Search PubMed⌕ Search

Biomedical subjects

B Fridlund

Publications and source records attributed to B Fridlund.

71 records · Page 4Linked to original sources
PubMed1994

Experiences of social support among participants in self-help groups related to coronary heart disease.

Self-help groups for coronary heart disease (CHD) patients were initiated by the Swedish National Association for Heart and Lung Patients in co-operation with Halland University College of Caring Science. Professional support was given in the form of a guidebook with health advice to be used at group meetings. The aims of this study were to describe the experiences of social support and the effects of health advice among people suffering from CHD and their next-of-kin participating in self-help groups. A questionnaire was developed containing three scales with questions about social support in connection with group participation and the effects of health advice shared during the programme. The results showed that 84% of participants knew about risk factors; all group members had changed their attitudes in some way concerning their life-style and 65% thought that they had changed their daily life activities as a consequence of the group participation. Most participants had experienced social support, through both support received (82%) and their own ability to provide support (7.1, scale range 0-10). In self-help groups layman support is the most effective kind of support, but the results indicate that health professionals also have an important role to play. In future research and clinical planning of rehabilitation of people with CHD, self-help groups, both from a human and economic point of view are well worth considering.

Aged↗
PubMed1994

A holistic framework for nursing care. Rehabilitation of the myocardial infarction patient.

A holistic nursing framework to be used in the rehabilitation care of the myocardial infarction patient is discussed. Concepts of the framework include interplay of body-mind-spirit, negative life stress, coping modes, and their relationship to illness. Social support in the form of natural caring, together with one's own coping capacity, are usually enough to maintain health, integrity, control, and wholeness. But professional caring is needed when illness is perceived or symptoms develop. A holistic nursing intervention plan for the post-MI patient is proposed. The aim of the article is to facilitate the use of the approach in research and in practice.

Holistic Health↗
PubMed1993

Social support and social network after acute myocardial infarction; the critically ill male patient's needs, choice and motives.

The aim of the pilot study was to find out the need for social support and the choice of social network after acute myocardial infarction (AMI). In an experimental study critically ill male patients (AMI-patients) were enrolled for an intervention group (n = 18) or a control group (n = 18) in accordance with their own choice of caring support. The intervention consisted of a 3-month-caring programme for AMI-patients and their next-of-kin together with an interdisciplinary team. A 10-item questionnaire was developed in order to measure social network and social support at the time of AMI and 3 months later. Nine patients in both groups expressed a need for complementary social support, the character differed between the groups concerning emotional and informative support. Both groups reported sufficient social network built on the family. The intervention group expressed more heart trouble compared to the control group at the time of AMI (p = 0.03). 3 months later the trouble had decreased in the intervention group but increased in the control group. Complementary social support soon after an AMI from care professionals confirms the AMI-patients' recovery and the whole family has to be supported.

Choice Behavior↗
PubMed1992

Acute myocardial infarction patients' chest pain as monitored and evaluated by ambulance personnel.

A delicate duty for ambulance personnel is to care for patients who suffer from chest pain, caused by acute myocardial infarction (AMI-patient). In Sweden pain-relieving drugs may be administered, such as: oxygen, entonox, or morphine according to the skill of the ambulance personnel. The aim of this study was to find out if AMI-patients' expressions of pain were monitored and evaluated, in which way the AMI-patients received pain-relief, and to which degree they were relieved of pain. Examinations of the records of the ambulance personnel's observations during transport of AMI-patients revealed that nine tenths of those who complained about chest pain received pain-relieving drugs. The results of the treatments varied, however, from a good rate of response to morphine to less responses to oxygen and entonox. In order to treat AMI-patients who are in need of pain-relief during their transit to hospital the ambulance personnel must possess thorough knowledge of both pain theory and communication theory. Furthermore, they need tools for assessment of pain and for administering adequate pain-relieving drugs in clinical practice. In the future it may be necessary to differentiate between ambulance personnel in routine service and those in emergency service according to their levels of education.

Allied Health Personnel↗
PubMed1991

Swedish emergency hospitals' readiness for disaster; incidence, interest and training.

Disasters in Sweden are normally caused by human factors and these are dependent on the development of the community. The readiness of Swedish emergency hospitals to cope with disaster was investigated both in relation to real disasters and training with hospital disaster plans. An inquiry to the chief physician at every emergency hospital in Sweden, aiming to map the incidence of disasters and the availability of relevant further education, showed a low use of disaster plans in practice and little training in the use of them. It is necessary for several departments to take more responsibility for the disaster plans at emergency hospitals, through regular updating of disaster plans and training. This would minimise the number of people with injuries of both somatic and psychiatric origin in real disaster situations. It would be possible to maintain the readiness of Swedish hospitals to cope with disaster by developing a disaster medicine discipline and introducing selected teams of specialised staff at the emergency hospitals. These efforts together would maintain readiness to cope with disaster and stimulate interest in research, education and further education in the field of disaster medicine.

