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  • 101.
    Dahlgren, Moa
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Larsson, Ellinor
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Omvårdnadsåtgärder vid oro hos personer med demens: En kunskapsöversikt2017Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Oro är ett vanligt förekommande symtom hos personer med demens. Det kan vara svårt för sjuksköterskor att veta hur de ska bemöta och behandla oron då personer med demens ofta har svårt att förmedla sina behov. Syftet med denna litteraturstudie är därför att sammanställa kunskap gällande omvårdnadsåtgärder som kan tillämpas vid oro för personer med demens. Syftet specificerades med två frågeställningar: vilka omvårdnadsåtgärder som kan tillämpas i preventivt syfte för att minska oro hos en person med demens samt vilka omvårdnadsåtgärder som kan tillämpas när oron har uppkommit hos en person med demens. Denna litteraturstudie är en integrerad kunskapsöversikt som genom en litteratursökning i två databaser resulterade i 13 artiklar som svarade mot syftet. Efter kvalitetsgranskning och analys av data identifierades tre kategorier med preventiva omvårdnadsåtgärder samt tre kategorier med omvårdnadsåtgärder vid redan uppkommen oro. Social kontakt och närhet var genomgående en viktig komponent i alla omvårdnadsåtgärder. Centralt i omvårdnaden vid oro är trygghet vilket skapas genom en personcentrerad vård. 

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  • 102.
    Dahlman, Malin
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Thomasdotter, Ruth
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Omvårdnadsbehov hos personer som lever med stomi: en kunskapsöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    År 2015 fanns det 43 000 personer som levde med stomi i Sverige. Somsjuksköterska är det stor sannolikhet att träffa denna patientgrupp. I yrkesrollensom sjuksköterska ingår att identifiera omvårdnadsbehov till syfte att förbättra,bevara eller återfå hälsa med bästa möjliga välbefinnande och livskvalitet.Syftet med studien var att sammanställa kunskap om omvårdnadsbehov förpersoner som lever med stomi. Utifrån syftet handlade frågeställningarna omsvårigheter och behov hos denna grupp, samt hur sjuksköterskan kan mötadessa behov. En integrerad kunskapsöversikt genomfördes, den systematiskalitteratursökningen resulterade i 18 studier som granskades och analyserades.Resultatet visade på svårigheter som en förlorad autonomi på grund av enförändrad kropp, förändrad vardag och problem att hantera stomin. Resultatetvisade på behov av acceptans, kunskap och autonomi, för att stötta behoven vardet viktigt att sjuksköterskan gav en individanpassad omvårdnad och stöd.Denna kunskapsöversikt kan bidra till en ökad insikt av den personcentreradeomvårdnadens betydelse för enskilda patientgrupper. Föreslagna interventionerär grundlig information pre- och postoperativt rörande alla aspekter runt stominoch god uppföljning efter utskrivning från sjukhuset.

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  • 103.
    Danielsson, Josefin
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Persson, Mathilda
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Stresshanteringsmetoder sjuksköterskor kan använda för att minska arbetsrelaterad stress2020Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Arbetsrelaterad stress är vanligt inom sjukvården och drabbar ofta sjuksköterskor. En långvarig negativ stress kan leda till sjukdom som till exempel utmattning och detta kan leda till sjukskrivningar samt personligt lidande. Arbetsstress är en starkt bidragande faktor som gör att sjuksköterskor väljer att lämna yrket. Arbetsrelaterad stress kan också påverka patientsäkerheten negativt. Syftet med denna litteraturöversikt var att sammanställa metoder för stresshantering som sjuksköterskor kan använda för att minska arbetsrelaterad stress. Frågeställningarna var: Vilka stresshanteringsmetoder finns? På vilket sätt påverkar stresshanteringsmetoder sjuksköterskors stressnivå? Visar dessa metoder några andra positiva effekter för sjuksköterskor? Studien genomfördes som en systematisk litteraturöversikt med induktiv ansats, aktuell forskning söktes fram i två databaser, 17 artiklar valdes ut och kvalitetsgranskades. Fem stycken artiklar sorterades bort för att de hade för låg kvalitet eller redan fanns med i en vald litteraturöversikt. Därför ingick slutligen tolv stycken artiklar i analysen. Analysen resulterade i åtta olika stresshanteringsmetoder: mindfulness, massage, avslappning, aromaterapi, auriculoterapi, webbaserade stresshantering program, KBT och yoga där samtliga visade en minskande effekt på upplevd arbetsrelaterad stress. Resultatet visade även andra positiva effekter som stresshanteringmetoderna gav, ett förändrat tankesätt, självutvecklade copingstrategier samt ett ökat välbefinnande. Slutsatsen var att stresshanteringsmetoder är en viktig del i arbetet för en minskad arbetsrelaterad stress hos sjuksköterskor och att arbetsgivare har ett stort ansvar i att stödja sina anställda i detta. Vi föreslår att redan i sjuksköterskeutbildningen införa utbildning av olika stresshanteringsmetoder för att arbeta stressförebyggande.

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  • 104.
    Darehed, David
    et al.
    Department of Medicine, Gällivare Hospital, Gällivare, Sweden.
    Norrving, Bo
    Department of Clinical Sciences, Lund University, Sweden.
    Stegmayr, Birgitta
    Department of Public Health and Clinical Medicine, Umea University, Umeå, Sweden.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Blom, Mathias C.
    Department of Clinical Sciences, Department of Medicine, Lund University.
    Patients with acute stroke are less likely to be admitted directly to a stroke unit when hospital beds are scarce: A Swedish multicenter register study2017In: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881Article in journal (Refereed)
    Abstract [en]

    Introduction

    It is well established that managing patients with acute stroke in dedicated stroke units is associated with improved functioning and survival. The objectives of this study are to investigate whether patients with acute stroke are less likely to be directly admitted to a stroke unit from the Emergency Department when hospital beds are scarce and to measure variation across hospitals in terms of this outcome.

    Patients and methods

    This register study comprised data on patients with acute stroke admitted to 14 out of 72 Swedish hospitals in 2011–2014. Data from the Swedish stroke register were linked to administrative daily data on hospital bed occupancy (measured at 6 a.m.). Logistic regression analysis was used to analyse the association between bed occupancy and direct stroke unit admission.

    Results

    A total of 13,955 hospital admissions were included; 79.6% were directly admitted to a stroke unit from the Emergency Department. Each percentage increase in hospital bed occupancy was associated with a 1.5% decrease in odds of direct admission to a stroke unit (odds ratio = 0.985, 95% confidence interval = 0.978–0.992). The best-performing hospital exhibited an odds ratio of 3.8 (95% confidence interval = 2.6–5.5) for direct admission to a stroke unit versus the reference hospital.

    Discussion and conclusion

    We found an association between hospital crowding and reduced quality of care in acute stroke, portrayed by a lower likelihood of patients being directly admitted to a stroke unit from the Emergency Department. The magnitude of the effect varied considerably across hospitals.

  • 105.
    Delanavaz, Daniel
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engberg, Erika
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patientens upplevelse av hemhemodialys2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Abstrakt

    Hemodialys innebär en livsuppehållande behandling och ges i dagens läge som assisterad intermittent dialys på institution där gängse praxis är fyra timmar tre gånger i veckan. Patienterna kan även erbjudas möjlighet till egen behandling under eget ansvar i hemmet, hemhemodialys, där behandling kan ske enligt patientens eget livsmönster. Inom dialysvården har denna typ av behandling funnits länge men är i ständig utveckling. Vårt syfte var att beskriva patientens upplevelse av hemhemodialys för att få en bättre förståelse mellan vårdpersonal och patient. Vi har använt oss av en litteraturstudie med ett inifrånperspektiv, med fokus på patientens upplevelse. Tre olika sökmotorer valdes för att systematiskt samla in kvalitativa studier som därefter kvalitetsgranskades och analyserades med kvalitativ manifest innehållsanalys med induktiv ansats. Analysen resulterade i fem olika huvudkategorier; att självuppfattningen förändrades, att hjälp och stöd ger trygghet, behov av individuellt anpassad undervisning, att det kräver anpassning i hemmet samt att ökad frihet och flexibilitet ger ökad hälsa. Mest framträdande var skillnaden från att vara en patient till att känna sig som en person med möjlighet att leva ett normalt liv med signifikant ökad livskvalitet. Det finns dock brister i kommunikationen mellan sjuksköterska och patient och därför måste sjuksköterskan bli bättre på att erbjuda personcentrerad vård för att ge patienten de bästa förutsättningarna för en god egenvård. Behandlingsmetoden har inte enbart visat sig förbättra livskvaliteten och överlevnaden för patienterna men förefaller också mer kostnadseffektiv. Dessutom genererar den mindre behov av vårdpersonal och således finns det mycket att vinna även för sjukvården.

