Skip header and navigation

Refine By

2784 records – page 1 of 279.

A 1-year follow up of psychological wellbeing after subtotal and total hysterectomy--a randomised study.

https://arctichealth.org/en/permalink/ahliterature98373
Source
BJOG. 2010 Mar;117(4):479-87
Publication Type
Article
Date
Mar-2010
Author
Persson, P
Brynhildsen, J
Kjølhede, P
Author Affiliation
Department of Obstetrics and Gynaecology, University Hospital, Uppsala, Sweden. par.persson@akademiska.se
Source
BJOG. 2010 Mar;117(4):479-87
Date
Mar-2010
Language
English
Publication Type
Article
Keywords
Adult
Anxiety Disorders - etiology
Depressive Disorder - etiology
Female
Follow-Up Studies
Health status
Humans
Hysterectomy - adverse effects - methods - psychology
Mental health
Middle Aged
Patient satisfaction
Postoperative Complications - psychology
Prospective Studies
Psychometrics
Quality of Life
Abstract
OBJECTIVE: To compare subtotal abdominal hysterectomy (SH) and total abdominal hysterectomy (TH) regarding influence on postoperative psychological wellbeing and surgical outcome measurements. DESIGN: A prospective, open, randomised multicentre trial. SETTING: Seven hospitals and one private clinic in the south-east of Sweden. POPULATION: Two-hundred women scheduled for abdominal hysterectomy for benign conditions were enrolled in the study; 179 women completed the study (94 SH and 85 TH). METHODS: Four different psychometric tests were used to measure general wellbeing, depression and anxiety preoperatively, and at 6 and 12 months postoperatively. Statistical analysis of variance and covariance were used. MAIN OUTCOME MEASURES: Effects of operating method on psychological wellbeing postoperatively. Analysis of demographic, clinical and surgical data, including peri- and postoperative complications and complaints at follow up. RESULTS: No significant differences were observed between the two groups in any of the psychometric tests. Both surgical methods were associated with a significantly higher degree of psychological wellbeing at 6 and 12 months postoperatively, compared with preoperatively. No significant differences were found in the clinical measures including complications. A substantial number of women experienced persistent cyclic vaginal bleedings after SH. Neither minor or major postoperative complications, nor serum concentration of sex hormones, were associated with general psychological wellbeing 12 months after the operation. CONCLUSIONS: General psychological wellbeing is equally improved after both SH and TH within 12 months of the operation, and does not seem to be associated with the occurrence of peroperative complications or serum concentration of sex hormones.
PubMed ID
20074265 View in PubMed
Less detail

[7 out of 10 satisfied with hospital food--is better, but not good enough].

https://arctichealth.org/en/permalink/ahliterature143873
Source
Lakartidningen. 2010 Mar 31-Apr 13;107(13-14):926; discussion 926-7
Publication Type
Article
Author
Maria Wallhager
Catharina Elmsäter-Svärd
Source
Lakartidningen. 2010 Mar 31-Apr 13;107(13-14):926; discussion 926-7
Language
Swedish
Publication Type
Article
Keywords
Food - standards
Food Handling - standards
Food Service, Hospital - standards
Humans
Patient satisfaction
Sweden
PubMed ID
20432872 View in PubMed
Less detail

A 10-year follow-up study of fixed metal ceramic prosthodontics.