Disaster Planning↗
PubMed1991

Recovery after myocardial infarction. Effects of a caring rehabilitation programme.

The aim of the study was to evaluate a multifactorial rehabilitation programme based on interdisciplinary caring efforts for myocardial infarction (MI) patients. Randomly chosen MI-patients participated, either in a six-month rehabilitation programme (intervention group = 53) or in routine cardiac follow-ups (control group = 63). Subjective and objective instruments were used for measuring their health recovery. Biophysical improvements were showed as an increased physical capacity (p less than 0.001) using a submaximal exercise test six months after MI, and less reinfarctions (p less than 0.024) twelve months after MI, to the intervention patients' advantage. Psychological improvements were demonstrated in a higher life satisfaction (p less than 0.001) six months and (0.1 greater than p greater than 0.05) twelve months after MI to the intervention patients' advantage. Social improvements were indicated as a better leisure situation (p less than 0.004) six months after MI, and as a better partner situation (p less than 0.010), including a less influenced sex life (p less than 0.017), twelve months after MI to the intervention patients' advantage. As to the overall view, the caring rehabilitation programme appeared to be required for the MI-patients' health recovery. In order to be able to reach an optimal state of human health, an even more individualised programme seems to be necessary.

Female↗
PubMed1989

A caring perspective on rehabilitation after myocardial infarction. A theoretical framework and a suggestion for a rehabilitation programme.

Several rehabilitation models after myocardial infarction (MI) have been developed during recent years, usually with a biomedical perspective. The MI client is a biopsychosocial human being and therefore a multifactorial approach built on holistic care may offer an efficient rehabilitation process. This includes increased social support and decreased life stress for the MI client in order to obtain an adaptive coping capacity for a life style change. Health care professionals are required with specialised knowledge about how and why to care for an MI client. The present theoretical framework provides a basis for building a multifactorial rehabilitation with a caring perspective.

Adaptation, Psychological↗
PubMed1988

Do physically active people cope better with biopsychosocial stress after a myocardial infarction?

A preliminary study of the relationship between a physically active versus a physically non-active life before a myocardial infarction and coping ability (e.g. psychosocial effects) after a myocardial infarction has been performed. In a mainly rural area in south-western Sweden all myocardial infarction sufferers (N = 49) during January 1984-August 1986, fulfilling certain criteria, were sent a questionnaire with special emphasis on their present and former exercise habits and psychosocial situation. The results indicate that there is a positive relation between a physically active as compared with a physically non-active life and coping ability in terms of fewer expressed depressions, better experienced relations in the family and higher degree of return to work, after a myocardial infarction among the physically active. However, further investigations are needed in order to explain the mechanisms involved. The results further imply that primary and secondary prevention must support the "risk-individual's" coping ability from a multifactorial view, built on holistic caring.

Adaptation, Psychological↗
PubMedDate not supplied

Factors influencing patient compliance with therapeutic regimens in chronic heart failure: A critical incident technique analysis.

OBJECTIVE: The aim of this study was to identify factors influencing compliance with prescribed treatment in patients with chronic heart failure. METHODS: A qualitative design with a critical incident technique was used. Incidents were collected through interviews with 25 patients with heart failure strategically selected from a primary health care clinic, a medical ward, and a specialist clinic. RESULTS: Two hundred sixty critical incidents were identified in the interviews and 2 main areas emerged in the analysis: inward factors and outward factors. The inward factors described how compliance was influenced by the personality of the patient, the disease, and the treatment. The outward factors described how compliance was influenced by social activities, social relationships, and health care professionals. CONCLUSIONS: By identifying the inward and outward factors influencing patients with chronic heart failure, health care professionals can assess whether intervention is needed to increase compliance.

Aged↗
PubMedDate not supplied

Decisive situations influencing spouses' support of patients with heart failure: a critical incident technique analysis.

