Change search
Link to record
Permanent link

Direct link
BETA
Sandin-Bojö, Ann-KristinORCID iD iconorcid.org/0000-0003-1382-4386
Alternative names
Publications (10 of 76) Show all publications
Ängeby, K., Sandin-Bojö, A.-K., Persenius Wentzel, M. & Wilde-Larsson, B. (2019). Women's labour experiences and quality of care in relation to a prolonged latent phase of labour. Midwifery, 155-164
Open this publication in new window or tab >>Women's labour experiences and quality of care in relation to a prolonged latent phase of labour
2019 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, p. 155-164Article in journal (Other academic) Published
Abstract [en]

im: To describe primiparous and multiparous women's labour experiences and their perception of quality of intrapartum care, in relation to background characteristics and length of latent phase of labour prior to admittance to labour ward. Design: A cross-sectional study. Setting: A middle-sized hospital in a rural county in western part of Sweden. Participants: Primiparous and multiparous women, both low-risk and risk, with a spontaneous onset of labour after gestational week 37+0 were included. In total, n =1193 women were invited, and n = 757 responded the questionnaire, n = 342 primiparous and n = 415 multiparous women. Methods: The Intrapartal-specific Quality from Patient Perspective (QPP-I), with responses on perceived reality and subjective importance, was used for data collection. QPP-I covers ten factors of quality of care. Background characteristics, length of latent phase of labour, global items about labour experience and items regarding feelings during labour and birth were included. Data were analysed with descriptive and analytic statistics. Findings: All factors in QPP-I were rated higher for subjective importance than perceived reality, except for information about selfcare, for both primi- and multiparous women. Labour experience, perceived reality of quality of care, and feelings were related to length of the latent phase of labour. Primiparous women with a prolonged latent phase (>18 h) had significantly lower scores regarding six out of ten QPP-I factors (PR); Information procedures, Information self-care, Commitment (midwives), Commitment (enrolled nurses), Midwives present, and Partner/ significant others. They scored lower on Experience birth as normal and Safe during labour and birth. The felt less proud and felt more ignored by professionals. Multiparous women with a prolonged latent phase of labour scored significantly lower on one QPP-I factor, Commitment (midwives). They also scored lower on Control over the situation and felt less safe during labour and birth. Key Conclusion: Women's perception of quality of intrapartum care, the birth experience and feelings are related to length of the latent phase of labour. Women perceive quality of intrapartum care as being lower than its subjective importance. Implications for Practice: A prolonged latent phase of labour can be regarded as a risk factor for a more negative birthing experience. 

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Prolonged latent phase of labour; Quality of care; Birth experience; Early labour
National Category
Health Sciences Obstetrics, Gynecology and Reproductive Medicine
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-69839 (URN)10.1016/j.midw.2019.07.006 (DOI)000478779100021 ()31369936 (PubMedID)
Note

I avhandlingen med titeln: Women’s labour experiences and quality of care in relation to prolonged latent phase of labour and early labour contact with the labour ward

Available from: 2018-10-23 Created: 2018-10-23 Last updated: 2019-08-15Bibliographically approved
Ängeby, K., Sandin-Bojö, A.-K., Persenius Wentzel, M. & Wilde-Larsson, B. (2018). Early labour experience questionnaire: Psychometric testing and women's experiences in a Swedish setting. Midwifery, 64, 77-84
Open this publication in new window or tab >>Early labour experience questionnaire: Psychometric testing and women's experiences in a Swedish setting
2018 (English)In: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 64, p. 77-84Article in journal (Refereed) Published
Abstract [en]

Objective: (a) to psychometrically test the Early Labour Experience Questionnaire (ELEQ) among both primi- and multiparous women giving birth in a Swedish setting, and (b) to describe and compare their experiences during early labour in relation to background characteristics. Design: a cross-sectional study. Setting: a county in Sweden. Participants: primi- and multiparous women with a spontaneous onset of labour after gestational week 37 + 0. In total, n = 1193 women were invited, and n = 754 responded the questionnaire, with a final total of n = 344 primi and n = 410 multiparous women. Methods: the ELEQ was translated with cross-cultural adaptation. The validity was determined using exploratory factor analysis with principal axis factoring analyses. Reliability was estimated from the internal consistency using Cronbach's alpha. The relationship between the questionnaire and the demographic characteristics of the participating women were analysed using ANOVA and t-test. Findings: an explorative factor analysis showed a three-factor solution for primiparas women (SWE-ELEQ-PP) consist of 23 items and a stable factor structure that explained 49.2% of the total variance with sufficient reliability coefficients (0.81–0.86). A four-factor solution for multiparous women (SWE-ELEQ-MP) consist of 22 items, with 52.62% of the total variance explained and with adequate internal consistency reliability coefficients (0.77–0.86) for three factors and relatively low stability (0.62) for the fourth factor with two items. Primiparous women scored significantly higher on items about feeling confused, and significantly lower on some items measuring emotional wellbeing and perceptions of midwifery care compared to multiparous women. Primiparous women with longer early labour (>18 h), scored significantly lower on the perceptions of midwifery care. Primi- and multiparous women who were dissatisfied with their telephone conversation or with not being admitted during early labour, scored significantly lower on emotional wellbeing, higher regarding emotional distress, and significantly lower about perceptions of midwifery care. Key conclusions: the SWE-ELEQ-PP and SWE-ELEQ-MP are considered valid questionnaires for use in a Swedish setting. Differences exist between parity and the factor structure and experiences in early labour vary. Women less content with early labour management decisions rated perceived midwifery care lower regardless of parity. Implication for practice: the questionnaire can be used to evaluate early labour care in a Swedish setting. The result suggests that differences according to parity exist and should be addressed when managing early labour care and a more individualised approach requires considerations.