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  • 106.
    Di Cesare, Mariachiara
    et al.
    School of Public Health, Imperial College London, London, United Kingdom; Middlesex University, London, United Kingdom.
    Bentham, James
    School of Public Health, Imperial College London, London, United Kingdom.
    Stevens, Gretchen A.
    World Health Organization, Geneva, Switzerland.
    Zhou, Bin
    School of Public Health, Imperial College London, London, United Kingdom.
    Danaei, Goodarz
    Harvard T.H. Chan School of Public Health, Boston, United States.
    Lu, Yuan
    Harvard T.H. Chan School of Public Health, Boston, United States.
    Bixby, Honor
    School of Public Health, Imperial College London, London, United Kingdom.
    Cowan, Melanie J.
    World Health Organization, Geneva, Switzerland.
    Riley, Leanne M.
    World Health Organization, Geneva, Switzerland.
    Hajifathalian, Kaveh
    Harvard T.H. Chan School of Public Health, Boston, United States.
    Fortunato, Léa
    School of Public Health, Imperial College London, London, United Kingdom.
    Taddei, Cristina
    University of Florence, Florence, Italy.
    Bennett, James E.
    School of Public Health, Imperial College London, London, United Kingdom.
    Ikeda, Nayu
    National Institute of Health and Nutrition, Tokyo, Japan.
    Khang, Young-Ho
    Seoul National University, Seoul, South Korea.
    Kyobutungi, Catherine
    African Population and Health Research Center, Nairobi, Kenya.
    Laxmaiah, Avula
    Indian Council of Medical Research, New Delhi, India.
    Li, Yanping
    Harvard T.H. Chan School of Public Health, Boston, United States.
    Lin, Hsien-Ho
    National Taiwan University, Taipei, Taiwan.
    Miranda, J. Jaime
    Universidad Peruana Cayetano Heredia, Lima, Peru.
    Mostafa, Aya
    Ain Shams University, Cairo, Egypt.
    Turley, Maria L.
    Ministry of Health, Wellington, New Zealand.
    Paciorek, Christopher J.
    University of California, Berkeley, United States.
    Gunter, Marc
    School of Public Health, Imperial College London, London, United Kingdom.
    Ezzati, Majid
    School of Public Health, Imperial College London, London, United Kingdom.
    Abdeen, Ziad A.
    Al-Quds University, Palestine.
    Hamid, Zargar Abdul
    Center for Diabetes and Endocrine Care, India.
    Abu-Rmeileh, Niveen M.
    Birzeit University, Palestine.
    Acosta-Cazares, Benjamin
    Instituto Mexicano del Seguro Social, Mexico.
    Adams, Robert
    University of Adelaide, Australia.
    Aekplakorn, Wichai
    Mahidol University, Thailand.
    Aguilar-Salinas, Carlos A.
    Instituto Nacional de Ciencias Médicas y Nutricion, Mexico.
    Ahmadvand, Alireza
    Non-Communicable Diseases Research Center, Iran.
    Ahrens, Wolfgang
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Germany.
    Ali, Mohamed M.
    World Health Organization Regional Office for the Eastern Mediterranean, Egypt.
    Alkerwi, Ala'a
    Luxembourg Institute of Health, Luxembourg.
    Alvarez-Pedrerol, Mar
    Centre for Research in Environmental Epidemiology, Spain.
    Aly, Eman
    World Health Organization Regional Office for the Eastern Mediterranean, Egypt.
    Amouyel, Philippe
    Lille University and Hospital, France.
    Amuzu, Antoinette
    London School of Hygiene and Tropical Medicine, United Kingdom.
    Andersen, Lars Bo
    University of Southern Denmark, Denmark.
    Anderssen, Sigmund A.
    Norwegian School of Sport Sciences, Norway.
    Andrade, Dolores S.
    Universidad de Cuenca, Ecuador.
    Anjana, Ranjit Mohan
    Madras Diabetes Research Foundation, India.
    Aounallah-Skhiri, Hajer
    National Institute of Public Health, Tunisia.
    Ariansen, Inger
    Norwegian Institute of Public Health, Norway.
    Aris, Tahir
    Ministry of Health, Malaysia.
    Arlappa, Nimmathota
    Indian Council of Medical Research, New Delhi, India.
    Arveiler, Dominique
    Strasbourg University and Hospital, France.
    Assah, Felix K.
    University of Yaoundé 1, Cameroon.
    Avdicová, Mária
    Regional Authority of Public Health, Banska Bystrica, Slovakia.
    Azizi, Fereidoun
    Shahid Beheshti University of Medical Sciences, Iran.
    Babu, Bontha V.
    Indian Council of Medical Research, New Delhi, India.
    Balakrishna, Nagalla
    Indian Council of Medical Research, New Delhi, India.
    Bandosz, Piotr
    Medical University of Gdansk, Poland.
    Banegas, José R.
    Universidad Autónoma de Madrid, Spain.
    Barbagallo, Carlo M.
    University of Palermo, Italy.
    Barceló, Alberto
    Pan American Health Organization, United States.
    Barkat, Amina
    Université Mohammed V, Rabat, Morocco.
    Barros, Mauro V.
    University of Pernambuco, Brazil.
    Bata, Iqbal
    Dalhousie University, Canada.
    Batieha, Anwar M.
    Jordan University of Science and Technology, Jordan.
    Batista, Rosangela L.
    Federal University of Maranhao, Brazil.
    Baur, Louise A.
    University of Sydney, Australia.
    Beaglehole, Robert
    University of Auckland, New Zealand.
    Romdhane, Habiba Ben
    University Tunis El Manar, Tunisia.
    Benet, Mikhail
    University Medical Science, Cuba.
    Bernabe-Ortiz, Antonio
    Universidad Peruana Cayetano Heredia, Lima, Peru.
    Bernotiene, Gailute
    Lithuanian University of Health Sciences, Lithuania.
    Bettiol, Heloisa
    University of São Paulo, Brazil.
    Bhagyalaxmi, Aroor
    B.J. Medical College, India.
    Bharadwaj, Sumit
    Chirayu Medical College, India.
    Bhargava, Santosh K.
    Sunder Lal Jain Hospital, India.
    Bhatti, Zaid
    Aga Khan University, Pakistan.
    Bhutta, Zulfiqar A.
    Aga Khan University, Pakistan.
    Bi, HongSheng
    Shandong University of Traditional Chinese Medicine, China.
    Bi, Yufang
    Shanghai Jiao-Tong University, School of Medicine, China.
    Bjerregaard, Peter
    University of Southern Denmark, Denmark; University of Greenland, Greenland.
    Bjertness, Espen
    University of Oslo, Norway.
    Bjertness, Marius B.
    University of Oslo, Norway.
    Björkelund, Cecilia
    University of Gothenburg, Sweden.
    Blake, Margaret
    NatCen Social Research, United Kingdom.
    Blokstra, Anneke
    National Institute for Public Health and the Environment, Netherlands.
    Bo, Simona
    University of Turin, Italy.
    Bobak, Martin
    University College London, United Kingdom.
    Boddy, Lynne M.
    Liverpool John Moores University, United Kingdom.
    Boehm, Bernhard O.
    Nanyang Technological University, Singapore.
    Boeing, Heiner
    German Institute of Human Nutrition, Germany.
    Boissonnet, Carlos P.
    CEMIC, Argentina.
    Bongard, Vanina
    Toulouse University, School of Medicine, France.
    Bovet, Pascal
    Ministry of Health, Seychelles; University of Lausanne, Switzerland.
    Braeckman, Lutgart
    Ghent University, Belgium.
    Bragt, Marjolijn C.E.
    FrieslandCampina, Singapore.
    Brajkovich, Imperia
    Universidad Central de Venezuela, Venezuela.
    Branca, Francesco
    World Health Organization, Geneva, Switzerland.
    Breckenkamp, Juergen
    Bielefeld University, Germany.
    Brenner, Hermann
    German Cancer Research Center, Germany.
    Brewster, Lizzy M.
    University of Amsterdam, Academic Medical Center, Netherlands.
    Brian, Garry R.
    Fred Hollows Foundation New Zealand, New Zealand.
    Bruno, Graziella
    University of Turin, Italy.
    Bueno-De-Mesquita, H. B.
    National Institute for Public Health and the Environment, Netherlands.
    Bugge, Anna
    University of Southern Denmark, Denmark.
    Burns, Con
    Cork Institute of Technology, Ireland.
    De León, Antonio Cabrera
    University La Laguna, Spain.
    Cacciottolo, Joseph
    University of Malta, Malta.
    Cama, Tilema
    Ministry of Health, Tonga.
    Cameron, Christine
    Canadian Fitness and Lifestyle Research Institute, Canada.
    Camolas, José
    Hospital Santa Maria, CHLN, Portugal.
    Can, Günay
    Istanbul University, Turkey.
    Cândido, Ana Paula C.
    Universidade Federal de Juiz de Fora, Brazil.
    Capuano, Vincenzo
    Cardiologia di Mercato S. Severino, Italy.
    Cardoso, Viviane C.
    University of São Paulo, Brazil.
    Carvalho, Maria J.
    University of Porto, Portugal.
    Casanueva, Felipe F.
    Santiago de Compostela University, Spain.
    Casas, Juan-Pablo
    University College London, United Kingdom.
    Caserta, Carmelo A.
    Associazione Calabrese di Epatologia, Italy.
    Castetbon, Katia
    French Institute for Health Surveillance, France.
    Chamukuttan, Snehalatha
    India Diabetes Research Foundation, India.
    Chan, Angelique W.
    Duke-NUS Graduate Medical School, Singapore.
    Chan, Queenie
    School of Public Health, Imperial College London, London, United Kingdom.
    Chaturvedi, Himanshu K.
    National Institute of Medical Statistics, India.
    Chaturvedi, Nishi
    University College London, United Kingdom.
    Chen, Chien-Jen
    Academia Sinica, Taiwan.
    Chen, Fangfang
    Capital Institute of Pediatrics, China.
    Chen, Huashuai
    Duke University, United States.
    Chen, Shuohua
    Kailuan General Hospital, China.
    Chen, Zhengming
    University of Oxford, United Kingdom.
    Cheng, Ching-Yu
    Duke-NUS Graduate Medical School, Singapore.
    Chetrit, Angela
    Gertner Institute for Epidemiology and Health Policy Research, Israel.
    Chiolero, Arnaud
    Lausanne University Hospital, Switzerland.
    Chiou, Shu-Ti
    Ministry of Health and Welfare, Taiwan.
    Chirita-Emandi, Adela
    Victor Babeş University of Medicine and Pharmacy, Romania.
    Cho, Yumi
    Korea Centers for Disease Control and Prevention, South Korea.
    Christensen, Kaare
    University of Southern Denmark, Denmark.
    Chudek, Jerzy
    Medical University of Silesia, Poland.
    Cifkova, Renata
    Charles University, Prague, Czech Republic.
    Claessens, Frank
    Katholieke Universiteit, Leuven, Belgium.
    Clays, Els
    Ghent University, Belgium.
    Concin, Hans
    Agency for Preventive and Social Medicine, Austria.
    Cooper, Cyrus
    University of Southampton, United Kingdom.
    Cooper, Rachel
    University College London, United Kingdom.
    Coppinger, Tara C.
    Cork Institute of Technology, Ireland.
    Costanzo, Simona
    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
    Cottel, Dominique
    Institut Pasteur de Lille, France.
    Cowell, Chris
    Westmead University of Sydney, Australia.
    Craig, Cora L.
    Canadian Fitness and Lifestyle Research Institute, Canada.
    Crujeiras, Ana B.
    CIBEROBN, Spain.
    D'Arrigo, Graziella
    National Council of Research, Italy.
    D'Orsi, Eleonora
    Federal University of Santa Catarina, Brazil.
    Dallongeville, Jean
    Institut Pasteur de Lille, France.
    Damasceno, Albertino
    Eduardo Mondlane University, Mozambique.
    Damsgaard, Camilla T.
    University of Copenhagen, Denmark.
    Dankner, Rachel
    Gertner Institute for Epidemiology and Health Policy Research, Israel.
    Dauchet, Luc
    Lille University Hospital, France.
    De Backer, Guy
    Ghent University, Belgium.
    De Bacquer, Dirk
    Ghent University, Belgium.
    De Gaetano, Giovanni
    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
    De Henauw, Stefaan
    Ghent University, Belgium.
    De Smedt, Delphine
    Ghent University, Belgium.
    Deepa, Mohan
    Madras Diabetes Research Foundation, India.
    Deev, Alexander D.
    National Research Centre for Preventive Medicine, Russian Federation.
    Dehghan, Abbas
    Erasmus Medical Center, Rotterdam, Netherlands.
    Delisle, Hélène
    University of Montreal, Canada.
    Delpeuch, Francis
    Institut de Recherche pour le Développement, France.
    Dhana, Klodian
    Erasmus Medical Center, Rotterdam, Netherlands.
    Di Castelnuovo, Augusto F.
    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
    Dias-Da-Costa, Juvenal Soares
    Universidade do Vale do Rio dos Sinos, Brazil.
    Diaz, Alejandro
    National Council of Scientific and Technical Research, Argentina.
    Djalalinia, Shirin
    Non-Communicable Diseases Research Center, Iran.
    Do, Ha T.P.
    National Institute of Nutrition, Viet Nam.
    Dobson, Annette J.
    University of Queensland, Australia.
    Donfrancesco, Chiara
    Istituto Superiore di Sanità, Italy.
    Döring, Angela
    Helmholtz Zentrum München, Germany.
    Doua, Kouamelan
    Ministère de la Santé et de la Lutte Contre le Sida, Cote d'Ivoire.
    Drygas, Wojciech
    Cardinal Wyszynski Institute of Cardiology, Poland.
    Egbagbe, Eruke E.
    University of Benin, College of Medical Sciences, Nigeria.
    Eggertsen, Robert
    University of Gothenburg, Sweden.
    Ekelund, Ulf
    Norwegian School of Sport Sciences, Norway.
    El Ati, Jalila
    National Institute of Nutrition and Food Technology, Tunisia.
    Elliott, Paul
    School of Public Health, Imperial College London, London, United Kingdom.
    Engle-Stone, Reina
    University of California, Davis, United States.
    Erasmus, Rajiv T.
    University of Stellenbosch, South Africa.
    Erem, Cihangir
    Karadeniz Technical University, Turkey.
    Eriksen, Louise
    University of Southern Denmark, Denmark.
    De La Peña, Jorge Escobedo
    Instituto Mexicano del Seguro Social, Mexico.
    Evans, Alun
    Queen's University of Belfast, United Kingdom.
    Faeh, David
    University of Zurich, Switzerland.
    Fall, Caroline H.
    University of Southampton, United Kingdom.
    Farzadfar, Farshad
    Tehran University of Medical Sciences, Iran.
    Felix-Redondo, Francisco J.
    Centro de Salud Villanueva Norte, Spain.
    Ferguson, Trevor S.
    University of the West Indies, Jamaica.
    Fernández-Bergés, Daniel
    Hospital Don Benito-Villanueva de la Serena, Spain.
    Ferrante, Daniel
    Ministry of Health, Argentina.
    Ferrari, Marika
    Council for Agriculture Research and Economics, Italy.
    Ferreccio, Catterina
    Pontificia Universidad Católica de Chile, Chile.
    Ferrieres, Jean
    Toulouse University, School of Medicine, France.
    Finn, Joseph D.
    University of Manchester, United Kingdom.
    Fischer, Krista
    University of Tartu, Estonia.
    Flores, Eric Monterubio
    Instituto Nacional de Salud Pública, Mexico.
    Föger, Bernhard
    Agency for Preventive and Social Medicine, Austria.
    Foo, Leng Huat
    Universiti Sains Malaysia, Kota Bharu, Malaysia.
    Forslund, Ann-Sofie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Fortmann, Stephen P.
    Stanford University, United States.
    Fouad, Heba M.
    WHO Regional Office for the Eastern Mediterranean, Egypt.
    Francis, Damian K.
    University of the West Indies, Jamaica.
    Do Carmo Franco, Maria
    Federal University of São Paulo, Brazil.
    Franco, Oscar H.
    Erasmus Medical Center, Rotterdam, Netherlands.
    Frontera, Guillermo
    Hospital Universitario, Son Espases, Spain.
    Fuchs, Flavio D.
    Hospital de Clinicas de Porto Alegre, Brazil.
    Fuchs, Sandra C.
    Universidade Federal do Rio Grande do Sul, Brazil.
    Fujita, Yuki
    Kinki University, Faculty of Medicine, Japan.
    Furusawa, Takuro
    Kyoto University, Japan.
    Gaciong, Zbigniew
    Medical University of Warsaw, Poland.
    Gafencu, Mihai
    Victor Babeş University of Medicine and Pharmacy, Romania.
    Gareta, Dickman
    University of KwaZulu-Natal, South Africa.
    Garnett, Sarah P.
    University of Sydney, Australia.
    Gaspoz, Jean-Michel
    Geneva University Hospitals, Switzerland.
    Gasull, Magda
    CIBER en Epidemiología y Salud Pública, Spain.
    Gates, Louise
    Australian Bureau of Statistics, Australia.
    Geleijnse, Johanna M.
    Wageningen University, Netherlands.
    Ghasemian, Anoosheh
    Non-Communicable Diseases Research Center, Iran.
    Giampaoli, Simona
    Istituto Superiore di Sanità, Italy.
    Gianfagna, Francesco
    University of Insubria, Italy.
    Giovannelli, Jonathan
    Lille University Hospital, France.
    Giwercman, Aleksander
    Lund University, Sweden.
    Goldsmith, Rebecca A.
    Nutrition Department, Ministry of Health, Israel.
    Gross, Marcela Gonzalez
    Universidad Politécnica de Madrid, Spain.
    Rivas, Juan P. González
    Andes Clinic of Cardio-Metabolic Studies, Venezuela.
    Gorbea, Mariano Bonet
    National Institute of Hygiene, Epidemiology and Microbiology, Cuba.
    Gottrand, Frederic
    Université de Lille 2, France.
    Graff-Iversen, Sidsel
    Norwegian Institute of Public Health, Norway.
    Grafnetter, Dušan
    Institute for Clinical and Experimental Medicine, Czech Republic.
    Grajda, Aneta
    Children's Memorial Health Institute, Poland.
    Grammatikopoulou, Maria G.
    Alexander Technological Educational Institute, Greece.
    Gregor, Ronald D.
    Dalhousie University, Canada.
    Grodzicki, Tomasz
    Jagiellonian University Medical College, Poland.
    Grøntved, Anders
    University of Southern Denmark, Denmark.
    Gruden, Grabriella
    University of Turin, Italy.
    Grujic, Vera
    Institute of Public Health of Vojvodina, Serbia.
    Gu, Dongfeng
    National Center of Cardiovascular Diseases, China.
    Guan, Ong Peng
    Singapore Eye Research Institute, Singapore.
    Gudnason, Vilmundur
    Icelandic Heart Association, Iceland.
    Guerrero, Ramiro
