lnu.sePublikasjoner
Endre søk
Begrens søket
1 - 20 of 20
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Treff pr side
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
  • Standard (Relevans)
  • Forfatter A-Ø
  • Forfatter Ø-A
  • Tittel A-Ø
  • Tittel Ø-A
  • Type publikasjon A-Ø
  • Type publikasjon Ø-A
  • Eldste først
  • Nyeste først
  • Skapad (Eldste først)
  • Skapad (Nyeste først)
  • Senast uppdaterad (Eldste først)
  • Senast uppdaterad (Nyeste først)
  • Disputationsdatum (tidligste først)
  • Disputationsdatum (siste først)
Merk
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Ann-Sofie, Nilsson Neumark
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Outline the adherence to guidelines by using quality indicators in monitoring diabetes care in elderly -a survey study 2014Independent thesis Advanced level (degree of Master (One Year)), 10 poäng / 15 hpOppgave
    Abstract [en]

    Aim: To outline in what extent elderly people over 80 with Diabetes mellitus (DM) are monitored according to Swedish National guidelines, comparing those living at home with or without home health care and residents of nursing homes

    Methods: Cross-sectional, medical record review elderly aged 80 and older with known DM, using quality indicators to evaluate diabetes care during a two-year period. Results: Adherence to HbA1c monitoring independent of medication was poor in nursing homes, 72%, (p<0.001). The HbA1c level <52mmol/mol (6.9% NGSP) was obtained for 34% of those living at home with and without home health care, 26% by residents in nursing homes. Insulin therapy was used to a greater extent in nursing homes (54%). Metformin was frequently used in the age group, 80-84, even at reduced e-GFR. Hypertension and coronary heart disease was the most common comorbidities in all groups. The prevalence of DM in the age group 80-89 was 18 %.

    Conclusions: Poor adherence was seen in Hba1c, p-lipid, BP monitoring and performed foot examinations, among residents in nursing homes. There are major opportunities for improvement regarding the care of elderly with diabetes in generally and especially residents in Nursing homes, suggesting that co-ordination between primary health care and municipality provided care need to create methods for better cooperation.

  • 2.
    Ge, Li
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Nursing College of Fujian University of Traditional Chinese Medicine, China.
    Wikby, Kerstin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Rask, Mikael
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    ‘Is gestational diabetes a severe illness?’: exploring beliefs and self‐care behaviour among women with gestational diabetes living in a rural area of the south east of China2016Inngår i: The Australian journal of rural health, ISSN 1038-5282, E-ISSN 1440-1584, Vol. 24, nr 6, s. 378-384Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: This study explores beliefs about illnessand health and self-care behaviour among womenwith gestational diabetes living in a rural area of thesouth east of China.Design: A qualitative exploratory study using semistructuredinterviews and qualitative content analysis.

    Setting: A hospital located in the outskirts of a city inthe south east of China.Participants: Seventeen women with gestational diabetesin 34–38th pregnant weeks.

    Results: The beliefs about gestational diabetes amongthe women in the present study were found to be bidirectional.Some of them feared the illness and its negativeinfluence on health, while others believed that itwas not a severe illness and disbelieved the diagnosisof gestational diabetes. They related their illness andhealth to the individual, social and natural factors.They mainly sought help from the professional sector,but did not fully comply with the professionals’advice. Diet control and exercise were their main selfcaremeasures, but none of them self-monitored theirblood glucose. They demonstrated their misunderstandingabout diet control and self-monitoring ofblood glucose.

    Conclusions: This study highlighted the serious lackof knowledge, lower level of risk awareness and poorself-care behaviour among women in this group.Health professionals were found to be the most importantsource of knowledge about gestational diabetesfor these women. The influence of Chinese culture was demonstrated. Gestational diabetes among thesewomen can most likely be improved by training thehealth professionals and by health education involvingindividuals, families and the rural communities.

  • 3.
    Ge, Li
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Nursing College of Fujian University of Traditional Chinese Medicine, China.
    Wikby, Kerstin
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Rask, Mikael
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Quality of care from the perspective of women with gestational diabetes in China2016Inngår i: International Journal of Gynecology & Obstetrics, ISSN 0020-7292, E-ISSN 1879-3479, Vol. 134, nr 2, s. 151-155Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: To explore the quality of gestational diabetes mellitus (GDM) care experienced by women in China and how it could be improved.

    Methods: A qualitative study was conducted at a municipal hospital in south east China. Women who had been diagnosed with GDMat 34–38 weeks of pregnancy were enrolled during two periods;between May 1 and July 31, 2012, and between April 1 and July 31, 2013. Data regarding patient-perceived care quality were collected through semi-structured individual interviews and were analyzed by qualitative content analysis.

    Results: The study enrolled 44 patients; the interviews recorded a lack of professional care resources for GDM, a lack of high-quality personalized care for women with GDM, and patients’ suggestions regarding how to improve GDM care.

