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  • 151.
    Sandberg, Anna
    Örebro universitet, Hälsovetenskapliga institutionen.
    Frihet, rädsla och skuld: om unga kvinnors bild av sexuella övergrepp2006Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [en]

    The purpose of this study was to examine young women’s perception and fear of sexual assault. An additional aim was to analyze the women’s view on guilt and responsibility in rape related questions. Two focus group interviews were executed with undergraduate women aged 22-32 years. The questions focused on the women’s understanding of rape and their fear of sexual assault. Questions about responsibility for rape and risky behaviour were also asked. The main results showed that the women are more likely to fear violent stranger rape outdoors than acquaintance rape indoors. They also use constrained behaviour at some level to avoid riskfull situations and to lower their fear of rape. The women were aware of the fact that most rapes occur indoors and are executed by someone known to the victim. Despite this knowledge they did not feel that acquaintance rape was a threat to them. A strong sense of ambivalence among the

    women was also found. They felt that the reality is different from the ideal world. In reality women have to consider risk factors and take responsibility for a sexual assault at some level. In the ideal world women would not have to constrain their behaviour and the responsibility for a rape would rest on the male perpetrator. The results were discussed from a feminist perspective and the main conclusion was that rape prevention should question the patriarchal ideology and attempt to affect men’s attitudes instead of encouraging women to constrain their behaviours and live their lives in fear.

  • 152. Sarve, Hamid
    et al.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen. Örebro universitet, Institutionen för klinisk medicin.
    Lindblad, Joakim
    Borgefors, Gunilla
    Franke-Stenport, Victoria
    Quantification of bone remodeling in the proximity of implants2007Ingår i: Proceedings of the 12th International Conference on Computer Analysis of Images and Patterns (CAIP07) / [ed] Waalter G. Kropatsch, Martin Kampel, Allan Hanbury, Berlin: Springer , 2007, s. 253-260Konferensbidrag (Refereegranskat)
    Abstract [en]

    In histomorphometrical investigations of bone tissue modeling around screw-shaped implants, the manual measurements of bone area and bone-implant contact length around the implant are time consuming and subjective. In this paper we propose an automatic image analysis method for such measurements. We evaluate different discriminant analysis methods and compare the automatic method with the manual one. The results show that the principal difference between the two methods occurs in length estimation, whereas the area measurement does not differ significantly. A major factor behind the dissimilarities in the results is believed to be misclassification of staining artifacts by the automatic method.

  • 153.
    Sedelius, Thomas
    et al.
    Örebro universitet, Samhällsvetenskapliga institutionen.
    Eriksson, Charli
    Örebro universitet, Hälsovetenskapliga institutionen.
    Sandberg, Andreas
    Välfärdsutveckling på stadsdelsnivå: Baronbackarna i Örebro, Dalhem i Helsingborg, Hageby i Norrköping och Pettersberg i Västerås2007Rapport (Övrigt vetenskapligt)
  • 154.
    Shields, Linda
    et al.
    Queensland University of Technology, Brisbane, Australia.
    Kristensson-Hallström, Inger
    Children’s Hospital/Department of Caring Sciences, University Hospital, Lund, Sweden.
    Andershed, Birgitta
    Örebro universitet, Hälsovetenskapliga institutionen.
    Jackson, Karin
    Örebro universitet, Hälsovetenskapliga institutionen.
    Eriksson, Mats
    Örebro universitet, Hälsovetenskapliga institutionen.
    Nursing and health care in Sweden2002Ingår i: The Australian journal of advanced nursing, ISSN 0813-0531, Vol. 20, nr 1, s. 20-26Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Sweden, one of the Nordic countries, has a long history of social justice and equality of access to health care. Nursing plays an important role in this and nursing education is of a high standard. The aim of this paper is to describe Sweden's health system and nursing within it, thereby giving Australian nurses information which may generate an interest in, and provide background for, collaborative work. It is part of a series initiated by the first author who visited Sweden, Iceland and England in 2000 under the auspices of a Churchill Fellowship, and who has returned to Sweden and England to continue work begun during the Fellowship. Sweden's health service is characterised by an ethic of egalitarianism and high standards; primary health care plays a large role and tertiary health care is easily accessible. Nursing in Sweden is of a high standard, with devolvement of responsibility and decision-making to those working in the wards and units. Nursing education has been influenced by the historical development of nursing in Europe and today, Swedish nurses enjoy a high standard of university education with government support readily available to make specialist education accessible. Because of the similarities in both the cultures, and nursing, in Australia and Sweden, Australian nurses would find Sweden a wonderful country in which to implement cross-cultural, collaborative work.

  • 155.
    Sjöström, Michael
    et al.
    Unit for Preventive Nutrition, Department of Medical Nutrition, Karolinska Institutet, Stockholm, Sweden.
    Yngve, Agneta
    Unit for Preventive Nutrition, Department of Biosciences at NOVUM, Karolinska Institutet, Huddinge, Sweden.
    Warm, Daniel
    Ekelund, Ulf
    Örebro universitet, Hälsovetenskapliga institutionen.
    Isaksson, Per
    Poortvliet, Eric
    European Master's in Public Health Nutrition: Folkhälsovetenskap, Nutrition och Fysisk Aktivitet i kombination med Europadimension2000Ingår i: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. 77, nr 2, s. 170-178Artikel i tidskrift (Refereegranskat)
  • 156. Sommerlad, S.
    et al.
    Mackenzie, D.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Atwell, R. A.
    Comparison of two barrier membranes and bone formation around bone anchored hearing aid implants: a pilot study in dogs2004Konferensbidrag (Refereegranskat)
  • 157.
    Stanley, Anitha
    et al.
    College of Nursing, CMC, Vellore, India.
    Chacko, Ranjitha
    College of Nursing, CMC, Vellore, India.
    Widar, Marita
    Örebro universitet, Hälsovetenskapliga institutionen.
    Caregivers' perception of their problems and needs in palliative care settings: a literature review2008Ingår i: Indian Journal of Continuing Nursing Education, Vol. 9, nr 2, s. 19-29Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 158.
    Stenvi, Åsa
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Eriksson, Maria
    Örebro universitet, Hälsovetenskapliga institutionen.
    Smärta ur ett transkulturellt omvårdnadsperspektiv2007Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [en]

    Smärta är ett högst subjektivt och individuellt fenomen som både har kroppsliga och själsliga komponenter. Smärtan tar sig uttryck i ett beteende som är funktionellt för att kontrollera den och för att signalera smärtan till andra. Inom varje kultur finns olika typer av accepterade smärtbeteenden. Det är sjuksköterskans ansvar att identifiera de många faktorer som kan inverka på en patients smärtupplevelse och smärtuttryck. Syftet med litteraturstudien var att beskriva hur patientens kulturella bakgrund kan yttra sig i olika uppfattningar om smärtans orsak och i smärtbeteenden, samt att beskriva sjuksköterskans tolkning av smärtbeteenden hos patienter, i en transkulturell kontext. Elektroniska sökningar, samt en manuell sökning, genomfördes i omvårdnadsinriktade databaser, vilket resulterade i 12 vetenskapliga artiklar som litteraturstudiens resultat baserades på. Resultatet visade att flera av de kulturella grupperna som kom att ingå i litteraturstudien hade en övernaturlig orsaksförklaring till smärta. Det framkom även att patientens smärtbeteende är nära förbundet med vilken uppfattning individen har om smärtans orsak. Två huvudgrupper av smärtbeteenden gjorde sig synliga. Inom vissa kulturer, där smärta till exempel kunde ses som Guds vilja eller som skamfull, valdes ett behärskat och stoiskt smärtbeteende. I andra kulturer, där det ansågs accepterat att öppet uttrycka smärta, valdes ett expressivt smärtbeteende. Som sjuksköterska i ett mångkulturellt samhälle är det viktigt att tillägna sig kunskap om olika kulturer, deras uppfattningar och uttryck för smärta. Flera av studierna visade att denna kunskap saknades hos sjuksköterskor, vilket ledde till att de ofta undervärderade och missuppfattade patienternas smärta.