    Universidad Icesi, Colombia.
    Guessous, Idris
    Geneva University Hospitals, Switzerland.
    Guimaraes, Andre L.
    State University of Montes Claros, Brazil.
    Gulliford, Martin C.
    King's College London, United Kingdom.
    Gunnlaugsdottir, Johanna
    Icelandic Heart Association, Iceland.
    Guo, Xiu H.
    Capital Medical University, Beijing Anzhen Hospital, China.
    Guo, Yin
    Capital Medical University, Beijing Anzhen Hospital, China.
    Gupta, Prakash C.
    Healis-Sekhsaria Institute for Public Health, India.
    Gureje, Oye
    University of Ibadan, Nigeria.
    Gurzkowska, Beata
    Children's Memorial Health Institute, Poland.
    Gutierrez, Laura
    Institute for Clinical Effectiveness and Health Policy, Argentina.
    Gutzwiller, Felix
    University of Zurich, Switzerland.
    Halkjær, Jytte
    Danish Cancer Society Research Centre, Denmark.
    Hardy, Rebecca
    University College London, United Kingdom.
    Kumar, Rachakulla Hari
    Indian Council of Medical Research, New Delhi, India.
    Hayes, Alison J.
    University of Sydney, Australia.
    He, Jiang
    Tulane University, United States.
    Hendriks, Marleen Elisabeth
    University of Amsterdam, Academic Medical Center, Netherlands.
    Cadena, Leticia Hernandez
    National Institute of Public Health, Mexico.
    Heshmat, Ramin
    Tehran University of Medical Sciences, Iran.
    Hihtaniemi, Ilpo Tapani
    School of Public Health, Imperial College London, London, United Kingdom.
    Ho, Sai Yin
    Chinese University of Hong Kong, China.
    Ho, Suzanne C.
    Chinese University of Hong Kong, China.
    Hobbs, Michael
    University of Western Australia, Australia.
    Hofman, Albert
    Erasmus Medical Center, Rotterdam, Netherlands.
    Hormiga, Claudia M.
    Fundación Oftalmológica de Santander, Colombia.
    Horta, Bernardo L.
    Universidade Federal de Pelotas, Brazil.
    Houti, Leila
    University of Oran 1, Algeria.
    Htay, Thein Thein
    Ministry of Health, Myanmar.
    Htet, Aung Soe
    University of Oslo, Norway.
    Htike, Maung Maung Than
    Ministry of Health, Myanmar.
    Hu, Yonghua
    Peking University, Health Science Center, China.
    Hussieni, Abdullatif S.
    Birzeit University, Palestine.
    Huu, Chinh Nguyen
    National Institute of Nutrition, Viet Nam.
    Huybrechts, Inge
    International Agency for Research on Cancer, France.
    Hwalla, Nahla
    American University of Beirut, Lebanon.
    Iacoviello, Licia
    IRCCS Istituto Neurologico Mediterraneo Neuromed, Italy.
    Iannone, Anna G.
    Cardiologia di Mercato S. Severino, Italy.
    Ibrahim, M. Mohsen
    Cairo University, Egypt.
    Ikram, M. Arfan
    Erasmus Medical Center, Rotterdam, Netherlands.
    Irazola, Vilma E.
    Institute for Clinical Effectiveness and Health Policy, Argentina.
    Islam, Muhammad
    Aga Khan University, Pakistan.
    Iwasaki, Masanori
    Niigata University, Japan.
    Jackson, Rod T.
    University of Auckland, New Zealand.
    Jacobs, Jeremy M.
    Hadassah University Medical Center, Israel.
    Jafar, Tazeen
    Duke-NUS Graduate Medical School, Singapore.
    Jamil, Kazi M.
    Kuwait Institute for Scientific Research, Kuwait.
    Jamrozik, Konrad
    University of Adelaide, Australia.
    Jasienska, Grazyna
    Jagiellonian University Medical College, Poland.
    Jiang, Chao Qiang
    Guangzhou 12th Hospital, China.
    Joffres, Michel
    Simon Fraser University, Canada.
    Johansson, Mattias
    International Agency for Research on Cancer, France.
    Jonas, Jost B.
    Ruprecht-Karls University of Heidelberg, Germany.
    Jørgensen, Torben
    Research Centre for Prevention and Health, Denmark.
    Joshi, Pradeep
    World Health Organization Country Office, India.
    Juolevi, Anne
    National Institute for Health and Welfare, Finland.
    Jurak, Gregor
    University of Ljubljana, Slovenia.
    Jureša, Vesna
    University of Zagreb, Croatia.
    Kaaks, Rudolf
    German Cancer Research Center, Germany.
    Kafatos, Anthony
    University of Crete, Greece.
    Kalter-Leibovici, Ofra
    Gertner Institute for Epidemiology and Health Policy Research, Israel.
    Kapantais, Efthymios
    Hellenic Medical Association for Obesity, Greece.
    Kasaeian, Amir
    Non-Communicable Diseases Research Center, Iran.
    Katz, Joanne
    Johns Hopkins Bloomberg School of Public Health, United States.
    Kaur, Prabhdeep
    National Institute of Epidemiology, India.
    Kavousi, Maryam
    Erasmus Medical Center, Rotterdam, Netherlands.
    Keil, Ulrich
    University of Münster, Germany.
    Boker, Lital Keinan
    University of Haifa, Israel.
    Kelishadi, Roya
    Research Institute for Primordial Prevention of Non-Communicable Disease, Iran.
    Kemper, Han H.C.G.
    VU University Medical Center, Netherlands.
    Kengne, Andre P.
    South African Medical Research Council, South Africa.
    Kersting, Mathilde
    Research Institute of Child Nutrition (FKE), Germany.
    Key, Timothy
    University of Oxford, United Kingdom.
    Khader, Yousef Saleh
    Jordan University of Science and Technology, Jordan.
    Khalili, Davood
    Shahid Beheshti University of Medical Sciences, Iran.
    Khaw, Kay-Tee H.
    University of Cambridge, United Kingdom.
    Khouw, Ilse M.S.L.
    FrieslandCampina, Singapore.
    Kiechl, Stefan
    Medical University Innsbruck, Austria.
    Killewo, Japhet
    Muhimbili University of Health and Allied Sciences, Tanzania.
    Kim, Jeongseon
    National Cancer Center, South Korea.
    Kiyohara, Yutaka
    Kyushu University, Japan.
    Klimont, Jeannette
    Statistics Austria, Austria.
    Kolle, Elin
    Norwegian School of Sport Sciences, Norway.
    Kolsteren, Patrick
    Institute of Tropical Medicine, Belgium.
    Korrovits, Paul
    Tartu University Clinics, Estonia.
    Koskinen, Seppo
    National Institute for Health and Welfare, Finland.
    Kouda, Katsuyasu
    Kinki University, Faculty of Medicine, Japan.
    Koziel, Slawomir
    Polish Academy of Sciences, Anthropology Unit, Wroclaw, Poland.
    Kratzer, Wolfgang
    University Hospital Ulm, Germany.
    Krokstad, Steinar
    Norwegian University of Science and Technology, Norway.
    Kromhout, Daan
    Wageningen University, Netherlands.
    Kruger, Herculina S.
    MRC North-West University, South Africa.
    Kula, Krzysztof
    Medical University of Lodz, Poland.
    Kulaga, Zbigniew
    Children's Memorial Health Institute, Poland.
    Kumar, R. Krishna
    Amrita Institute of Medical Sciences, India.
    Kusuma, Yadlapalli S.
    All India Institute of Medical Sciences, India.
    Kuulasmaa, Kari
    National Institute for Health and Welfare, Finland.
    Laamiri, Fatima Zahra
    Université Mohammed V, Rabat, Morocco.
    Laatikainen, Tiina
    National Institute for Health and Welfare, Finland.
    Lachat, Carl
    Ghent University, Belgium.
    Laid, Youcef
    National Institute of Public Health of Algeria, Algeria.
    Lam, Tai Hing
    Chinese University of Hong Kong, China.
    Landrove, Orlando
    Ministerio de Salud Pública, Cuba.
    Lanska, Vera
    Institute for Clinical and Experimental Medicine, Czech Republic.
    Lappas, Georg
    Sahlgrenska Academy, Sweden.
    Laugsand, Lars E.
    Norwegian University of Science and Technology, Norway.
    Le Nguyen Bao, Khanh
    National Institute of Nutrition, Viet Nam.
    Le, Tuyen D.
    National Institute of Nutrition, Viet Nam.
    Leclercq, Catherine
    Food and Agriculture Organization, Italy.
    Lee, Jeannette
    National University of Singapore, Singapore.
    Lee, Jeonghee
    National Cancer Center, South Korea.
    Lehtimäki, Terho
    Tampere University Hospital, Finland.
    Rampal, Lekhraj
    Universiti Putra Malaysia, Malaysia.
    León-Munoz, Luz M.
    Universidad Autónoma de Madrid, Spain.
    Lim, Wei-Yen
    National University of Singapore, Singapore.
    Lima-Costa, M. Fernanda
    Oswaldo Cruz Foundation, Rene Rachou Research Institute, Brazil.
    Lin, Xu
    University of Chinese Academy of Sciences, China.
    Linneberg, Allan
    Research Centre for Prevention and Health, Denmark.
    Lissner, Lauren
    University of Gothenburg, Sweden.
    Litwin, Mieczyslaw
    Children's Memorial Health Institute, Poland.
    Liu, Jing
    Capital Medical University, Beijing Anzhen Hospital, China.
    Lorbeer, Roberto
    University Medicine Greifswald, Germany.
    Lotufo, Paulo A.
    University of São Paulo, Brazil.
    Lozano, José Eugenio
    Consejería de Sanidad Junta de Castilla y León, Spain.
    Luksiene, Dalia
    Lithuanian University of Health Sciences, Lithuania.
    Lundqvist, Annamari
    National Institute for Health and Welfare, Finland.
    Lunet, Nuno
    University of Porto Medical School, Portugal.
    Lytsy, Per
    University of Uppsala, Sweden.
    Ma, Guansheng
    Peking University, Health Science Center, China.
    Machi, Suka
    Jikei University, School of Medicine, Japan.
    Maggi, Stefania
    Italian National Research Council, Italy.
    Magliano, Dianna J.
    Baker IDI Heart and Diabetes Institute, Australia.
    Makdisse, Marcia
    Hospital Israelita Albert Einstein, Brazil.
    Malekzadeh, Reza
    Tehran University of Medical Sciences, Iran.
    Malhotra, Rahul
    Duke-NUS Graduate Medical School, Singapore.
    Rao, Kodavanti Mallikharjuna
    Indian Council of Medical Research, New Delhi, India.
    Manios, Yannis
    Harokopio University of Athens, Greece.
    Mann, Jim I.
    University of Otago, New Zealand.
    Manzato, Enzo
    University of Padova, Italy.
    Margozzini, Paula
    Pontificia Universidad Católica de Chile, Chile.
    Markey, Oonagh
    University of Reading, United Kingdom.
    Marques-Vidal, Pedro
    Lausanne University Hospital, Switzerland.
    Marrugat, Jaume
    Institut Hospital del Mar d'Investigacions Mèdiques, Spain.
    Martin-Prevel, Yves
    Institut de Recherche pour le Développement, France.
    Martorell, Reynaldo
    Emory University, United States.
    Masoodi, Shariq R.
    Sher-i-Kashmir Institute of Medical Sciences, India.
    Matsha, Tandi E.
    Cape Peninsula University of Technology, South Africa.
    Mazur, Artur
    University of Rzeszow, Poland.
    Mbanya, Jean Claude N.
    University of Yaoundé 1, Cameroon.
    McFarlane, Shelly R.
    University of the West Indies, Jamaica.
    McGarvey, Stephen T.
    Brown University, United States.
    McKee, Martin
    London School of Hygiene and Tropical Medicine, United Kingdom.
    McLachlan, Stela
    University of Edinburgh, United Kingdom.
    McLean, Rachael M.
    University of Otago, New Zealand.
    McNulty, Breige A.
    University College Dublin, Ireland.
    Md Yusof, Safiah
    Universiti Teknologi MARA, Malaysia.
    Mediene-Benchekor, Sounnia
    University of Oran 1, Algeria.
    Meirhaeghe, Aline
    Institut National de la Santé et de la Recherche Médicale, France.
    Meisinger, Christa
    Helmholtz Zentrum München, Germany.
    Mendes, Larissa L.
    Universidade Federal de Juiz de Fora, Brazil.
    Menezes, Ana Maria B.
    Universidade Federal de Pelotas, Brazil.
    Mensink, Gert B.M.
    Robert Koch Institute, Germany.
    Meshram, Indrapal I.
    Indian Council of Medical Research, New Delhi, India.
    Metspalu, Andres
    University of Tartu, Estonia.
    Mi, Jie
    Capital Institute of Pediatrics, China.
    Michaelsen, Kim F.
    University of Copenhagen, Denmark.
    Mikkel, Kairit
    University of Tartu, Estonia.
    Miller, Jody C.
    University of Otago, New Zealand.
    Miquel, Juan Francisco
    Pontificia Universidad Católica de Chile, Chile.
    Mišigoj-Duraković, Marjeta
    University of Zagreb, Croatia.
    Mohamed, Mostafa K.
    Ain Shams University, Cairo, Egypt.
    Mohammad, Kazem
    Tehran University of Medical Sciences, Iran.
    Mohammadifard, Noushin
    Isfahan Cardiovascular Research Center, Iran.
    Mohan, Viswanathan
    Madras Diabetes Research Foundation, India.
    Yusoff, Muhammad Fadhli Mohd
    Ministry of Health, Malaysia.
    Molbo, Drude
    University of Copenhagen, Denmark.
    Møller, Niels C.
    University of Southern Denmark, Denmark.
    Molnár, Dénes
    University of Pécs, Hungary.
    Mondo, Charles K.
    Mulago Hospital, Uganda.
    Monterrubio, Eric A.
    Instituto Nacional de Salud Pública, Mexico.
    Monyeki, Kotsedi Daniel K.
    University of Limpopo, South Africa.
    Moreira, Leila B.
    Universidade Federal do Rio Grande do Sul, Brazil.
    Morejon, Alain
    University Medical Science, Cuba.
    Moreno, Luis A.
    Universidad de Zaragoza, Spain.
    Morgan, Karen
    RCSI, Dublin, Ireland.
    Mortensen, Erik Lykke
    University of Copenhagen, Denmark.
    Moschonis, George
    Harokopio University of Athens, Greece.
    Mossakowska, Malgorzata
    International Institute of Molecular and Cell Biology, Poland.
    Mota, Jorge
    University of Porto, Portugal.
    Motlagh, Mohammad Esmaeel
    Ahvaz Jundishapur University of Medical Sciences, Iran.
    Motta, Jorge
    Gorgas Memorial Institute of Public Health, Panama.
    Mu, Thet Thet
    Ministry of Health, Myanmar.
    Muiesan, Maria Lorenza
    University of Brescia, Italy.
    Müller-Nurasyid, Martina
    Helmholtz Zentrum München, Germany.
    Murphy, Neil
    School of Public Health, Imperial College London, London, United Kingdom.
    Mursu, Jaakko
    University of Eastern Finland, Finland.
    Murtagh, Elaine M.
    Mary Immaculate College, Ireland.
    Musa, Kamarul Imran
    Universiti Sains Malaysia, Kota Bharu, Malaysia.
    Musil, Vera
    University of Zagreb, Croatia.
    Nagel, Gabriele
    Ulm University, Germany.
    Nakamura, Harunobu
    Kobe University, Japan.
    Námešná, Jana
    Regional Authority of Public Health, Banska Bystrica, Slovakia.
    Nang, Ei Ei K.
    National University of Singapore, Singapore.
    Nangia, Vinay B.
    Suraj Eye Institute, India.
    Nankap, Martin
    Helen Keller International, Cameroon.
    Narake, Sameer
    Healis-Sekhsaria Institute for Public Health, India.
    Navarrete-Muñoz, Eva Maria
    CIBER en Epidemiología y Salud Pública, Spain.
    Nenko, Ilona
    Jagiellonian University Medical College, Poland.
    Neovius, Martin
    Karolinska Institutet, Sweden.
    Nervi, Flavio
    Pontificia Universidad Católica de Chile, Chile.
    Neuhauser, Hannelore K.
    Robert Koch Institute, Germany.
    Nguyen, Nguyen D.
    University of Pharmacy and Medicine of Ho Chi Minh City, Viet Nam.
    Nguyen, Quang Ngoc
    Hanoi Medical University, Viet Nam.
    Nieto-Martínez, Ramfis E.
    Universidad Centro-Occidental Lisandro Alvarado, Venezuela.
    Ning, Guang
    Shanghai Jiao-Tong University, School of Medicine, China.
    Ninomiya, Toshiharu
    Kyushu University, Japan.
    Nishtar, Sania
    Heartfile, Pakistan.
    Noale, Marianna
    Italian National Research Council, Italy.
    Norat, Teresa
    School of Public Health, Imperial College London, London, United Kingdom.
    Noto, Davide
    University of Palermo, Italy.
    Al Nsour, Mohannad
    Eastern Mediterranean Public Health Network, Jordan.
    O'Reilly, Dermot
    Queen's University of Belfast, United Kingdom.
    Ochoa-Avilés, Angélica M.
    Universidad de Cuenca, Ecuador.
    Oh, Kyungwon
    Korea Centers for Disease Control and Prevention, South Korea.
    Olayan, Iman H.
    Kuwait Institute for Scientific Research, Kuwait.
    Olinto, Maria Teresa Anselmo
    University of Vale do Rio dos Sinos, Brazil.
    Oltarzewski, Maciej
    National Food and Nutrition Institute, Poland.
    Omar, Mohd A.
    Ministry of Health, Malaysia.
    Onat, Altan
    Istanbul University, Turkey.
    Ordunez, Pedro
    Pan American Health Organization, United States.
    Ortiz, Ana P.
    University of Puerto Rico, Medical Sciences Campus, Puerto Rico.
    Osler, Merete
    Research Center for Prevention and Health, Denmark.
    Osmond, Clive
    MRC Lifecourse Epidemiology Unit, United Kingdom.
    Ostojic, Sergej M.
    University of Novi Sad, Serbia.
    Otero, Johanna A.
    Fundación Oftalmológica de Santander, Colombia.
    Overvad, Kim
    Aarhus University, Denmark.
    Paccaud, Fred Michel
    Institute for Social and Preventive Medicine, Switzerland.
    Padez, Cristina
    University of Coimbra, Portugal.
    Pajak, Andrzej
    Jagiellonian University Medical College, Poland.
    Palli, Domenico
    Cancer Prevention and Research Institute, Italy.
    Palloni, Alberto
    University of Madison-Wisconsin, United States.
    Palmieri, Luigi
    Istituto Superiore di Sanità, Italy.
    Panda-Jonas, Songhomitra
    Ruprecht-Karls-University of Heidelberg, Germany.
    Panza, Francesco
    University of Bari, Italy.
    Parnell, Winsome R.
    University of Otago, New Zealand.
    Parsaeian, Mahboubeh
    Non-Communicable Diseases Research Center, Iran.
    Pednekar, Mangesh S.
    Healis-Sekhsaria Institute for Public Health, India.
    Peeters, Petra H.
    University Medical Center, Utrecht, Netherlands.
    Peixoto, Sergio Viana
    Oswaldo Cruz Foundation, Rene Rachou Research Institute, Brazil.
    Pereira, Alexandre C.
    Heart Institute (InCor), Brazil.
    Pérez, Cynthia M.
    University of Puerto Rico, Medical Sciences Campus, Puerto Rico.
    Peters, Annette
    Helmholtz Zentrum München, Germany.
    Peykari, Niloofar
