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  • 151.
    von Heideken Wågert, Petra
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences. Umeå University, Umeå, Sweden .
    Gustavsson, JM
    Umeå University, Umeå, Sweden .
    Kallin, K
    Umeå University, Umeå, Sweden .
    Nygren, B
    Umeå University, Umeå, Sweden .
    Lundman, B
    Umeå University, Umeå, Sweden .
    Norberg, A
    Umeå University, Umeå, Sweden .
    Gustafson, Y
    Umeå University, Umeå, Sweden .
    Health status in the oldest old. Age and sex differences in the Umeå 85+ Study.2006In: Aging Clinical and Experimental Research, ISSN 1670-2780, Vol. 18, no 2, p. 116-26Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND AIMS: With an increasing population aged 85 years and over, the aim of this study was to describe health status and living conditions in the oldest old and to estimate age and sex differences in a Northern European population. METHODS: A population-based cross-sectional study, The Umeå 85+ Study, was carried out in the municipality of Umeå in northern Sweden. Out of 319 eligible participants aged 85, 90 and 95 years and over, 253 participated. Structured interviews and assessments were conducted with the participants in their homes, and data were also collected from relatives, caregivers and medical charts. Cognition was screened with the Mini-Mental State Examination (MMSE), depressive symptoms with the Geriatric Depression Scale-15 (GDS-15) and nutritional status with the Mini Nutritional Assessment (MNA). Activities of daily living (ADL) were assessed applying the Staircase of ADL (including Katz' Index of ADL) and morale with the Philadelphia Geriatric Center Morale Scale (PGCMS). Participants also rated their own health. RESULTS: Over half of the participants had hypertension, one out of four was depressed, and the same proportion had had a hip fracture; the mean number of drugs taken was 6.4+/-4.0. Younger participants had lower rates of diagnoses and prescribed drugs, and were less dependent in ADL and other functional variables; men had lower rates of diagnoses and reported symptoms. The majority of participants rated their general health and morale as good. CONCLUSIONS: There were large variations in social, medical and functional variables within and between age and sex groups. This northern population of the oldest old seems to have a very high prevalence of hypertension, depression, hip fractures, and many prescribed drugs.

  • 152.
    von Heideken Wågert, Petra
    et al.
    Umeå University, Sweden.
    Rönnmark, B.
    Umeå University, Sweden.
    Rosendahl, E.
    Umeå University, Sweden.
    Lundin-Olsson, L.
    Umeå University, Sweden.
    Gustavsson, J.M.C.
    Umeå University, Sweden.
    Nygren, B.
    Umeå University, Sweden.
    Lundman, B.
    Umeå University, Sweden.
    Norberg, A.
    Umeå University, Sweden.
    Gustafson, Y.
    Umeå University, Sweden.
    Morale in the oldest old: the Umeå 85+ Study2005In: Age and Ageing, ISSN 0002-0729, Vol. 34, no 3, p. 249-255Article in journal (Refereed)
    Abstract [en]

    Objective: to describe morale among the oldest old, and to investigate which social, functional and medical factors are associated with morale in this population. Design: a cross-sectional study. Setting: a population-based study in the municipality of Umea, a city in Northern Sweden. Subjects: half of the 85-year-old population, and the total population of 90-year-olds and >= 95-year-olds (95-103) were asked to participate (n = 319) and 238 were interviewed. Methods: structured interviews and assessments during home visits, interviews with relatives and caregivers and review of medical charts. The 17-item Philadelphia Geriatric Center Morale Scale (PGCMS) was used to measure morale. Participants were assessed with the Barthel Activities of Daily Living (ADL) Index, Geriatric Depression Scale (GDS-15), Mini-Mental State Examination (MMSE), Mini Nutritional Assessment (MNA), and a symptom questionnaire. Multiple regression analyses were conducted to find independent factors to explain the variation in the PGCMS score. Results: eighty-four per cent (n = 199) of those interviewed answered the PGCMS. Three-quarters had middle range or high morale. GDS score, type of housing, previous stroke, loneliness and number of symptoms, adjusted for age group and sex, explained 49.3% of the variance of total PGCMS score. Conclusions: a large proportion of the oldest old had high morale. The most important factors for high morale were the absence of depressive symptoms, living in ordinary housing, having previously had a stroke and yet still living in ordinary housing, not feeling lonely and low number of symptoms. The PGCMS seems applicable in the evaluation of morale among the oldest old.

  • 153.
    Waldenström, U.
    et al.
    Karolinska Institutet, Stockholm, Sweden.
    Hildingsson, Ingegerd
    Mälardalen University, Department of Caring and Public Health Sciences.
    Rubertsson, Christine
    Karolinska Institutet, Stockholm, Sweden.
    Rådestad, Ingela
    Mälardalen University, Department of Caring and Public Health Sciences.
    A negative birth experience: prevalence and risk factors in a national sample2004In: Birth, ISSN 0730-7659, Vol. 31, no 1, p. 17-27Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: A woman's dissatisfaction with the experience of labor and birth may affect her emotional well-being and willingness to have another baby. The aim of this study was to investigate the prevalence and risk factors of a negative birth experience in a national sample. METHODS: A longitudinal cohort study of 2541 women recruited from all antenatal clinics in Sweden during 3 weeks spread over 1 year was conducted. Data were collected by three questionnaires, which measured women's global experience of labor and birth 1 year after the birth, and obtained information on possible risk factors during pregnancy and 2 months after the birth. RESULTS: Seven percent of the women had a negative birth experience. The following risk factors were found: (1) factors related to unexpected medical problems, such as emergency operative delivery, induction, augmentation of labor, and infant transfer to neonatal care; (2) factors related to the woman's social life, such as unwanted pregnancy and lack of support from partner; (3) factors related to the woman's feelings during labor, such as pain and lack of control; and (4) factors that may be easier to influence by the caregivers, such as insufficient time allocated to the woman's own questions at antenatal checkups, lack of support during labor, and administration of obstetric analgesia. CONCLUSIONS: Many risk factors were related to unexpected medical problems and participants' social background. Of the established methods to improve women's birth experience, childbirth education and obstetric analgesia seemed to be less effective, whereas support in labor and listening to the woman's own issues may be underestimated

