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Olsson, C., Sandin-Bojö, A.-K., Bjuresäter, K. & Larsson, M. (2016). Changes in Sexuality, Body Image and Health Related Quality of Life in Patients Treated for Hematologic Malignancies: A Longitudinal Study. Sexuality and disability, 34(4), 367-388
Open this publication in new window or tab >>Changes in Sexuality, Body Image and Health Related Quality of Life in Patients Treated for Hematologic Malignancies: A Longitudinal Study
2016 (English)In: Sexuality and disability, ISSN 0146-1044, E-ISSN 1573-6717, Vol. 34, no 4, p. 367-388Article in journal (Refereed) Published
Abstract [en]

Longitudinal studies exploring sexuality, body image and health-related quality of life (HRQoL) are lacking in patients treated with chemo- or chemoimmuno-therapy for hematologic malignancies. The aim was to describe and explore changes in sexuality, body image and HRQoL in patients treated for hematologic malignancies, from baseline until 6 months after treatment. Twenty patients above 45 years (median age 62) treated for DLBCL, CLL or AML participated. Data were collected at baseline, 1- and 6-months after treatment by means of three instruments: SAQ-S, BIS and EORTC QLQ-C30. The results showed that patients' sexuality was negatively affected 1 month after treatment, but after 6 months the patient reported scores had returned almost entirely to baseline scores. Body image was slight negatively affected after 1 month and after 6 months, 50 % reported that body image was not affected at all. Regarding HRQoL, patients reported gradually improved scores during the study period. Regression analysis showed that changes in sexuality and body image seemed to influence changes in HRQoL. This study has shown changes in sexuality, body image and HRQoL over time in patients above age 45 treated for hematologic malignancies. One month after treatment all three areas becomes negatively affected, and thereafter the patients' scores recovered to a great extent regarding these issues within 6 months. Sexuality and body image seem to be important aspects of HRQoL for these patients and need to be integrated in the cancer rehabilitation during and after treatment.

Place, publisher, year, edition, pages
New York: , 2016
Keywords
Body image, Chemoimmunotherapy, Health related quality of life, Hematologic malignancies, Longitudinal study, Sexuality
National Category
Nursing
Identifiers
urn:nbn:se:kau:diva-63886 (URN)10.1007/s11195-016-9459-3 (DOI)000393330700002 ()27881887 (PubMedID)
Available from: 2017-09-21 Created: 2017-09-21 Last updated: 2019-09-26Bibliographically approved
Larsson, M., Hwa Lee, S., Wilde-Larsson, B., Olsson, C., Bjuresäter, K., Hov, R., . . . Kennedy, C. (2016). Family carers’ preferences for support when caring for a family member at the end of life at home: Protocol for an integrative literature review. Prospero, Article ID CRD42016037839.
Open this publication in new window or tab >>Family carers’ preferences for support when caring for a family member at the end of life at home: Protocol for an integrative literature review
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2016 (English)In: Prospero, ISSN 1358-6785, article id CRD42016037839Article, review/survey (Refereed) Published
Place, publisher, year, edition, pages
University of York Centre for reviews and Dissemination, 2016
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-46195 (URN)10.1016/j.jpainsymman.2018.10.326 (DOI)000451633700158 ()
Available from: 2016-09-15 Created: 2016-09-15 Last updated: 2019-09-26Bibliographically approved
Persenius Wentzel, M. & Bjuresäter, K. (2016). Nutrition. In: Kumlien Christine, Rystedt Jenny (Ed.), Omvårdnad och kirurgi: (pp. 123-131). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Nutrition
2016 (Swedish)In: Omvårdnad och kirurgi / [ed] Kumlien Christine, Rystedt Jenny, Lund: Studentlitteratur AB, 2016, p. 123-131Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2016
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-45832 (URN)978-91-44-08886-0 (ISBN)
Available from: 2016-09-09 Created: 2016-09-09 Last updated: 2019-06-07Bibliographically approved
Persenius, M. & Bjuresäter, K. (2016). Nutrition. In: Ekwall, Anna, Jansson Anna M (Ed.), Omvårdnad & medicin: (pp. 115-123). Lund: Studentlitteratur AB
Open this publication in new window or tab >>Nutrition
2016 (Swedish)In: Omvårdnad & medicin / [ed] Ekwall, Anna, Jansson Anna M, Lund: Studentlitteratur AB, 2016, p. 115-123Chapter in book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur AB, 2016
National Category
Medical and Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-45831 (URN)978-91-44-07664-5 (ISBN)
Available from: 2016-09-09 Created: 2016-09-09 Last updated: 2019-06-17Bibliographically approved
Olsson, C., Sandin-Bojö, A.-K., Bjuresäter, K. & Larsson, M. (2015). Affected sexuality, body image and health related quality of life in patients treated for hematologic malignancies - a one year follow-up. European Journal of Cancer, 51, S252
Open this publication in new window or tab >>Affected sexuality, body image and health related quality of life in patients treated for hematologic malignancies - a one year follow-up
2015 (English)In: European Journal of Cancer, ISSN 0959-8049, E-ISSN 1879-0852, Vol. 51, p. S252-Article in journal, Meeting abstract (Refereed) Published
Abstract [en]