    Non-Communicable Diseases Research Center, Iran.
    Pham, Son Thai
    Vietnam National Heart Institute, Viet Nam.
    Pigeot, Iris
    Leibniz Institute for Prevention Research and Epidemiology-BIPS, Germany.
    Pikhart, Hynek
    University College London, United Kingdom.
    Pilav, Aida
    Federal Ministry of Health, Bosnia and Herzegovina.
    Pilotto, Lorenza
    Cardiovascular Prevention Centre, Udine, Italy.
    Pistelli, Francesco
    University Hospital of Pisa, Italy.
    Pitakaka, Freda
    University of New South Wales, Australia.
    Piwonska, Aleksandra
    Cardinal Wyszynski Institute of Cardiology, Poland.
    Piwonski, Jerzy
    Cardinal Wyszynski Institute of Cardiology, Poland.
    Plans-Rubió, Pedro
    Public Health Agency of Catalonia, Spain.
    Poh, Bee Koon
    Universiti Kebangsaan Malaysia, Malaysia.
    Porta, Miquel
    Institut Hospital del Mar d'Investigacions Mèdiques, Spain.
    Portegies, Marileen L.P.
    Erasmus Medical Center, Rotterdam, Netherlands.
    Poulimeneas, Dimitrios
    Alexander Technological Educational Institute, Greece.
    Pradeepa, Rajendra
    Madras Diabetes Research Foundation, India.
    Prashant, Mathur
    Indian Council of Medical Research, New Delhi, India.
    Price, Jacqueline F.
    University of Edinburgh, United Kingdom.
    Puiu, Maria
    Victor Babeş University of Medicine and Pharmacy, Romania.
    Punab, Margus
    Tartu University Clinics, Estonia.
    Qasrawi, Radwan F.
    Al-Quds University, Palestine.
    Qorbani, Mostafa
    Alborz University of Medical Sciences, Iran.
    Bao, Tran Quoc
    Ministry of Health, Viet Nam.
    Radic, Ivana
    Institute of Public Health of Vojvodina, Serbia.
    Radisauskas, Ricardas
    Lithuanian University of Health Sciences, Lithuania.
    Rahman, Mahmudur
    Institute of Epidemiology Disease Control and Research, Bangladesh.
    Raitakari, Olli
    Turku University Hospital, Finland.
    Raj, Manu
    Amrita Institute of Medical Sciences, India.
    Rao, Sudha Ramachandra
    National Institute of Epidemiology, India.
    Ramachandran, Ambady
    India Diabetes Research Foundation, India.
    Ramke, Jacqueline
    University of New South Wales, Australia.
    Ramos, Rafel
    Institut Universitari d'Investigació en Atenció Primària Jordi Gol, Spain.
    Rampal, Sanjay
    University of Malaya, Malaysia.
    Rasmussen, Finn
    Karolinska Institutet, Sweden.
    Redon, Josep
    University of Valencia, Spain.
    Reganit, Paul Ferdinand M.
    University of the Philippines, Philippines.
    Ribeiro, Robespierre
    Department of Health, Brazil.
    Riboli, Elio
    School of Public Health, Imperial College London, London, United Kingdom.
    Rigo, Fernando
    Health Center San Agustín, Spain.
    De Wit, Tobias Floris Rinke
    PharmAccess Foundation, Netherlands.
    Ritti-Dias, Raphael M.
    Hospital Israelita Albert Einstein, Brazil.
    Rivera, Juan A.
    Instituto Nacional de Salud Pública, Mexico.
    Robinson, Sian M.
    University of Southampton, United Kingdom.
    Robitaille, Cynthia
    Public Health Agency of Canada, Canada.
    Rodríguez-Artalejo, Fernando
    Universidad Autónoma de Madrid, Spain.
    Del Cristo Rodriguez-Perez, María
    Canarian Health Service, Spain.
    Rodríguez-Villamizar, Laura A.
    Universidad Industrial de Santander, Colombia.
    Rojas-Martinez, Rosalba
    Instituto Nacional de Salud Pública, Mexico.
    Rojroongwasinkul, Nipa
    Mahidol University, Thailand.
    Romaguera, Dora
    CIBEROBN, Spain.
    Ronkainen, Kimmo
    University of Eastern Finland, Finland.
    Rosengren, Annika
    University of Gothenburg, Sweden.
    Rouse, Ian
    Fiji National University, Fiji.
    Rubinstein, Adolfo
    Institute for Clinical Effectiveness and Health Policy, Argentina.
    Rühli, Frank J.
    University of Zurich, Switzerland.
    Rui, Ornelas
    University of Madeira, Portugal.
    Ruiz-Betancourt, Blanca Sandra
    Instituto Mexicano del Seguro Social, Mexico.
    Horimoto, Andrea R.V. Russo
    Heart Institute (InCor), Brazil.
    Rutkowski, Marcin
    Medical University of Gdansk, Poland.
    Sabanayagam, Charumathi
    Singapore Eye Research Institute, Singapore.
    Sachdev, Harshpal S.
    Sitaram Bhartia Institute of Science and Research, India.
    Saidi, Olfa
    Faculty of Medicine of Tunis, Tunisia.
    Salanave, Benoit
    French Institute for Health Surveillance, France.
    Martinez, Eduardo Salazar
    National Institute of Public Health, Mexico.
    Salomaa, Veikko
    National Institute for Health and Welfare, Finland.
    Salonen, Jukka T.
    University of Helsinki, Finland.
    Salvetti, Massimo
    University of Brescia, Italy.
    Sánchez-Abanto, Jose
    National Institute of Health, Peru.
    Sandjaja,
    Ministry of Health, Indonesia.
    Sans, Susana
    Catalan Department of Health, Spain.
    Santos, Diana A.
    University of Lisbon, Portugal.
    Santos, Osvaldo
    Institute of Preventive Medicine, Portugal.
    Dos Santos, Renata Nunes
    University of São Paulo, Brazil.
    Santos, Rute
    University of Porto, Portugal.
    Sardinha, Luis B.
    University of Lisbon, Portugal.
    Sarrafzadegan, Nizal
    Isfahan Cardiovascular Research Center, Iran.
    Saum, Kai-Uwe
    German Cancer Research Center, Germany.
    Savva, Savvas C.
    Research and Education Institute of Child Health, Cyprus.
    Scazufca, Marcia
    University of São Paulo, Brazil.
    Rosario, Angelika Schaffrath
    Robert Koch Institute, Germany.
    Schargrodsky, Herman
    Hospital Italiano de Buenos Aires, Argentina.
    Schienkiewitz, Anja
    Robert Koch Institute, Germany.
    Schmidt, Ida Maria
    Rigshospitalet, Denmark.
    Schneider, Ione J.
    Federal University of Santa Catarina, Brazil.
    Schultsz, Constance
    University of Amsterdam, Academic Medical Center, Netherlands.
    Schutte, Aletta E.
    MRC North-West University, South Africa.
    Sein, Aye Aye
    Ministry of Health, Thailand.
    Sen, Abhijit
    Norwegian University of Science and Technology, Norway.
    Senbanjo, Idowu O.
    Lagos State University, College of Medicine, Nigeria.
    Sepanlou, Sadaf G.
    Digestive Diseases Research Institute, Iran.
    Shalnova, Svetlana A.
    National Research Centre for Preventive Medicine, Russian Federation.
    Shaw, Jonathan E.
    Baker IDI Heart and Diabetes Institute, Australia.
    Shibuya, Kenji
    University of Tokyo, Japan.
    Shin, Youchan
    Singapore Eye Research Institute, Singapore.
    Shiri, Rahman
    Finnish Institute of Occupational Health, Finland.
    Siantar, Rosalynn
    Singapore Eye Research Institute, Singapore.
    Sibai, Abla M.
    American University of Beirut, Lebanon.
    Silva, Antonio M.
    Federal University of Maranhao, Brazil.
    Silva, Diego Augusto Santos
    Federal University of Santa Catarina, Brazil.
    Simon, Mary
    India Diabetes Research Foundation, India.
    Simons, Judith
    St. Vincent's Hospital, Australia.
    Simons, Leon A.
    University of New South Wales, Australia.
    Sjostrom, Michael
    Karolinska Institutet, Sweden.
    Slowikowska-Hilczer, Jolanta
    Medical University of Lodz, Poland.
    Slusarczyk, Przemyslaw
    International Institute of Molecular and Cell Biology, Poland.
    Smeeth, Liam
    London School of Hygiene and Tropical Medicine, United Kingdom.
    Smith, Margaret C.
    University of Oxford, United Kingdom.
    Snijder, Marieke B.
    Cardiologia di Mercato S. Severino, Italy.
    So, Hung-Kwan
    Chinese University of Hong Kong, China.
    Sobngwi, Eugène
    University of Yaoundé 1, Cameroon.
    Söderberg, Stefan
    Umeå University, Sweden.
    Soekatri, Moesijanti Y.E.
    Health Polytechnics Institute, Indonesia.
    Solfrizzi, Vincenzo
    University of Bari, Italy.
    Sonestedt, Emily
    Lund University, Sweden.
    Sørensen, Thorkild I.A.
    University of Copenhagen, Denmark.
    Sorić, Maroje
    University of Zagreb, Croatia.
    Jérome, Charles Sossa
    Institut Régional de Santé Publique, Benin.
    Soumare, Aicha
    University of Bordeaux, France.
    Staessen, Jan A.
    University of Leuven, Belgium.
    Starc, Gregor
    University of Ljubljana, Slovenia.
    Stathopoulou, Maria G.
    INSERM, France.
    Staub, Kaspar
    University of Zurich, Switzerland.
    Stavreski, Bill
    Heart Foundation, Australia.
    Steene-Johannessen, Jostein
    Norwegian School of Sport Sciences, Norway.
    Stehle, Peter
    Bonn University, Germany.
    Stein, Aryeh D.
    Emory University, United States.
    Stergiou, George S.
    Sotiria Hospital, Greece.
    Stessman, Jochanan
    Hadassah University Medical Center, Israel.
    Stieber, Jutta
    Helmholtz Zentrum München, Germany.
    Stöckl, Doris
    Helmholtz Zentrum München, Germany.
    Stocks, Tanja
    Lund University, Sweden.
    Stokwiszewski, Jakub
    National Institute of Public Health-National Institute of Hygiene, Poland.
    Stratton, Gareth
    Swansea University, United Kingdom.
    Strufaldi, Maria Wany
    Federal University of São Paulo, Brazil.
    Sun, Chien-An
    Fu Jen Catholic University, Taiwan.
    Sundström, Johan
    Uppsala University, Sweden.
    Sung, Yn-Tz
    Chinese University of Hong Kong, China.
    Sunyer, Jordi
    Centre for Research in Environmental Epidemiology, Spain.
    Suriyawongpaisal, Paibul
    Mahidol University, Thailand.
    Swinburn, Boyd A.
    University of Auckland, New Zealand.
    Sy, Rody G.
    University of the Philippines, Philippines.
    Szponar, Lucjan
    National Food and Nutrition Institute, Poland.
    Tai, E. Shyong
    National University of Singapore, Singapore.
    Tammesoo, Mari-Liis
    University of Tartu, Estonia.
    Tamosiunas, Abdonas
    Lithuanian University of Health Sciences, Lithuania.
    Tang, Line
    Research Centre for Prevention and Health, Denmark.
    Tang, Xun
    Peking University, Health Science Center, China.
    Tanser, Frank
    University of KwaZulu-Natal, South Africa.
    Tao, Yong
    Peking University, Health Science Center, China.
    Tarawneh, Mohammed
    Ministry of Health, Jordan.
    Tarp, Jakob
    University of Southern Denmark, Denmark.
    Tarqui-Mamani, Carolina B.
    National Institute of Health, Peru.
    Taylor, Anne
    University of Adelaide, Australia.
    Tchibindat, Félicité
    UNICEF, Cameroon.
    Thijs, Lutgarde
    University of Leuven, Belgium.
    Thuesen, Betina H.
    Research Centre for Prevention and Health, Denmark.
    Tjonneland, Anne
    Danish Cancer Society Research Centre, Denmark.
    Tolonen, Hanna K.
    National Institute for Health and Welfare, Finland.
    Tolstrup, Janne S.
    University of Southern Denmark, Denmark.
    Topbas, Murat
    Karadeniz Technical University, Turkey.
    Topór-Madry, Roman
    Jagiellonian University Medical College, Poland.
    Torrent, Maties
    IB-SALUT Area de Salut de Menorca, Spain.
    Traissac, Pierre
    Institut de Recherche pour le Développement, France.
    Trichopoulou, Antonia
    Hellenic Health Foundation, Greece.
    Trichopoulos, Dimitrios
    Trinh, Oanh T.H.
    University of Pharmacy and Medicine of Ho Chi Minh City, Viet Nam.
    Trivedi, Atul
    Government Medical College, India.
    Tshepo, Lechaba
    Sefako Makgatho Health Science University, South Africa.
    Tulloch-Reid, Marshall K.
    University of the West Indies, Jamaica.
    Tuomainen, Tomi-Pekka
    University of Eastern Finland, Finland.
    Tuomilehto, Jaakko
    Dasman Diabetes Institute, Kuwait.
    Tynelius, Per
    Karolinska Institutet, Sweden.
    Tzotzas, Themistoklis
    Hellenic Medical Association for Obesity, Greece.
    Tzourio, Christophe
    University of Bordeaux, France.
    Ueda, Peter
    Harvard T.H. Chan School of Public Health, Boston, United States.
    Ukoli, Flora A.M.
    Meharry Medical College, United States.
    Ulmer, Hanno
    Medical University of Innsbruck, Austria.
    Unal, Belgin
    Dokuz Eylul University, Turkey.
    Valdivia, Gonzalo
    Pontificia Universidad Católica de Chile, Chile.
    Vale, Susana
    University of Porto, Portugal.
    Valvi, Damaskini
    Harvard T.H. Chan School of Public Health, Boston, United States.
    Van Der Schouw, Yvonne T.
    University Medical Center, Utrecht, Netherlands.
    Van Herck, Koen
    Ghent University, Belgium.
    Van Minh, Hoang
    Hanoi Medical University, Viet Nam.
    Van Valkengoed, Irene G.M.
    University of Amsterdam, Academic Medical Center, Netherlands.
    Vanderschueren, Dirk
    Katholieke Universiteit, Leuven, Belgium.
    Vanuzzo, Diego
    Centro di Prevenzione Cardiovascolare, Udine, Italy.
    Vatten, Lars
    Norwegian University of Science and Technology, Norway.
    Vega, Tomas
    Consejería de Sanidad Junta de Castilla y León, Spain.
    Velasquez-Melendez, Gustavo
    Universidade Federal de Minas Gerais, Brazil.
    Veronesi, Giovanni
    University of Insubria, Italy.
    Monique Verschuren, W. M.
    National Institute for Public Health and the Environment, Netherlands.
    Viegi, Giovanni
    Italian National Research Council, Italy.
    Viet, Lucie
    National Institute for Public Health and the Environment, Netherlands.
    Viikari-Juntura, Eira
    Finnish Institute of Occupational Health, Finland.
    Vineis, Paolo
    School of Public Health, Imperial College London, London, United Kingdom.
    Vioque, Jesus
    Universidad Miguel Hernandez, Spain.
    Virtanen, Jyrki K.
    University of Eastern Finland, Finland.
    Visvikis-Siest, Sophie
    INSERM, France.
    Viswanathan, Bharathi
    Ministry of Health, Seychelles.
    Vollenweider, Peter
    Lausanne University Hospital, Switzerland.
    Voutilainen, Sari
    University of Eastern Finland, Finland.
    Vrijheid, Martine
    Centre for Research in Environmental Epidemiology, Spain.
    Wade, Alisha N.
    University of the Witwatersrand, South Africa.
    Wagner, Aline
    University of Strasbourg, France.
    Walton, Janette
    University College Cork, Ireland.
    Mohamud, Wan Nazaimoon Wan
    Institute for Medical Research, Malaysia.
    Wang, Ming-Dong
    Public Health Agency of Canada, Canada.
    Wang, Qian
    Xinjiang Medical University, China.
    Wang, Ya Xing
    Beijing Tongren Hospital, China.
    Wannamethee, S. Goya
    University College London, United Kingdom.
    Wareham, Nicholas
    University of Cambridge, United Kingdom.
    Weerasekera, Deepa
    Ministry of Health, Wellington, New Zealand.
    Whincup, Peter H.
    St. George's, University of London, United Kingdom.
    Widhalm, Kurt
    Medical University of Vienna, Austria.
    Widyahening, Indah S.
    Universitas Indonesia, Indonesia.
    Wiecek, Andrzej
    Medical University of Silesia, Poland.
    Wilks, Rainford J.
    University of the West Indies, Jamaica.
    Willeit, Johann
    Medical University Innsbruck, Austria.
    Wojtyniak, Bogdan
    National Institute of Public Health-National Institute of Hygiene, Poland.
    Wong, Jyh Eiin
    Universiti Kebangsaan Malaysia, Malaysia.
    Wong, Tien Yin
    Duke-NUS Graduate Medical School, Singapore.
    Woo, Jean
    Chinese University of Hong Kong, China.
    Woodward, Mark
    University of Sydney, Australia; University of Oxford, United Kingdom.
    Wu, Frederick C.
    University of Manchester, United Kingdom.
    Wu, JianFeng
    Shandong University of Traditional Chinese Medicine, China.
    Wu, Shou Ling
    Kailuan General Hospital, China.
    Xu, Haiquan
    Institute of Food and Nutrition Development of Ministry of Agriculture, China.
    Xu, Liang
    Capital Medical University, Beijing Anzhen Hospital, China.
    Yamborisut, Uruwan
    Mahidol University, Thailand.
    Yan, Weili
    Fudan University, China.
    Yang, Xiaoguang
    Chinese Center for Disease Control and Prevention, China.
    Yardim, Nazan
    Ministry of Health, Turkey.
    Ye, Xingwang
    University of Chinese Academy of Sciences, China.
    Yiallouros, Panayiotis K.
    Cyprus University of Technology, Cyprus.
    Yoshihara, Akihiro
    Niigata University, Japan.
    You, Qi Sheng
    Capital Medical University, Beijing Anzhen Hospital, China.
    Younger-Coleman, Novie O.
    University of the West Indies, Jamaica.
    Yusoff, Ahmad F.
    Ministry of Health, Malaysia.
    Zainuddin, Ahmad A.
    Universiti Teknologi MARA, Malaysia.
    Zambon, Sabina
    University of Padova, Italy.
    Zdrojewski, Tomasz
    Medical University of Gdansk, Poland.
    Zeng, Yi
    Duke University, United States; Peking University, Health Science Center, China.
    Zhao, Dong
    Capital Medical University, Beijing Anzhen Hospital, China.
    Zhao, Wenhua
    Chinese Center for Disease Control and Prevention, China.
    Zheng, Yingfeng
    Singapore Eye Research Institute, Singapore.
    Zhou, Maigeng
    Chinese Center for Disease Control and Prevention, China.
    Zhu, Dan
    Inner Mongolia Medical University, China.
    Zimmermann, Esther
    Bispebjerg and Frederiksberg Hospitals, Denmark.
    Cisneros, Julio Zuñiga
    Gorgas Memorial Institute of Public Health, Panama.
    Trends in adult body-mass index in 200 countries from 1975 to 2014: A pooled analysis of 1698 population-based measurement studies with 19.2 million participants2016In: The Lancet, ISSN 0140-6736, E-ISSN 1474-547X, Vol. 387, no 10026, p. 1377-1396Article in journal (Refereed)
    Abstract [en]

