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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
481

What could be better in the municipality of Skurup?

Norgren, Sanne January 2016 (has links)
Abstract Purpose - The purpose of this paper is to explore what the residents of Skurup think could improve in their municipality. The paper will give answers to what  could be better and which factors that are important for the improvement according to the residents of Skurup. The overall purpose with the study is to examine how the living situation could improve for the residents of Skurup.  Design/methodology/approach - A quantitative study in the form of 200 surveys is used to let us know what the residents of Skurup wishes to improve. The method will consist of primary data, which is collected through surveys. Supplement in the empire will consist of secondary data from databases like Web of Science, Scopus, Diva, Emerald insight and Google scholar. Implications/Findings - The study reveals what the people in Skurup wishes to improve in their municipality. It offers insight into what value proposition residents value the highest. The research paper shows that the sections Experience and activities and Education and children are important dimensions in the place offering.  Originality/value - The research paper provides information about what the residents of Skurup wishes to improve in their municipality, to make it into a better place. According to this research the residents of Skurups wants to improve the section of Education and the children the most. They also wishes to improve Experience and activities. This will in the end improve the living standard for the residents of Skurup and make Skurup into a place where people want to live. Paper type - Research paper. Keywords - Skurup, municipality, value propositions, quality of life and improve living.
482

Påverkan av egenvårdsåtgärder på livskvalitet hos personer med hjärtsjukdom : beskrivande litteraturstudie

Sverin, Isabell, Åslin, Lena January 2016 (has links)
Bakgrund: Egenvård innebar att vidta åtgärder så sjukdomen inte förvärrades eller för att tidigt upptäcka försämring. Hjärtsjukdom innebar förändringar i hjärtat eller dess blodkärl, som kunde vara till exempel sjukdomar som hjärtsvikt och kranskärlsjukdom. I Sverige minskade insjuknandet i hjärtsjukdom men inte dödligheten vilket gjorde patienter med hjärtsjukdom till en patientgrupp som ökade. Livskvalitet sågs som ett subjektivt begrepp som förändrades över tid trots att det fanns många vedertagna instrument för att mäta livskvalité. Syfte: Syftet med denna litteraturstudie var att beskriva hur egenvårdsåtgärder påverkar livskvaliteten hos personer med hjärtsjukdom, samt beskriva vilken urvalsmetod de valda artiklarna använt sig av. Metod: I databaserna Cinahl och MEDLINE via Pubmed hittades 13 kvantitativa studier som utgjorde resultatet för denna beskrivande litteraturstudie. Huvudresultat: Resultatet visade att vid interventioner av teknologi sågs signifikant förbättring av den skattade livskvaliteten i en av tre studier. Vid interventioner i form av utbildningsprogram skattades tre av fem studier livskvaliteten signifikant förbättrad. Vid fysisk aktivitet som intervention sågs signifikant förbättring av den skattade livskvaliteten i en av två studier. Vid psykologiska interventioner skattades livskvaliteten signifikant förbättrad i två av två studier. I en jämförande studie skattade de deltagare som använde sig av egenvård sin livskvalité bättre än deltagarna som inte använde sig av egenvård. Slutsats: Resultatet visade ingen konsensus gällande hur egenvårdsåtgärder påverkade livskvaliteten hos personer med hjärtsjukdom, vissa faktorer som relationen och tid kunde vara av betydelse. Mer forskning inom detta område krävs. / Background: Self-care means taking actions so the disease does not get worse or to enable early detection of deterioration. Heart disease involves changes in the heart or its blood vessels, for exampel diseases as heart failure and/or coronary artery disease. In Sweden the onset in heart diseases decreases but not the mortality, making patients with heart diseases increasing. Quality of life is seen as a subjective concept that changes over time, even though there are many accepted instruments to measure quality of life. Aim: The aim of this study was to describe how self-care affects quality of life in people with heart disease, and also to describe the sampling-methods used in the different studies. Method: In the databases CINAHL and MEDLINE by PubMed 13 quantitative studies was found which represented the result of this descriptive literature study. Main Results: The results showed that one of three studies in intervention of technology showed a significant improvement in the estimated quality of life. Studies including interventions of education programs three out of five studies estimated significant improvement of quality of life. Interventions with physical activity showed that one out of two studies reported significant improvement in self-reported quality of life. In psychological interventions, quality of life significantly improved in two of two studies. In a comparative study the participants who used the self-care estimated their quality of life to be better than participants who did not use the self-care. Conclusion: The results showed no consensus regarding how self-care measures affects quality of life in persons with heart disease, certain factors such as relationship and the time passed can be of importance. More research in this area is required.
483