OBJECTIVE: The aim of this study was to describe decisive situations experienced by spouses of patients with heart failure that could potentially affect their ability to provide social support to the patient. METHODS: A qualitative descriptive design with a critical incident technique was used. Twenty-three informants, 15 women and 8 men, who were spouses of patients with severe heart failure were strategically chosen to ensure maximal variation in sociodemographic data and experiences as a spouse. RESULTS: Decisive situations influenced the experience of spouses of patients with heart failure in a manner that was either positive (involvement with others) or negative (feeling like an outsider). When spouses were given attention and treated like persons of value, they experienced involvement with others. In these cases, spouses had someone to turn to and were included in the physical care. In contrast, when spouses were kept at a distance by the patient, were socially isolated, and received insufficient support from children, friends, and health care professionals, they experienced feeling like an outsider. CONCLUSIONS: By identifying spouses' experiences, health care professionals can assess which kind of specific interventions should be used to improve the life situation of the patient with heart failure and his or her spouse.

Aged↗
PubMedDate not supplied

Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly.

The aim of this study was to evaluate the influence of an oral health education program (OHEP) on attitudes among the responsible nursing personnel toward performing oral health procedures for care receivers. A total of 2882 nursing personnel were offered participation in the OHEP, and the effect was evaluated by means of a questionnaire distributed pre-educationally as well as 1-2 months post-educationally. The nursing personnel were allocated, on the basis of nursing education, to either a "high level of health care education" group (HHCE), including registered and enrolled nurses, or a "low level of health care education" group (LHCE), including nursing assistants and home care aides. Statistical analysis was performed by means of descriptive and analytical statistics. After the OHEP, the nursing personnel estimated their ability to perform oral hygiene procedures for care receivers to be significantly increased. Post-educationally, a significant shift in importance was observed from knowledge regarding the diseased oral cavity to knowledge regarding the healthy oral cavity. It was also observed that, in the LHCE group, the OHEP favored practical procedures, while in the HHCE group, theoretical considerations were favored. This indicates that, when oral health education programs are designed, due attention should be paid to the nursing personnel's education level.

Aged↗
PubMedDate not supplied

Evaluation of an oral health education program for nursing personnel in special housing facilities for the elderly. Part II: Clinical aspects.

In Sweden, efforts are being made to create strategies for evaluating realistic dental treatment needs among the elderly, who are retaining more natural teeth. These strategies focus on the importance of maintaining adequate oral hygiene. Elderly in long-term-care facilities often depend on nursing personnel for carrying out daily oral hygiene procedures. Therefore, the nursing personnel's knowledge about and attitudes toward oral health make oral health education for health care professionals an important concern. The purpose of this study was to evaluate the clinical oral health outcome in residents after their caregivers had undergone a one-session, four-hour oral health education program. The study consisted of an intervention with a pre- and a post-test and was carried out in three municipalities in the southwestern part of Sweden. A newly developed oral health screening protocol was carried out for 170 subjects living in long-term-care facilities both before and 3-4 months after nursing personnel had attended an oral health education program. Following the intervention, a statistically significant improvement was recorded for changes in oral mucosal color, a modified plaque index which measured oral hygiene status, and a mucosal index which recorded mucosal inflammation. This study indicated that a limited, one-session, four-hour oral health education, offered to caregivers within long-term-care facilities, had a positive impact on the oral health status of residents.

Aged↗
PubMedDate not supplied

Time distribution factors of hospital and home care among chronic haemodialysis patients.

Today, many studies are available that focus on haemodialysis; however studies on the time distribution factor involved are lacking. It is therefore important to study the distribution of time, taking into account outpatient care, inpatient care and home care. The aim of the study was to chart over a five-year period, the time distribution factors of hospital care and home care among chronic haemodialysis patients. The design of the study was descriptive, and the data material was drawn from a patient register (N = 61). The data analysis was performed by means of both descriptive and inferential statistics.

Adult↗
PubMedDate not supplied

Patient participation in peer support groups after a cardiac event.

Peer support groups may be important in long-term rehabilitation after a cardiac event. Questions can be raised about the clients that peer support groups attract. The aim of this study was to compare people who chose to attend peer support groups after a cardiac event with people who declined to attend with regard to health conditions, personal traits, lifestyle and available social support. Patients who sustained a myocardial infarction or were treated with percutaneous transluminal coronary angioplasty or coronary artery bypass surgery (n = 197) responded to a questionnaire. The results showed that there were differences between attenders (n = 64) and non-attenders (n = 133). Attenders reported more health problems than non-attenders, but scored higher on several dimensions of social support. Non-attenders, however, seemed to have a somewhat more relaxed attitude to life than attenders. The homogeneity of the subjects made it difficult to discern which personal and situational factors were of importance for social support seeking in peer support groups. The research indicates that innovative approaches are needed to encourage participation in existing peer support groups.

Attitude to Health↗