    Background: Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries.

    Methods: We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18.5 kg/m2[underweight], 18.5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, ≥40 kg/m2 [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue.

    Findings: We used 1698 population-based data sources, with more than 19.2 million adult participants (9.9 million men and 9.3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21.7 kg/m2 (95% credible interval 21.3-22.1) in 1975 to 24.2 kg/m2 (24.0-24.4) in 2014 in men, and from 22.1 kg/m2 (21.7-22.5) in 1975 to 24.4 kg/m2 (24.2-24.6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21.4 kg/m2 in central Africa and south Asia to 29.2 kg/m2 (28.6-29.8) in Polynesia and Micronesia; for women the range was from 21.8 kg/m2 (21.4-22.3) in south Asia to 32.2 kg/m2 (31.5-32.8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13.8% (10.5-17.4) to 8.8% (7.4-10.3) in men and from 14.6% (11.6-17.9) to 9.7% (8.3-11.1) in women. South Asia had the highest prevalence of underweight in 2014, 23.4% (17.8-29.2) in men and 24.0% (18.9-29.3) in women. Age-standardised prevalence of obesity increased from 3.2% (2.4-4.1) in 1975 to 10.8% (9.7-12.0) in 2014 in men, and from 6.4% (5.1-7.8) to 14.9% (13.6-16.1) in women. 2.3% (2.0-2.7) of the world's men and 5.0% (4.4-5.6) of women were severely obese (ie, have BMI ≥35 kg/m2). Globally, prevalence of morbid obesity was 0.64% (0.46-0.86) in men and 1.6% (1.3-1.9) in women.