  • 159.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen. Mälardalens högskola. Institutionen för beteendevetenskap och lärande..
    Adults with acquired traumatic brain injury: a theoretical analysis from a social recognition perspective2007Konferensbidrag (Refereegranskat)
    Abstract [en]

    The purpose of this study is to illuminate the changeover process experienced by people with traumatic brain injury (TBI) and to increase the understanding of the process of social recognition aroused after injury.

    Persons who have acquired TBI have been interviewed (in-depth) using an interview-guide. Informants were in total 15, aged 28-56. Data were first structured and analysed by latent-content analysis with a hermeneutic approach, and later re-contextualised within a matrix construct from theories of social recognition.

    The results were in the first step structured into six themes: meaning of care, meaning of action, autonomy, social interaction, theme of changes, emotions, and in the next step re-described in terms of social recognition, i.e. the individual dimension, the legal dimension and the value dimension.

    Conclusions: Significant others have had an important function as a driving force for life-situation after injury. Informants were initially satisfied with support from society. The recovery was a prolonged process, probably never ending. The individual dimension is principally connected to the individuals’ experiences of their primary-relations, e.g. next of kin. The legal dimension is closely associated to rules and regulations in society, e.g. disability rights. The value dimension is related to standards and value-system in society, e.g. solidarity.

  • 160.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Adults with acquired traumatic brain injury: experience of a changeover process and consequences in every day life2005Konferensbidrag (Refereegranskat)
    Abstract [en]

    Objectives: The overall purpose of this study is to illuminate the changeover process experienced by people with traumatic brain injury (TBI) in every day life and to increase our understanding of this process. Three main questions are in focus: (i) the process in time, (ii) social support and (iii) long-term consequences.

    Methods: Persons who as adults acquire a TBI have been interviewed using an interview guide comprising six themes: (i) consequences of TBI, (ii) family and social network, (iii) working life and occupation, (iv) life-changes, (v) support from society and (vi) every day life. The interviews are qualitative deep interviews, lasting 1-2 hours. The informants were in total 15, aged 19-53 when injured and 28-56 when interviewed.

    Results: Reported consequences were positive as well as negative, some were of physical, cognitive or psychosocial sort, e.g. 11 had problems with movements and coordination, 11 had memory disorder and 10 reported depression. The positive consequences were, e.g. better self-knowledge, deeper family ties and new life values. A majority of the informants had difficulties in returning to the work force. Almost all had in hospital rehabilitation in connection to the initial hospital care.

    Conclusion: A preliminarily conclusion shows that significant others, e.g. next of kin, have had an important function as a driving force for training and for the life-situation after injury. Moreover, a majority of those interviewed were satisfied with support from society, e.g. hospital-care, rehabilitation and community support. Such support, initially, flew without problems but demanded more of the TBI-personals’ initiatives to work out in the extension. A long-term support which deals with physical, cognitive as well as psychosocial consequences is important for the outcomes in everyday life.

  • 161.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Adults with acquired traumatic brain injury: experiences of a changeover process and consequences in every day life2006Konferensbidrag (Refereegranskat)
    Abstract [en]

    Objectives: The overall purpose of this study is to illuminate the changeover process experienced by people with traumatic brain injury (TBI) in every day life and to increase our understanding of this process. Three main questions are in focus: the process, social support and long-term consequences.

     

    Methods: Persons who as adults acquire a TBI have been interviewed using an interview guide comprising six areas: consequences of TBI, family and social network, working life and occupation, life-changes, support from society and every day life. The interviews are qualitative in-depth interviews. Informants were in total 15, aged 19-53 when injured. Data were structured and analysed by latent content analysis with a hermeneutic approach, and later within a theory of social recognition.

     

    Results: The findings were presented in six themes: the meaning of care, a question of formal versus informal support, the theme of changes, a question of process versus stagnation, the meaning of action, a question of activity versus inactivity, social interaction, a question of encounter and treatment, empowerment, a question of dependence versus independence, emotions, a oscillation between hope and hopelessness.

     

    Conclusions: A preliminarily conclusion shows that significant others, e.g. next of kin, have had an important function as a driving force for training and for life-situation after injury. A majority of the interviewed were satisfied with support from society, e.g. hospital-care, rehabilitation and community support. Such support, initially, flew without problems but demanded more of the TBI-personals’ initiatives to work out in the extension. A long-term support which deals with physical, cognitive as well as psychosocial consequences is important for outcomes in everyday life. Reported consequences were negative as well as positive.

  • 162.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Adults with acquired traumatic brain injury: experiences of a changeover process and consequences in everyday life2009Ingår i: Social work in health care, ISSN 0098-1389, E-ISSN 1541-034X, Vol. 48, nr 3, s. 276-297Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this study is to illuminate the changeover process, support and consequences experienced by adults who acquired traumatic brain injury (TBI). Fifteen persons were in-depth interviewed using a semi-structured interview guide. Data were analysed by latent-content analysis and structured into six themes.

    Consequences were negative as well as positive. Significant others were important as a driving force for training and life-situation. The informants were initially satisfied with social supports but in the longer term became more critical regarding accessibility to such supports. The majority had difficulties in returning to working-life after injury. The outcomes seemed to be a prolonged process, probably never-ending, which gradually became integrated as a part of life.

  • 163.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Children in residentia lcare: a social study of orphanages in Latvia2003Konferensbidrag (Övrigt vetenskapligt)
  • 164.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Föräldralösa barns uppväxtmiljö i Lettland2003Ingår i: Nordisk Østforum, ISSN 0801-7220, E-ISSN 1891-1773, Vol. 17, nr 3, s. 393-406Artikel i tidskrift (Refereegranskat)
  • 165.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Living with traumatic brain injury: a theoretical analysis from a social recognition perspective2008Konferensbidrag (Refereegranskat)
    Abstract [en]

    The purpose of this study is to illuminate the changeover process experienced by people with traumatic brain injury (TBI) and to increase the understanding of the process of social recognition aroused after injury. 

    Persons who have acquired TBI have been interviewed (in-depth) using an interview-guide. Informants were in total 15, aged 28-56. Data were first structured and analysed by latent-content analysis with a hermeneutic approach, and later re-contextualised within a matrix construct from theories of social recognition.

    The results were in the first step structured into six themes: meaning of care, meaning of action, autonomy, social interaction, theme of changes, emotions, and in the next step re-described in terms of social recognition, i.e. the individual dimension, the legal dimension and the value dimension.

