2020Inngår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, nr 1, artikkel-id 74Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Professional competence and continuous professional development is essential for ensuring high quality and safe nursing care, and it might be important for motivating nurses to stay in the profession. Thus, there is a need to identify the developmental process of nursing competency. Assessment of competence and need for further training helps to identify areas for quality improvement, and to design interventions in order to facilitate continuous competence development in different work contexts. The current study aimed to 1) describe registered nurses' self-assessment of clinical competence as well as the need for further training, and 2) explore possible differences between registered nurses with varying lengths of professional experience as a nurse (≤ 0,5 year, > 0,5-5 years, and ≥ 6 years).

    Methods: A cross-sectional survey design was applied, using the Professional Nurse Self-Assessment Scale of clinical core competencies II. Registered nurses (n = 266) working in medical and surgical contexts in hospitals in Sweden responded (response rate 51%). Independent student t-test and analysis of variance were carried out.

    Results: Registered nurses assessed their competence highest in statements related to cooperation with other health professionals; taking full responsibility for own activities; and acting ethically when caring for patients. They assessed their need for further training most for statements related to assessing patients' health needs by telephone; giving health promotion advice and recommendations to patients by telephone; as well as improving a creative learning environment for staff at the workplace. For self-assessed competence and need for further training, differences between the groups for 35 and 46 items respectively, out of 50 were statistically significant.

    Conclusions: Although the registered nurses assessed their competence high for important competence components expected of professionals such as cooperation with other healthcare professionals, it is problematic that knowledge of interactions and side-effects of different types of medication were reported as having the highest need of training. Longitudinal follow up of newly graduated nurses regarding their continuous development of competence as well as further training is needed.

  • 138.
    Allvin, Renée
    et al.
    Region Örebro län. Örebro universitet, Institutionen för medicinska vetenskaper. Clinical Skills Center.
    Fjordkvist, Erika
    Departments of Orthopedics, Örebro University Hospital, Örebro, Sweden.
    Blomberg, Karin
    Örebro universitet, Institutionen för hälsovetenskaper.
    Struggling to be seen and understood as a person: chronic back pain patients’ experiences of encounters in healthcare: an interview study2019Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 3, s. 1047-1054Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to describe how patients with chronic back pain experience encounters with health care. Persons with chronic back pain are a stigmatized group often treated based on stereotypes, which may lead to misunderstandings and create frustrated patients and healthcare personnel. Few studies have examined the generic aspects of quality of care in this context.

    Design: A descriptive design with a qualitative approach was used.

    Methods: Nine individual interviews were conducted with chronic back pain patients after admission to an orthopaedic hospital ward. Data were analysed using content analysis.

    Results: The patients’ experiences of healthcare encounters can be described by the theme “Struggling to be seen and understood as a person,” comprising the categories “Lack of access and trust to care",“A desire to be taken care of and listened to” and “Own strength to handle healthcare situations.”

  • 139.
    Allvin, Renée
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. Center Skills Center, Örebro University Hospital, Örebro, Sweden.
    Thompson, Carl
    School of Health Care, University of Leeds, Leeds, UK.
    Edelbring, Samuel
    Örebro universitet, Institutionen för hälsovetenskaper.
    Assessment of interprofessional competence in undergraduate health professions education: protocol for a systematic review of self-report instruments2020Inngår i: Systematic Reviews, E-ISSN 2046-4053, Vol. 9, nr 1, artikkel-id 142Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    BACKGROUND: Health practitioners from different professions, and with differing competencies, need to collaborate to provide quality care. Competencies in interprofessional working need developing in undergraduate educational preparation. This paper reports the protocol for a systematic review of self-report instruments to assess interprofessional learning in undergraduate health professionals' education.