    Interpretation: If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world's poorest regions, especially in south Asia.

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  • 107.
    Drevenhorn, Eva
    et al.
    Institutionen för hälsovetenskaper, Lunds universitet.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Risk för ohälsa2016In: Omvårdnad & medicin / [ed] Anna Ekwall, Anna M. Jansson, Studentlitteratur AB, 2016, p. 73-92Chapter in book (Other (popular science, discussion, etc.))
  • 108.
    Edberg, Martina
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sandström, Lina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kvinnors upplevelse av att ha genomgått en hysterektomi - En litteraturstudie2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hysterektomi är något kvinnor genomgår till följd av sjukdomar eller postpartum blödningar och det påverkar kvinnor på olika sätt. Syftet med litteraturstudien var att beskriva upplevelsen av att ha genomgått en hysterektomi. För att utföra studien användes en kvalitativ innehållsanalys med manifest ansats där nio vetenskapliga artiklar analyserades. Analysen resulterade i sex kategorier: att förlora sin fertilitet och kvinnlighet, att ha ett behov av information, att känna förändringar i kroppen och kroppsbilden, att ha smärtsamma påminnelser, att vara i behov av stöd och att ha olika känslor vid återhämtningen. Resultatet påvisade olika upplevelser av att ha genomgått en hysterektomi. Vid akut hysterektomi handlade stora delar om bristen på information och att hysterektomin var traumatiserande. Vid planerade hysterektomier upplevde kvinnorna att det var lättande att inte längre behöva lida av symtom och att de kände sig friare. Några aspekter var densamma oberoende om kvinnorna hade genomgått en akut eller planerad hysterektomi. Vidare forskning behövs kring hur information delges vid hysterektomier samt hur hälso- och sjukvårdspersonal ska bemöta och kommunicera om den sexuella hälsan och det psykiska välmåendet.

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  • 109.
    Edenhagen, Emma
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Riström, Linnéa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Upplevelsen av att vara anhörig till en person med diabetes typ 1: - En litteraturstudie2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Diabetes typ 1 är en kronisk sjukdom som blir allt mer vanlig världen över. Det finns mycket forskning som berör personer med diabetes typ 1 men sparsamt med forskning som beskriver upplevelsen av att vara anhörig till dessa personer. Syftet med studien var därför att beskriva upplevelser av att vara anhörig till en person med diabetes typ 1. Studien är en kvalitativ litteraturstudie med ett inifrånperspektiv. Analysen är utförd i enlighet med Bengtsson (2016) via en kvalitativ innehållsanalys med manifest ansats. Tio vetenskapliga artiklar har analyserats. Resultatet beskrivs utifrån fem kategorier: Att sjukdomen medför begränsningar i det dagliga livet; Att relationer förändras; Att känna oro både i det dagliga livet och inför framtiden; Att vara maktlös och sakna stöd från omgivningen; Att sjukdomen är hanterbar. Kliniskt kan detta resultat användas för att öka kunskap och förståelse för hur det är att vara anhörig till en person med diabetes typ 1. Dessa anhöriga bör fångas upp i ett tidigt skede då det i studien framkommer att de blir påverkade både fysiskt och psykiskt. Sjukvården bör erbjuda anhöriga stöd för att de ska kunna känna sig trygga. Detta kan ske genom att sjukvården arrangerar sjuksköterskeledda stödgrupper eller utser kontaktsjuksköterskor som anhöriga kan ringa om de behöver samtala. 

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  • 110.
    Edlund, Agneta
    et al.
    Piteå River Valley Hospital, Department of Medicine and Rehabilitation.
    Lundström, Maria
    Umeå University, Department of Community Medicine and Rehabilitation.
    Karlsson, Stig
    Umeå University, Department of Community Medicine and Rehabilitation.
    Brännström, Benny
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Bucht, Gösta
    Umeå University, Department of Community Medicine and Rehabilitation.
    Gustafson, Yngve
    Umeå University, Department of Community Medicine and Rehabilitation.
    Delirium in older patients admitted to general internal medicine2006In: Journal of Geriatric Psychiatry and Neurology, ISSN 0891-9887, E-ISSN 1552-5708, Vol. 19, no 2, p. 83-90Article in journal (Refereed)
    Abstract [en]

    Delirium on the day of admission to general internal medicine wards was studied in 400 consecutive patients aged 70 years and above regarding occurrence, associated factors, clinical profile, length of hospital stay, and mortality. The patients were assessed using the Organic Brain Syndrome Scale and the Mini-Mental State Examination, and delirium was diagnosed according to Diagnostic and Statistical Manual of Mental Disorders (4th ed) criteria. Delirium on the day of admission occurred in 31.3% of the patients and was independently associated with old age, fever on the day of admission (> or = 38 degrees C), treatment with neuroleptics, impaired vision, male sex, and previous stroke. Delirious patients had longer hospital stay (15.4 vs 9.5 days, P < .001), a higher mortality rate during hospitalization (11/125 vs 5/275, P < .001), and a higher 1-year mortality rate (45/125 vs 55/275, P = .001). Delirium is a common complication with often easily identified causes, and it has a serious impact on outcome for older medical patients.

  • 111.
    Edlund, Per
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kruse, Richard
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Användandet av bensodiazepiner vid kramper prehospitalt2017Independent thesis Advanced level (degree of Master (One Year)), 40 credits / 60 HE creditsStudent thesis
    Abstract [en]

    Background: Acute seizures affects a large number of people both nationally and internationally. Seizures are primarily treated with benzodiazepines, such as Diazepam and Midazolam. Sweden's prehospital treatment guidelines differ in the treatment of acute seizures. Region Halland renewed the treatment guidelines in 2011 and introduced intranasal administration of Midazolam. Objective: To compile the treatment guidelines for medical treatment in prehospital seizures in Sweden and to survey the use of benzodiazepines in prehospital seizures in Region Halland. Method: A quantitative register study with a retrospective design was used. A compilation of Sweden's prehospital treatment guidelines was performed. Chi-Two and Fishers exact test are used in the analysis of the collected data from 127 ambulance journals in Region Halland.  Results: The compilation of Swedish prehospital treatment guidelines for seizures showed that the treatment guidelines differ nationally. The survey of the use of benzodiazepines in prehospital seizures in Region Halland showed that Diazepam was the most commonly used drug, and that there was a significant difference in treatment with Diazepam rectally related to the age of the patient. Most patients treated with Midazolam intranasally needed additional therapy with Diazepam intravenously. Conclusion: The prehospital treatment guidelines for seizures differs nationally. Diazepam was the most commonly used drug and the compliance with the treatment guidelines is inadequate in Region Halland. More research is needed regarding from the ambulance nurse's experiences of treating ongoing prehospital seizures in order to provide patients with proper care in a safe way.

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  • 112.
    Ednell, Anna-Karin
    et al.
    Intensive Care Unit, Gällivare Hospital.
    Siljegren, Sara
    Intensive Care Unit, Kiruna Hospital.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    The ICU Patient Diary: a Nursing Intervention that is Complicated in its Simplicity : a Qualitative Study2017In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 40, p. 70-76Article in journal (Refereed)
    Abstract [en]

    Background

    Writing a diary for intensive care patients has been shown to facilitate patientrecovery and prevent post-traumatic stress following hospitalisation.

    Aim

    This study aimed to describe the experiences of critical care nurses’ (CCNs’) in writing personal diaries for ICU patients.

    Method

    The study was conducted with a qualitative design. Ten CCNs from two hospitals participated. Data were collected with semi-structured interviews and analysed using a qualitative thematic content analysis.

    Findings

    The result consists of a theme: Patient diary: a complex nursing intervention in all its simplicity, as well as four categories: Writing informatively and with awareness shows respect and consideration; The diary is important for both patient and CCN; To jointly create an organisation that facilitates and develops the writing; Relatives’ involvement in the diary is a matter of course.

    Conclusion

    CCNs are aware of the diary’s importance for the patient and relatives, but experience difficulties in deciding which patients should get this intervention and how to prioritize it. Writing a personal diary for an ICU patient is a nursing intervention that is complicated in its simplicity.

  • 113.
    Edvardsson, David
    et al.
    The Medical Faculty, Department of Nursing, Umeå University, .
    Sjögren, Karin
    The Medical Faculty, Department of Nursing, Umeå University, .
    Lood, Qarin
    The Medical Faculty, Department of Nursing, Umeå University, .
    Bergland, Ådel
    Department of Nursing Science, Faculty of Medicine, Institute of Health and Society, University of Oslo .
    Kirkevold, Marit
    Department of Nursing Science, Faculty of Medicine, Institute of Health and Society, University of Oslo.
    Sandman, Per-Olof
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    A person-centred and thriving-promoting intervention in nursing homes: study protocol for the U-Age nursing home multi-centre, non-equivalent controlled group before-after trial2017In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 17, article id 22Article in journal (Refereed)
    Abstract [en]

    Background

    The literature suggests that person-centred care can contribute to quality of life and wellbeing of nursing home residents, relatives and staff. However, there is sparse research evidence on how person-centred care can be operationalised and implemented in practice, and the extent to which it may promote wellbeing and satisfaction. Therefore, the U-Age nursing home study was initiated to deepen the understanding of how to integrate person-centred care into daily practice and to explore the effects and meanings of this.

    Methods

    The study aims to evaluate effects and meanings of a person-centred and thriving-promoting intervention in nursing homes through a multi-centre, non-equivalent controlled group before-after trial design. Three nursing homes across three international sites have been allocated to a person-centred and thriving-promoting intervention group, and three nursing homes have been allocated to an inert control group. Staff at intervention sites will participate in a 12-month interactive educational programme that operationalises thriving-promoting and person-centred care three dimensions: 1) Doing a little extra, 2) Developing a caring environment, and 3) Assessing and meeting highly prioritised psychosocial needs. A pedagogical framework will guide the intervention. The primary study endpoints are; residents’ thriving, relatives’ satisfaction with care and staff job satisfaction. Secondary endpoints are; resident, relative and staff experiences of the caring environment, relatives’ experience of visiting their relative and the nursing home, as well as staff stress of conscience and perceived person-centredness of care. Data on study endpoints will be collected pre-intervention, post-intervention, and at a six-month follow up. Interviews will be conducted with relatives and staff to explore experiences and meanings of the intervention.

    Discussion

    The study is expected to provide evidence that can inform further research, policy and practice development on if and how person-centred care may improve wellbeing, thriving and satisfaction for people who reside in, visit or work in nursing homes. The combination of quantitative and qualitative data will illuminate the operationalisation, effects and meaning of person-centred and thriving-promoting care.

  • 114.
    Eilertsen, Grethe
    et al.
    Høgskolen i Buskerud.
    Kirkevold, Marit
    Universitetet i Oslo.
    Mengshoel, Anne Marit
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Fatigue – trøtthet og utmattelse i en travel tid2010Conference paper (Other academic)
  • 115.
    Eilertsen, Grethe
    et al.
    Høgskolen i Buskerud, Buskerud and Vestfold University College, Kongsberg.
    Ormstad, Heidi
    Buskerud and Vestfold University College, Kongsberg.
    Kirkevold, Marit
    Universitetet i Oslo.
    Mengshoel, Anne Marit
    University of Oslo.
    Söderberg, Siv
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Olsson, Malin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Similarities and differences in the experience of fatigue among people living with fibromyalgia, multiple sclerosis, ankylosing spondylitis and stroke2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 13-14, p. 2023-2034Article in journal (Refereed)
    Abstract [en]

    Aims and objectivesTo elucidate the experience of fatigue across several long-term illnesses, focusing on the similarities and differences.BackgroundFatigue is common to many long-term illnesses, but it has been studied mainly within the context of a single illness; qualitative studies comparing the experience and its impact on daily life across different long-term illnesses are lacking.DesignQualitative design.MethodsA secondary analysis was conducted of five original interview studies involving 95 persons with ankylosing spondylitis, fibromyalgia, multiple sclerosis or stroke.ResultsSimilarities and differences concerning experiences of fatigue were found across the studied long-term illnesses. All patients expressed the perception of having an unfamiliar body. Fatigue was also commonly expressed as unpredictable, uncontrollable and invisible to others. Differences were related to a constant versus a varying condition, a sudden and an uncontrollable sleepiness, a mutual reinforcement with pain and increased stress sensitivity. A lack of energy and a need for sleep and rest were common experiences, as was the impact on social relationships. There were also similarities regarding how the patients managed their daily life. The search for practical solutions and attitude adjustment differed with the fatigue characteristics. All patients felt a lack of understanding and disbelief from others.Conclusion and relevance to clinical practiceFatigue is commonly expressed by patients with long-term illnesses. Variations in experience are related to the type of diagnosis. The disparity between experiences influences how patients managed and adjusted to the conditions of everyday life. The illness-specific characteristics of fatigue warrant increased clinical awareness and may allow professionals to offer adequate information and establish effective methods of managing the condition. The feeling of invisibility and difficulty describing the experience of fatigue in particular highlights this need.

