uu.seUppsala University Publications
Change search
Link to record
Permanent link

Direct link
BETA
Kristofferzon, Marja-Leena
Alternative names
Publications (10 of 29) Show all publications
Eriksson, E., Wejåker, M., Danhard, A., Nilsson, A. & Kristofferzon, M.-L. (2019). Living with a spouse with chronic illness - the challenge of balancing demands and resources. BMC Public Health, 19, Article ID 422.
Open this publication in new window or tab >>Living with a spouse with chronic illness - the challenge of balancing demands and resources
Show others...
2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 422Article in journal (Refereed) Published
Abstract [en]

Background: The number of partners providing informal care for their chronically ill spouse is rising, and they describe their daily life as demanding. The aim of this paper was to describe the partners' experiences of living with a person with chronic illness and how they manage everyday life.

Methods: A descriptive design with a qualitative approach was used. A purposive sample of 16 Swedish partners with a chronically ill spouse were interviewed. The interviews were recorded, transcribed, and analyzed using qualitative content analysis.

Results: Four main themes were identified: Managing challenges in daily life,' Seeking support and use own capabilities to manage life,' Appreciating the good parts of life' and Adapting to constant changes and an uncertain future'. Their experiences of support from formal care providers varied; they expressed the need for more assistance from the health care sector.

Conclusions: The partners experienced many challenges in everyday life when providing informal care for their chronically ill spouse. This affected both their physical and psychological health, as they had limited time for themselves. The partners seemed to receive more support from their informal network than from formal care providers. In handling daily life, the partners balanced demands and resources to identify possibilities to move forward and find meaning in life. This is congruent with theories by Antonovsky, and Folkman and Lazarus that describes meaningfulness and how to handle challenges in everyday life.

Place, publisher, year, edition, pages
BMC, 2019
Keywords
Chronic illness, Partner, Resources, Formal care, Daily life
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-383163 (URN)10.1186/s12889-019-6800-7 (DOI)000465429300005 ()31014309 (PubMedID)
Available from: 2019-05-10 Created: 2019-05-10 Last updated: 2019-05-10Bibliographically approved
Wallin, E., Larsson, I.-M., Kristofferzon, M.-L., Larsson, E.-M., Raininko, R. & Rubertsson, S. (2018). Acute brain lesions on magnetic resonance imaging in relation to neurological outcome after cardiac arrest. Acta Anaesthesiologica Scandinavica, 62(5), 635-647
Open this publication in new window or tab >>Acute brain lesions on magnetic resonance imaging in relation to neurological outcome after cardiac arrest
Show others...
2018 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 62, no 5, p. 635-647Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Magnetic resonance imaging (MRI) of the brain including diffusion-weighted imaging (DWI) is reported to have high prognostic accuracy in unconscious post-cardiac arrest (CA) patients. We documented acute MRI findings in the brain in both conscious and unconscious post-CA patients treated with target temperature management (TTM) at 32-34°C for 24 h as well as the relation to patients' neurological outcome after 6 months.

METHODS:

A prospective observational study with MRI was performed regardless of the level of consciousness in post-CA patients treated with TTM. Neurological outcome was assessed using the Cerebral Performance Categories scale and dichotomized into good and poor outcome.

RESULTS:

Forty-six patients underwent MRI at 3-5 days post-CA. Patients with good outcome had minor, mainly frontal and parietal, lesions. Acute hypoxic/ischemic lesions on MRI including DWI were more common in patients with poor outcome (P = 0.007). These lesions affected mostly gray matter (deep or cortical), with or without involvement of the underlying white matter. Lesions in the occipital and temporal lobes, deep gray matter and cerebellum showed strongest associations with poor outcome. Decreased apparent diffusion coefficient, was more common in patients with poor outcome.

CONCLUSIONS:

Extensive acute hypoxic/ischemic MRI lesions in the cortical regions, deep gray matter and cerebellum detected by visual analysis as well as low apparent diffusion coefficient values from quantitative measurements were associated with poor outcome. Patients with good outcome had minor hypoxic/ischemic changes, mainly in the frontal and parietal lobes.

National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:uu:diva-340789 (URN)10.1111/aas.13074 (DOI)000429532400007 ()29363101 (PubMedID)
Available from: 2018-02-02 Created: 2018-02-02 Last updated: 2018-06-19Bibliographically approved
Wallin, E., Larsson, I.-M., Nordmark-Grass, J., Rosenqvist, I., Kristofferzon, M.-L. & Rubertsson, S. (2018). Characteristics of jugular bulb oxygen saturation in patients after cardiac arrest: A prospective study. Acta Anaesthesiologica Scandinavica, 62(9), 1237-1245
Open this publication in new window or tab >>Characteristics of jugular bulb oxygen saturation in patients after cardiac arrest: A prospective study
Show others...
2018 (English)In: Acta Anaesthesiologica Scandinavica, ISSN 0001-5172, E-ISSN 1399-6576, Vol. 62, no 9, p. 1237-1245Article in journal (Refereed) Published
Abstract [en]

Background: Using cerebral oxygen venous saturation post-cardiac arrest (CA) is limited because of a small sample size and prior to establishment of target temperature management (TTM). We aimed to describe variations in jugular bulb oxygen saturation during intensive care in relation to neurological outcome at 6 months post- CA in cases where TTM 33 degrees C was applied.

Method: Prospective observational study in patients over 18 years, comatose immediately after resuscitation from CA. Patients were treated with TTM 33 degrees C M and received a jugular bulb catheter within the first 26 hours post-CA. Neurological outcome was assessed at 6 months using the Cerebral Performance Categories (CPC) and dichotomized into good (CPC 1-2) and poor outcome (CPC 3-5).

Results: Seventy-five patients were included and 37 (49%) patients survived with a good outcome at 6 months post-CA. No differences were found between patients with good outcome and poor outcome in jugular bulb oxygen saturation. Higher values were seen in differences in oxygen content between central venous oxygen saturation and jugular bulb oxygen saturation in patients with good outcome compared to patients with poor outcome at 6 hours (12 [8-21] vs 5 [-0.3 to 11]% P = .001) post-CA. Oxygen extraction fraction from the brain illustrated lower values in patients with poor outcome compared to patients with good outcome at 96 hours (14 [9-23] vs 31 [25-34]% P = .008).

Conclusions: Oxygen delivery and extraction differed in patients with a good outcome compared to those with a poor outcome at single time points. Based on the present findings, the usefulness of jugular bulb oxygen saturation for prognostic purposes is uncertain in patients treated with TTM 33 degrees C post-CA.

Keywords
cardiac arrest, intensive care, jugular bulb saturation, neurological outcome, prognostication, target temperature management
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:uu:diva-364137 (URN)10.1111/aas.13162 (DOI)000443673500008 ()29797705 (PubMedID)
Available from: 2018-11-05 Created: 2018-11-05 Last updated: 2018-11-05Bibliographically approved
Kristofferzon, M.-L., Engström, M. & Nilsson, A. (2018). Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study. Quality of Life Research, 27(7), 1855-1863
Open this publication in new window or tab >>Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study
2018 (English)In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 27, no 7, p. 1855-1863Article in journal (Refereed) Published
Abstract [en]

The aim of the present study was to investigate relationships between sense of coherence, emotion-focused coping, problem-focused coping, coping efficiency, and mental quality of life (QoL) in patients with chronic illness. A model based on Lazarus' and Folkman's stress and coping theory tested the specific hypothesis: Sense of coherence has a direct and indirect effect on mental QoL mediated by emotion-focused coping, problem-focused coping, and coping efficiency in serial adjusted for age, gender, educational level, comorbidity, and economic status. The study used a cross-sectional and correlational design. Patients (n = 292) with chronic diseases (chronic heart failure, end-stage renal disease, multiple sclerosis, stroke, and Parkinson) completed three questionnaires and provided background data. Data were collected in 2012, and a serial multiple mediator model was tested using PROCESS macro for SPSS. The test of the conceptual model confirmed the hypothesis. There was a significant direct and indirect effect of sense of coherence on mental QoL through the three mediators. The model explained 39% of the variance in mental QoL. Self-perceived effective coping strategies are the most important mediating factors between sense of coherence and QoL in patients with chronic illness, which supports Lazarus' and Folkman's stress and coping theory.

Keywords
Coping, Chronic illness, Quality of life, Sense of coherence, Coping effectiveness
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-358363 (URN)10.1007/s11136-018-1845-0 (DOI)000435128700017 ()29623597 (PubMedID)
Available from: 2018-08-31 Created: 2018-08-31 Last updated: 2018-08-31Bibliographically approved
Rashid, M., Kristofferzon, M.-L., Heiden, M. & Nilsson, A. (2018). Factors related to work ability and wellbeing among women on sick leave due to long-term pain in the neck/shoulders and/or back: a cross-sectional study. BMC Public Health, 18, Article ID 672.
Open this publication in new window or tab >>Factors related to work ability and wellbeing among women on sick leave due to long-term pain in the neck/shoulders and/or back: a cross-sectional study
2018 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 18, article id 672Article in journal (Refereed) Published
Abstract [en]

Background: Musculoskeletal pain is one of the leading causes of sick leave, especially among women, in Western countries. The aim of the present study was to identify factors associated with work ability and well-being, respectively, among women on sick leave due to long-term pain in the neck/shoulders and/or back. Methods: A cross sectional study with a correlational design was conducted on women who were sick-listed due to long-term pain in the neck/shoulders and/or back. A total of 208 participants responded to a survey comprising eight instruments: Multidimensional Pam inventory scale, General Self-Efficacy scale, Sense of Coherence scale, Coping Strategies Questionnaire, Demand-Control-Support Questionnaire, Hospital Anxiety and Depression Scale, Work Ability Index and Life Satisfaction questionnaire Multiple linear regression analyses were performed to identify factors associated with work ability and well being, respectively. Results: Women who more strongly believed they would return to the same work had greater work ability (beta = 0.39, p < 0.001), whereas women with higher pain intensify (beta = - 0.30, p < 0.001) and higher job stiam (beta = - 0.12, p < 0.05) had lower work ability. Women with higher self-efficacy rated greater well being (beta = 0.14, p <0.05) As the women's scores for depression increased, their well being decreased by 48%, which was statistically significant (p <0.001) The regression models for work ability and well-being were significant (p <0.001), and their adjusted R square values were 48% and 59%, respectively. Conclusions: The study suggests that the factors beliefs to be back at the same work, pain intensity and job strain are pi predictive of work ability. Moreover, the factors seif efficacy and depression seem to be predictive of well-being The findings highlight factors that should be considered by health care professionals and policy makers to guide attempts to reduce sick leave.

Place, publisher, year, edition, pages
BIOMED CENTRAL LTD, 2018
Keywords
Musculoskeletal pain, Sickness absence, Prognostic factors, Ability to work, Quality of life, Women
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:uu:diva-358088 (URN)10.1186/s12889-018-5580-9 (DOI)000433587000004 ()29848306 (PubMedID)
Available from: 2018-08-24 Created: 2018-08-24 Last updated: 2018-08-24Bibliographically approved
Nilsson, A., Carlsson, M., Lindqvist, R. & Kristofferzon, M.-L. (2017). A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population. Nursing Open, 4(3), 157-167
Open this publication in new window or tab >>A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population
2017 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 4, no 3, p. 157-167Article in journal (Refereed) Published
Abstract [en]

Aim: The aim was to compare coping strategies and quality of life (QoL) in patients with chronic heart failure (CHF) with such strategies and QOL in persons from two general Swedish populations and to investigate relationships between personal characteristics and coping strategies. Design: A cross-sectional, comparative and correlational design was used to examine data from three sources. Methods: The patient group (n=124), defined using ICD-10, was selected consecutively from two hospitals in central Sweden. The population group (n=515) consisted of persons drawn randomly from the Swedish population. Data were collected with questionnaires in 2011; regarding QoL, Swedish population reference data from 1994 were used. Results: Overall, women used more coping strategies than men did. Compared with the general population data from SF-36, patients with CHF rated lower QoL. In the regression models, perceived low efficiency in managing psychological aspects of daily life increased use of coping. Other personal characteristics related to increased use of coping strategies were higher education, lower age and unsatisfactory economic situation.

Keywords
chronic heart failure, coping, cross sectional survey, general Swedish population, Jalowiec Coping Scale, quality of life
National Category
Nursing
Identifiers
urn:nbn:se:uu:diva-330024 (URN)10.1002/nop2.81 (DOI)000405085600006 ()28694980 (PubMedID)
Available from: 2017-10-09 Created: 2017-10-09 Last updated: 2017-10-09Bibliographically approved
Rashid, M., Kristofferzon, M.-L., Nilsson, A. & Heiden, M. (2017). Factors associated with return to work among people on work absence due to long-term neck or back pain: a narrative systematic review. BMJ Open, 7(6), Article ID e014939.
Open this publication in new window or tab >>Factors associated with return to work among people on work absence due to long-term neck or back pain: a narrative systematic review
2017 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 6, article id e014939Article, review/survey (Refereed) Published
Abstract [en]

Objective: The purpose of this narrative systematic review was to summarise prognostic factors for return to work (RTW) among people with long-term neck/shoulder or back pain.

Methods: A systematic literature search was performed through three databases (Medline, CINAHL and PsycINFO) for studies published until February 2016. Only observational studies of people on work absence ((a) over cap %Y2 weeks) due to neck/shoulder or back pain were included. The methodological quality of the included studies was assessed using guidelines for assessing quality in prognostic studies on the basis of Framework of Potential Biases. Factors found in the included studies were grouped into categories based on similarities and then labelled according to the aspects covered by the factors in the category.

Results: Nine longitudinal prospective cohort studies and one retrospective study fulfilled the inclusion criteria. From these, five categories of factors were extracted. Our findings indicate that recovery beliefs, health-related factors and work capacity are important for RTW among people with long-term neck or back pain. We did not find support for workplace factors and behaviour being predictive of RTW.

Conclusions: Our findings suggest that recovery beliefs, perceived health and work capacity may be important targets of intervention for people with long-term neck or back pain. However, more high-quality prospective studies are needed to confirm the results and improve our understanding of what is needed to facilitate RTW in this population.

National Category
Occupational Therapy
Identifiers
urn:nbn:se:uu:diva-335019 (URN)10.1136/bmjopen-2016-014939 (DOI)000406391200103 ()28674139 (PubMedID)
Available from: 2017-12-01 Created: 2017-12-01 Last updated: 2017-12-01Bibliographically approved
Israelsson, J., Bremer, A., Herlitz, J., Axelsson, A. B., Cronberg, T., Djarv, T., . . . Arestedt, K. (2017). Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender. Resuscitation, 114, 27-33
Open this publication in new window or tab >>Health status and psychological distress among in-hospital cardiac arrest survivors in relation to gender
Show others...
2017 (English)In: Resuscitation, ISSN 0300-9572, E-ISSN 1873-1570, Vol. 114, p. 27-33Article in journal (Refereed) Published
Abstract [en]

Aim: To describe health status and psychological distress among in -hospital cardiac arrest (IHCA) survivors in relation to gender. Methods: This national register study consists of data from follow-up registration of IHCA survivors 3-6 months post cardiac arrest (CA) in Sweden. A questionnaire was sent to the survivors, including measurements of health status (EQ-5D-5L) and psychological distress (HADS). Results: Between 2013 and 2015, 594 IHCA survivors were included in the study. The median values for EQ-5D-5L index and EQVAS among survivors were 0.78 (ql-q3 = 0.67-0.86) and 70 (ql -q3 = 50-80) respectively. The values were significantly lower (p < 0.001) in women compared to men. In addition, women reported more problems than men in all dimensions of EQ-5D-5L, except self -care. A majority of the respondents reported no problems with anxiety (85.4%) and/or symptoms of depression (87.0%). Women reported significantly more problems with anxiety (p < 0.001) and symptoms of depression (p < 0.001) compared to men. Gender was significantly associated with poorer health status and more psychological distress. No interaction effects for gender and age were found. Conclusions: Although the majority of survivors reported acceptable health status and no psychological distress, a substantial proportion reported severe problems. Women reported worse health status and more psychological distress compared to men. Therefore, a higher proportion of women may be in need of support. Health care professionals should make efforts to identify health problems among survivors and offer individualised support when needed. (C) 2017 Elsevier B.V. All rights reserved.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD, 2017
Keywords
Anxiety, Depression, Health status, Heart arrest, Hospitals, Gender
National Category
Anesthesiology and Intensive Care
Identifiers
urn:nbn:se:uu:diva-327055 (URN)10.1016/j.resuscitation.2017.02.006 (DOI)000402487800021 ()28216089 (PubMedID)
Available from: 2017-08-03 Created: 2017-08-03 Last updated: 2017-08-03Bibliographically approved
Östlund, A.-S., Wadensten, B., Häggström, E., Lindqvist, H. & Kristofferzon, M.-L. (2016). Primary care nurses´ communication and its influence on patient talk during motivational interviewing. Journal of Advanced Nursing, 72(11), 2844-2856
Open this publication in new window or tab >>Primary care nurses´ communication and its influence on patient talk during motivational interviewing
Show others...
2016 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, no 11, p. 2844-2856Article in journal (Refereed) Published
Abstract [en]

Aim. The aim of this study was to describe what verbal behaviours/kinds of talk occur during recorded motivational interviewing sessions between nurses in primary care and their patients. The aim was also to examine what kinds of nurse talk predict patient change talk, neutral talk and/or sustain talk. Background. Motivational interviewing is a collaborative conversational style. It has been shown to be effective, in addressing health behaviours such as diet, exercise, weight loss and chronic disease management. In Sweden, it is one of the approaches to disease prevention conversations with patients recommended in the National Guidelines for Disease Prevention. Research on the mechanisms underlying motivational interviewing is growing, but research on motivational interviewing and disease prevention has also been called for. Design. A descriptive and predictive design was used. Methods. Data were collected during 2011-2014. Fifty audio-recorded motivational interviewing sessions between 23 primary care nurses and 50 patients were analysed using Motivational Interviewing Sequential Code for Observing Process Exchanges. The frequency of specific kinds of talk and sequential analysis (to predict patient talk from nurse talk) were computed using the software Generalized Sequential Querier 5. Findings. The primary care nurses and patients used neutral talk most frequently. Open and negative questions, complex and positive reflections were significantly more likely to be followed by change talk and motivational interviewing-inconsistent talk, positive questions and negative reflections by sustain talk. Conclusions. To increase patients' change talk, primary care nurses need to use more open questions, complex reflections and questions and reflections directed towards change.

Keywords
behaviour; communication; in-session; motivational interviewing; nurse; primary care; sequential analysis; talk
National Category
Nursing
Research subject
Caring Sciences
Identifiers
urn:nbn:se:uu:diva-264258 (URN)10.1111/jan.13052 (DOI)000386079500025 ()27345818 (PubMedID)
Funder
Swedish Heart Lung Foundation
Note

Funding: University of Gävle, STROKE-Riksförbundet (The Swedish Stroke Association), The Swedish Heart and Lung Association and the Erik, Karin and Gösta Selander Foundation, all located in Sweden.

Available from: 2015-10-07 Created: 2015-10-07 Last updated: 2017-12-01Bibliographically approved
Wallin, E., Rubertsson, S., Larsson, I.-M., Kristoferzon, M.-L., Larsson, E.-M. & Raininko, R. (2016). Relationship of acute brain lesions on MRI after cardiac arrest treated with hypothermia to neurological outcome 6 months later. In: Insights into Imaging 7:Suppl 1, 2016: . Paper presented at ECR 2016. Springer, 7, Article ID B-0813.
Open this publication in new window or tab >>Relationship of acute brain lesions on MRI after cardiac arrest treated with hypothermia to neurological outcome 6 months later
Show others...
2016 (English)In: Insights into Imaging 7:Suppl 1, 2016, Springer, 2016, Vol. 7, article id B-0813Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Relationship of acute brain lesions on MRI after cardiac arrest treated with hypothermia to neurological outcome 6 months later,

Purpose: To document the acute MRI findings in the brain of post-cardiac arrest (CA) patients treated with therapeutic hypothermia and their relationship to patient outcome after 6 months.

Methods and Materials: MRI was performed prospectively 3-13 days (median 4) after CA in 56 patients regardless of the level of consciousness in three hospitals. The images were interpreted visually by two neuroradiologists. Apparent diffusion coefficient (ADC) was measured in predetermined areas in cerebral white matter, deep grey matter,  cerebellar grey and white matter and the brainstem. Outcome was assessed using the Cerebral Performance Categories Scale (CPC ) and dichotomized into good and poor outcome.

Results: Acute hypoxic lesions on diffusion-weighted MRI (DWI) were more common in patients with poor outcome (p=0.006) and affected mostly grey matter, deep or cortical, with or without involvement of underlying white matter. Pure white matter lesions were very few. Lesions in the occipital and temporal lobes, deep white matter and cerebellum were most associated with poor outcome. Reductions in the ADC, particularly in the occipital lobes, were more common in patients with poor outcome. None of the patients with an ADC below 604-678 x10-6 mm2/s (variation depending on the equipment and technique) in any region survived to 6 months.

Conclusion: Extensive acute lesions in cortical regions and deep grey matter in visual analysis and regions with an ADC under the level 600-680 x10-6 mm2/s are associated with poor outcome. Lesions are fewer and mainly situated in the frontal and parietal lobes in patients with good outcome.

Place, publisher, year, edition, pages
Springer, 2016
Series
Insights into imaging ; vol 7:Suppl1
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
urn:nbn:se:uu:diva-309040 (URN)
Conference
ECR 2016
Available from: 2016-12-01 Created: 2016-12-01 Last updated: 2017-02-17Bibliographically approved
Organisations

Search in DiVA

Show all publications