    METHODS: We will search PubMed, Web of Science, CINAHL and ERIC from January 2010 onwards. A combination of search terms for interprofessional learning, health professions, psychometric properties, assessment of learning and assessment tools will be used. Two reviewers will independently screen all titles, abstracts and full-texts. Potential conflicts will be resolved through discussion. Quantitative and mixed-methods studies evaluating interprofessional learning in undergraduate health professions education (e.g. medicine, nursing, occupational and physical therapy, pharmacy and psychology) will be included. Methodological quality of each reported instrument, underpinning theoretical frameworks, and the effects of reported interventions will be assessed. The overall outcome will be the effectiveness of instruments used to assess interprofessional competence. Primary outcomes will be the psychometric properties (e.g. reliability, discriminant and internal validity) of instruments used. Secondary outcomes will include time from intervention to assessment, how items relate to specific performance/competencies (or general abstract constructs) and how scores are used (e.g. to grade students, to improve courses or research purposes). Quantitative summaries in tabular format and a narrative synthesis will allow recommendations to be made on the use of self-report instruments in practice.

    DISCUSSION: Many studies use self-report questionnaires as tools for developing meaningful interprofessional education activities and assessing students' interprofessional competence. This systematic review will evaluate both the benefits and limitations of reported instruments and help educators and researchers (i) choose the most appropriate existing self-report instruments to assess interprofessional competence and (ii) inform the design and conduct of interprofessional competency assessment using self-report instruments.

    SYSTEMATIC REVIEW REGISTRATION: Open Science Framework [https://osf.io/vrfjn].

  • 140.
    Allvin, Renée
    et al.
    Örebro universitet, Institutionen för medicinska vetenskaper. Region Örebro län. Clinical Skills Centre.
    Thompson, Carl
    School of Healthcare, University of Leeds, Leeds, UK.
    Edelbring, Samuel
    Örebro universitet, Institutionen för hälsovetenskaper.
    Variations in measurement of interprofessional core competencies: a systematic review of self-report instruments in undergraduate health professions education2023Inngår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, s. 1-13Artikkel, forskningsoversikt (Fagfellevurdert)
    Abstract [en]

    Educating health care professionals for working in interprofessional teams is a key preparation for roles in modern healthcare. Interprofessional teams require members who are competent in their roles. Self-assessment instruments measuring interprofessional competence (IPC) are widely used in educational preparation, but their ability to accurately and reliably measure competence is unknown. We conducted a systematic review to identify variations in the characteristics and use of self-report instruments measuring IPC. Following a systematic search of electronic databases and after applying eligibility criteria, 38 articles were included that describe 8 IPC self-report instruments. A large variation was found in the extent of coverage of IPC core competencies as articulated by the Interprofessional Education Collaborative. Each instrument's strength of evidence, psychometric performance and uses varied. Rather than measuring competency as "behaviours", they measured indirect proxies for competence, such as attitudes towards core interprofessional competencies. Educators and researchers should identify the most appropriate and highest-performing IPC instruments according to the context in which they will be used.Systematic review registration: Open Science Framework (https://archive.org/details/osf-registrations-vrfjn-v1).

  • 141.
    Alm, Fredrik
    Örebro universitet, Institutionen för hälsovetenskaper.
    Följsamhet av nationella riktlinjer för behandling av smärta och illamående hos barn i samband med toncilloperation2016Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
  • 142.
    Alm, Fredrik
    Örebro universitet, Institutionen för hälsovetenskaper.
    Postoperative recovery in children after tonsil surgery: with a focus on pain and pain management from the child's, caregivers', and professionals' perspectives2021Doktoravhandling, med artikler (Annet vitenskapelig)
    Abstract [en]