    Conclusion: The participants reported a lack of high-quality GDM care, describing the core problem as an imbalance between over-stretched hospitals and low-efficiency under-utilized primary healthcare centers. Clinical-practice reforms identified, particularly in primary healthcare settings, included improving services through increasing the number of health professionals and material resources to comply with diabetes guidelines, and incorporating a humanistic approach in the provision of care

  • 4.
    Hjelm, Katarina
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Berntorp, Kerstin
    Department of Endocrinology, Malmö University hospital, Lund University.
    Apelqvist, Jan
    Department of Endocrinology, Malmö University hospital, Lund university.
    Beliefs about health and illness in Swedish and African-born women with gestational diabetes living in Sweden.2012Inngår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, nr 9-10, s. 1374-1386Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aims.  Exploring beliefs about health and illness in women with gestational diabetes born in Sweden and Africa living in Sweden. Further , to study the influence of beliefs on self-care and care seeking. Design: Exploratory descriptive study. Methods.  Semi-structured interviews. Consecutive sample of women diagnosed with gestational diabetes, 13 born in Sweden and 10 born in Africa, from a diabetes clinic in Sweden. Qualitative content analysis of data was applied. Results.  Beliefs were mainly related to individual and social factors. Health was described as freedom from disease and being healthy. Swedish women perceived heredity and hormonal changes as causing gestational diabetes, avoided work-related stress, had a healthy lifestyle, worried about the baby's health and development of type 2 diabetes, sought information, used more medications and health care and were on sick-leave more often because of pregnancy-related problems than African women, who did not know the cause of gestational diabetes, had a passive self-care attitude and followed prescriptions, often reported being told by staff that gestational diabetes would disappear after delivery and stated more pregnancy-related problems which they treated with rest or watchful waiting. Conclusions.  Health/illness beliefs differed and affected self-care and care seeking. Relevance to clinical practice.  Individual beliefs and risk awareness must be elicited, and adequate information must be given to prevent negative health effects of gestational diabetes.

  • 5.
    Hofflander, Beatrice
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    En litteraturstudie om hur kvinnor med diabetes typ 1 upplevde sin sjukdom under graviditet2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [sv]

    Bakgrund: Diabetes Mellitus typ 1 är en autoimmun sjukdom som innebär att kroppens eget immunförsvar förstör insulinproduktionen. Graviditet är en stressituation för kroppen, vilket leder till ökad förbränning och därmed ökat energibehov.

    Syfte: Syftet med studien var att belysa diabetes typ 1 sjuka kvinnors upplevelser av sin sjukdom i samband med graviditet.

    Metod: En kvalitativ litteraturstudie baserad på sju vetenskapliga originalartiklar gjordes. Artiklarna kvalitetsgranskades och de artiklar som inkluderades var av hög och medelhög kvalitet. Därefter gjordes analys av materialet med innehållsanalys.

    Resultat: I resultatet framkom två huvudkategorier; Påverkan av sammanhang och Mötet med vårdpersonal.

    Slutsats: Det är viktigt att kvinnor med Diabetes Mellitus typ 1 får den kunskap som krävs för att kunna hantera sin graviditet. Kvinnorna upplever dock en kunskapsbrist hos vårdgivarna, både när det rör sig om sjukdomen, men även när det gäller hur graviditeten kan påverka sjukdomen.

  • 6.
    Hultsjö, Sally
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Hjelm, Katarina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Community health-care staff's experiences of support to prevent type 2 diabetes among people with psychosis: An interview study with health staff.2012Inngår i: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 21, nr 5, s. 480-489Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to describe mental health staff experiences of giving support to prevent type 2 diabetes mellitus (DM) among people with psychosis in community psychiatry. A qualitative interview study with a purposeful sample of 12 community health staff was conducted. Data were analysed using qualitative content analysis. The results show how staff reported continuously supporting people with psychosis to adapt to healthy lifestyles, but stated that support is not given until after a person becomes overweight or is diagnosed with type 2 DM. Support was described as a never-ending process of motivation facing many reverses. Individually-adapted support given in practical situations was perceived as most successful. Cooperation between health-care organizations was seen as essential, but inadequate. Limitations in income and social network, and easy access to fast food and alcohol, were seen as obstacles to support. The results indicate that community health staff are in a position to make a considerable impact in motivating and supporting healthy lifestyle changes in practical situations in daily life among people with psychosis. This study raises awareness of how community health staff's support can be useful when developing nursing skills and health-care plans for people with psychosis.

  • 7.
    Hultsjö, Sally
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Hjelm, Katarina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Organizing care for persons with psychotic disorders and risk of or existing diabetes mellitus type 22012Inngår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, nr 10, s. 891-902Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This literature review aimed to explore previous knowledge about specific care requirements for persons with psychotic disorders and risk of or existing type 2 diabetes.