Background: Longitudinal studies examining sexuality, body image and health-related quality of life (HRQoL) in middle-aged and elderly patients treated with chemotherapy or chemoimmunotherapy for hematologic malignancies are lacking. The aim of this study was to describe and explore changes in sexuality, body image and HRQoL in patients treated

for hematologic malignancies, from baseline until twelve months after treatment.

Material and Methods: Patients above 45 years treated for Diffuse large B-cell Lymphoma (DLBCL), Chronic Lymphocytic Leukemia (CLL) or Acute Myeloid Leukemia (AML). Data were collected at baseline (n = 32), one (n = 25), six (n = 20) and 12 months (n = 19) after treatment by means of three instruments: The Sexual Adjustment Questionnaire (SAQ), The

Body Image Scale (BIS) and The European Organization for Research and Treatment of Cancer Quality of Life questionnaires (EORTC QLQ-C30, version 3). Descriptive- and non-parametric statistics were used.

Results: One month after treatment scores were lowered regarding sexual interest (P = 0.005), sexual function (P = 0.031), sexual satisfaction (P = 0.016, P = 0.004) and sexual relationship. After six months the patient reported scores had returned almost entirely to baseline scores, except for sexual relationship. At 12 months, sexual relationship was still negatively affected. Body image was reported to be affected in a low extent during

the study period. After six and 12 months, body image was reported to not be affected at all by 50% and 53%, respectively. However, women reported body-image to be more affected than men at one (P = 0.01) and 12 months (p = 0.021). Regarding HRQoL, patients reported gradually statistically significant improved scores during the study period.

Conclusion: In this study, sexuality, body image and HRQoL became negatively affected in patients with hematologic malignancies 45 years and older during treatment. Improvements were gradually seen after treatment, but the scores regarding sexual relationship were still affected after one year. Although sexual interest was reported to be low this finding highlights the need of support to these patients regarding sexuality during follow-up care. Furthermore, body image was more affected in women than in men indicating that interventions should be adjusted for sex. This was a small study and future studies with larger sample are needed.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
Sexuality, body image, healt realted quality of life, cancer patients, hematologic malignancies
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-46155 (URN)10.1016/S0959-8049(16)30727-4 (DOI)000361887401135 ()
Available from: 2016-09-15 Created: 2016-09-15 Last updated: 2019-09-26Bibliographically approved
Larsson, M., Blomberg, K., Wilde-Larsson, B., Langius-Eklöf, A. & Bjuresäter, K. (2015). Betydelsen av en sjuksköterskemottagning under rehabilitering efter cancer i huvud- och halsområdet: patienters perspektiv. In: : . Paper presented at Onkologidagarna 2015, 17-20 mars, Umeå, Sverige.
Open this publication in new window or tab >>Betydelsen av en sjuksköterskemottagning under rehabilitering efter cancer i huvud- och halsområdet: patienters perspektiv
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2015 (Swedish)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:kau:diva-46197 (URN)
Conference
Onkologidagarna 2015, 17-20 mars, Umeå, Sverige
Available from: 2016-09-15 Created: 2016-09-15 Last updated: 2019-09-26Bibliographically approved
Bjuresäter, K., Larsson, M. & Athlin, E. (2015). Patients’ experiences of home enteral tube feeding (HETF): a qualitative study. Journal of research in nursing, 20(7), 552-565
Open this publication in new window or tab >>Patients’ experiences of home enteral tube feeding (HETF): a qualitative study
2015 (English)In: Journal of research in nursing, ISSN 1744-9871, Vol. 20, no 7, p. 552-565Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Sage Publications, 2015
Keywords
tube feeding; home enteral tube feeding; patients; daily life; home care; grounded theory
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-6414 (URN)10.1177/1744987114568655 (DOI)000365712900005 ()
Note

Arikeln ingår i avhandlingen"Home enteral tube feeding : from patients, relatives and nurses perspectives" men var då bara publicerad som manuskript med titeln

Management of restrictions and distress – patients’ perspective on home enteral tube feeding

Available from: 2010-09-28 Created: 2010-09-28 Last updated: 2017-08-08Bibliographically approved
Olsson, C., Sandin-Bojö, A.-K., Bjuresäter, K. & Larsson, M. (2015). Patients Treated for Hematologic Malignancies: Affected Sexuality and Health Related Quality of Life. Cancer Nursing, 38(2), 99-110
Open this publication in new window or tab >>Patients Treated for Hematologic Malignancies: Affected Sexuality and Health Related Quality of Life
2015 (English)In: Cancer Nursing, ISSN 0162-220X, E-ISSN 1538-9804, Vol. 38, no 2, p. 99-110Article in journal (Refereed) Published
Abstract [en]

Background: Sexuality in relation to Health- Related Quality of Life (HRQoL) is mostly studied with younger patients as participants who have undergone bone marrow transplantation and concerns fertility and/or sexual function. However, patients with hematologic malignancies such as DLBCL, CLL or AML most often are above their fifties and are treated with chemo- or chemoimmunotherapy.

Objective: The aim was to examine how sexuality and HRQoL was affected in patients with hematologic malignancies, at baseline compared to one month after chemo- or chemoimmunotherapy.

Methods:  Data were collected twice with a longitudinal design, using The Sexual Adjustment Questionnaire - S and EORTC QLQ C30.

Results:  Thirty-two patients responded. The importance of sexuality, sexual desire and sexual ability decreased one month after treatment and distressing symptoms such as feelings of tiredness occurred more frequently, compared to baseline. At the same time improvement in Global health status/QoL as well as affected functions in HRQoL was reported.

Conclusion:

The findings are of significance for nurses in cancer care as it highlights that sexuality and HRQoL needs to be considered also in older patients with hematologic malignancies when fertility issues are of less importance. 

Implication for practice:

In order to meet these patients’ needs regarding sexuality and HRQoL the care must provide greater consistency and continuity. One way is to organize the care in a patient-centered way where patients continuously meet a nurse guided by the idea of holistic individual nursing care throughout the care trajectory.

Place, publisher, year, edition, pages
Wolters Kluwer, 2015
Keywords
cancer patients, hematologic malignancies, longitudinal study, nursing, sexuality, sexual activity, sexual function, sexual interest, health related quality of life
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-31824 (URN)10.1097/NCC.0000000000000141 (DOI)000349907900010 ()25692735 (PubMedID)
Available from: 2014-04-02 Created: 2014-04-02 Last updated: 2017-12-05Bibliographically approved
Olsson, C., Sandin-Bojö, A.-K., Bjuresäter, K. & Larsson, M. (2015). Påverkad sexualitet, kroppsuppfattning och hälsorelaterad livskvalitet hos patienter behandlade för maligna blodsjukdomar: en longitudinell studie. In: Multiprofessionellt samarbete för en jämlik vård: . Paper presented at Onkologidagarna, Umeå, 2015. Poster presentation (3:e pris)..
Open this publication in new window or tab >>Påverkad sexualitet, kroppsuppfattning och hälsorelaterad livskvalitet hos patienter behandlade för maligna blodsjukdomar: en longitudinell studie
2015 (Swedish)In: Multiprofessionellt samarbete för en jämlik vård, 2015Conference paper, Poster (with or without abstract) (Refereed)
Abstract [sv]

Bakgrund

Longitudinella studier som undersöker sexualitet, kroppsuppfattning och hälsorelaterad livskvalitet saknas för medelålders och äldre patienter som behandlats med kemoterapi eller kemoimmunoterapi för maligna blodsjukdomar.