    Tonsil surgery is one of the most common surgical procedures in children. Although there are several health benefits associated with this surgery, the recovery can be challenging. The overall aim of this thesis was to explore varied perspectives of the recovery process following pediatric tonsil surgery, with a focus on postoperative pain and pain management at home. Study I used data from the National Tonsil Surgery Register in Sweden (n=32,225) to investigate factors affecting pain after pediatric tonsil surgery. Age, surgical method, and indication for surgery influenced the outcome of the patient-reported pain-related outcome measures. In Study II, children (n=299) and their caregiver(s) filled in a diary containing age-appropriate instruments, up to 12 days postoperatively. Data were then analyzed to explore the severity and duration of postoperative pain, the management of analgesics, and postoperative recovery. Children and caregivers reported significant pain for several days, along with a range of physical symptoms and impact on daily activities and emotional state. There was a lack of regular administration of analgesics in the home, particularly during late evening and night. In Study III, interviews with children (n=20) and their caregivers were performed to explore experiences and management of postoperative recovery at home. The results showed that the families struggled to establish resilience during the challenging recovery. The families used both pharmacological and complementary strategies to manage this period. Some families reported insufficient analgesia in preventing breakthrough pain, a lack of preparedness, inadequate information, and insufficient support from the healthcare. In Study IV, nurses and physicians (n=139) from Swedish ear, nose, and throat departments (n=48) responded to a questionnaire covering their opinions of and adherence to the Swedish guidelines for the treatment of pain in pediatric tonsil surgery. In accordance with the guidelines, the departments provided instructions for a multimodal analgesic regimen to manage pain in the home after tonsil surgery. Still, differences were noted between the departments regarding doses and routines around rescue analgesics. Overall, the experience of pain was significant, and often complex to manage. Besides pain, the postoperative period included several troublesome experiences for which neither the children nor the caregivers were informed or prepared. These findings offer knowledge to multidisciplinary teams which can help them improve the support they give to families and increase the child’s participation during the recovery process after tonsil surgery.

    Delarbeid
    1. Patient reported outcome of pain after tonsil surgery: An analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009-2016
    Åpne denne publikasjonen i ny fane eller vindu >>Patient reported outcome of pain after tonsil surgery: An analysis of 32,225 children from the National Tonsil Surgery Register in Sweden 2009-2016
    2017 (engelsk)Konferansepaper, Poster (with or without abstract) (Fagfellevurdert)
    Abstract [en]

    Tonsil surgery is common surgical procedure in children and cause significant pain under postoperative recovery. The objective of this register study was to explore factors affecting pain after pediatric tonsil surgery, using patient-reported outcomes from questionnaires in the National Tonsil Surgery Registry in Sweden, 30 days after surgery. A total of 32,225 tonsil surgeries on children (aged 1-18 years) during January 2009- November 2016 were included; 13,904 tonsillectomies with or without adenoidectomy (TE±A) and 18,321 tonsillotomies with or without adenoidectomy (TT±A). In surgery cases of indication obstruction, the TT±A stopped taking painkillers and returned to normal eating habits sooner, and had less contact with health care services due to pain, compared to TE±A. After TE±A, the indication infection group had more days on analgesics and more contacts with health care services due to pain, compared to the indication obstruction group. TE±A with cold-dissection technique resulted in fewer days on painkillers compared to warm-technique, and reduced the number of contacts with health care services due to pain. Older children were affected by more days of morbidity than the younger ones, but there was no gender difference after adjustment for age, dissection technique and hemostasis technique. Implementation of national guidelines for pain treatment (2013) and patient information on the website tonsilloperation.se seems to have increased the days on analgesics after surgery. Pain after tonsil surgery depends on the surgical procedure and technique, as well as factors such as the patient’s age and surgical indication. More studies including pain interventions are needed to improve the care of tonsillectomy patients.

    HSV kategori
    Forskningsprogram
    Omvårdnadsforskning med medicinsk inriktning; Oto-rhino-laryngologi; Anestesiologi
    Identifikatorer
    urn:nbn:se:oru:diva-58197 (URN)
    Konferanse
    Nordic Pediatric Pain Symposium 2017, Stockholm, Sweden, March 30-31, 2017
    Tilgjengelig fra: 2017-06-22 Laget: 2017-06-22 Sist oppdatert: 2021-05-18bibliografisk kontrollert
    2. Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery
    Åpne denne publikasjonen i ny fane eller vindu >>Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery
    2021 (engelsk)Inngår i: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 278, s. 451-461Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    PURPOSE: To explore the severity and duration of postoperative pain, the management of analgesics, and postoperative recovery in children undergoing tonsil surgery.