    Methods: qualitative and quantitative studies in the area were identified and reviewed. 

    Results: It were indicated that mental health nurses play an important role in motivating people to perform diabetes care as they are often known to and trusted by the patients. A holistic approach to the person's health, with close follow-ups by psychiatric care and cooperation with diabetes care, may have benefits for the person with diabetes. Screening for and treating psychotic symptoms is an important task for the mental health nurse, as these symptoms drain energy from the person and prevent diabetes self-care. Lifestyle and diabetes education needs to be practical, adapted to the individual and focused on maintaining a healthy diet, regular exercise, changing smoking habits and preventing diabetes complications. Treatment with antipsychotic drugs increases the need for follow-ups of glycaemic control.

  • 8.
    Melin, Eva O.
    et al.
    Lund University, Sweden;Region Kronoberg, Sweden.
    Svensson, Ralph
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för psykologi (PSY).
    Thunander, Maria
    Lund University, Sweden;Region Kronoberg, Sweden.
    Hillman, Magnus
    Lund University, Sweden.
    Thulesius, Hans
    Region Kronoberg, Sweden;Lund University, Sweden.
    Landin-Olsson, Mona
    Lund University, Sweden;Skåne University Hospital, Sweden.
    Gender, alexithymia and physical inactivity associated with abdominal obesity in type1 diabetes mellitus: a cross sectional study at a secondary care hospital diabetes clinic2017Inngår i: BMC Obesity, E-ISSN 2052-9538, Vol. 4, artikkel-id 21Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Obesity is linked to cardiovascular diseases and increasingly common in type 1 diabetes mellitus (T1DM) since the introduction of intensified insulin therapy. Our main aim was to explore associations between obesity and depression, anxiety, alexithymia and self-image measures and to control for lifestyle variables in a sample of persons with T1DM. Secondary aims were to explore associations between abdominal and general obesity and cardiovascular complications in T1DM.

    Methods: Cross sectional study of 284 persons with T1DM (age 18–59 years, men 56%), consecutively recruited from one secondary care hospital diabetes clinic in Sweden. Assessments were performed with self-report instruments (Hospital Anxiety and Depression Scale, Toronto Alexithymia Scale-20 items and Structural Analysis of Social Behavior). Anthropometrics and blood samples were collected for this study and supplemented with data from the patients ’ medical records. Abdominal obesity was defined as waist circumference men/women (meters): ≥ 1.02/≥0.88, and general obesity as BMI ≥30 kg/m2 for both genders. Abdominal obesity was chosen in the analyses due to the high association with cardiovascular complications. Different explanatory logistic regression models were elaborated for the associations and calibrated and validated for goodness of fit with the data variables.

    Results: The prevalence of abdominal obesity was 49/284 (17%), men/women: 8%/29% (P < 0.001). Abdominal obesity was associated with women (AOR 4.9), physical inactivity (AOR 3.1), alexithymia (AOR 2.6) and age (per year) (AOR 1.04). One of the three alexithymia sub factors, “difficulty identifying feelings” (AOR 3.1), was associated with abdominal obesity. Gender analyses showed that abdominal obesity in men was associated with “difficulty identifying feelings ” (AOR 7.7), and in women with use of antidepressants (AOR 4.3) and physical inactivity (AOR 3.6). Cardiovascular complications were associated with abdominal obesity (AOR 5.2).

    Conclusions: Alexithymia, particularly the alexithymia subfactor “difficulty identifying feelings”, physical inactivity, and women, as well as cardiovascular complications were associated with abdominal obesity. As abdominal obesity is detrimental in diabetes due to its association with cardiovascular complications, our results suggest two risk factor treatment targets: increased emotional awareness and increased physical activity.

  • 9.
    Melin, Eva O
    et al.
    Lund University, Sweden;Region Kronoberg, Sweden.
    Thulesius, Hans
    Region Kronoberg, Sweden;Lund University, Sweden.
    Hillman, Magnus
    Lund University, Sweden.
    Landin-Olsson, Mona
    Lund University, Sweden;Skåne University Hospital, Sweden.
    Thunander, Maria
    Lund University, Sweden;Region Kronoberg, Sweden;Central Hospital, Växjö, Sweden.
    Abdominal obesity in type 1 diabetes associated with gender, cardiovascular risk factors and complications, and difficulties achieving treatment targets: a cross sectional study at a secondary care diabetes clinic2018Inngår i: BMC obesity, E-ISSN 2052-9538, Vol. 5, s. 1-10, artikkel-id 15Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Abdominal obesity is linked to cardiovascular diseases in type 1 diabetes (T1D). The primary aim was to explore associations between abdominal obesity and cardiovascular complications, metabolic and inflammatory factors. The secondary aim was to explore whether achieved recommended treatment targets differed between the obese and non-obese participants.