Syfte

Syftet var att beskriva och undersöka förändringar i sexualitet, kroppsuppfattning och hälsorelaterad livskvalitet hos patienter behandlade för maligna blodsjukdomar, från baseline till sex månader efter behandlingen.

Metod

Tjugo patienter 45 år och äldre som behandlats för DLBCL, KLL eller AML deltog. Data samlades in vid baseline, en - och sex månader efter behandling med hjälp av tre instrument; SAQ-S, BIS och EORTC QLQ-C30. Deskriptiv- och icke-parametrisk statistik.

Resultat

En månad efter behandlingen var patienternas sexualitet påverkad avseende intresse (P=.005), funktion (P=.031), tillfredsställese (P=.016, P=.004) och relation. Samtidigt rapporterade patienterna förbättrad hälsorelaterade livskvalitet jämfört med baseline och att kroppsuppfattningen var påverkad i liten grad. Efter sex månader rapporterade patienterna förbättringar inom samtliga områden, med undantag för sexuell relation. Kroppsuppfattning var i liten grad påverkad efter en månad och efter sex månader rapporterade 50 % av patienterna att kroppsuppfattning inte alls var påverkad. Beträffande HRQoL, rapporterade patienterna successivt förbättrade värden under studieperioden (statistiskt signifikant).

Slutsats och implikation för omvårdnad

Patienter 45 år och äldre som behandlats för maligna blodsjukdomar rapporterade problem avseende sexualitet, kroppsuppfattning och hälsorelaterad livskvalitet under och efter behandling, med rapporterade förbättringar inom samtliga områden sex månader efter behandling. Eftersom intresse för sexualitet visade sig vara lågt för flertalet av patienterna bör stödet anpassas individuellt till patients behov. Patientcentrerad vård föreslås där patienterna kontinuerligt träffar en sjuksköterska som ger holistisk omvårdnad.

National Category
Health Sciences Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-46163 (URN)
Conference
Onkologidagarna, Umeå, 2015. Poster presentation (3:e pris).
Available from: 2016-09-15 Created: 2016-09-15 Last updated: 2019-09-26Bibliographically approved
Bjuresäter, K., Larsson, M., Athlin, E. & Nordström, G. (2014). Patients Living with Home Enteral Tube Feeding: Side effects, health-related quality of life and nutritional care. Clinical Nursing Studies, 2(3), 64-75
Open this publication in new window or tab >>Patients Living with Home Enteral Tube Feeding: Side effects, health-related quality of life and nutritional care
2014 (English)In: Clinical Nursing Studies, ISSN 2324-7940, Vol. 2, no 3, p. 64-75Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to examine patients’ perceptions of side effects, health-related quality of life (HRQL), generalhealth, and nutritional care among patients receiving home enteral tube feeding (HETF) at two occasions after dischargefrom hospital. Three questionnaires, one study-specific, the Short Form 12 (SF-12) and the Health Index (HI), were sent topatients with HETF (n=62) twice, two weeks after discharge from hospital and two months later. Forty patients respondedtwo weeks after discharge and out of these 29 patients also responded after two months. Data were collected in centralSweden from March 2006 to January 2010. Side effects were common at both points of data collection (70% of thepatients after two weeks and 72% after two month). Patients using bolus feeding reported significantly fewer side effectsthan patients using intermittent feeding. HRQL and HI scores for the total group were low at both points of data collection.The bolus feeding group reported significantly higher physical HRQL and emotional HI than the intermittent feedinggroup did. Most patients were satisfied with the information and support they received from the health care team. Thisstudy has revealed that patients treated with HETF experienced side effects limiting their daily life to a great extent.Differences in HRQL related to feeding methods were found. Individualized support and regular controls are needed inorder to meet patient needs. Bolus feeding may be a suitable feeding method to improve well-being.

Keywords
Home enteral tube feeding, Side effects, Health-related quality of life, General health, Bolus feeding
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-6415 (URN)10.5430/cns.v2n3p64 (DOI)
Note

This article was published as manuscript at the time of the PhD defense.  

Available from: 2010-09-28 Created: 2010-09-28 Last updated: 2016-10-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4974-6845

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