    METHOD: Participants included 299 children aged 4-17 years undergoing tonsillotomy ± adenoidectomy (TT ± A) or tonsillectomy ± adenoidectomy (TE ± A). Data were collected up to 12 days. The child rated pain on the Face Pain Scale-Revised (FPS-R) and recovery using the Postoperative Recovery in Children (PRiC) questionnaire. Caregivers assessed their child's pain, anxiety, and nausea on a numeric analog scale and kept a log of analgesic administration.

    RESULTS: High pain levels (FPS-R ≥ 4) were reported in all surgical and age groups (TT ± A age 4-11, TE ± A age 4-11, TE ± A age 12-17), but there were variations in pain intensity and duration within and between groups. The TE ± A group scored more days with moderate to very excruciating pain and lower recovery than the TT ± A group, with the worst outcomes reported by older TE ± A children. The majority of the children used paracetamol + COX-inhibitors at home, but regular administration of analgesics was lacking, particularly during late evening and at night. Few were received rescue medication (opioid or clonidine) despite severe pain. Physical symptoms and daily life activities were affected during the recovery period. There was moderate agreement between child and the caregiver's pain assessment scores.

    CONCLUSION: Children reported a troublesome recovery with significant postoperative pain, particularly older children undergoing tonsillectomy. Pain treatment at home was suboptimal and lacked regular analgesic administration. Patient information needs to be improved regarding the importance of regular administration of analgesics and rescue medication.

    sted, utgiver, år, opplag, sider
    Springer, 2021
    Emneord
    Analgesics, Morbidity, Pain, Pain management, Pediatric, Postoperative recovery, Tonsil surgery, Tonsillectomy, Tonsillotomy
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-86089 (URN)10.1007/s00405-020-06367-z (DOI)000572863900002 ()32980893 (PubMedID)2-s2.0-85091606845 (Scopus ID)
    Merknad

    Funding Agencies:

    Örebro University  

    Research Committee at Region Örebro County, Örebro University Hospital Research Foundation, Sweden  

    Research Foundation of Majblomman, Sweden 

    Tilgjengelig fra: 2020-09-30 Laget: 2020-09-30 Sist oppdatert: 2021-05-18bibliografisk kontrollert
    3. Establishment of resilience in a challenging recovery at home after pediatric tonsil surgery: Children’s and caregivers’ perspectives
    Åpne denne publikasjonen i ny fane eller vindu >>Establishment of resilience in a challenging recovery at home after pediatric tonsil surgery: Children’s and caregivers’ perspectives
    2021 (engelsk)Inngår i: Paediatric and Neonatal Pain, ISSN 2379-5824, Vol. 3, nr 2, s. 75-86Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    The objective of this study was to explore children's and caregivers' experiences and management of postoperative recovery at home after tonsil surgery. The study had an explorative qualitative design with an inductive approach. Twenty children (5-12 years of age) undergoing tonsillectomy or tonsillotomy with or without adenoidectomy participated along with their caregivers in semi-structured interviews at a mean time of 28 days after surgery. The interviews were analyzed with content analysis. One main category emerged from the interviews: children and caregivers struggle to establish resilience in a challenging recovery. The families' resilience relied on their situational awareness and capacity to act, which in turn formed a basis for the ability to return to normal daily life. Children and caregivers described the recovery as an evident interruption of daily life which had an impact on the children's physical and psychological well-being. Both children and caregivers described the pain as a central concern. The families used different pharmacological and complementary strategies to manage the pain, which in some cases were complex. Some families said that the analgesics were insufficient in preventing breakthrough pain, and spoke about a lack of support as well as inadequate and contradictory information from healthcare staff. Caregivers also expressed uncertainty, ambivalence, or anxiety about the responsibility associated with their child's recovery. To optimize and support the recovery after tonsil surgery, it is crucial to obtain knowledge of children's and caregivers' perspectives of postoperative recovery at home. The results indicate that the postoperative period included several troublesome experiences for which neither the children nor the caregivers were informed or prepared. The experience of pain was significant, and often complex to manage. To increase families' resilience, the information provided by healthcare professionals needs to be broadened. Multidisciplinary teamwork is necessary to achieve this goal.