  • 116.
    Ejneborn-Looi, Git-Marie
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Omvårdnad som reflekterande praktik: Att se och använda alternativ till tvång i psykiatrisk vård2015Doctoral thesis, comprehensive summary (Other academic)
    Abstract [sv]

    Tvångsåtgärder som fastspänning och tvångsmedicinering är vanligt förekommande inom den psykiatriska vården och motiveras ofta av personal med att det saknas alternativ. Användandet av tvångsåtgärder tycks vara särskilt vanligt när det gäller unga kvinnor med självskadebeteende. Dessa kan uppleva tvångsåtgärder som bestraffning och som ett hinder för att söka vård. Relationen mellan patient och vårdare har beskrivits som ett kraftfullt verktyg för att minska användandet av tvångsåtgärder, men det saknas i stor utsträckning forskning om tvångsvård som fokuserar på patienters perspektiv och alternativ till tvång. Avhandlingens övergripande syfte har varit att få ökad kunskap och förståelse för omvårdnad som process i psykiatrisk vård ur patienters, studenters och personals perspektiv, med särskilt fokus på alternativ till tvång vid självskadebeteende. Avhandlingen har en pragmatisk utgångspunkt där ambitionen har varit att resultat ska kunna omsättas i konkreta handlingar. Delstudierna har en kvalitativ ansats där datamaterial har analyserats med innehållsanalys. Data består av 19 skrivna berättelser från personer som vårdats för självskadebeteende och som har erfarenhet av tvångåtgärder, 14 loggböcker skrivna av sjuksköterskestudenter under deras verksamhetsförlagda utbildning inom psykiatrisk vård, samt fokusgruppsintervjuer med totalt 26 skötare, sjuksköterskor, läkare och enhetschefer med erfarenhet av att tvångsvårda patienter. Av berättelserna framkom att personer som vårdats inom psykiatrisk vård hade en önskan om att mötas av förståelse av personalen, att utveckla tillitsfulla och ömsesidiga relationer med dem, och att få vård som grundades på vetenskapliga metoder. Deras faktiska erfarenheter beskrev en vård som var oförutsägbar, kontraproduktiv och byggd på misstro och distans. Studenterna beskrev i loggböckerna vikten av att avsätta tid och engagemang för relationsskapande, något som beskrevs som en förutsättning för att kunna göra bedömningar och lära sig förstå patientens individuella tecken på hälsa och ohälsa. De beskrev hur de identifierade patienters abstrakta behov så som behov av trygghet, empowerment, självkänsla och hopp. Med dessa som grund individanpassade de åtgärder och förhållningssätt och synliggjorde samt tog tillvara patienternas förmågor. I fokusgruppsintervjuerna framkom hur personal med utgångspunkt i utmanande situationer i psykiatrisk slutenvård resonerade kring möjliga åtgärder med fokus antingen på personalens behov, patientens upplevelse, att följa rutiner eller att uppfostra patienter. Beroende på fokus skiljde sig förhållningssätt och utformning av åtgärder markant åt. I fokusgruppsintervjuerna framkom även personalens syn på samarbete utifrån olika professionella roller. Utmärkande var att skötarna, trots att de hade lägst formell kompetens, var den yrkesgrupp med störst inflytande vid beslut om tvångsåtgärder eftersom de arbetade närmast patienterna och därför hade förstahandsinformation om dem.Resultaten visade en stor överenstämmelse mellan patienters, studenters och personals perspektiv. En metasyntes av de olika delstudiernas resultat beskriver omvårdnad som en reflektiv praktik. Att vårdaren har förmågan att bygga upp en tillitsfull relation till patienten är en förutsättning för en relevant bedömning. Bedömningen innebär att patientens individuella behov och förmågor identifieras och ligger till grund för val av åtgärd och förhållningsätt med målet att minska lidande och öka välbefinnande. Vägen till åtgärden är inte statisk, till en början kan åtgärder enbart ha ett relationskapande syfte, behov kan förändras, åtgärder behöva modifieras liksom att tilliten i relationen kan påverkas av olika faktorer. Detta innebär att vägen till åtgärden inte bör ses som ett linjärt förlopp utan bättre förstås som en dynamisk process som förutsätter ett reflekterande förhållningssätt med relationen som grund, med det övergripande målet att stärka patientens förutsättningar till återhämtning och välbefinnande. Den övergripande slutsats som kan dras är att om vårdarna lyckas skapa en ömsesidig, tillitsfull relation till patienten, kan förstå dennes utryckta behov och outtalade tecken samt arbetar proaktivt, i samarbete med patienten, med åtgärder och medvetna förhållningssätt, så finns sällan behov av tvångsåtgärder. För detta krävs att vårdarna får stöd i att utveckla sin reflektiva förmåga och även i att få ta eget ansvar för varje situation och därigenom bygga upp en tillit till sin egen förmåga.

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  • 117.
    Ejneborn-Looi, Git-Marie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    A self-destructive care: Self-reports of people who experienced coercive measures and their suggestions for alternatives2015In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 36, no 2, p. 96-103Article in journal (Refereed)
    Abstract [en]

    Coercive measures are commonly used as a method of intervention, despite insufficient evidence for their effectiveness and benefits. The aim of this study was to describe how people who self-harm perceive alternatives to coercive measures in relation to actual experiences of psychiatric care. A total of 19 self-reports have been analysed with qualitative content analysis, resulting in three categories: a wish for understanding instead of neglect; a wish for mutual relation instead of distrust; a wish for professionalism instead of a counterproductive care. In conclusion, if the caregivers can understand and collaborate with the patient, there is seldom any need for coercive measures

  • 118.
    Ejneborn-Looi, Git-Marie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Gabrielsson, Sebastian
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Zingmark, Karin
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Solving the Staff's Problem or Meeting the Patients’ Needs: Staff Members’ Reasoning about Choice of Action in Challenging Situations in Psychiatric Inpatient Care2014In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 35, no 6, p. 470-479Article in journal (Refereed)
    Abstract [en]

    Coercion in challenging situations is often seen as a necessary component of psychiatric care. This study aims to describe staff members’ reasoning about their choice of action in challenging situations in inpatient psychiatric care. Focus group interviews with 26 staff members were analyzed using qualitative content analysis. The results provide an overview of the integrated structure of participants’ reasoning and suggest that staff members’ reasoning about choice of action can be described as a matter of either solving the staff's problems or meeting the patients’ needs. These results can be of use in further research, educational interventions, and staff development activities.

  • 119.
    Ejneborn-Looi, Git-Marie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care. Department of Psychiatry, Sunderby Hospital, County Council of Norrbotten, Luleå, Sweden.
    Hellzén, Ove
    Faculty of Health and Science, Nord-Trondelag University College, Namsos, Norway.
    Nurses' perception of the relationship between themselves and the long-term psychiatric client - An interview study2006In: Primary Care & Community Psychiatry, ISSN 1746-8841, E-ISSN 1746-885X, Vol. 11, no 4, p. 185-192Article in journal (Refereed)
    Abstract [en]

    Background: Even if the importance of a good relationship between staff and clients is well documented, there is a need for a deeper understanding of the interaction in communal settings. The aim of this study was to investigate how staffs at two municipal psychiatric group dwellings describe their relationships with their clients. Methods: A qualitative approach was chosen and in-depth interviews were performed and analysed through content analysis. Results: The analysis resulted in three categories: The good relationship that gives pleasure and nourishment at work', 'Relationships that are characterised by distance and frustration', and 'Striving towards mutual strategies leads to disunity and splits'. Conclusions: The main finding is the lack of general outlines in nurses' work, resulting in two different approaches to clients, which lead to conflicts in the staff group. The staff group that strives for structure and rules could be interpreted as being afraid of being engulfed by their clients. The opposite group, those who stress the close relationship, could be interpreted as engulfing their clients. This statement can be interpreted as the clients risking being alienated in both cases. The conclusion is therefore that the relationships are strongly influenced by the individual nurse's own view of what he/she sees as 'the right caring approach'.

  • 120.
    Ejneborn-Looi, Git-Marie
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Sävenstedt, Stefan
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Easy but not simple: Nursing students’ descriptions of the process of care in a psychiatric context2016In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 37, no 1, p. 34-42Article in journal (Refereed)
    Abstract [en]

    The nurse-patient interaction is the cornerstone of psychiatric care, yet the concept “mental health nursing” is difficult to describe. This article aims to address this problem through the experiences of nursing students. Online journals from 14 nursing students were analyzed using qualitative content analysis, resulting in three categories: Trusting the Trusting Relationship, Voicing the Unspoken Needs, and Balancing the Dynamics of Doing and Being. This study demonstrates that providing nursing care based on trusting relationships is not a demanding task, but it takes place in a complex environment that has a tendency to make easy things complicated.

  • 121.
    Ekholm, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Brännström, Benny
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patient's experiences of undergoing computed tomography examination2004Conference paper (Other academic)
  • 122.
    Ekholm, Maria
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patienters upplevelse av högteknologisk vårdmiljö2002In: Röret, ISSN 0283-9202, no 4, p. 12-15Article in journal (Other academic)
  • 123. Ekholm, Maria
    et al.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patienters upplevelser av högteknologisk vårdmiljö2002In: Ventilen, ISSN 0348-6257, Vol. 27, no 4, p. 27-31Article in journal (Other academic)
  • 124. Ekholm, Maria
    et al.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patienters upplevelser av högteknologisk vårdmiljö: en litteraturstudie2003In: Ventilen, ISSN 0348-6257, Vol. 15, no 4, p. 8-13Article in journal (Other academic)
  • 125.
    Eklund, Britt-Marie
    et al.
    OLIN studies, Norrbotten County Council.
    Nilsson, Siv
    Hedman, Linnea
    OLIN studies, Norrbotten County Council.
    Lindberg, Inger
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Why do smokers diagnosed with COPD not quit smoking?: a qualitative study2012In: Tobacco Induced Diseases, E-ISSN 1617-9625, Vol. 10Article in journal (Refereed)
    Abstract [en]

    Chronic Obstructive Pulmonary Disease (COPD) is currently one of the most widespread chronic lung diseases and a growing cause of suffering and mortality worldwide. It is predicted to become the third leading cause of death in the near future. Smoking is the most important risk factor, and about 50% of smokers develop COPD. Smoking cessation is the most important way to improve prognosis. The aim of the study was to describe difficulties of smoking cessation experienced by individuals with COPD who are unable to stop smoking. MethodsTen smokers (five women) with COPD, GOLD stage II, participated in semi-structured interviews in 2010. The data were analyzed using qualitative content analysis. The participants were recruited from the Obstructive Lung Disease in Northern Sweden (OLIN) studies. ResultsThe participants lives were governed by a lifelong smoking habit that was difficult to break although they had knowledge about the harmful effects and the consequences of COPD. The participants described incidents in their lives as reasons for never finding the time to quit smoking. Demands to quit smoking from other people could lead to continued smoking or get them started again after cessation as they did not want to be patronized. They wanted to receive support from relatives and care providers but they wanted to make the decision to quit on their own. ConclusionFor successful smoking cessation, it is important to understand the difficulties smokers are experiencing that influence their efforts to quit smoking. To achieve a successful lasting smoking cessation it might be more effective to first ensure that the smoker has the right internal motivation to make the decision to quit, then assist with smoking cessation.

  • 126.
    Ekros, Johanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Jonsson, Helena
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patientens skattning av postoperativ smärta efter genomförd total knäartroplastik2017Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Personer som drabbas av knäledsartros där inte medicinsk behandling fungerat blir aktuella för total knäartroplastik (TKA). Under en persons livstid är risken att få knäledsartros 40-45%. TKA förknippas med måttlig till svår smärta efter det kirurgiska ingreppet. Smärtlindringsmetoder har utvecklats och blivit effektivare för att patienten ska få bättre smärtlindring postoperativt. Tidigare studier har visat att god postoperativ smärtlindring förbättrar återhämtningen och minskar postoperativa komplikationer för patienten. Syftet: Syftet med vår kvantitativa enkätstudie var att undersöka patientens skattning av smärta postoperativt efter TKA. Metod: I studien deltog 29 kvinnor och män mellan 53-84 år. Deltagarna fick skatta sin smärta vid två tillfällen, 0-1 timme och mellan 2-4 timmar postoperativt med visuell analog skala (VAS). Data analyserades i SPSS version 24.0. Resultatet: Resultatet visade att efter 0-1 timme postoperativt hade 89.7% VAS ≤ 3 och vid 2-4 timmar postoperativt hade 75.8% VAS ≤ 3. Majoriteten av deltagarna 72.4% skattade sin smärta VAS ≤ 3 vid båda tillfällena. Det fanns en skillnad mellan de deltagare som erhållit spinalanestesi och generell anestesi. Vid första skattningen postoperativt var det ingen som erhållit spinalanestesi som skattade smärta, de som skattade VAS > 3 hade erhållit generell anestesi. Konklusion: Slutsatsen är att patienter som genomgår TKA är väl smärtlindrade men att en större studie med fler antal deltagare skulle behövas göras för att utveckla bättre omvårdnadsrutiner för att möta personers behov av smärtlindringen när spinalanestesins effekter avtagit.