    Methods: Cross sectional study of 284 T1D patients (age 18-59 years, men 56%), consecutively recruited from one secondary care specialist diabetes clinic in Sweden. Anthropometrics, blood pressure, serum-lipids and high-sensitivity C-reactive protein (hs-CRP) were collected and supplemented with data from the patients' medical records and from the Swedish National Diabetes Registry. Abdominal obesity was defined as waist circumference men/women (meters): ≥1.02/≥0.88. Hs-CRP was divided into low-, moderate-, and high-risk groups for future cardiovascular events (< 1, 1 to 3, and > 3 to ≤8.9 mg/l). Treatment targets were blood pressure ≤ 130/≤ 80, total cholesterol ≤4.5 mmol/l, LDL: ≤ 2.5 mmol/l, and HbA1c: ≤5 2 mmol/mol (≤ 6.9%). Different explanatory linear, logistic and ordinal regression models were elaborated for the associations, and calibrated and validated for goodness of fit with the data variables.

    Results: The prevalence of abdominal obesity was 49/284 (17%), men/women: 8%/29% (P < 0.001). Women (adjusted odds ratio (AOR) 6.5), cardiovascular complications (AOR 5.7), HbA1c > 70 mmol/mol (> 8.6%) (AOR 2.7), systolic blood pressure (per mm Hg) (AOR 1.05), and triglycerides (per mmol/l) (AOR 1.7), were associated with abdominal obesity. Sub analyses (n = 171), showed that abdominal obesity (AOR 5.3) and triglycerides (per mmol/l) (AOR 2.8) were associated with increasing risk levels of hs-CRP. Treatment targets were obtained for fewer patients with abdominal obesity for HbA1c (8% vs 21%, P = 0.044) and systolic blood pressure (51% vs 68%, P = 0.033). No patients with abdominal obesity reached all treatment targets compared to 8% in patients without abdominal obesity.

    Conclusions: Significant associations between abdominal obesity and gender, cardiovascular disease, and the cardiovascular risk factors low-grade inflammation, systolic blood pressure, high HbA1c, and triglycerides, were found in 284 T1D patients. Fewer patients with abdominal obesity reached the treatment targets for HbA1c and systolic blood pressure compared to the non-obese.

  • 10.
    Melin, Eva O.
    et al.
    Lund University, Sweden;Region Kronoberg, Sweden.
    Thunander, Maria
    Lund University, Sweden;Region Kronoberg, Sweden.
    Landin-Olsson, Mona
    Lund University, Sweden;Lund University Hospital, Sweden.
    Hillman, Magnus
    Lund University, Sweden.
    Thulesius, Hans
    Region Kronoberg, Sweden;Lund University, Sweden.
    Depression differed by midnight cortisol secretion, alexithymia and anxiety between diabetes types: a cross sectional comparison2017Inngår i: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 17, s. 1-10, artikkel-id 335Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Increased prevalence of depression is found in both type 2 diabetes (T2D) and type 1 diabetes (T1D). Melancholia and atypical depression differ by cortisol secretion and clinical features. The aim was to compare the clinical presentation of T1D and T2D patients in relation to self-reported depression, self-reported anxiety, alexithymia, obesity, and midnight salivary cortisol (MSC). Methods: Comparative cross-sectional design. The participants were consecutively recruited from one hospital diabetes outpatient clinic: 24 T2D patients (31-59 years) and 148 T1D patients (32-59 years). Self-reported depression, anxiety and alexithymia were assessed by Hospital Anxiety and Depression scale and Toronto Alexithymia Scale-20. MSC, HbA1c, anthropometrics and data from medical records were collected. Multiple logistic regression analyses were performed. Results: Comparisons of prevalence between diabetes types showed for T2D/T1D: depression 25%/12% (P = 0.10); high MSC (>= 9.3 nmol/L) 38%/22% (P = 0.13); alexithymia 25%/13% (P = 0.12); anxiety 38%/35% (P = 0.82). The prevalence of high MSC did not differ between depressed and non-depressed T2D patients (17% vs. 44%, P = 0.35), but differed between depressed and non-depressed T1D patients (53% vs. 18%, P = 0.003). The alexithymia prevalence differed between depressed and non-depressed T2D patients (67% vs. 11%, P = 0.018), and between depressed and non-depressed T1D patients (47% vs. 11%, P < 0.001). The anxiety prevalence did not differ between depressed and non-depressed T2D patients (67% vs. 28%, P = 0.15), but differed between depressed and non-depressed T1D patients (76% vs. 30%, P < 0.001). The obesity prevalence (BMI >= 30 kg/m(2)) was 83% for depressed T2D patients and 6% for depressed T1D patients. In the T2D patients, depression was associated with alexithymia (Adjusted odds ratio (AOR) 15.0). In the T1D patients, depression was associated with anxiety (AOR 11.0), foot complications (AOR 8.5), HbA1C > 70 mmol/mol (AOR 6.4), and high MSC (>= 9.3 nmol/L) (AOR 4.8). Conclusions: The depressed T2D patients had traits of atypical depression, without associated high MSC (>= 9.3 nmol/L) and anxiety, but the association with alexithymia was strong. The depressed T1D patients had traits of melancholia with associated high MSC and anxiety. The obesity prevalence was high in depressed T2D patients and low in depressed T1D patients.