    Conclusions: Significant others have had an important function as a driving force for life-situation after injury. Informants were initially satisfied with support from society. The recovery was a prolonged process, probably never ending. According to the theories of social recognition:

    (I) The individual dimension is principally connected to the individuals’ experiences of their primary-relations, e.g. next of kin.

    (II) The legal dimension is closely associated to rules and regulations in society, e.g. disability rights.

    (III) The value dimension is related to standards and value-system in society, e.g. solidarity.

  • 166.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Medvetenhet och bemötande. En studie om sjuksköterskans funktion och kompetens i närståendeundervisningen2002Ingår i: Socialvetenskaplig tidskrift, ISSN 1104-1420, Vol. 9, nr 2, s. 272-276Artikel, recension (Övrigt vetenskapligt)
  • 167.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Orphans in Russia: policies for family-like alternatives2005Ingår i: Nordisk Østforum, ISSN 0801-7220, E-ISSN 1891-1773, nr 1, s. 135-137Artikel, recension (Övrigt vetenskapligt)
  • 168.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Traumatisk hjärnskada hos kvinnor: perspektiv på kön, sexualitet och funktionshinder: en litteraturstudie med feministisk ansats2004Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 24, nr 1, s. 47-50Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    The article is built upon tree topics: feminism, sexuality and disability. The purpose is to illuminate traumatic brain injury (TBI) among women in perspectives of gender, role and sexuality. On the basis of literature studies the article summarize (i) gender specific onsequences for women (ii) sexual consequences for women (iii) women role changes.

    The article brings up sexual consequences with TBI as increased and decreased sexual lust and problem with orgasms. Role changes are illuminated as working role, hobbyist and role as a family member. Even gender specific differences between cognition and emotion are mentioned.

    The article set focus on TBI as a hidden less recognised consequence for battered women. Gender perspectives are problemized and discussed in connection to TBI. Thinking in processes is described in purpose to give a more holistic perspective on mankind and its sexuality. Violence against women having TBI and frequents of injuries seen in a gender perspective is mentioned.

  • 169.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Utformandet av en webbaserad kurs i case management för rehabiliteringsaktörer2008Ingår i: Vårdpedagogikens mångsidighet: forskning, utbildning och yrkespraktik / [ed] Margareta Asp, 2008, s. 104-111Konferensbidrag (Övrigt vetenskapligt)
  • 170.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Vuxna med förvärvad traumatisk hjärnskada - omställningsprocesser och konsekvenser i vardagslivet: en studie av femton personers upplevelser och erfarenheter av att leva med förvärvad traumatisk hjärnskada2006Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    The overall purpose of this study is to illuminate the changeover process experienced by individuals who as adults acquired a traumatic brain injury (TBI), to increase the knowledge and the understanding of this process, and describe the meaning of support in every day life.

    Persons who acquired a TBI as adults were administered a semi-structured interview covering six areas: consequences of TBI, family and social networks, working life and occupation, life-changes, support from society and everyday life. The interviews were qualitative and in-depth. A total of 15 informants participated, aged between 19-53 years when injured. Data were structured and underwent two phases of analysis. In the first phase, data underwent latent content analysis, underpinned by a hermeneutic approach, and in the subsequent phase, reanalysed within a framework derived from the theory of social recognition.

    Findings from the first phase of inductive analysis elicited key themes: (i) the meaning of care, a question of formal and/or informal support; (ii) the meaning of action, a question of activity versus inactivity; (iii) autonomy, a question of dependence versus independence; (iv) social interaction, a question of encounter and/or treatment; (v) the theme of changes, a question of process versus stagnation; and (vi) emotions, an oscillation between hope versus hopelessness. After the construction of the six themes each of them were, through a discursive analysis, connected with theories, earlier studies in the field of brain injuries and important interview quotations from the empirical material. During this phase, an interest developed to study the material from a new theoretical point of view. The second phase of analysis therefore involved the development of a framework derived from Honneth’s (1995) theory of social recognition. The central construct of ‘recognition’ was analysed from three different dimensions proposed by Honneth: the individual dimension, the legal dimension, the value dimension. Using this framework, the data were reanalysed. The scientific term for this process of re-contextualisation and re-description of data is abduction inference.

    Reported consequences were negative as well as positive. Significant others (e.g. next of kin) had an important function as a driving force for training and preparation for life-situation after injury. A majority of the informants were satisfied with support from society, such as hospital-care, rehabilitation and community support. Such support, initially, proceeded without problems but as time passed, the responsibility shifted to the person with TBI to take the initiative in arranging longer-term services. Long-term support which addresses physical, cognitive as well as psychosocial consequences of the TBI is important for outcomes. The majority of the informants had difficulties in returning to working life after the injury. The outcomes and recovery seemed to be a prolonged process, probably never ending, but which gradually over time becomes integrated as a part of life. The informants gave varying accounts of the extent to which they experienced social recognition.

  • 171.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Vuxna med förvärvad traumatisk hjärnskada: omställningsprocesser och konsekvenser i vardagslivet2006Konferensbidrag (Refereegranskat)
    Abstract [sv]

    BAKGRUND

    Flertalet av dem som förvärvar en traumatisk hjärnskada får vanligtvis funktionsnedsättningar av varierande slag som kan påverka vardagslivet med ibland livslånga konsekvenser som följd. Sådana förändringar kan grovt indelat vara av fysisk, perceptuell, minnesmässig och/eller kognitiv art, samt av beteende, personlighet och/eller social och relationsmässig karaktär. Tidigare studier som fokuserar de hjärnskadades egna erfarenheter av att leva med sådana funktionsnedsättningar är begränsade särskilt inom det socialvetenskapliga området. Att belysa och öka förståelsen för de hjärnskadades livssituation, omställningsprocess och återanpassning till vardagslivet är därför av betydelse och legitimerar behovet av dylika studier. Samhällsnyttan av sådana studier kan i förlängningen innebära att vård och rehabilitering, samt stöd och omsorgsformer utvecklas så att personer med förvärvad hjärnskada kan ta del av ett ännu bättre och för dem anpassat samhällsstöd.

     

    SYFTE

    Syftet med studien är att öka kunskapen för, samt att belysa omställningsprocesser och konsekvenser som vuxna personer med traumatisk hjärnskada erfar och upplever i vardagslivet och i samhällsstödet efter en förvärvad traumatisk hjärnskada.

     

    METOD

    Studien antar en intensiv (kvalitativ) ansats. Genom semistrukturerade djupintervjuer har 15 personer berättat om sina erfarenheter av att leva med traumatisk hjärnskada. Intervjuguiden består av sex frågeområden: konsekvenser till följd av skadan, familjeliv och socialt nätverk, arbetsliv och sysselsättning, livsförändring, samhällsstöd samt vardagsliv. Informanterna var vid intervjutillfället i åldrarna 28-56 år. Datamaterialet har strukturerats och analyserats induktivt, utifrån en tolkande innehållsanalys och kommer senare att analyseras abduktivt, utifrån Axel Honneths teori om socialt erkännande.