    sted, utgiver, år, opplag, sider
    John Wiley & Sons, 2021
    Emneord
    caregivers, child, postoperative pain management, recovery, tonsil surgery
    HSV kategori
    Identifikatorer
    urn:nbn:se:oru:diva-91848 (URN)10.1002/pne2.12051 (DOI)35547595 (PubMedID)
    Merknad

    Funding:

    Research Committee at Region Örebro County

    Örebro University Hospital Research Foundation

    Research Foundation of Majblomman

    Tilgjengelig fra: 2021-05-18 Laget: 2021-05-18 Sist oppdatert: 2022-05-16bibliografisk kontrollert
    4. Adherence to Swedish guidelines for pain treatment in relation to pediatric tonsil surgery: A survey of the multidisciplinary team
    Åpne denne publikasjonen i ny fane eller vindu >>Adherence to Swedish guidelines for pain treatment in relation to pediatric tonsil surgery: A survey of the multidisciplinary team
    2017 (engelsk)Inngår i: International Journal of Pediatric Otorhinolaryngology, ISSN 0165-5876, E-ISSN 1872-8464, Vol. 101, s. 123-131Artikkel i tidsskrift (Fagfellevurdert) Published
    Abstract [en]

    Background: Pain management in children after tonsil surgery is essential, and optimal pain treatment has been discussed for many years. Data from the National Tonsil Register in Sweden (NTRS) and a national mapping system have demonstrated the need for national pain treatment guidelines for pediatric tonsil surgery. As a result, Swedish national guidelines, together with updated patient information on the website tonsilloperation.se, were developed and implemented in 2013.

    Objectives The objective of this study was to evaluate the professionals’ opinions of and adherence to pain treatment guidelines for pediatric tonsil surgery patients in a two-year follow-up.

    Method: This descriptive cross-sectional study was based on data from an inter-professional questionnaire, which was validated by an expert group using a content validity index (S-CVI 0.93). The questionnaire was sent to all Swedish ear, nose and throat (ENT) departments (n=49) that the NTRS identified as performing tonsil surgery on children younger than 18 years of age. In each clinic, we asked for responses from staff in each of the following professions: ENT physicians, anesthesia physicians, registered nurse anesthetists, and registered nurses in the ENT departments.

    Results: Respondents from 48 ENT departments participated, and 139/163 (85%) completed questionnaires were returned. The guidelines were reported as being clear, ensuring patient safety and providing optimal pharmacological treatment. Treatment was given according to the guidelines: Half of the departments gave pre- or intraoperative treatment with clonidine, betamethasone and high-dose paracetamol (acetaminophen). A multimodal pain approach (paracetamol and COX inhibitors) after hospital discharge was prescribed by all departments after tonsillectomy and, more extensively, after tonsillotomy. One-third of the departments prescribed paracetamol with a higher normal dose for the first three postoperative days. Half of the departments prescribed rescue analgesics, clonidine or opioids after tonsillectomy. None of the departments prescribed codeine or tramadol, drugs that are discouraged in the guidelines. The majority of the departments used the website tonsilloperation.se to provide information to the patients and their caregivers.