  • 11.
    Melin, Eva O.
    et al.
    Lund University, Sweden;Kronoberg County Council, Sweden.
    Thunander, Maria
    Lund University, Sweden;Kronoberg County Council, Sweden.
    Landin-Olsson, Mona
    Lund University, Sweden;Lund University Hospital, Sweden.
    Hillman, Magnus
    Lund University, Sweden.
    Thulesius, Hans
    Kronoberg County Council, Sweden;Lund University, Sweden.
    Depression, smoking, physical inactivity and season independently associated with midnight salivary cortisol in type 1 diabetes2014Inngår i: BMC Endocrine Disorders, ISSN 1472-6823, E-ISSN 1472-6823, Vol. 14, s. 1-10, artikkel-id 75Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Disturbances of the circadian rhythm of cortisol secretion are associated with depression, coronary calcification, and higher all-cause and cardiovascular mortality. The primary aim of this study was to test the associations between midnight salivary cortisol (MSC), depression and HbA1c, and control for behavioural, environmental and intra individual factors with possible impact on cortisol secretion, like smoking, physical inactivity, season, medication, diabetes duration, severe hypoglycemia episodes, age and gender in patients with type 1 diabetes. Secondary aims were to present MSC levels for a reference group of non-depressed type 1 diabetes patients with a healthy life style (physically active and non-smoking), and to explore seasonal variations. Methods: A cross-sectional population based study of 196 patients (54% men and 46% women) aged 18-59 years that participated in a randomized controlled trial targeting depression in type 1 diabetes. Depression was assessed by the Hospital Anxiety and Depression Scale-depression subscale. MSC, HbA1c, serum-lipids, blood pressure, waist circumference and data from medical records and the Swedish National Diabetes Registry were collected. Results: Thirty four patients (17%) had MSC >= 9.3 nmol/L, which was associated with smoking (AOR 5.5), spring season (AOR 4.3), physical inactivity (AOR 3.9), self-reported depression (AOR 3.1), and older age (per year) (AOR 1.08). HbA1c > 70 mmol/mol (>8.6%) (AOR 4.2) and MSC >= 9.3 nmol/L (AOR 4.4) were independently linked to self-reported depression. Season was strongly associated with MSC levels and no other variables studied showed seasonal variations. In a reference group of 137 non-depressed patients with a healthy life style (physically active, non-smoking) the median MSC level was 4.6 nmol/L (range 1.9-23.0). Conclusions: In this study of patients with type 1 diabetes high MSC was linked to smoking, physical inactivity, depression, season and older age. Thus a high cortisol value identified three major targets for treatment in type 1 diabetes.

  • 12.
    Melin, Eva O.
    et al.
    Kronoberg County Council, Sweden;Lund University, Sweden.
    Thunander, Maria
    Lund University, Sweden;Kronoberg County Council, Sweden;Växjö Central Hospital, Sweden.
    Svensson, Ralph
    Kronoberg County Council, Sweden.
    Landin-Olsson, Mona
    Lund University, Sweden.
    Thulesius, Hans
    Kronoberg County Council, Sweden;Lund University, Sweden.
    Depression, obesity, and smoking were independently associated with inadequate glycemic control in patients with type 1 diabetes2013Inngår i: European Journal of Endocrinology, ISSN 0804-4643, E-ISSN 1479-683X, Vol. 168, nr 6, s. 861-869Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The aim of this study was to explore the associations between inadequate glycemic control of diabetes and psychological, anthropometric, and lifestyle variables in a population-based cohort of type 1 diabetes patients. Design: Cross-sectional study. Methods: In this study, 292 patients with type 1 diabetes, aged 18-59 years, participated. Psychological data were assessed by self-report instruments: Hospital Anxiety and Depression Scale and Toronto Alexithymia Scale-20. Anthropometrics, blood analyses, data from medical records, and data from the Swedish National Diabetes Registry were collected. Results: Self-reported depression (adjusted odds ratio (AOR) 4.8), obesity (AOR 4.3), and smoking (AOR 3.0) were independently associated with inadequate glycemic control of diabetes (HbA1c>8.6%). Gender-stratified analyses showed that self-reported depression (AOR 19.8) and obesity (AOR 7.0) in women and smoking in men (AOR 4.2) were associated with HbA1c>8.6%. Alexithymia, antidepressant medication, and physical inactivity were associated with HbA1c>8.6% only in bivariate analyses. Alexithymia, self-rated anxiety, physical inactivity, and absence of abdominal obesity were associated with self-reported depression. Conclusions: Depression was the only psychological factor independently associated with HbA1c>8.6%. The association was of comparable importance as obesity and smoking, well-known risk factors for inadequate glycemic control and diabetes complications. The association between depression and HbA1c>8.6% was particularly strong for women. Alexithymia, which is a relatively stable personality trait, was associated with depression. In the future care of patients with diabetes, psychological aspects should be considered alongside anthropometrics and lifestyle factors in order to achieve the goals for HbA1c.