A multi-centre study of the impact of endometriosis on health-related quality of life and work productivity

Nnoaham, Kelechi Ebere January 2011 (has links)
Background: Endometriosis is a common condition in women of reproductive age, causing pelvic pain and subfertility, but little is known about its impact on health-related quality of life (HRQoL) and work productivity worldwide. Methods: In 10 countries across five continents, this study recruited 1,418 women, aged 18-45, without a previous surgical diagnosis of endometriosis, scheduled to undergo a laparoscopy to investigate symptoms suggestive of endometriosis or to be sterilised. Pre-operatively, women completed a standardised questionnaire assessing symptoms, diagnostic delay, HRQoL and work productivity using validated instruments. Surgeons completed a standardised questionnaire incorporating findings at laparoscopy including endometriosis stage according to revised American Fertility Society criteria. Results: There was a mean delay of 9.2 years (SD 8.8), principally in primary care, between the onset of symptoms and diagnostic laparoscopy. This diagnostic delay was longer in centres where healthcare was predominantly state-funded (12.8 vs. 7.6 years; p<0.001). In multivariate analyses, the delay was positively associated with the number of pelvic symptoms (chronic pelvic pain, dysmenorrhoea, dyspareunia and heavy periods; p<0.001) and a higher body mass index (p<0.001). Physical HRQoL was significantly reduced in affected women compared to those with similar symptoms and no endometriosis (p=0.012). Not being in paid employment, severe pelvic pain and moderate-severe disease were associated with reduced physical HRQoL (all p<0.001). Each affected woman lost on average 10.0 hours (SD 10.6) of work weekly, due mainly to reduced effectiveness while working. The annual indirect cost of endometriosis associated with work productivity loss ranged from US$399 per woman in Ibadan (Nigeria) to US$18,586 per woman in Boston (USA). Conclusions: Endometriosis significantly impairs HRQoL and work productivity across countries and ethnicities, yet women continue to experience diagnostic delays in primary care. A higher index of suspicion is needed to expedite specialist assessment of symptomatic women. Future research should seek to clarify pain mechanisms in relation to endometriosis severity.
484

Perceptions of FQOL of families who have a child with Tourette syndrome

Khoury, Rita January 2010 (has links)
The Family Quality Of Life (FQOL) of families who have a child with Tourette Syndrome (TS) has not yet been investigated globally. The purpose of this study was to gather data and listen to the voices and opinions of families of children with TS in order to examine the extent to which the existence of a child with TS, in the family, affected their FQOL. The research was conducted according to the mixed methods approach, combining quantitative and qualitative methods. Data was collected concerning the research population that included all the families who have a child with TS living at home, and registered at the Tourette Syndrome Organisation in Israel. Additionally, semi-structured interviews were conducted with 10 of these 25 families of children with TS. The questionnaire was analysed statistically and the interviews were analysed using a content analysis method. Conclusions derived from the research findings allowed the emergence of the ACEIST model, including five new sub-domains of FQOL that reflect the experiences of the studied families: Advocacy, cooperation, explanation, information, and severity of TS. This is a new way to view FQOL of families having a child with TS, very precise and operative and specific to those families. This ACEIST model fills the gap in knowledge identified in this field, contributing to knowledge regarding FQOL of families who have a child with TS. The new model has practical implications for the education, social and health policies in Israel regarding families who have a child with TS.
485

Att beskriva personers upplevelse av sin livssituation efter att ha genomgått en gastric bypass operation ur ett fysiskt, psykiskt och socialt perspektiv : Litteraturstudie