    Conclusion: The respondents' opinions of and the ENT departments adherence to the Swedish national guidelines were considered to be good. The national implementation process in Sweden has impacted the manner in which ENT departments treat pain after tonsil surgery.

    sted, utgiver, år, opplag, sider
    Elsevier, 2017
    Emneord
    Children, Guidelines, Pain Management, Tonsillectomy, Tonsillotomy
    HSV kategori
    Forskningsprogram
    Omvårdnadsforskning med medicinsk inriktning; Oto-rhino-laryngologi; Anestesiologi
    Identifikatorer
    urn:nbn:se:oru:diva-59058 (URN)10.1016/j.ijporl.2017.07.040 (DOI)000413713100022 ()28964282 (PubMedID)2-s2.0-85026786151 (Scopus ID)
    Prosjekter
    Effective postoperative pain management in children after tonsil surgery: barriers and possible solutions
    Merknad

    Funding agencies:

    Research Committee at Region Örebro County

    Örebro University Hospital Research Foundation OLL674631

    Tilgjengelig fra: 2017-08-07 Laget: 2017-08-07 Sist oppdatert: 2021-05-24bibliografisk kontrollert
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  • 143.
    Alm, Fredrik
    Örebro universitet, Institutionen för hälsovetenskaper.
    Tonsilloperationer under Covid-19 pandemin: Data från svenska tonsilloperationsregistret och svenska intensivvårdsregistret2021Rapport (Annet (populærvitenskap, debatt, mm))
  • 144.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Anaesthesia and Intensive Care.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Pain and pain management after pediatric tonsil surgery2017Konferansepaper (Fagfellevurdert)
  • 145.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Anaesthesia and Intensive Care.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Smärta och smärtbehandling i samband med tonsillkirurgi på barn: ett ständigt pågående förbättringsarbete med ett multidisciplinärt ansvar2018Konferansepaper (Annet vitenskapelig)
    Abstract [en]

    Smärta efter tonsillkirurgi på barn har varit och är fortfarande en utmaning för ÖNH-professionen. Trots ett stort antal publikationer inom området saknas nationellt och internationellt konsensus om vad som är den optimala smärtbehandlingen. Registerdata i Sverige visar på hög andel patienter/närstående som kontaktar hälso- och sjukvården efter tonsillkirurgi pga. bristfällig smärtbehandling. Under de senaste åren har flera förbättringsarbeten utförts med implementering av nationella riktlinjer för smärtbehandling och patientinformation på hemsidan tonsilloperation.se. Mot denna bakgrund pågår nu ett forskningsprojekt där smärta och smärtbehandling i samband med tonsillkirurgi utvärderas från professionens, barnets och anhörigas perspektiv. Studier i projektet har visat att den svenska ÖNH-professionens åsikt om och följsamhet till de nationella riktlinjerna är god. Vidare visar analys av registerdata att implementeringen av nationella riktlinjer har gjort avtryck i tonsilloperationsregistrets smärtrelaterade variabler, med längre postoperativ analgetikabehandling och en viss minskning av oplanerade kontakter med hälso- och sjukvård. Samtidigt visar data från registret att operationsmetoder och tekniker, men även patientfaktorer som ålder och indikation för kirurgi, påverkar smärtutfallet. Preliminära resultat från en större kvantitativ datainsamling via åldersanpassade smärtdagböcker och kvalitativa intervjuer med barn och anhöriga visar att återhämtningen efter tonsillkirurgi påverkas av vilken typ av smärtbehandling barnet ordinerats.

  • 146.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Anaesthesia and Intensive Care.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Vilka faktorer påverkar den postoperativa smärtan i samband med tonsillkirurgi?2017Konferansepaper (Annet vitenskapelig)
  • 147.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Anaesthesia and Intensive Care.
    Jaensson, Maria
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundeberg, Stefan
    Pain Treatment Service, Astrid Lindgren Children's Hospital, Department of Physiology and Pharmacology, Karolinska Institute, Stockholm, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Adherence to Swedish guidelines for pain treatment in relation to pediatric tonsil surgery: A survey of the multidisciplinary team2017Inngår i: International Journal of Pediatric Otorhinolaryngology, ISSN 0165-5876, E-ISSN 1872-8464, Vol. 101, s. 123-131Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Pain management in children after tonsil surgery is essential, and optimal pain treatment has been discussed for many years. Data from the National Tonsil Register in Sweden (NTRS) and a national mapping system have demonstrated the need for national pain treatment guidelines for pediatric tonsil surgery. As a result, Swedish national guidelines, together with updated patient information on the website tonsilloperation.se, were developed and implemented in 2013.

    Objectives The objective of this study was to evaluate the professionals’ opinions of and adherence to pain treatment guidelines for pediatric tonsil surgery patients in a two-year follow-up.

    Method: This descriptive cross-sectional study was based on data from an inter-professional questionnaire, which was validated by an expert group using a content validity index (S-CVI 0.93). The questionnaire was sent to all Swedish ear, nose and throat (ENT) departments (n=49) that the NTRS identified as performing tonsil surgery on children younger than 18 years of age. In each clinic, we asked for responses from staff in each of the following professions: ENT physicians, anesthesia physicians, registered nurse anesthetists, and registered nurses in the ENT departments.

    Results: Respondents from 48 ENT departments participated, and 139/163 (85%) completed questionnaires were returned. The guidelines were reported as being clear, ensuring patient safety and providing optimal pharmacological treatment. Treatment was given according to the guidelines: Half of the departments gave pre- or intraoperative treatment with clonidine, betamethasone and high-dose paracetamol (acetaminophen). A multimodal pain approach (paracetamol and COX inhibitors) after hospital discharge was prescribed by all departments after tonsillectomy and, more extensively, after tonsillotomy. One-third of the departments prescribed paracetamol with a higher normal dose for the first three postoperative days. Half of the departments prescribed rescue analgesics, clonidine or opioids after tonsillectomy. None of the departments prescribed codeine or tramadol, drugs that are discouraged in the guidelines. The majority of the departments used the website tonsilloperation.se to provide information to the patients and their caregivers.

    Conclusion: The respondents' opinions of and the ENT departments adherence to the Swedish national guidelines were considered to be good. The national implementation process in Sweden has impacted the manner in which ENT departments treat pain after tonsil surgery.

  • 148.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Jaensson, Maria
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundeberg, Stefan
    Astrid Lindgrens Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
    Hemlin, Claes
    Sollentuna Specialist Clinic, Stockholm, Sweden.
    Hessén-Söderman, Anne-Charlotte
    Department of Otorhinolaryngology, Aleris Sabbatsberg, Stockholm, Sweden; Division of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
    Nerfeldt, Pia
    Karolinska University Hospital, Huddinge, Sweden.
    Odhagen, Erik
    Department of Otorhinolaryngology, Sahlgrenska University Hospital, Gothenburg, Sweden; Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Sunnergren, Ola
    Department of Otorhinolaryngology, Ryhov County Hospital, Jönköping, Sweden; Futurum-The Academy for health and care, County Council, Jönköping, Sweden.
    Stalfors, Joacim
    Sahlgrenska Universitety Hospital, Göteborg, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Adherence to Swedish Guidelines for Pain Treatment in Tonsil Surgery in Pediatric Patients2016Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Objective: As shown by data from the National Tonsil Surgery Register in Sweden, tonsil surgery often causes severe pain that lasts for many days. The register data demonstrate the necessity for better evidence-based pain treatment guidelines for tonsil surgery. The guidelines, introduced in 2013, consist of both pharmacological and non-pharmacological recommendations. In the guidelines, a multimodal analgesic approach and combination of analgesics are recommended to provide effective pain treatment with limited side effects. Two national multi-professional education days on pain, pharmacology and the guidelines were offered. Web-based information about pharmacological treatment (www.tonsililloperation.se) was designed for patients and next-of-kin. The current aims were to describe adherence to the Swedish guidelines for pain treatment in tonsil surgery in pediatric patients < 18 years

    Method: An inter-professional questionnaire was developed, including questions linked to the relevant guidelines. The questions came from a national mapping before the guidelines were designed. The items were discussed by an expert group, and content validity was evaluated using the content validity index.ENT-and anesthesia physicians and nurses from all 50 ENT clinics in Sweden were enrolled.