  • 13.
    Mufunda, Esther
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Albin, Björn
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Hjelm, Katarina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Differences in health and illness beliefs in Zimbabwean men and women with diabetes (Open Access)2012Inngår i: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 6, s. 117-125Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This study explored beliefs about health and illness that might affect self-care and health-seeking behaviours in Zimbabwean men and women with diabetes. Gender differences were indicated in a previous study but their extent has not been studied. The present study used a qualitative descriptive design with semi-structured interviews to gain a deeper understanding of the phenomena. The sample consisted of 21 participants, 11 females aged 19-61 years (Median 44 years) and 10 males aged 22-65 years (Median 52 years). Qualitative content analysis was used. Health was described as freedom from diseases and enjoying well-being. Both males and females displayed limited knowledge about diabetes and dissimilarities in health-seeking behaviours. Women, in contrast to men, were more active in self-care and used various measures besides drugs as they related to a higher extent the cause of diabetes to supernatural factors like gods and witches. They sought information from self-help groups and help from outside the professional health sector like healers in the folk sector. Prolonged economic disruption also had negative effects towards maintenance of healthy life-styles as both men and women struggled to get money for food and drugs. Thus, the study highlighted that knowledge about diabetes and its management are important for self-care. There is therefore need to develop acceptable and affordable gender- sensitive diabetes care programmes that enhance patient participation, empowerment and promotion of health

  • 14.
    Mufunda, Esther
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Wikby, Kerstin
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Albin, Björn
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Hjelm, Katarina
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Level and determinants of diabetesknowledge in patients with diabetes in Zimbabwe: a cross-sectional study (Open Access)2012Inngår i: Pan-african medical journal, ISSN 0031-0565, Vol. 13, s. Article ID: 78-Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A previous study of beliefs about health and illness in Zimbabweans with diabetes mellitus indicated limited knowledge about DM affecting self-management and care seeking behaviour. The aim of this study was to assess the level of diabetes knowledge in Zimbabwean adults with DM, to determine the main gaps in knowledge and identify the socio-demographic and DM-related determinants predict DM awareness and self-management.

    Methods: A cross-sectional descriptive study was performed using a standardized self-report Diabetes Knowledge Test questionnaire (DKT) of 58 respondents. Results were analysed with  statistical methods.The majority of the respondents scored average knowledge on the sub-scales: general knowledge, insulin use and total knowledge, with an overall score of 63.1± 14, 2%. Major knowledge gaps were found concerning diet, insulin use and glycaemic control. No significant differences in mean scores were detected in the DM knowledge sub-scales when comparingb mean knowledge scores in relation to socio-demographic and DM characteristics. However, DM -related complications were significantly associated with lower total and general DM knowledge, and female gender was an independent determinant of low general knowledge. In conclusion, knowledge gaps were evident regarding insulin use, diet and glycaemic control. Low DM knowledge was associated with being a female and could be a risk factor for development of DM-related complications. Knowledge gaps need to be addressed in diabetes education to prevent development of complications.

  • 15.
    Olofsson, Malin
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för hälso- och vårdvetenskap, HV.
    Patienters upplevelser av sjuksköterskans betydelse vid nydiagnostiserad diabetes: En kvalitativ intervjustudie2015Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
  • 16.
    Oscarsson, Sara
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för kemi och biomedicin (KOB).
    Bör ingefära användas som komplement till läkemedelsbehandling vid diabetes typ 2?2017Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpOppgave
    Abstract [en]

    Ginger belongs to the family of Zingiberaceae and has been utilized by mankind since ancient times to cure the common cold, headaches, nausea and stomach ache. Scientific studies have shown that ginger possess anti-microbial, anti-inflammatory, antipyretic, antioxidative, hypoglycemic, hepatoprotective and diuretic characteristics. Newly conducted studies have indicated that ginger also has antidiabetic effects. Ginger contains several substances and two of these are the enolic compounds gingerol and shogaol which may contribute to gingers antidiabetic effect. Diabetes type 2 is a condition where the pancreas can´t produce a sufficient amount of insulin, mainly due to insulin resistance. Increased blood glucose levels can eventually damage both large and small blood vessels which increases the risk of developing atherosclerosis. When the small blood vessels are damaged it can affect the blood supply to the eyes, kidneys and various parts of the nervous system. This could lead to reduced vision, kidney failure and decreased blood circulation. Firsthand treatment for type 2 diabetes is lifestyle changes which include dietary changes, increased exercise/activity and weight loss. When this isn’t enough oral medication, that stimulate the pancreas insulin production and increases the tissues sensitivity to insulin, is given.