Abrahamsson, Angela, Hansson, Eva-Lena January 2016 (has links)
Bakgrund: Fetma är idag ett ökat världsproblem och följden är att flera genomgår viktminskningsoperationen gastric bypass. Det är viktigt att upplevelserna ur ett fysiskt, psykiskt och socialt synsätt belyses för att ge en ökad förståelse samt att hjälpa dem i rätt riktning. Syfte: Att beskriva personers upplevelse av sin livssituation efter att ha genomgått en gastric bypass operation ur ett fysiskt, psykiskt och socialt perspektiv. Metod: En beskrivande litteraturstudie av elva stycken vetenskapliga artiklar. Huvudresultat: Efter operationen får personerna en mer positiv inställning till livet ur de tre perspektiven. De upplevde att de passade in i samhället, samt orkade delta i sociala och fysiska sammanhang. En tid efter operationen upplevde deltagarna att de föll tillbaka i gamla vanor vilket gav dem en sämre livskvalité. De belyste att operationen var ett verktyg och själva jobbet återstod och en utmaning väntades som vissa hanterade bättre en andra. Slutsatser: Det är viktigt att ge personerna bra stöttning och information för att de ska kunna bevara sin nya livsstil. De genomgår en stor psykisk påfrestning därför behövs det psykoterapi och vägledning till att finna en lämplig copingstratagi för att hantera olika situationer. / Background: Obesity is now a growing problem in the world and as a result, several do gastric bypass surgery for weight loss. It is important that the experiences from a physical, mental and social approach is illuminated to provide a better understanding and to help them to right direction. Aim: To describe the experience situation of life a one person after doing a gastric bypass surgery from a physical, psychological and social perspective. Method: A descriptive study of eleven scientific articles. Results: After a gastric bypass, the people have a more positive attitude towards life according the three perspectives. They experienced that they fit into society and could participate in the social and physical context in a better way than before. Sometime after the surgery, the participants experienced that they were back into the old habits which gave them a worse quality of life. They ment that the operation was a tool but the hard part remained and they expected a challenge, as some managed better than others. Conclusions: It is important to give people good support, and information to enable them to preserve their new lifestyle. They are making a great mental effort, therefore they are indeed of psychotherapy and guidence to find a suitable copingstrategy to handle different situations.
486

Quality of Life in Emerging Adults with Autism Spectrum Disorder

Carr, Staci 01 January 2014 (has links)
This study is focused on exploring quality of life in young adults in the autism spectrum and the factors that contribute to their own perception of satisfaction with their lives. Autism Spectrum Disorder is a neurodevelopmental disability that is associated with deficits in social interaction and communication and with restricted and repetitive behaviors (American Psychiatric Association, 2013). There has been a documented increase in the diagnosis of Autism Spectrum Disorders (ASD), making it to be one of the fastest growing diagnosed disabilities in children (Hartley-McAndrew, 2014). In the United States, the prevalence of ASD is approximately 1 in 68 children, with 1 in 42 among boys (CDC, 2014). With this increase in recognition of the disorder, adult outcomes have become an increasing priority for this population. While the concept of quality of life has been used in the field of intellectual disabilities for decades, the factors contributing to quality of life of persons with autism spectrum disorder (ASD) have received relatively little attention. The aim of this study was to examine the influences of degree of disability, social and communication ability, academic success, employment, and independence and autonomy on quality of life in young adults with high-functioning autism. Participants (N @ 230) were individuals from the dataset of the National Longitudinal Transition Study 2 (NLTS2) who had a diagnosis of autism spectrum disorder (ASD) (Cameto, et al., 2004). Results indicated that employment, social involvement, communication (being able to communicate, converse, and understand), and autonomy were significant in predicting higher quality of life. Factors found not to contribute to QoL included degree of disability (Woodcock-Johnson III) and education. This study helps to shed light on the development of higher quality of life in young adults with ASD and highlights areas for future research and training with these members of society.
487

