京都大学 / 新制・課程博士 / 博士(医学) / 甲第24529号 / 医博第4971号 / 新制||医||1065(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 髙橋 良輔, 教授 浅野 雅秀, 教授 辻川 明孝 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Syfte: Att beskriva partnerns upplevelse av att leva med en person som har drabbats av stroke. Metod: Litteraturöversikt utifrån kvalitativ ansats. Tolv vetenskapliga artiklar har granskats och analyserats utifrån Fribergs femstegsmodell (Friberg, 2012b). Resultat: Partners till strokedrabbade upplevde att relationen med den sjuke förändrades till det sämre i och med livskamratens stroke. Från att ha levt i ett jämställt kärleksförhållande förändrades relationen till att bli den mellan vårdgivare och vårdtagare eller rentav till att likna den mellan förälder och barn. Ansvarsfördelningen i familjen påverkades stort liksom det sociala livet. Partners till strokedrabbade upplevde överlag att en stor börda låg på deras axlar. De kände frustration, ilska och skuldkänslor liksom oro både för den strokedrabbades hälsa och för den gemensamma framtiden. Slutsats: Oavsett ålder så upplevde partners till strokedrabbade att livet förändrades och att de fick ta ett stort ansvar. Utifrån denna litteraturöversikt kan sjuksköterskans förståelse för partnerns situation öka. Det är viktigt att människor som arbetar inom strokevården förstår partnerns roll i sammanhanget och hur dennes hälsa kan påverkas. Ett bra stöd till partnern blir även ett bra stöd för den strokedrabbade. / Aim: To describe the partner´s experience of living with a stroke survivor. Method: A literature review was conducted using qualitative approach. Twelve scientific articles were reviewed and analyzed from Friberg five-step (Friberg, 2012b). Results: Partners of stroke survivors experienced a different life after the stroke. The relationship with the stroke survivor changed from an equal love relation to the relation between carer and caretaker, or even the one between parent and child. Partners of stroke survivors experienced they were carrying a tremendous amount of responsibilities on their shoulders. They expressed feelings of frustration, anger, guilt and worries about the future. Conclusion: Partners of stroke survivors experienced, regardless of age, a different life after the stroke.  Based on this literature review, nurses understanding of the partners experience may increase. It is important that health professionals understand the partner and how his/ her own health is affected. Sufficient support for the partner is at the same time support for the stroke survivor.

Myxedema coma and pituitary apoplexy are well-known life-threatening endocrine emergencies. The coincidence of these entities is exceedingly rare. Myxedema coma occurring as a result of pituitary lesion is a much less seen entity. A high index of suspicion is often required for early diagnosis as it is of particular importance in improving survival outcomes. We present a rare case of a patient with myxedema coma presenting as bradycardia and hypotension secondary to pituitary apoplexy, which was confirmed on magnetic resonance imaging (MRI). The patient was managed conservatively with levothyroxine and stress doses of steroid, with the resolution of hemodynamic changes and a decrease in the size of the suprasellar mass.

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KITTNAROVÁ, Denisa. Communication training and social integration of people over cerebral apoplexy. Prague 2021. Diploma thesis. Charles University in Prague. Hussite Theological Faculty. Department of Psychosocial Sciences and Ethics. Thesis supervisor PhDr. Beáta Krahulcová, CSc. The main goal of my diploma thesis was to find out, how successful it is to integrate people over cerebral apoplexy into normal social and working life. The theoretical part introduces the reader to the cerebral apoplexy as such. It also deals with phatic disorders caused by cerebral apoplexy and brain trauma, rehabilitation and its possibilities, communication, and communication training and, last but not least, social services. In this thesis, I chose a qualitative method to obtain data using a semi-structured interview. At the end of this diploma thesis, the results of the research survey are processed and interpreted.