    Results: Most clinics had received the guidelines, but there was a discrepancy between the professions. More than half had perused the literature review performed before the guidelines were designed, and attended themulti-professional education day. Pre- and perioperative treatment usually included paracetamol, clonidine and betamethasone. A multimodal pain approach after discharge from hospital (tonsillectomy and tonsillotomy) was used, combining paracetamol with cox-inhibitors. Most clinics used paracetamol, with a higher dose for the first 3 days (healthy children and acceptable nutrition), and a reduced dose from day 4.In case of inadequate analgesia after tonsillectomy, oral clonidine or opioids were used. Several clinics followed the recommendation to use clonidine as first choice and secondly an opioid. No respondents prescribed codeine compared to 80% at the mapping before the guidelines were designed. The guidelines were experienced as clear, safe and sufficient. The web-based information was used by most of the clinics to improve quality of care and provide facilitating tools for patients, relatives and caregivers.

    Conclusion: Swedish guidelines for tonsil surgery provide practical evidence-based pain treatment recommendations. To achieve a change, multi-professional education is necessary. This needs to be repeated for a wider spread.

    Future research should include evaluation through pain diaries and questionnaires to next-of-kin and children. There should be matching of data from the quality registers at each clinic, with pain variables such as unplanned health care contacts due to pain, number of days with analgesics, and return to normal diet

  • 149.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper.
    Lundeberg, Stefan
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Pain and pain management at home after tonsil surgery2019Konferansepaper (Fagfellevurdert)
  • 150.
    Alm, Fredrik
    et al.
    Örebro universitet, Institutionen för hälsovetenskaper. Department of Anaesthesia and Intensive Care.
    Lundeberg, Stefan
    Pain Treatment Service, Department of Physiology and Pharmacology, Karolinska Institute, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
    Ericsson, Elisabeth
    Örebro universitet, Institutionen för hälsovetenskaper.
    Postoperative pain, pain management, and recovery at home after pediatric tonsil surgery2021Inngår i: European Archives of Oto-Rhino-Laryngology, ISSN 0937-4477, E-ISSN 1434-4726, Vol. 278, s. 451-461Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    PURPOSE: To explore the severity and duration of postoperative pain, the management of analgesics, and postoperative recovery in children undergoing tonsil surgery.

    METHOD: Participants included 299 children aged 4-17 years undergoing tonsillotomy ± adenoidectomy (TT ± A) or tonsillectomy ± adenoidectomy (TE ± A). Data were collected up to 12 days. The child rated pain on the Face Pain Scale-Revised (FPS-R) and recovery using the Postoperative Recovery in Children (PRiC) questionnaire. Caregivers assessed their child's pain, anxiety, and nausea on a numeric analog scale and kept a log of analgesic administration.

    RESULTS: High pain levels (FPS-R ≥ 4) were reported in all surgical and age groups (TT ± A age 4-11, TE ± A age 4-11, TE ± A age 12-17), but there were variations in pain intensity and duration within and between groups. The TE ± A group scored more days with moderate to very excruciating pain and lower recovery than the TT ± A group, with the worst outcomes reported by older TE ± A children. The majority of the children used paracetamol + COX-inhibitors at home, but regular administration of analgesics was lacking, particularly during late evening and at night. Few were received rescue medication (opioid or clonidine) despite severe pain. Physical symptoms and daily life activities were affected during the recovery period. There was moderate agreement between child and the caregiver's pain assessment scores.

    CONCLUSION: Children reported a troublesome recovery with significant postoperative pain, particularly older children undergoing tonsillectomy. Pain treatment at home was suboptimal and lacked regular analgesic administration. Patient information needs to be improved regarding the importance of regular administration of analgesics and rescue medication.

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