     

    RESULTAT

    Det preliminära resultatet från innehållsanalysen redovisas i sex övergripande teman som konstituerar de intervjuades erfarenheter av att leva ett vardagsliv med traumatisk hjärnskada. Dessa teman redovisas i form av dikotomier och kopplas till tidigare studier och teoretiska antaganden: Omsorgens betydelse, en fråga om informellt vs formellt stöd. Handlingens betydelse, en fråga om aktivitet vs inaktivitet. Empowerment, en fråga om självständighet vs osjälvständighet. Social interaktion, en fråga om möte och bemötande. Förändringens tema, en fråga om process vs stagnation. Emotioner, en pendling mellan hopp och hopplöshet.

     

    SLUTSATS

    Studien är i process och konklusionen är därför preliminär. Den påvisar bl.a. att betydelsefulla andra, t.ex. anhöriga har en viktig funktion att fylla som motivation och drivkraft för träning, återkomst och för livssituationen efter skadan. De intervjuade var initialt nöjda med samhällets stöd, t.ex. med avseende på rehabilitering, ett stöd som till en början fungerat väl men som senare under processen krävt allt mer av egen aktivitet för att fungera. Rapporterade konsekvenser är såväl negativa som positiva.

  • 172.
    Ståhl Martinsson, Malin
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ingemarsson, Linda
    Örebro universitet, Hälsovetenskapliga institutionen.
    Arbetsterapi för personer med HIV/AIDS: Occupational therapy for persons with HIV/AIDS2006Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Bakgrund: Varje dag smittas i genomsnitt cirka 14 000 personer av HIV i världen. Ny behandling har gjort att dessa patienter idag lever längre. Sjukdomsförlopp samt komplikationer går inte att förutsäga utan är individuellt. Eftersom personer med HIV/AIDS-diagnos nu lever längre kommer behovet av arbetsterapeutiska insatser att öka. Syfte: Syftet med studien är att beskriva arbetsterapeutiska insatser för personer med HIV/AIDS samt vilken roll arbetsterapeuten har i arbetet kring dessa personer. Metod: En systematisk litteraturstudie gjordes för att få svar på syftet. Resultat: Vi har kommit fram till att arbetsterapeutiska insatser för personer med HIV/AIDS kan delas in i fem teman; Handledning, Hjälpmedel och anpassning, Undervisning, Förhållningssätt samt Existentiella frågor och andlighet. Arbetsterapeuten hjälper patienten att formulera målsättningar och att uppnå ökad självständighet genom att bland annat tillhandahålla hjälpmedel och bedriva utbildning. HIV/AIDS-patienters bakgrund är viktig att tänka på då den kan visa hur mottaglig en patient är för olika arbetsterapeutiska behandlingsmetoder. Slutsats: Arbetsterapeutiska insatser som används i arbetet med HIV/AIDS-patienter skiljer sig inte mot insatser riktade till andra patientgrupper.

  • 173.
    Stödberg, Rosa
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Sunvisson, Helena
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ahlström, Gerd
    Örebro universitet, Hälsovetenskapliga institutionen.
    Lived experience of significant others of persons with diabetes2007Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 16, nr 7B, s. 215-222Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: To elucidate the lived experience of being a significant other of a person with diabetes. BACKGROUND: A person's illness has consequences not only for the affected. Despite an increasing number of studies on significant others, there have been few about the experience of being a significant other of a person with diabetes. DESIGN: Phenomenological-hermeneutic approach. METHOD: Fifteen significant others of persons with diabetes were interviewed. The interviews were conversational, starting with an open question. They were audiotaped and transcribed verbatim. The texts were analysed and interpreted. RESULTS: The meaning of the lived experienced as narrated by the significant others is presented by way of four major themes: living in concern about the other's health, striving to be involved, experiencing confidence and handling the illness. Many significant others said that they lived a normal life and had come to accept diabetes as a normal part of life. At the same time, the significant others experienced sorrow when they saw the health of the person with diabetes deteriorate over time. CONCLUSIONS: Living near a person with diabetes meant being constantly attentive to how the person was feeling. The significant others wanted to be involved in the illness by the persons with diabetes and healthcare staff. They felt confidence both in the way the person with diabetes handled the illness and in the ongoing research about diabetes. The significant others had found ways to handle the illness but lacked support from healthcare staff. RELEVANCE TO CLINICAL PRACTICE: Nurses need to provide support for significant others as well as good caring for the patients and this requires a profound understanding of significant others from their own perspective.

  • 174. Sul, Y. T.
    et al.
    Cho, R. L.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Albrektsson, T.
    Oxidized, bioactive implants are rapidly and strongly integrated in bone2004Konferensbidrag (Refereegranskat)
  • 175. Sul, Y. T.
    et al.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Albrektsson, T.
    Biochemical bonding vs. mechanical interlocking in osseointegration of oxidized implants2003Konferensbidrag (Övrigt vetenskapligt)
  • 176. Sul, Y. T.
    et al.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Albrektsson, T.
    Biomechanical measurements of Ca-incorporated, oxidized implants in rabbit bone2004Konferensbidrag (Refereegranskat)
  • 177. Sul, Y. T.
    et al.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Kim, Y. B.
    Byon, E.
    Jeong, Y.
    SEM study of bone growth on the pore of the oxidized implant retrieved form rabbit bone2004Konferensbidrag (Refereegranskat)
  • 178. Sul, Y. T.
    et al.
    Johansson, P.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Byon, E.
    Albrektsson, T.
    Removal torque measurements of Mg-incorporated, oxidized implants in rabbit bone2004Konferensbidrag (Refereegranskat)
  • 179. Sundfeldt, Mikael
    et al.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen. Örebro universitet, Institutionen för klinisk medicin.
    Regnér, Lars
    Albrektsson, Tomas
    Carlsson, Lars V.
    Long-term results of a cementless knee prosthesis with a metal-backed patellar component: clinical and radiological follow-up with histology from retrieved components2003Ingår i: Journal of long-term effects of medical implants, ISSN 1050-6934, E-ISSN 1940-4379, Vol. 13, nr 4, s. 341-354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aseptic loosening of cemented knee arthroplasties has encouraged development of uncemented fixation. The Miller-Galante I (MG I) prosthesis was designed to achieve permanent stability through ingrowth into a titanium fiber mesh. Thirty-five knees in 30 patients with MG I knee replacements have been followed clinically and radiologically with a mean follow-up of 12 years. Twenty knees were revised with a mean follow-up of 5 years. Patellofemoral problems, especially avulsion of the polyethylene from the metal-backed patella and in some cases severe metallosis, have been the main reason for revision. Metal-backed patellar component should be avoided. In addition, instability has been a problem. However, the fixation of the components has been excellent, with a high degree of osseous ingrowth displayed at histological analysis of retrieved components. The clinical and radiological results after revision are in most cases good, despite the femoral component having been left in situ.