    The purpose of this report is to answer the question: Can ginger be used as a complement to pharmaceutical treatment of diabetes type 2? This is a literature study where Pubmed and Google Scholar were used to search for scientific studies about gingers effect on patients with diabetes type 2.

    The result showed that ginger has a hypoglycemic effect in patients with type 2 diabetes. This effect seems to be dependent on dosage. Ginger seems to affect insulin resistance and insulin sensitivity in a positive way. The result also shows that ginger affect blood lipids, this result varied in the different studies, but conclusively it showed that it could decrease triglycerides and low density lipoprotein. It can occur a mild chronic inflammation in patients with type 2 diabetes. Ginger is known to be anti-inflammatory which can be considered an antidiabetic effect. The result in this study shows that some inflammatory markers decrease in patients with diabetes type 2.

    Despite different results all the studies in this report show that ginger has several antidiabetic effects. Ginger seems to have a positive effect on blood glucose levels, insulin resistance, blood lipids and inflammation. So to answer the question: Can ginger be used as a complement to pharmaceutical treatment of diabetes type 2? Yes, ginger seems to contribute to a antidiabetic effect and would be an good addition to the regular treatment of a patient with diabetes type 2.

  • 17.
    Pagels, Peter
    et al.
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för pedagogik, psykologi och idrottsvetenskap, PPI.
    Raustorp, Anders
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för pedagogik, psykologi och idrottsvetenskap, PPI.
    Archer, Trevor
    Inst för Psykologi, Göteborgs Universitet.
    Lidman, Ulf
    Linnéuniversitetet, Fakultetsnämnden för naturvetenskap och teknik, Institutionen för naturvetenskap, NV.
    Alricsson, Marie
    Linnéuniversitetet, Fakultetsnämnden för hälsa, socialt arbete och beteendevetenskap, Institutionen för pedagogik, psykologi och idrottsvetenskap, PPI.
    Influence of moderate, daily,physical activity upon body composition and blood lipid profile in swedish adults2012Inngår i: Journal of Physical Activity and Health, ISSN 1543-3080, E-ISSN 1543-5474, Vol. 9, s. 867-874Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: Health organizations suggest that adults ought to engage in at least 30 minutes of moderate-intensity daily physical activity. This study investigated the effects of a 30-minute single daily bout of brisk walking upon risk factors for CHD with blood lipid profile in particular. Methods: Thirty-three (25-45 y) adults, were randomly assigned into an exercise group (EG) (n=16, (9w) and a control group (CG) (n=17 (6w). The EG walked briskly 30 minutes daily during the 3 weeks test period. Compliance/adherence was maximal throughout the 3-week intervention due to stringent daily monitoring. Results: The EG showed a significant decrease in concentrations of low density lipoprotein cholesterol (LDL-C) and total cholesterol (TC) during the intervention period. A significant inverse correlation between Δ energy expenditure/day and Δ LDL-C (r = -0.39, P<0.05) and an improvement in weight and BMI in the EG was found. Average steps during 30 minutes brisk walking bout was 3669 steps/bout generating a mean energy expenditure of 191 kcal/bout. Conclusions: The most unique findings were that daily single bouts of moderate-intensity physical activity for 30 minutes, during 3 weeks, induced favourable effects upon body weight, BMI and blood concentration of LDL-C and TC in healthy adults.

  • 18.
    Persson, Sylvi
    et al.
    Växjö universitet, Fakulteten för humaniora och samhällsvetenskap, Institutionen för vårdvetenskap och socialt arbete.
    Larsson, Hans
    Avdelningen för Medicin/Endokrinologi, Sjukhuset i Varberg.
    Studies on effects of insulin therapy on body weight and blood pressure in obese type 2 diabetics.2006Inngår i: 10th International Congress on Obesity 2006, Sydney, Australia / [ed] Professor Arne Astrup, MD, PhD, Oxford, UK: Blackwell Publishing Ltd, Oxford, UK , 2006Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Studies on effects of insulin therapy on body weight and blood pressure in obese

    type 2 diabetics

    Sylvi Persson1, PhD, BSc, Hans Larsson2, MD, PhD,

    1Department of Health Sciences and Social Work, University of Vaxjo, Sweden

    2Department of Medicine / Endocrinology, Hospital of Varberg, Sweden

    Background: Body weight tends to rise on institution of insulin therapy in type 2 diabetics. One possible reason is stimulated feelings of hunger but there may also be other reasons for this phenomenon.

    Method: Blood pressure and body weight were studied in seventeen obese type 2 diabetics before start of insulin therapy and after two, four and six months on insulin. Blood glucose and lipids, HbA1C, S-bilirubin, S-electrolytes, S-enzymes were followed. Oral agents had proved to be insufficient.