Place, publisher, year, edition, pages
Churchill Livingstone, 2018
Keywords
Early Labour, Early Labour Experience, Factor analysis, Psychometric test, Questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:kau:diva-69018 (URN)10.1016/j.midw.2018.06.008 (DOI)29966880 (PubMedID)2-s2.0-85049358036 (Scopus ID)
Available from: 2018-09-05 Created: 2018-09-05 Last updated: 2018-10-23Bibliographically approved
Ängeby, K., Wilde-Larsson, B., Hildingsson, I. & Sandin-Bojö, A.-K. (2018). Prevalence of Prolonged Latent Phase and Labor Outcome: Review of Birth Records in a Swedish Population. Journal of midwifery & women's health, 63(1), 33-44, Article ID JMWH12704.
Open this publication in new window or tab >>Prevalence of Prolonged Latent Phase and Labor Outcome: Review of Birth Records in a Swedish Population
2018 (English)In: Journal of midwifery & women's health, ISSN 1526-9523, E-ISSN 1542-2011, Vol. 63, no 1, p. 33-44, article id JMWH12704Article in journal (Refereed) Published
Abstract [en]

The prevalence of a prolonged latent phase of labor has been described as ranging from 5% to 6.5% in previous research. The aim of this study was to describe the prevalence of the prolonged latent phase of 18 hours or more, based on women's report, in women intending vaginal birth and who had spontaneous onset of labor. An additional aim was to compare the incidence of obstetric interventions, and the labor and neonatal outcomes in women with and without a prolonged latent phase.

METHODS:

A descriptive and comparative study was performed in a mid-sized hospital in western Sweden. The sample consisted of 1343 birth records of women who intended vaginal births and who had spontaneous onset of labor at 37 or more weeks' gestation during a one-year period (2013-2014). Background characteristics, obstetric interventions, and labor and neonatal outcomes were compared between women with latent phases lasting less than 18 hours and 18 hours or more, based on women's self-report. Odds ratios with 95% confidence intervals were calculated for the different exposure variables.

A prolonged latent phase lasting 18 hours or more occurred in 23% of all births analyzed (n = 1343). A prolonged latent phase was more common among nulliparous women (29.2%) but also common for multiparous women (17%). Nulliparous and multiparous women who experienced a prolonged latent phase were more often exposed to amniotomy during latent phase. For nulliparous women, the adjusted odds ratio (aOR) was 11.57 (95% confidence interval [CI], 5.25-25.51) and for multiparous women the aOR was 18.73 (95% CI, 9.06-38.69). Similarly, amniotomy during active phase was more common for both nulliparous and multiparous women who experienced a prolonged latent phase (aOR, 4.05; 95% CI, 2.53-6.47 and aOR, 3.93; 95% CI, 2.43-6.37, respectively). Women with latent phases of 18 hours or more, more often experienced augmentation of labor during all phases, especially during latent phase. For nulliparous women, the aOR was 10.13 (95% CI, 2.82-36.39) and for multiparous women, aOR was11.9 (95% CI, 3.69-38.71). A prolonged latent phase was associated with more instrumental vaginal births for multiparas (aOR, 2.58; 95% CI, 1.27-5.26) and emergency cesarean regardless of parity (nulliparous women: aOR, 3.21; 95% CI, 1.08-9.50 and multiparous women: aOR, 3.93; 95% CI, 1.67-9.26).

Based on women's self-report, the prevalence of a prolonged latent phase in women at term who planned a vaginal birth and had spontaneous onset of labor was higher than previously reported. Women with a prolonged latent phase were more likely to receive obstetric interventions. Assisted vaginal birth was more common for nulliparous women with prolonged latent phase and emergency cesarean occurred more frequently for both nulliparous women and multiparous women with a prolonged latent phase.