  • 180.
    Sunvisson, Helena
    Örebro universitet, Hälsovetenskapliga institutionen.
    Stopped within a track:  embodied experiences of late-stage Parkinson's disease2006Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 1, nr 2, s. 91-99Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Based on a phenomenological understanding of humans as situated and intentional beings, this study explored experience of late-stage Parkinson's disease. A woman aged 72, in the late stages of Parkinson's disease, was interviewed regarding her experiences over a five-year period. A phenomenological method was used for scrutinizing tape-recorded and verbatim transcribed interviews. Results reveal that late-stage Parkinson's disease is manifested as a sense of lost control over daily life and as a life with unpredictable bodily reactions. There was a demand to live within an increasingly rigid, slow rhythm of time, with continuously decreased embodied skilfulness, which caused fragmented mobility patterns. Movements were no longer intentional, i.e. outward; they demanded inward concentration. The intention to move was no longer primary, e.g. to grab a handle, because space is mentally and physically understood. Instead, intention was secondary because movement became primary. This phenomenon changed embodied understanding of relationships with the room, distances, and things. Understanding of distance, e.g. became unclear, and this affected ways in which place and situation were experienced and lived. The results highlight ways that a Parkinson's sufferer lives and experiences space and time in surroundings and situations; and how the person meets and deals with significant challenges.

  • 181.
    Sunvisson, Helena
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ekman, Sirkka-Liisa
    Karolinska Institutet.
    Environmental influences on the experiences of people with Parkinson's disease2000Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 8, nr 1, s. 41-50Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study elucidates environmental influences on lived illness experiences. For two consecutive years, persons with Parkinson's disease (PD) participated in 1 week of daily walking in the Swedish mountains. Daily, low-intensive walking that is free of intense effort or time pressures associated with group interaction characterized the week. Participants were interviewed 3 months after the mountain stay regarding experiences in the mountains, daily living, and how their experience in the mountains influenced their daily living after returning home. A phenomenological method was used for data analysis. Results point to the close connection between mind, body, and environment. The connection becomes highlighted when people are afflicted with sickness, such as PD, which causes impaired control of body language, impaired voluntary mobility, and lowered energy levels. The results also show how a social context in an environment with suitable physical challenges led to a change in individuals' perceptions of the manageability of their experienced sicknesses. These results provide a deepened understanding of how individuals with PD experience illness, its influences on daily life, and how a suitable environment opens opportunities for managing daily issues.

  • 182.
    Svantesson, Mia
    et al.
    Örebro universitet, Institutionen för klinisk medicin.
    Sjökvist, Peter
    Thorsén, Håkan
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ahlström, Gerd
    Nurses’ and physicians’ opinions on aggressiveness of treatment for general ward patients2006Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 13, nr 2, s. 147-162Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to evaluate agreement between nurses’ and physicians’ opinions regarding aggressiveness of treatment and to investigate and compare the rationales on which their opinions were based. Structured interviews regarding 714 patients were performed on seven general wards of a university hospital. The data gathered were then subjected to qualitative and quantitative analyses. There was 86% agreement between nurses’ and physicians’ opinions regarding full or limited treatment when the answers given as ‘uncertain’ were excluded. Agreement was less (77%) for patients with a life expectancy of less than one year. Disagreements were not associated with professional status because the physicians considered limiting life-sustaining treatment as often as the nurses. A broad spectrum of rationales was given but the results focus mostly on those for full treatment. The nurses and the physicians had similar bases for their opinions. For the majority of the patients, medical rationales were used, but age and quality of life were also expressed as important determinants. When considering full treatment, nurses used quality-of-life rationales for significantly more patients than the physicians. Respect for patients’ wishes had a minor influence.

  • 183.
    Ternestedt, Britt-Marie
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Andershed, Birgitta
    Örebro universitet, Hälsovetenskapliga institutionen.
    Eriksson, Monika
    Johansson, Ingrid
    A good death - Development of a nursing model of care2002Ingår i: Journal of Hospice and Palliative Nursing, ISSN 1522-2179, E-ISSN 1539-0705, Vol. 4, nr 3, s. 153-160Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe the ongoing process at a Swedish hospice to further develop a model for care planning, documentation, and evaluation of the quality of death. The model was adapted to a nursing context by means of concept derivation. The core of the model is the patient as a person, in which that person’s experiences and need for control in his or her life are acknowledged. Six key words have been used as guidelines in this process: symptom control, self-determination, social relations, self-image, synthesis, and surrender. In a retrospective analysis of patient deaths it was found that of 35 patients, 15 had a very good death, 17 a good death, and 3 a bad death. Use of the 6 S key words provided the staff with continual opportunities for reflection, which was described as increasing their awareness concerning the needs of individual patients and concerning individualized nursing care.

  • 184. Thor, A.
    et al.
    Franke Stenport, V.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Rasmusson, L.
    Histomorphometric evaluation of biopsies from platelet-rich plasma (PRP) treated patients2004Konferensbidrag (Refereegranskat)
  • 185.
    Thorsén, Håkan
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Fredäng, Päivi
    Örebro universitet, Pedagogiska institutionen.
    Sundberg, Björn
    Personalens etiska reflektioner2006Ingår i: Tvingad till hjälp: Om tvång, etik, tillit i barn- och ungdomspsykiatrisk vård / [ed] Ingemar Engström, Lund:: Studentlitteratur AB, 2006, s. 117-150Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 186.
    Tinnfält, Agneta
    Örebro universitet, Hälsovetenskapliga institutionen.
    Adolescents' perspective on mental health and health-promoting dialogues2007Licentiatavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Young people in Sweden are satisfied with most things in their lives. But they are not satisfied with school and not with their opportunities for personal influence. The Convention on the Rights of the Child emphasizes the right for children to express their views freely and that their views should be given due weight. In the present academic essay adolescents, 13, 15 and 16 years old, have been interviewed about matters concerning mental health.

    The overall aim of the study is to increase our knowledge of adolescents´ perceptions, of mental health and of school nurses´ mental health-promoting dialogue. Focus groups were used in the data collection in study I, as well as in study II. In study II these were combined with individual interviews. Altogether 26 adolescents in study I and 48 in study II were interviewed. Content analysis was used in the analysis in study I, and in study II a phenomenographical approach was used in the analysis.

    The findings in study I include what issues to discuss and where the school nurse’s mental health-promoting dialogue should take place. The findings show that adolescents emphasize as most important what the school nurse is like as a person in the health-promoting dialogue, and that trust, attentiveness, respectfulness, authenticity, accessibility during school hours and continuity are established. In study II, the findings show that adolescents find mental health to be an emotional experience where positive and negative health is part of the concept. Family is perceived as the most important determinant for young people’s health, closely followed by friends and thereafter school. The girls and the boys in study II did not feel that there were large differences in mental health between girls and boys, but they saw differences in the way they act; girls are talkative and emotional, and boys are silent and tough. Age differences seem to be more important than gender in the adolescents’ perception of mental health.

    The findings are discussed in relation to gender and previous research. Furthermore, the voice of young people and ethical issues in interviewing young people are discussed. The findings are thereafter placed in an ecological model.