  • 154.
    Walve, Rebecka
    Mälardalen University, School of Health, Care and Social Welfare.
    "ANDAS SKA MAN ÄNDÅ GÖRA": - Föräldrars förlossningsupplevelser då psykoprofylax använts som förlossningsförberedelse2013Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Several factors can affect the childbirth experience among parents. Previous research showed that parental education was insufficient. Parents who participated in both regular parental classes and psychoprophylaxis education were more satisfied with the psychoprophylaxis education compared to those who participated in only traditional parental classes. Psychoprophylaxis should be more considered as it could help the woman to handle her pain and contribute to increased self-esteem. The aim was to describe and illustrate the parents' childbirth experiences when psychoprophylaxis was used as childbirth preparation. The material for the study was collected through seven semi-structured interviews analyzed by qualitative content analysis. Three self-rated scales were used to illustrate the experiences of childbirth, pain in childbirth and psychoprophylaxis. The results showed that childbirth experience with psychoprophylaxis was individual. The psychoprophylaxis was a help when coping with labor pains for the mothers but also for the fathers to manage the mothers labor pain. Parental cooperation and midwifery support was important when using the psychoprophylaxis. Complicated deliveries with interventions and separation between child and parents contributed to a negative birth experience, despite using psychoprophylaxis and support from the midwife. The parents meant that there was a need for psychoprophylaxis and several mothers could not imagine giving birth without the use of psychoprophylaxis.

  • 155.
    Wikström, Ann-Maria
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Lantto-Heldebro, Norea
    Mälardalen University, School of Health, Care and Social Welfare.
    Att främja ungt föräldraskap: Kvalitativ intervjustudie om föräldrastöd i grupp för unga under och efter graviditet2020Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 156.
    Zetterlund, Kajsa
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wistrand, Lina
    Mälardalen University, School of Health, Care and Social Welfare.
    Att skapa mening i det till synes meningslösa: Fokusgruppintervjuer med barnmorskor om deras erfarenheter i samband med intrauterin fosterdöd2018Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In Sweden, approximately 440 children die in intrauterine fetal death annually. Losing a child before birth causes great sadness and despair to the parents. Midwives' have a significant role in supporting and nurturing parents in those situations, which is often experienced as a difficult and emotional task. Aim: To describe midwives' experiences associated to intrauterine fetal death. Method: Focus group interviews made with midwives working at a delivery ward in central Sweden, data were analyzed with  qualitative content analysis. Result: The data analysis resulted in ten subcategories,four categories and an overall theme. The categories were Presence, A meaningful task, Being both professional and a human being, and Support at work. The overall theme was To make meaning of the seemingly meaningless. The midwives needed time to be able to be fully present with the parents. According to the midwives it was a meaningful experience to be supportive and make a difference for the parents. To be professional while at the same time dealing with their own feelings appeared as a difficult task. They received the best support from their colleagues. Conclusion: Supporting the parents and creating a memorable moment with their stillborn baby was experienced as the most eager in these situations, and made the task meaningful for the midwives.

  • 157.
    Öjmyr-Joelsson, Maria
    et al.
    Karolinska University Hospital, Sweden.
    Nisell, Margret
    Karolinska University Hospital, Sweden.
    Frenckner, Björn
    Karolinska University Hospital, Sweden.
    Rydelius, Per-Anders
    Karolinska University Hospital, Sweden.
    Christensson, Kyllike
    Mälardalen University, School of Health, Care and Social Welfare. Karolinska University, Sweden.
    High and intermediate imperforate anus: psychosocial consequences among school-aged children2006In: Journal of Pediatric Surgery, ISSN 0022-3468, E-ISSN 1531-5037, Vol. 41, no 7, p. 1272-1278Article in journal (Refereed)
    Abstract [en]

    BACKGROUND/PURPOSE: Imperforate anus is an unusual malformation, which, even after surgical intervention, usually entails constipation and fecal incontinence. This study aimed to evaluate ongoing psychosocial effects of this birth defect in school-aged children. METHODS: Twenty-five children born with high and intermediate imperforate anus participated in the study, along with their parents and classroom teachers. One group of healthy children and 1 group of children with juvenile chronic arthritis, along with their parents, served as controls. Children and parents individually answered a questionnaire devised for this study. Parents filled out the Child Behavior Checklist and the children's teacher filled out the Teacher's Report Form. RESULTS: According to test results, children with imperforate anus were happy and optimistic. They liked school better and reported better relationships with schoolmates than the other children. The index group reported statistically significantly more frequent constipation. According to parental responses, the imperforate-anus children suffered from fecal incontinence and odor, as well as constipation (P < .001). Index-group parents reported on the Child Behavior Checklist that their children had more emotional and behavioral problems. On the Teacher's Report Form, teachers reported few problems for the same children. CONCLUSIONS: Patients with imperforate anus did not experience psychosocial impairment despite significant functional problems.

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