Place, publisher, year, edition, pages
Hoboken: John Wiley & Sons, 2018
Keywords
intrapartum care, labor, first stage, obstetric complications, quantitative research
National Category
Nursing Obstetrics, Gynecology and Reproductive Medicine Public Health, Global Health, Social Medicine and Epidemiology Clinical Science Obstetrics, Gynecology and Reproductive Medicine
Research subject
Nursing Science; Public Health Science
Identifiers
urn:nbn:se:kau:diva-64681 (URN)10.1111/jmwh.12704 (DOI)000424649100005 ()29419927 (PubMedID)
Available from: 2017-10-13 Created: 2017-10-13 Last updated: 2018-10-23Bibliographically approved
Holter, H., Gejervall, A.-L., Borg, K., Sandin-Bojö, A.-K., Wikland, M., Wilde-Larsson, B. & Bergh, C. (2017). In vitro fertilization health care professionals generally underestimate patients’ satisfaction with quality of care. Acta Obstetricia et Gynecologica Scandinavica, 96(3), 302-312
Open this publication in new window or tab >>In vitro fertilization health care professionals generally underestimate patients’ satisfaction with quality of care
Show others...
2017 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 96, no 3, p. 302-312Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Previous studies have mainly compared professionals' and patient's ratings of the importance of different care aspects, finding poor agreement between the groups concerning patient-centered quality of care. There is still little known about the professionals' knowledge of how patients' experience the quality of care they receive during in vitro fertilization (IVF) treatments. The aim of this study was to investigate how IVF health care professionals estimate patients' experience of patient-centered quality of care and if certain factors influenced the IVF professionals' perceptions and IVF patients' experience of quality of care.MATERIAL AND METHODS: All 16 IVF public and private clinics in Sweden participated in this cross sectional study. A total of 268 IVF health care professionals and 3298 patients (women and men) undergoing IVF treatment between January and May 2015 participated by answering the validated questionnaire "Quality from the patient's perspective of in vitro fertilization treatment" (QPP-IVF).RESULTS: Healthcare professionals significantly underestimated patients' satisfaction with the patient-centered quality of care they received in all aspects measured. Both patients and professionals rated the most deficient factors to be 'responsibility/continuity', 'participation' and 'availability'. Healthcare professionals and patients belonging to private clinics evaluated patient-centered care as significantly better than professionals and patients at public clinics in almost all aspects measured.CONCLUSION: The results of this study will increase the professionals understanding of the patients' experiences during IVF treatment and provide additional knowledge when identifying areas to prioritize in order to improve quality of care.

Place, publisher, year, edition, pages
John Wiley & Sons, 2017
National Category
Health Sciences
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-47490 (URN)10.1111/aogs.13080 (DOI)000397383800006 ()27990625 (PubMedID)
Available from: 2016-12-12 Created: 2016-12-12 Last updated: 2019-06-10Bibliographically approved
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
Ängeby, K., Sandin-Bojö, A.-K., Wilde-Larsson, B. & Hildingsson, I. (2016). Prevalence of prolonged lathent phase and labour outcome: review of birth records in a Swedish population. In: Svenska Barnmorskeförbundet (Ed.), NJF congress: Gothenburg May 12-14, 2016 Nordisk Jordmoderförbund (NJF). Paper presented at NJF kongress, Gothenburg May 12-14, 2016.
Open this publication in new window or tab >>Prevalence of prolonged lathent phase and labour outcome: review of birth records in a Swedish population
2016 (English)In: NJF congress: Gothenburg May 12-14, 2016 Nordisk Jordmoderförbund (NJF) / [ed] Svenska Barnmorskeförbundet, 2016Conference paper, Oral presentation with published abstract (Refereed)
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:kau:diva-43004 (URN)
Conference
NJF kongress, Gothenburg May 12-14, 2016
Available from: 2016-06-15 Created: 2016-06-15 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
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
Ängeby, K., Wilde-Larsson, B., Hildingsson, I. & Sandin-Bojö, A.-K. (2015). Primiparous women's preferences for care during a prolonged latent phase of labour. Sexual & Reproductive HealthCare, 6(3), 145-150
Open this publication in new window or tab >>Primiparous women's preferences for care during a prolonged latent phase of labour
2015 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 6, no 3, p. 145-150Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate primiparous women's preferences for care during a prolonged latent phase of labour. Methods: A qualitative study based on focus groups and individual interviews and analysed with inductive content analysis.Results: Sixteen primiparous women with a prolonged latent phase of labour >18 hours were interviewed in five focus groups (n = 11) or individually (n = 5). One main category emerged “Beyond normality – a need of individual adapted guidance in order to understand and manage an extended latent phase of labour” which covers the women's preferences during the prolonged latent phase. Five categories were generated from the data: “A welcoming manner and not being rejected”, “Individually adapted care”, “Important information which prepares for reality and coping”, “Participation and need for feedback” and “Staying nearby the labour ward or being admitted for midwifery support”. Women with a prolonged latent phase of labour sought to use their own resources, but their needs for professional support increased as time passed. A welcoming attitude from an available midwife during the latent phase created a feeling of security, and personally adapted care was perceived positively. Conclusions:  Women with a prolonged latent phase of labour preferred woman-centred care. Midwives play an important role in supporting these women. Women's need for midwifery-support increases as the time spent in latent phase increases.

Place, publisher, year, edition, pages
Elsevier, 2015
Keywords
prolonged latent phase, primpara, preference, content analysis
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:kau:diva-35740 (URN)10.1016/j.srhc.2015.02.003 (DOI)000361580000006 ()26842637 (PubMedID)
Available from: 2015-04-01 Created: 2015-04-01 Last updated: 2018-10-23Bibliographically 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
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-1382-4386

Search in DiVA

Show all publications