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  • 127.
    Elf, Marie
    et al.
    School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
    Nordmark, Sofi
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Lyhagen, Johan
    Department of Statistics, Uppsala University, Uppsala, Sweden.
    Finch, Tracy
    Department of Nursing, Midwifery & Health, Faculty of Health & Life Sciences, Northumbria University, Newcastle upon Tyne, UK. .
    Åberg, Anna Christina
    School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
    The Swedish version of the Normalization Process Theory Measure S-NoMAD: translation, adaptation, and pilot testing2018In: Implementation Science, E-ISSN 1748-5908, Vol. 13, no 1, article id 146Article in journal (Refereed)
    Abstract [en]

    Background

    The original British instrument the Normalization Process Theory Measure (NoMAD) is based on the four core constructs of the Normalization Process Theory: Coherence, Cognitive Participation, Collective Action, and Reflexive Monitoring. They represent ways of thinking about implementation and are focused on how interventions can become part of everyday practice.

    Aim

    To translate and adapt the original NoMAD into the Swedish version S-NoMAD and to evaluate its psychometric properties based on a pilot test in a health care context including in-hospital, primary, and community care contexts.

    Methods

    A systematic approach with a four-step process was utilized, including forward and backward translation and expert reviews for the test and improvement of content validity of the S-NoMAD in different stages of development. The final S-NoMAD version was then used for process evaluation in a pilot study aimed at the implementation of a new working method for individualized care planning. The pilot was executed in two hospitals, four health care centres, and two municipalities in a region in northern Sweden. The S-NoMAD pilot results were analysed for validity using confirmatory factor analysis, i.e. a one-factor model fitted for each of the four constructs of the S-NoMAD. Cronbach’s alpha was used to ascertain the internal consistency reliability.

    Results

    In the pilot, S-NoMAD data were collected from 144 individuals who were different health care professionals or managers. The initial factor analysis model showed good fit for two of the constructs (Coherence and Cognitive Participation) and unsatisfactory fit for the remaining two (Collective Action and Reflexive Monitoring) based on three items. Deleting those items from the model yielded a good fit and good internal consistency (alphas between 0.78 and 0.83). However, the estimation of correlations between the factors showed that the factor Reflexive Monitoring was highly correlated (around 0.9) with the factors Coherence and Collective Action.

    Conclusions

    The results show initial satisfactory psychometric properties for the translation and first validation of the S-NoMAD. However, development of a highly valid and reliable instrument is an iterative process, requiring more extensive validation in various settings and populations. Thus, in order to establish the validity and reliability of the S-NoMAD, additional psychometric testing is needed.

  • 128.
    Engberg, Sanna
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Johansson, Lina
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Upplevelser av hur Multipel skleros inverkar på hälsan2018Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Multipel skleros är en kronisk neurologisk sjukdom som drabbar människor runt om i hela världen. Förloppet är i många fall långdraget och inverkar samt förändrar livet hos individer som lever med sjukdomen. Hälsa är en central del i människans liv och kaninfinna sig trots sjukdom. Begreppet hälsai denna litteraturstudie utgickfrån en subjektiv dimension där fysiska, psykiska, sociala och existentiella aspekter är inkluderade.Syftet med den kvalitativa litteraturstudien var att beskriva hur personer med multipel skleros upplever att sjukdomen inverkar på hälsan. Litteraturstudien utgick från en kvalitativ innehållsanalys där elvavetenskapliga artiklaranalyserades utifrån det manifesta innehållet med en induktiv ansats vilket resulterade i fem kategorier: Att känna gemenskap och tillhöra ett socialt sammanhang, att känna ensamhet och hinder i det sociala nätverket, att känna svårigheter i den nya situationen, att uppnåmeningsfullhet och balans samtatt se möjligheter i ett förändrat liv. I resultatet framkom det att sjukdomen inverkar både positivt och negativt på hälsan. Sjukdomen ansågs vara en ständig påminnelse om hur livet en gång varit och personerna behövde omvärdera sin syn på livet för att skapa mening. Det är betydelsefullt att sjuksköterskor har kunskap om hur sjukdomen multipel skleros upplevs för att kunna vårda dessa människor på bästa sätt. Även kunskaper om hälsa och på vilka sätt det kanpåverka en människa är betydelsefullt för att kunna förebygga ohälsa och göra prioriteringar inom omvårdnaden. Vidare forskning bör fokusera på interventioner för att främja hälsa hos individer med kronisk sjukdom.

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  • 129.
    Englund, Sofia
    et al.
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Kero, Susann
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Patienter med hypertoni och deras upplevda behov av omvårdnad från distriktssköterskan2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Hypertoni är ett växande folkhälsoproblem och upptäcks ofta via allmänna hälsoundersökningar på hälsocentral. Distriktssköterskor har en viktig roll i att stödja och informera patienter om dennes sjukdom. Syftet med studien var att beskriva hur patienter med hypertoni upplever behov av omvårdnad från distriktssköterskan på hälsocentralen. Metod: En kvalitativ ansats valdes. 9 deltagare intervjuades med semistrukturerade intervjuer och analyserades med en kvalitativ innehållsanalys. Resultat: Analysen resulterade i 3 kategorier: Att få tillräckligt med kunskap om sin hypertoni, Att känna tillgänglighet och bli sedd i kontakten med distriktsköterskan och Betydelsen av kontinuitet och uppföljning i kontakten med distriktsköterskan. Slutsats: Kunskap om sjukdomen samt uppföljning och kontinuitet är viktiga delar för att patienten ska känna sig trygg i sin vardag. Som distriktssköterska är det viktigt att på bästa sätt kunna ge en trygg och säker vård samt stödja denna patientgrupp i deras vardag. Eftersom forskning visar att mer kunskap ger ökad förståelse för livsstilsförändringar och egenansvar vid hypertoni skulle vidare forskning för hur man ska nå denna patientgrupp på bästa sätt, vara värdefullt för samhället.

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  • 130.
    Engström, Birgitta
    et al.
    Ambulance Care, Department of Health Care Centre, Pajala.
    Uusitalo, Anders
    Ambulance Care, Department of Health Care Centre, Pajala.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Relatives' involvement in nursing care: a qualitative study describing critical care nurses' experiences2011In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 27, no 1, p. 1-9Article in journal (Refereed)
    Abstract [en]

    ObjectivesWhen patients become critically ill it also affects their relatives. The aim of this study was to describe critical care nurses’ experience of relatives’ involvement in the nursing care of patients in an intensive care unitMethodSemi-structured personal interviews with eight critical care nurses in an intensive care unit in the northern part of Sweden were conducted during 2010. The interview texts were subjected to qualitative content analysis which resulted in the formulation of two main categories and five sub-categories.FindingsThe findings showed that relatives’ involvement was appreciated and seen as great resource for both patients and critical care nurses. Protecting the integrity of patients was one reason for limiting their involvement. The environment and lack of time were experienced as other obstacles to the involvement of relatives.ConclusionAligning the needs of the relatives to be involved in the care with the needs of the patient and the work situation of the nurses requires open communication between all three parties.

  • 131.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    3 frågor till...2013Other (Other (popular science, discussion, etc.))
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  • 132.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    A wish to be near: experiences of close relatives within intensive care from the perspective of close relatives, formerly critically ill people and critical care nurses2008Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    The overall aim of this doctoral thesis was to describe the experiences of close relatives within intensive care, from the perspective of close relatives, formerly critically ill people and critical care nurses. Data were collected by means of qualitative research interviews with close relatives of people who had been critically ill and cared for in an intensive care unit (ICU) and with the people themselves. Data were also collected by means of focus-group discussions with critical care nurses. Collected data were analysed using qualitative thematic content analysis and phenomenological hermeneutic interpretation. This thesis reveals that it was a frightening experience for close relatives to see the person critically ill in an unknown environment. It was important to be able to be near the ill person. Showing respect for and confirming the dignity of the ill person were essential. The uncertainty concerning the outcome for the ill person was hard to manage. Close relatives wanted to feel hope, even though the prognosis was poor. The presence of close relatives was taken for granted by critical care nurses. Information from close relatives made it possible for critical care nurses to provide personal care for the critically ill person. Critical care nurses supported close relatives by giving them information and being near. Close relatives were described as an important but demanding part of the critical care nurses' work. People who had been critically ill had felt their close relatives' presence. Through the help of close relatives they felt they were understood and safe. Close relatives made it possible for them to do various things, which were appreciated, but they also engendered feelings of guilt. They realized their own, and the close relatives' significance, which gave them the power to continue the struggle. The possibility for people who had been critically ill, and their close relatives, to return together to the ICU for a follow-up visit after discharge and talk about what happened during and after their stay in the ICU was appreciated. Receiving explanations and being able to discuss one's experience were valuable. Meeting the ICU staff again enabled them to express their gratitude for their work, to give opinions about the care and to suggest improvements. This thesis shows that the critically ill person is the focus of close relatives' existence. The uncertainty of the time causes close relatives' suffering and they felt vulnerable. To be able to be close to the critically ill person, to be allowed to participate in and receive explanations about what was happening and why, to be met by dignity and to be able to keep hope alive are all prerequisites for enduring a radically changed everyday life which close relatives experience when someone they love is, or has been, critically ill. The crucial challenge is how these needs can be met by the staff of the ICU.

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  • 133.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Cardiovascular nursing on the front line of care, ambulance nurses' experiences2012Conference paper (Other (popular science, discussion, etc.))
  • 134.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Close relatives’ experiences of transitions when living with a person with traumatic brain injury2011Conference paper (Other (popular science, discussion, etc.))
  • 135.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Follow up visits to an ICU: Critical care nurses’ experiences2011Conference paper (Other (popular science, discussion, etc.))
  • 136.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Life Style Health Coaching2012Conference paper (Other (popular science, discussion, etc.))
    Abstract [en]

    Life Style Health Coaching is an eHealth project using telecare to motivate and inspire overweight people withrisk factors to improve their lifestyle and increase their well-being. About 230 people are in the project andthey have all received individual programs. With the help of a personal health diary their progress can be followedand discussed with their health coach who contacts them regularly. Tips and reminders are sent by emailand sms. The project will continue for one year and includes measurements of the effects and experiences.

  • 137.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Nursing mothers in an ICU after complicated childbirth2014Conference paper (Other (popular science, discussion, etc.))
  • 138.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Patient-Nurse relationship in ICU pain management2013Conference paper (Other (popular science, discussion, etc.))
  • 139.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Relatives’ experiences of ICU care2013Conference paper (Other (popular science, discussion, etc.))
  • 140.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: Spouses' experiences of their partners being cared for in an intensive care unit2005Conference paper (Other (popular science, discussion, etc.))
  • 141.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Activity: What is the relationship between elements of ICU treatment and memories after discharge in adult ICU survivors?2015Conference paper (Other (popular science, discussion, etc.))
  • 142.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Allt kretsar kring den som är sjuk: Åsa Engström forskar som hur det är att vara närstående2006Other (Other (popular science, discussion, etc.))
  • 143.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Att vara närstående till en person som vårdats på en intensivvårdsavdelning2005Conference paper (Other (popular science, discussion, etc.))
  • 144.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Dagboken: en hjälp för IVA-patienten2011Other (Other (popular science, discussion, etc.))
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  • 145.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: De anhöriga: länken mellan personalen och de svårt sjuka2004Other (Other (popular science, discussion, etc.))
  • 146.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Få kraft genom bekräftelse: närståendes betydelse för personer inom intensivvård2008Conference paper (Other (popular science, discussion, etc.))
  • 147.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Intensivvårdssjuksköterskors upplevelser av närstående inom intensivvård2005Conference paper (Other (popular science, discussion, etc.))
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  • 148.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Livsstil och livsstilsförändringar2013Conference paper (Other (popular science, discussion, etc.))
    Abstract [sv]

    Vad är ett hälsosamt liv och vad krävs för att förbättra sin livsstil?Åsa Engström, biträdande professor i omvårdnad vid Luleå tekniska universitetoch Anna-Maria Ek, projektledare vid Health Solution, berättar om ett gemensamtprojekt. Syftet har varit att testa om om livscoachning via telefon, kombineratmed stöd via webb, kan bidra till förbättrade levnadsvanor hos personer medförhöjt BMI. Vilka resultat visar projektet och vilka erfarenheter har deltagarnaav att genomföra en livsstilsförändring?

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  • 149.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Member on International Advisory Board of Intensive & Critical Care Nursing2014Other (Other (popular science, discussion, etc.))
  • 150.
    Engström, Åsa
    Luleå University of Technology, Department of Health Sciences, Nursing Care.
    Aktivitet: Närstående inom intensivvård2005Conference paper (Other (popular science, discussion, etc.))
1234567 101 - 150 of 896
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