    Delarbeten
    1. Mental health-promoting dialogue of school nurses from the perspective of adolescent pupils
    Öppna denna publikation i ny flik eller fönster >>Mental health-promoting dialogue of school nurses from the perspective of adolescent pupils
    2006 (Engelska)Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, nr 4, s. 10-13, 19Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    Mental health is a major public health issue in Sweden, especially concerning children and adolescents. School plays a primary role as a health-promoting arena, where school nurses use the health dialogue to promote mental health. The aim of this study was to describe the prerequisites of a mental health-promoting dialogue with the school nurse from the perspective of young people. A further aim was to explore what adolescents believe are important dimensions for achieving such a desired dialogue. Twenty-six 15-year-olds in Sweden were interviewed after being assigned to five focus groups. Inductive qualitative content analysis was used. The findings show that the prerequisites for a mental health-promoting dialogue with the school nurse include what issues to discuss in the dialogue and where the dialogue should take place. The dimensions of the dialogue include what the adolescents think is most important in the dialogue with the school nurse: trustiness, attentiveness, respectfulness, authencity, accessibility during school hours and continuity.

    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Vårdvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-3027 (URN)
    Tillgänglig från: 2008-11-05 Skapad: 2008-11-05 Senast uppdaterad: 2017-12-14Bibliografiskt granskad
    2. Adolescent girls' and boys' perceptions of mental health
    Öppna denna publikation i ny flik eller fönster >>Adolescent girls' and boys' perceptions of mental health
    2007 (Engelska)Ingår i: Journal of Youth Studies, ISSN 1367-6261, E-ISSN 1469-9680, Vol. 10, nr 2, s. 183-202Artikel i tidskrift (Refereegranskat) Published
    Abstract [en]

    The aims of this study are to analyse the concept of mental health from the perspective of adolescent girls and boys and to describe what adolescent girls and boys regard as important determinants of mental health. Interviews with 48 children, 13 and 16 years old, in Sweden were held individually or in focus groups. The adolescents perceived mental health as an emotional experience, where positive as well as negative health is part of the concept. Family is the most important determinant for young people's mental health, closely followed by friends. Neither girls nor boys believed that there were any large differences in mental health between girls and boys. Age differences seemed to be more important than gender in the perception of mental health by children.

    Nyckelord
    mental health, adolescent
    Nationell ämneskategori
    Omvårdnad
    Forskningsämne
    Vårdvetenskap
    Identifikatorer
    urn:nbn:se:oru:diva-3028 (URN)10.1080/13676260601055409 (DOI)
    Tillgänglig från: 2008-11-05 Skapad: 2008-11-05 Senast uppdaterad: 2020-01-29Bibliografiskt granskad
  • 187.
    Tinnfält, Agneta
    Örebro universitet, Hälsovetenskapliga institutionen.
    Fokusgrupper som forum för ungdomars diskussioner2007Ingår i: Välfärdspolitik i praktiken: om perspektiv och metoder i forskning / [ed] Elinor Brunnberg, Elisabet Cedersund, Uppsala: NSU Press , 2007, s. 51-62Kapitel i bok, del av antologi (Övrigt vetenskapligt)
    Abstract [sv]

    Fokusgrupper innebär att människor sitter i grupp och diskuterar ett fokuserat ämne, valt av en forskare. Syftet med detta kapitel är att beskriva fokusgrupper som forskningsmetod med dess för- och nackdelar. Kapitlet tar också kort upp användningen av fokusgrupper tillsammans med barn och ungdomar och argumenterar för att fokusgrupp är ett bra sätt att genomföra barn- och ungdomsintervjuer på. De får möjlighet att diskutera med jämnåriga och med en vuxen, gruppen kan ge trygghet och ungdomen behöver inte alltid själv svara på de frågor som ställs. Dock finns svårigheter i form av att vissa ämnen kan vara ”tabu” i gruppen, och att varje enskild deltagare inte känner sig lika ansvarig som vid en individuell intervju.

  • 188.
    Tinnfält, Agneta
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Brunnberg, Elinor
    Örebro universitet, Institutionen för beteende-, social- och rättsvetenskap.
    Towards identifying and supporting children of alcoholics: adolescents´ perspectives2008Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Purpose: A large group among children and adolescents, who are at risk of abuse and neglect, are children of alcoholics (10-30%). Not all of them have big problems, but they are at risk for mental health problems, like emotional, behavioural, adaptive and cognitive problems as well as alcohol use disorder. In Sweden support groups for children of alcoholics (CoA) are common in the municipalities. However, only approximately 1% of the CoA gets this type of support, because few are identified and supported. The aim of this study is to describe how children of alcoholics signal being abused and neglected, and how they perceive that adults can identify, help and support them. Method: Support groups for CoA were identified in five Swedish municipalities, and adolescents who participate in theses groups were invited to participate in an interview study. Adolescents, 12 to 19 years old, were interviewed either individually or in focus groups. Twenty-seven adolescents, 24 girls and 3 boys, accepted the invitation. The difference between the number of girls and boys is due to the fact that fewer adolescent boys than girls participate in support groups. The interviews were transcribed and an inductive qualitative content analysis was implemented. The study has been approved by the regional research ethics committee. Results: Analysis is ongoing. The results will contribute to an understanding of how CoA signal being abused and neglected. The adolescents´ proposals what school can do to support will be given. Reasons for adolescents´ hesitation in telling adults about their situation will be highlighted. Full results will be reported. Conclusion: It is necessary to listen to the voices of children of alcoholics in order to overcome barriers to detection and support for many children living in this type of high risk families.

  • 189. Tishelman, Carol
    et al.
    Bergenmar, Marie
    Bernhardson, Britt-Marie
    Blomberg, Karin
    Örebro universitet, Hälsovetenskapliga institutionen.
    Börjeson, Sussanne
    Foderus, Helena
    Leveälahti, Helena
    Sahlberg-Blom, Eva
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ternestedt, Britt-Marie
    Örebro universitet, Hälsovetenskapliga institutionen.
    Using undergraduate nursing students as mediators in a knowledge transfer programme for care for patients with advanced cancer2008Ingår i: European Journal of Cancer Care, ISSN 0961-5423, E-ISSN 1365-2354, Vol. 17, nr 3, s. 253-260Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Nursing today faces numerous challenges. Societal changes lead to reorganization of health care, changing workloads with sicker patients in hospital and home care, and limited economic resources. The increasing and changing nature of knowledge needed for expert care provision challenges nurses to continually update their competencies. These are issues demanding proactive and dynamic changes in the way nurses conceive their mandates and practice. The aim of the action-research project presented here was to foster improved quality of care for patients with advanced cancer through collaborative endeavours integrating cancer nursing clinical practice, research and education in a knowledge exchange programme. The programme was based on input about caregiving needs from multi-professional staff caring for patients with advanced cancer in a variety of healthcare settings. Undergraduate baccalaureate nursing students were then engaged in literature studies to help address these needs. Results of the studies were communicated back to the involved clinicians in a variety of ways. In this paper, we discuss what we have experienced as opportunities and obstacles in conducting the project, based on our reflections and external evaluations. This is linked to a broader discussion of ways of integrating cancer nursing research, education and practice.

  • 190. Tishelman, Carol
    et al.
    Bernhardson, Britt-Marie
    Blomberg, Karin
    Örebro universitet, Hälsovetenskapliga institutionen.
    Börjeson, Sussanne
    Franklin, Liselotte
    Johansson, Eva
    Leveälahti, Helena
    Sahlberg-Blom, Eva
    Örebro universitet, Hälsovetenskapliga institutionen.
    Ternestedt, Britt-Marie
    Örebro universitet, Hälsovetenskapliga institutionen.
    Complexity in caring for patients with advanced cancer2004Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 45, nr 4, s. 420-429Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background. The gap between nursing research and practice is readily acknowledged in literature, with a variety of strategies suggested for reducing this gap. It is necessary not only to address problems of research implementation in practice, but also to find strategies that strengthen the influence of practitioners on research agendas through more collaborative relationships in order to have an impact on care of patients. A multi-centre research project was therefore initiated by two universities and three health care facilities, aiming to improve quality of care for patients with advanced cancer through a knowledge-exchange programme between nurse researchers, practitioners and students.

    Aim. The aim of this article is to explore how clinical staff reason about care provision for patients with advanced cancer, through analysis of 20 focus group discussions conducted with staff in three different health care facilities in two Swedish cities. An initial analysis based on grounded theory was complemented with consideration of the interactive process in the focus group discussions, and carried out by a team consisting of senior nurse researchers, clinical experts and nursing instructors.

    Findings. The findings of the focus group discussions emphasize the complexity of caregiving for patients with advanced cancer. The tension between caregiving ideals and limits imposed by the realities of caregiving in today's health system were striking. Practitioners discussed the organization of care, different constellations of relationships between patients, family members and professionals, and theoretical and experiential knowledge as equally important aspects in dealing with all concrete situations in daily practice. The importance of reflective practice, use of self and ethical reasoning also permeated the focus group discussions.

    Conclusions. These findings highlight an integrated need both to influence organizational structures and working relationships, along with increasing knowledge, if sustainable change is to be effected.

  • 191.
    Tollén, Anita
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Fredriksson, Carin
    Örebro universitet, Hälsovetenskapliga institutionen.
    Kamwendo, Kitty
    Örebro universitet, Hälsovetenskapliga institutionen.
    Elderly persons' expectations of day-care rehabilitation2007Ingår i: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 14, nr 3, s. 173-182Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to explore elderly persons' conceptions of what they expected to gain from attending day-care rehabilitation centres (DCR). A purposeful sampling procedure was employed. Interviews with 22 prospective elderly day-care patients were carried out and analysed according to a phenomenographic approach. The analysis yielded eight categories. Two categories, Social contact and Exercise, described what the elderly persons expected to encounter. The remaining categories, A change from the monotony of everyday life, An opportunity to be yourself, A balm for the body, A safety net, A mastery of everyday activities, and An energizing spark, described the meanings of the encounters. Two categories were attributed to the elderly persons' physical presence at the centre and the gains were expected to end when the programme ended. In three categories the expected improvements were projected into the future and were expected to last. The findings imply that follow-up home visits and suggestions for alternative social activities in order to provide stimulation and social equality would be a valuable complement to the DCR programme. Rehabilitation personnel need to consider the ambivalent view on assistive devices as well as the elderly person's need for continuity when setting goals and planning individual programmes.

  • 192. Törnqvist, Anna Lena
    et al.
    Ahlström, Gerd
    Örebro universitet, Hälsovetenskapliga institutionen.
    Widner, Håkan
    Rehncrona, Stig
    Fulfilment of patients' goals after thalamic deep brain stimulation: a follow-up study2007Ingår i: Parkinsonism & Related Disorders, ISSN 1353-8020, E-ISSN 1873-5126, Vol. 13, nr 1, s. 29-34Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Deep brain stimulation (DBS) in the ventrolateral thalamus (VIM) is shown to reduce tremor in essential tremor (ET) and Parkinson's disease (PD). Our aim was to evaluate the results of VIM DBS from the patients' perspective. Sixteen consecutively included patients (8 ET and 8 PD) described their own outcome goals preoperatively and evaluated the fulfilment 1, 6 and 12 months postoperatively. We conclude that the patients could do specific activities that are of importance to them such as eating, drinking and socializing, and perceived either partial or total fulfilment of their goals. (c) 2006 Elsevier Ltd. All rights reserved.

  • 193. Um, H. S.
    et al.
    Jeong, Y.
    Sul, Y. T.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    SEM study of bone growth on the pore of the oxidized implant2004Konferensbidrag (Refereegranskat)
  • 194.
    Unemo, Magnus
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Friberg, Örjan
    Enquist, Emma
    Källman, Jan
    Söderquist, Bo
    Örebro universitet, Hälsoakademin.
    Genetic homogeneity/heterogeneity of Propionibacterium acnes isolated from patients during cardiothoracic reoperation2007Ingår i: Anaerobe, ISSN 1075-9964, E-ISSN 1095-8274, Vol. 13, nr 3-4, s. 121-126Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Following cardiothoracic surgery, deep sternal wound infection (SWI) remains one of the most severe complications. Recently, Propionibacterium acnes has been suspected as an etiological agent of deep SWI. However, this bacterium constitutes part of the resident micro-flora of the human skin. Consequently, findings of P. acnes in invasive samples are difficult to value. The aims of this study were to develop and optimize a pulsed-field gel electrophoresis (PFGE) protocol for P. acnes, in order to investigate the genetic homogeneity/heterogeneity of P. acnes isolates from multiple tissue samples (predominantly biopsies), collected at different locations, from 12 patients during cardiothoracic reoperation. There were 24 distinguishable PFGE fingerprints identified among the P. acnes isolates (n=54). Five (42%) of the patients carried only isolates that were interpreted as presumably clonally related. From the remaining seven patients, two or three different P. acnes clones were cultured, however, from six of them, the clones were identified in multiple samples. P. acnes may be a relatively frequent etiological agent of postoperative cardiothoracic infections. Existence of several clonally related P. acnes isolates derived from multiple samples from patients suffering from deep SWI after cardiothoracic surgery has not previously been shown.

  • 195. van Steenberghe, Daniel
    et al.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen. Örebro universitet, Institutionen för klinisk medicin.
    Quirynen, Marc
    Molly, Liene
    Albrektsson, Tomas
    Naert, Ignace
    Bone augmentation by means of a stiff occlusive titanium barrier: a study in rabbits and humans2003Ingår i: Clinical Oral Implants Research, ISSN 0905-7161, E-ISSN 1600-0501, Vol. 14, nr 1, s. 63-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    It has already been shown that occlusive titanium barriers have osteoconductive properties. These barriers, however, cover only a limited surface area and have only been used in animal experiments. The aim of this study was to evaluate bone neogenesis under a pre-shaped titanium barrier placed over the top of the rabbit skull and the top of highly resorbed edentulous upper-jaw bone in patients. Computed tomography (CT) scans made it possible to pre-shape the titanium barrier according to individual bone shape in human experiments. On the rabbit skull, tissue augmentation of up to 6 mm 1 year after barrier placement was observed, while the original thickness of skull bone was on average between 1.5 and 2.5 mm. The bone, which remained histologically immature for 1 year, grew systematically along the titanium surface, illustrating its osteoconductivity. Even after removal of the barrier, on average, 75.3 and 59.4% of the newly created tissue volume was maintained after 3 and 9 months, respectively. Clinical observations on 10 consecutive patients showed that, in those (5/10) in which the barrier remained unexposed for several months, an increase of the jawbone height and width of up to 16 mm could be observed when the barrier was removed after 12-18 months. As in the rabbits at barrier removal, the bone demonstrated a limited degree of mineralization as ascertained from biopsies. This newly formed osteoid tissue allowed the insertion of 33 screw-shaped titanium implants which in most cases (30/33) successfully osseointegrated to support a fixed prosthesis. The surrounding marginal bone level remained stable even up to 5 years after implant placement. Both animal and clinical data demonstrate that guided bone neogenesis under a subperiosteally placed titanium barrier can reach large volumes.

  • 196.
    Verney, Julien
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Kadi, Fawzi
    Örebro universitet, Institutionen för idrott och hälsa.
    Saafi, Mohamed A.
    Piehl-Aulin, Karin
    Örebro universitet, Hälsovetenskapliga institutionen.
    Denis, Christian
    Combined lower body endurance and upper body resistance training improves performance and health parameters in healthy active elderly2006Ingår i: European Journal of Applied Physiology, ISSN 1439-6319, E-ISSN 1439-6327, Vol. 97, nr 3, s. 288-297Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    We investigated the effects of combined lower body (LB) endurance and upper body (UB) resistance training on endurance, strength, blood lipid profile and body composition in active older men. Ten healthy still active men (73+/-4 years, V(O2) peak: 36 (31-41) ml min-1 kg-1) were tested before and after 14 weeks of combined training (3 times week-1). Training consisted of 3x12 min of high intensity interval training on a bicycle for endurance interspersed by 3x12 min of UB resistance exercises. V(O2) peak during leg cycling and arm cranking, isokinetic torque of knee extensor and shoulder abductor and the cross-sectional area (CSA) of several muscles from UB and LB were measured. Sagittal abdominal diameter (SAD) and abdominal fat area were measured on MRI scans. Total body composition was assessed by hydrostatic weighing (HW) and dual-energy X-ray absorptiometry (DEXA). Blood lipid profile was assessed before and after training. By the end of the training period, V(O2) peak (l min-1) increased significantly by 9 and 16% in leg cycling and arm cranking tests, respectively. Maximal isokinetic torque increased both for the knee extensor and shoulder abductor muscle groups. CSA increased significantly in deltoid muscle. Percentage of body fat decreased by 1.3% (P<0.05) and abdominal fat and SAD decreased by 12 and 6%, respectively (P<0.01). There was also a significant decrease in total cholesterol and low-density lipoprotein. Thus, combined LB endurance and UB resistance training can improve endurance, strength, body composition and blood lipid profile even in healthy active elderly.

  • 197. Wadensten, Barbro
    et al.
    Hägglund, Doris
    Örebro universitet, Hälsovetenskapliga institutionen.
    Older people´s experience of participating in a reminiscence group with a gerotranscendental perspective: reminiscence group with a gerotranscendental perspective in practice2006Ingår i: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 1, nr 3, s. 159-167Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Tornstam's theory of gerotranscendence provides the theoretical underpinning for two small reminiscence groups that met for eight weekly sessions in a Swedish daycentre. Tornstams's theoretical perspective provides a developmental model for understanding positive progressive changes in values, attitudes and behaviour in the second half of life. Practical guidelines derived from this theory informed the group-work approach used. Participants’ opinions about their reminiscence experience were analysed to determine the relevance of gerotranscendental theory as a basis for understanding older people's use of reminiscence in the ageing process. The study aimed at investigating older peoples’ experiences of participating in a reminiscence group with a gerotranscendental perspective. The study used a qualitative approach. Older people were invited to participate in reminiscence group sessions arranged at a daycentre. When the sessions were finished, participants were interviewed about their experience of the reminiscence group. Data were analysed and categorized by using qualitative methods. The participants were satisfied with the arrangement of the group sessions. All participants believed they had reminisced and thought much more about their childhood and also recalled other memories from their lives during the period. Three quite different views emerged of the recall experience and effects of participating in the reminiscence group: ‘An activity like any other; an activity that led to thoughts about memories from life or an activity that influenced my thoughts about life.’ Findings suggest that it is possible to arrange reminiscence groups from a gerotranscendental perspective that serve as an intervention in gerontological nursing. This paper provides some guidance concerning how this type of group may be arranged and the various categories of participant response that may be expected.

  • 198.
    Wagman, Petra
    Örebro universitet, Hälsovetenskapliga institutionen.
    Evidensbaserad praxis inom arbetsterapi: en litteraturstudie2006Självständigt arbete på grundnivå (kandidatexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [sv]

    Att arbeta evidensbaserat innefattar både ett förhållningssätt och en process, vilket ställer krav på den enskilde arbetsterapeuten att kontinuerligt ompröva olika arbetsmetoder. Syftet med denna uppsats var att belysa arbetsterapeuters kunskap om och attityd till evidensbaserad praxis. Vidare att undersöka vilka hinder som angavs och förslag till lösning av eventuella hinder för att arbeta evidensbaserat. Metoden litteraturstudie användes och artiklarna valdes utifrån systematisk litteratursökning. Tio artiklar, publicerade 2000-2005, från fyra olika länder granskades avseende olika aspekter av evidensbaserad praxis. Resultatet visade att arbetsterapeuter har en positiv inställning till evidensbaserad praxis men arbetar förhållandevis litet evidensbaserat och på en låg nivå. Bristande kunskap/färdighet och tidsbrist var de största hindren som arbetsterapeuter angav för att implementera ett evidensbaserat arbetssätt. I de granskade artiklarna gavs också förslag till lösningar för att möjliggöra en evidensbaserad praxis och dessa lösningar fanns på flera organisatoriska nivåer.

  • 199.
    Wallerstedt, Birgitta
    et al.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Andershed, Birgitta
    Örebro universitet, Hälsovetenskapliga institutionen.
    Caring for dying patients outside special palliative care settings: experiences from a nursing perspective2007Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, nr 1, s. 32-40Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the study was to describe nurses' experiences in caring for gravely ill and dying patients outside special palliative care settings. Tape-recorded qualitative interviews were conducted with a total of nine nurses in primary home care, community care and hospitals. The interviews were analysed according to phenomenological methodology, which resulted in the three common structures: ambition and dedication, everyday encounters, and satisfaction/dissatisfaction. In the `everyday encounters' structure, the following key constituents emerged: responsibility, cooperation, experience and knowledge, feelings, and time and resources. The results describe the nurses' high ambitions to give dying patients and their relatives high-quality care. Despite this, they experienced greater or lesser degrees of dissatisfaction because of insufficient cooperation, support, time and resources. They experienced satisfaction through contact with patients and relatives, functioning collegial cooperation, and the knowledge, experience and personal growth the care had given them. The results indicate that nurses need the resources such as time, improved methods of communication and cooperation as well as more support in order to give quality palliative care and achieve satisfaction with the outcome. The need for discussion about the conditions for giving palliative care outside the hospices and other special palliative care settings is also elucidated.

  • 200. Wennerberg, A.
    et al.
    Ide-Ektessabi, A.
    Hatkamata, S.
    Sawase, T.
    Johansson, Carina B.
    Örebro universitet, Hälsovetenskapliga institutionen.
    Albrektsson, T.
    Martinelli, A.
    Södervall, U.
    Odelius, H.
    Titanium release from implants prepared with different surface roughness: an in vitro and ex vivo study2003Konferensbidrag (Refereegranskat)
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