    Results: There was a significant rise of body weight (p<0,01) which seemed to level off after two months on insulin. Between four and six months on insulin there was only slight further weight gain. More surprisingly, a uniform increase of both diastolic and systolic blood pressure was seen after two months on insulin treatment (p<0,05). After four months blood pressure was back to pre-insulin values.

    Conclusion: One explanation for the temporary increase of blood pressure could be effects of insulin on renal absorption of sodium as in insulin oedemas (Gupta et al 1992, Singh et al 1999). If so, insulin treatment may also to some extent increase body weight by enhancing retention of sodium and water. Further studies are needed for confirmation of our finding/results.

  • 19.
    Struckmann, Verena
    et al.
    Berlin Univ Technol, Germany.
    Barbabella, Francesco
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV). Natl Inst Hlth & Sci Ageing INRCA, Italy.
    Dimova, Antoniya
    Varna Med Univ, Bulgaria.
    van Ginneken, Ewout
    Berlin Univ Technol, Germany.
    Integrated Diabetes Care Delivered by Patients - A Case Study from Bulgaria2017Inngår i: International Journal of Integrated Care, ISSN 1568-4156, E-ISSN 1568-4156, Vol. 17, artikkel-id UNSP 6Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Introduction: Increasing numbers of persons are living with multiple chronic diseases and unmet medical needs in Bulgaria. The Bulgarian 'Diabetic care' non-profit (DCNPO) programme aims to provide comprehensive integrated care focusing on people with diabetes and their co-morbidities. Methods: The DCNPO programme was selected as one of eight 'high potential' programmes in the Innovating Care for People with Multiple Chronic Conditions (ICARE4EU) project, covering 31 European countries. Data was first gathered with a questionnaire after which semi-structured interviews with project staff and participants were conducted during a site visit. Results: The programme trains diabetic patients to act as carers, case managers, self-management trainers and health system navigators for diabetic patients and their family. The programme improved care coordination and patient-centered care by offering free care delivered by a multidisciplinary team. It facilitates the collaboration between patients, volunteers, health providers and the community. Internal evaluations demonstrate reduced hospital admissions and avoidable amputations, with consequent cost savings for the health care system. Conclusion: Integrated care provided by volunteering patients can empower people suffering from diabetes and their co-morbidities and address health and social inequalities in resource-poor settings. It can also contribute to an increased trust and improved satisfaction among vulnerable patients with complex care needs.

  • 20.
    Vågenäs, Olivia
    et al.
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Trepca, Ibadete
    Linnéuniversitetet, Fakulteten för Hälso- och livsvetenskap (FHL), Institutionen för hälso- och vårdvetenskap (HV).
    Unga vuxnas upplevelser av att leva med diabetes typ 1.: En litteraturstudie.2014Independent thesis Basic level (degree of Bachelor), 180 hpOppgave
    Abstract [sv]

    Bakgrund: Diabetes typ 1 är en av de vanligaste folksjukdomarna i Sverige och drabbar många unga vuxna. Diabetes typ 1 innebär att kroppen har brist på insulin och behandlingen av sjukdomen är alltid insulin. För den drabbade krävs ansvar för att kunna hantera sjukdomen så optimalt som möjligt. Unga vuxna upplever ofta att egenvården vid diabetes typ 1 ger begränsningar i det vardagligalivet. Därför är det viktigt att som vårdpersonal ge stöd till dessa unga vuxna.                                                                                                               

    Syfte: Belysa unga vuxnas upplevelser av att leva med diabetes typ 1.                                                                                                         

    Metod: En litteraturstudie av tio kvalitativa artiklar som analyserats i enlighet med en kvalitativ innehållsanalys.                                                                                              

    Resultat: I studiens resultat framkommer det tydligt att unga vuxna som lever med diabetes typ 1 upplever diabetessjukdomen som en begränsning i livet. Diabetes typ 1 kan även leda till känslor av oro och osäkerhet. Resultatet belyser även att stödet från vården är betydelsefullt för unga vuxna med diabetes typ 1. Unga vuxna önskar mer emotionellt och individuellt stöd, både från vården och utanför vården. Personer med diabetes typ 1 kan genom kunskap, ansvar och stöd från andra hantera sjukdomen så optimalt som möjligt.                                                                                                                 

    Slutsatser: Resultatet i studien visar på att diabetes typ 1 ger begränsningar i livet för den unga vuxna.  Det framkom också att vården har en central roll i att stödja den unga vuxna individen som lever med diabetes typ 1. Genom kunskap, eget ansvar och professionellt stöd kan den unga vuxna individen hantera diabetessjukdomen på bästa sätt. Även från andra som lever med sjukdomen kan betydelsefullt stöd fås.

1 - 20 of 20
RefereraExporteraLink til resultatlisten
Permanent link
Referera
Referensformat
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf