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  • 1.
    Ivarsson, Bodil
    et al.
    Lund Univ, Dept Cardiothorac Surg, SE-22185 Lund, Sweden.;Skane Univ Hosp, SE-22185 Lund, Sweden..
    Ekmehag, Bjorn
    Univ Uppsala Hosp, Uppsala, Sweden..
    Sjoberg, Trygve
    Lund Univ, Dept Cardiothorac Surg, SE-22185 Lund, Sweden.;Skane Univ Hosp, SE-22185 Lund, Sweden..
    Relative's experiences before and after a heart or lung transplantation2014In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 43, no 3, p. 198-203Article in journal (Refereed)
    Abstract [en]

    Background: Relatives take on great responsibilities during patients' heart or lung transplant process and an understanding for their situation is required. Objective: To describe relative's experiences before and during the patient's hospital stay as well as during the first 6 months after a heart or lung transplantation. Methods: Using qualitative content analysis, 15 relatives (eight women and seven men) aged 36-65 years were interviewed within 6 months of a heart or lung transplantation. Result: Three categories that illuminate relatives' experiences have been identified: "Navigate specific circumstances," "Facilitate throughout the transplantation journey" and "Experiences of strength and weakness of information and support." The relatives reported involvement in the transplantation decision, peer support, information seeking, burden and coping. Conclusion: Greater awareness about relatives' experiences with identification of appropriate support and information exchange between health care professionals and relatives is important. This awareness could provide benefits for heart or lung transplant patients, families and health care organizations. (C) 2014 Elsevier Inc. All rights reserved.

  • 2.
    Kristofferzon, Marja-Leena
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Löfmark, Rurik
    Carlsson, Marianne
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences.
    Perceived coping, social support, and quality of life 1 month after myocardial infarction: a comparison between Swedish women and men2005In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 34, no 1, p. 39-50Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE:

    The study objective was to compare coping, social support, and quality of life in Swedish women and men 1 month after myocardial infarction.

    DESIGN:

    The study design was cross-sectional and descriptive-comparative.

    SETTING:

    The study took place in 1 hospital service area in the middle of Sweden.

    SUBJECTS:

    The sample consisted of 74 women and 97 men.

    INSTRUMENTS:

    The Jalowiec Coping Scale, the Social Network and Social Support Questionnaire, the Short Form-36 Health Survey, and the Quality of Life Index-Cardiac Version were used.

    RESULTS:

    Compared with men, women used more evasive and supportive coping and rated psychologic aspects of the heart disease as more problematic to manage. More women perceived available support from friends and grandchildren, and more men perceived available support from their partner. Women rated lower levels in physical and psychologic dimensions of quality of life.

    CONCLUSION:

    The first month after myocardial infarction is a susceptible period especially for women. They used more evasive and supportive coping and experienced a lower quality of life compared with men.

  • 3. Thuresson, Marie
    et al.
    Jarlöv, Marianne Berglin
    Lindahl, Bertil
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences.
    Svensson, Leif
    Zedigh, Crister
    Herlitz, Johan
    Thoughts, actions, and factors associated with prehospital delay in patients with acute coronary syndrome.2007In: Heart & Lung, ISSN 0147-9563, E-ISSN 1527-3288, Vol. 36, no 6, p. 398-409Article in journal (Refereed)
    Abstract [en]

    Objective

    The objective was to study patients’ interpretations, thoughts, and actions after symptom onset in acute coronary syndrome (ACS) in total and in relation to gender, age, history of coronary artery disease, type of syndrome, and residential area and its influence on prehospital delay.

    Setting

    We performed a national survey comprising intensive cardiac care units at 11 hospitals in Sweden.

    Method

    A total of 1939 patients with diagnosed ACS and symptom onset outside hospital completed a questionnaire containing standardized questions within 3 days after admission.

    Results

    Three-quarters of the patients interpreted their symptoms as cardiac in origin, and the most common reason was that they knew someone who had had an acute myocardial infarction. The majority contacted a family member, whereas only 3% directly called for an ambulance. Interpreting the symptoms as cardiac in origin and severe pain were major reasons for deciding to seek medical care. Approaching someone after symptom onset and the belief that the symptoms were cardiac in origin were factors associated with a shorter prehospital delay, whereas taking medication to relieve pain resulted in the opposite. The reaction pattern was influenced by gender, age, a history of coronary artery disease, and the type of ACS, but to a lesser extent by residential area.

    Conclusions

    Interpreting symptoms as cardiac in origin and approaching someone after symptom onset were major reasons for a shorter prehospital delay in ACS.

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