Upplevelsen av livskvalitet hos män med prostatacancer : - En litteraturstudie

Larsson, Natanael, Lidén, Fredrik January 2016 (has links)
Upplevelsen av livskvalitet hos män med prostatacancer – en litteraturstudie                                         Abstrakt Bakgrund: Prostatacancer är den vanligast förekommande cancerformen bland män i Sverige. Många män lever med biverkningar efter behandlingen, vilket kan påverka deras liv negativt och hur de upplever sin livskvalitet. Syfte: Syftet var att belysa upplevelsen av livskvalitet hos män med prostatacancer. Metod: En litteraturstudie där åtta vetenskapliga artiklar med kvalitativ ansats har granskats, sammanställts och analyserats. Resultat: Tre huvudkategorier med sex kategorier identifierades: Bemästrande av situationen – Strävan efter väbefinnande genom kontroll, Insikt i sjukdomens påverkan. Adaption till livssituation – En förändringsprocess i livet, En kamp för sinnesro. Manlig identitet – Den förändrade sexualiteten påverkar identiteten, Relationer som stöd.   Konklusion: Upplevelsen av livskvalitet varierar från individ till individ och påverkas av bl.a. biverkningar efter behandling och synen på sin livssituation. Författarna tror att litteraturstudien kan medvetandegöra sjuksköterskor om vilken påverkan prostatacancer har på männens livskvalitet. Genom att ställa personliga frågor kan sjuksköterskan ge god vård utifrån varje persons individuella behov.   Nyckelord: Prostatacancer, livskvalitet, män, anpassning / The experience of quality of life in men with prostate cancer – A literature study   Abstract Background: Prostate cancer is the most common cancer among men in Sweden. Many men live with treatment related side effects which can cause a negative effect on their lives and the experience of their quality of life. Aim: The aim was to illuminate the experience of the quality of life in men with prostate cancer. Method: A literature study of eight articles with qualitative approach. The articles result have been reviewed, compiled and analyzed. Results: Three main categories and six categories were identified: Control of the situation – quest for wellbeing through control, insight in the impact of the disease. Adaptation to life situation – a reconstruction of life, a struggle for peace of mind. Male identity – the altered sexuality affects the identity, the support of relationships. Conclusion: The experience of quality of life varies between individuals and is affected by side effects after treatment and the way they are looking at their life situation. The authors believe that this literature study can raise awareness among nurses regarding the impact prostate cancer has on men’s quality of life. By asking personal questions the nurse can provide good nursing care based on each person’s individual need.   Keywords: Prostate cancer, quality of life, men, adaptation
488

The impact of low back pain on adult women attending Moi Teaching and Referral Hospital, Eldoret, Kenya

Kipruto, Chumba Nahor January 2018 (has links)
Magister Scientiae (Physiotherapy) - MSc(Physio) / Low back pain is one of the most frequent health problems and also one of the most prevalent musculoskeletal disorders. It’s the leading reason for activity limitation and job absenteeism which leads to huge economic burden on persons, society, industry and governments. Women are more susceptible to low back pain due to hormonal effects, differences in reporting of somatic symptoms and greater sensitization of pain. The aim of this study was to determine the impact of low back pain on activities of daily living and quality of life of adult women attending Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. The following objectives were addressed, namely to determine pain intensity, functional disability and quality of life of adult women as well as to explore the activities of daily living that may contribute to low back pain. A sequential explanatory mixed method approach, comprising of a cross-sectional descriptive and explorative design for the quantitative and qualitative phases respectively, was employed in the study. A self-administered questionnaire consisting of four sections (socio-demographic information, the Nordic Musculoskeletal Questionnaire, the Oswestry Disability Index Questionnaire and World Health Organization Quality of Life Tool) was completed by two hundred and thirty-four adult women with a mean age of 38.54 years (SD=9.40). Twenty-six women participated in the focus group discussions. Results of the study indicate that 94.6% of the women had experienced low back pain in the past year while 90.1% had low back pain in the past seven days. In addition, more than half of the women (52.3%) experienced moderate pain intensity. Almost three quarters (68.1%) of the participants who experienced pain in the past year reported that low back pain prevented them from carrying out their activities of daily living. Half of the participants (50.2%) had moderate disability. A significant positive correlation was found between pain and disability (r = 0.426; p = 0.000) while a non-significant negative correlation was found between low back pain and quality of life (r = -0.058; p = 0.390). The qualitative results showed that women have difficulty in performing certain activities of daily living i.e. personal hygiene, sitting, standing and housework due to low back pain. A significant correlation was found between pain intensity, disability and quality of life. Such correlations advocate towards the bio-psychosocial model in management of low back pain. There is a need to invest in primary-based health care to include low back pain and its related risk factors, in order to advise the affected population on appropriate and essential prevention strategies. Future interventions should focus on enhancing physical health and psychosocial stress in women with low back pain.
489

Impact of caregiver education on stroke survivors and their caregivers

Mudzi, Witness 20 September 2010 (has links)
PhD (Physiotherapy), Faculty of Health Sciences, University of the Witwatersrand / Despite the improvements that have been made in health care over the years, stroke remains a serious public health problem in low, middle and high-income countries. Post-stroke, there are many consequences that manifest and these include mortality, morbidity and socioeconomic, affecting not only the stroke survivor but also the caregiver. These consequences are felt hardest in low and middleincome countries because they are the least able to deal with health related setbacks to development. Pressure for beds and the need to reduce hospitalisation related costs have resulted in early discharge home of patients culminating in caregivers playing a more significant role post-stroke. The role played by caregivers has of late received much attention and is well documented in highincome regions. Informal caregivers are particularly important in low resourced settings. Caregivers play an important role in the rehabilitation process of the stroke survivor. The discharge home of patients with stroke to unprepared caregivers is associated with burden or strain, which negatively affects the quality of life of not only the caregiver but the stroke survivor as well. The effect of a structured, individualised caregiver training programme on patients with stroke and their carers has not been established in sub-Saharan Africa in general and South Africa in particular. With this in mind, the aim of the study was to establish the impact of caregiver education on the morbidity of the stroke survivors and on the quality of life of the stroke survivors and their carers. The specific objectives of the study were to establish the: physiotherapy caregiver education programmes and associated content in use for managing patients with stroke at Chris Hani Baragwanath hospital, effect of caregiver education on the mobility of the stroke survivors, effect of caregiver education on the health related quality of life of the stroke survivor and the caregivers, effect of caregiver education on the ability of the stroke survivor to socialise and participate in community issues and also the patient and caregiver characteristics associated with caregiver strain post-stroke. To achieve the first objective, a self designed questionnaire was used to establish the physiotherapy caregiver education programmes and associated content in use for managing patients with stroke at Chris Hani Baragwanath hospital from the physiotherapists at the hospital. For the rest of the objectives, a stratified randomised controlled trial using concealed allocation with a broad entry and blinded outcome assessment at baseline, three, six and 12 months was used for data collection. The participants for the study were first time ischaemic patients with stroke admitted to Chris Hani Baragwanath hospital, Soweto, Johannesburg, South Africa. A total of 200 patients and their caregivers participated in the study. These were randomly assigned to either the control group or the experimental group. The caregivers in the experimental group were subjected to an individualised training programme just prior to discharge of the patient with stroke and at the three month follow up. The assessor was blinded to the group allocation of the patients and caregivers until after completion of the study. From the study, the one-year case fatality was 38%. The mean hospital length of stay for patients with stroke was six days and the average number of physiotherapy contacts for the stroke survivors was one. The content of the rehabilitation programme of patients post-stroke was well structured and appropriate at Chris Hani Baragwanath. However, there was no caregiver involvement or training during in-patient rehabilitation. The barriers to caregiver involvement included perceived high workload by therapists, short hospital length of stay, poor referral systems between clinicians and therapists of patients post-stroke and caregivers being unavailable during working hours for training purposes. Using the Barthel Index (BI) scores, 78% of the patients were functionally dependent at 12 months post discharge. None of the patients were fully independent in mobility and stair climbing. The experimental group had better mean BI scores at the three and 12 month follow up periods (p = 0.01 and p = 0.05 respectively) when compared to the control group. Caregiver education had the effect of improving the BI scores by one and 0.7 at the three and 12 months follow ups respectively. However, the functional abilities of the patients from both groups were still low at 12 months with averages of 13.3 and 12.6 for the experimental and control groups respectively (out of a possible 20). The overall patient mobility scores as measured on the Rivermead Mobility Index were low over the study period with averages of 9.1 and 8.5 for the experimental and control group respectively (out of a possible 15). However, the experimental group had slightly better Rivermead Mobility Index (RMI) scores, which were not statistically significant. Caregiver education had the effect of reducing the risk of death by 27% relative to that occurring among the control group patients. The health related quality of life of the stroke survivors was generally poor over the study period. The baseline means from their EQ-5D scores (for health related quality of life) were 42.4 and 43.7 for the control and experimental groups respectively, which rose to 67 and 68.8 at 12 months respectively post discharge. Caregiver education had the effect of improving patients’ EQ-5D scores by a factor of three and this was only at 12 months. The caregivers’ quality of life generally declined over the 12 months of the study period (more in the control group than the experimental group) from averages of 92 and 93 at three months (for the control and experimental groups respectively) to 83 and 86 (respectively) at 12 months. However, the experimental group had better mean EQ-5D scores (health related quality of life) than the control group (p = 0.001). Caregiver education had the effect of improving EQ-5D scores by factors of 3.4 and 3.6 at the six and twelve month follow up period. The ability to socialise and participate in community issues was poor. None of the participants could carry out single and multiple tasks without assistance at 12 months post discharge. More than 87% of the patients had mild to moderate difficulty with walking at 12 months post discharge and they were all unable to lift and carry objects, have fine hand use and move around with equipment without assistance. None of the patients was able to carry out domestic activities without any difficulty and consequently they could not prepare meals and do housework without assistance from helpers. All of the participants had mild to moderate and severe to complete difficulty in basic interpersonal interactions, complex interpersonal interactions and formal relationships. They all had mild to moderate difficulty engaging in recreation and leisure activities while 27% of the control group and 25% of the experimental group had severe to complete difficulty with community life at 12 months post discharge. The design, construction and building products and technology for both public and private use were cited as barriers to community participation. More than 50% of the patients also cited friends as being barriers to community participation but acquaintances, colleagues, neighbours and community members were cited as being facilitators together with personal care providers (caregivers). Transport services, systems and policies were also cited as barriers by more than 80% of the participants. Caregiver education did not seem to influence patients’ ability to participate in community issues given the similarities in percentages between the control and experimental groups. At three months post discharge, 89% of the caregivers in the control group and 92% of those in the experimental group were strained from caregiving duties. However, these percentages declined to 78% and 43% respectively at 12 months, showing the effectiveness of caregiver education. Caregiver education had the effect of reducing strain by a factor of 2.6 at 12 months. The patient characteristics that were associated with caregiver strain were the dependency levels in transfers, mobility, dressing, bathing, poor activities of daily living scores, patient anxiety/depression, pain and poor perceived health state. The only caregiver characteristic that influenced caregiver strain was the level of education. The reduced hospital length of stay, pressure for beds and possibly inadequate rehabilitation personnel levels means that its possible that some caregivers are not adequately trained to meet patient needs, although this needs to be confirmed with further controlled research. The current pressure on in-patient services at Chris Hani Baragwanath hospital is resulting in suboptimal exposure to rehabilitation of patients post-stroke. There is insufficient organised caregiver education at present. Structured individualised caregiver training has the effect of positively influencing the health related quality of life of the patients especially at six and 12 months post discharge. Caregivers for patients with stroke suffer from physical, financial and psychological problems, which negatively affect their health related quality of life. Currently, high levels of caregiver strain persist poststroke. Caregiver education however has the effect of reducing the decline in caregiver health related quality of life over time. Caregiver training did not positively influence patient mobility and this is most probably because the patients had very low or poor functional ability levels at discharge from hospital. However, structured and individualised caregiver training has the effect of improving patients’ quality of life and can help reduce deaths among stroke survivors. The patient ability to socialise and participate in community issues post-stroke is currently poor. This mainly stems from the poor functional ability levels, which necessitate dependency on caregivers. Compounding the low functional ability levels are the transport systems, services and policies, attitudes of friends and the design, construction and building products and technology for both public and private use, which are barriers to community participation. The high patient dependency levels result in caregivers being highly strained. The patient characteristics that influence caregiver strain are dependence in transfers, grooming, mobility, dressing, poor activities of daily living, patient anxiety/depression, pain and poor perceived health state (health related quality of life). The only caregiver characteristic that was associated with caregiver strain is the level of education. The early discharge home with little caregiver training calls for provision of community rehabilitation services preferably through domiciliary visits. Caregivers of patients with stroke should be assessed and treated for depression given its high prevalence among this cohort. The referral system between the local community health centres and the discharging hospital need to be strengthened to ensure access to rehabilitation by all patients post discharge from hospital. The referral to social workers during in-patient and out-patient rehabilitation also need to be strengthened to ensure processing of social grants to alleviate financial strain as is appropriate. Caregiver strain is a complex and multifaceted problem with no single causation or solution. As a result, further research is needed to establish the reasons for poor rehabilitation service provision post-stroke for patients and caregivers and find solutions to these. It is important to explore different methods of caregiver education programmes so that the method that yields the best results for both patients and caregivers can be established in our setting and internationally.
490

Kvinnors upplevelser av livet med endometrios : En kvalitativ litteraturstudie

Fagrell, Rebecka, Lindholm Nobinder, Elice January 2019 (has links)
Bakgrund: Endometrios är en gynekologisk sjukdom som drabbar ungefär var tionde kvinna. Sjukdomen uppstår då fragment av livmoderslemhinnan växer in i annan vävnad utanför livmodern, vilket ger upphov till många fysiska symtom där smärta är vanligast. Dessa symtom påverkar även andra aspekter av kvinnans liv.  Syfte: Syftet var att sammanställa aktuella forskningsresultat om hur kvinnor med endometrios upplever att sjukdomen påverkar dem och deras liv. Metod: En litteraturöversikt med kvalitativ ansats där elva originalartiklar inkluderades. Sökningarna genomfördes i databaserna PubMed och CINAHL. Resultat: Resultatet är uppdelat i följande teman; upplevelser av fysiska begränsningar, upplevelser av psykiska förändringar, upplevelser av sociala begränsningar och förändringar, upplevelser av begränsningar på jobb och studier och upplevelser av existensiella förändringar. Endometrios visade sig ha en stor påverkan på alla dessa aspekter av livet. Kvinnorna upplevde att sjukdomen bland annat påverkade deras mobilitet, sexuella aktivitet, självkänsla, relationer, sociala liv, arbetsliv, skola, fertilitet och livsperspektiv. Slutsats: Sammanfattningsvis påverkar endometrios alla aspekter av kvinnornas liv. Den största delen av kvinnorna upplevde en negativ påverkan på sitt fysiska, psykiska och sociala liv, arbetslivet samt existentiella frågor. Framöver behövs mer kvalitativ forskning för att vidareutveckla bilden av kvinnors upplevelser av att leva med endometrios. Detta för att öka kunskapen kring sjukdomen och därmed möjliggöra för en snabbare diagnostisering, bättre vård och en ökad livskvalitet för kvinnorna. / Background: Endometriosis is a gynecological disease that affects approximately every tenth woman. The disease develops when part of the endometrial lining implants in foreign tissue outside of the uterus, which causes many physical symptoms where pain is most common. These symptoms also affects other aspects of the woman's life. Aim: The aim was to compile current research results of how women with endometriosis experience the disease and how it affects them and their lives. Method: A review of literature research with a qualitative approach where eleven original research articles were chosen. The articles were found through the databases PubMed and CINAHL. Results: The results are presented through the following themes; experiences of physical limitations, experiences of psychological changes, experiences of social limitations and changes, experiences of limitations on work and education and experiences of existential changes. As it turned out, endometriosis had a big impact on all aspects of life. The women experienced that the disease among other things affected their mobility, sexual activity, self-esteem, relations, social life, work, education, fertility and life perspective. Conclusion: In summary endometriosis affects all aspects of the women's lives. The majority of women experienced that the disease had a negative effect on their physical, psychological and social life, work and existential questions. Furthermore, more qualitative research needs to be done to further investigate how women experience life with endometriosis. This is needed to gain more knowledge about the disease and therefore enable improvement in the diagnosis, the healthcare and the life quality of these women.

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