https://arctichealth.org/en/permalink/ahliterature75777
Source
J Oral Rehabil. 1997 Oct;24(10):713-7
Publication Type
Article
Date
Oct-1997
Author
R. Näpänkangas
M A Salonen
A M Raustia
Author Affiliation
Department of Prosthetic Dentistry and Stomatognathic Physiology, University of Oulu, Finland.
Source
J Oral Rehabil. 1997 Oct;24(10):713-7
Date
Oct-1997
Language
English
Publication Type
Article
Keywords
Adult
Aged
Cementation
Ceramics
Crowns
Dental Abutments
Dental Porcelain
Dental Prosthesis Design
Denture Design
Denture, Partial, Fixed
Esthetics, Dental
Evaluation Studies
Female
Follow-Up Studies
Gingival Hemorrhage - etiology
Gingival Pocket - etiology
Humans
Male
Metal Ceramic Alloys
Middle Aged
Oral Hygiene
Patient satisfaction
Post and Core Technique
Radiography, Dental
Retrospective Studies
Students, Dental
Surface Properties
Zinc Phosphate Cement
Abstract
The aim of this retrospective study was to record patients' satisfaction with fixed metal ceramic bridges and crowns made by dental students and to evaluate the functioning and condition of the bridges and crowns clinically and radiologically. Out of the 60 patients treated at the Institute of Dentistry during 1984-85, 30 patients attended the follow-up examination (16 women, mean age 39, range 23-62 years and 14 men, mean age 44, range 26-65 years). The anamnestic data and data regarding treatment procedures were collected from the patient files. The patients had been supplied with 41 crowns and 24 bridges (mean 3.9 units, range 3-6 units), which included 61 abutments and 33 pontics or cantilever extensions (abutment/pontic ratio 1.85: 1). Marginal fidelity was unsatisfactory in 13% of the crowns and bridges and gingival bleeding and pockets of 4-6 mm were noted in 27% and 12% of cases, respectively. None of the subjects had caries in the abutments.
PubMed ID
9372460 View in PubMed
Less detail

A 10-year population-based study of people with multiple sclerosis in Stockholm, Sweden: use of and satisfaction with care and the value of different factors in predicting use of care.

https://arctichealth.org/en/permalink/ahliterature275585
Source
BMC Health Serv Res. 2015;15:480
Publication Type
Article
Date
2015
Author
Charlotte Chruzander
Sverker Johansson
Kristina Gottberg
Ulrika Einarsson
Jan Hillert
Lotta Widén Holmqvist
Charlotte Ytterberg
Source
BMC Health Serv Res. 2015;15:480
Date
2015
Language
English
Publication Type
Article
Keywords
Ambulatory Care - utilization
Disabled Persons - psychology - statistics & numerical data
Epidemiologic Methods
Female
Hospitalization - statistics & numerical data
Humans
Male
Middle Aged
Multiple Sclerosis - epidemiology - psychology - therapy
Patient Acceptance of Health Care - psychology
Patient Satisfaction - statistics & numerical data
Primary Health Care - utilization
Sweden - epidemiology
Abstract
The national strategy for treatment of chronic diseases - including MS - and changes in the Swedish welfare system, call for analyses of the use of, and patient satisfaction with, care in a long-term perspective. The aim was therefore to explore the use of care and the predictive value of personal factors, disease-specific factors and functioning on the use of care and to explore patient satisfaction with care in a 10-year perspective.
Information regarding personal factors, disease-specific factors, functioning and satisfaction with care was collected by home-visits; use of care was collected from the Stockholm County Council computerised register.
Data from 121 people with MS (PwMS) was collected. Primary care accounted for the majority of all care. Neurology and Rehabilitation Departments together accounted for two-thirds of all hospital outpatient care. Rehabilitation Departments accounted for one-third of the total number of inpatient days. Lower coping capacity, impaired manual dexterity and activity of daily living dependency at baseline, together with progress in MS disability predicted a higher use of care. Overall, patient satisfaction with care was stable over time.
The extensive use of care offers challenges to care coordination. Implementation of person-centred care could be a strategy to increase efficacy/outcome of care.
Notes
Cites: J Neurol Sci. 2014 Apr 15;339(1-2):57-6324492009
Cites: Arch Phys Med Rehabil. 2000 Aug;81(8):1034-810943751
Cites: Scand J Rehabil Med. 2000 Dec;32(4):173-911201624
Cites: Med Care. 1978 Apr;16(4):327-36651398
Cites: Neurology. 1983 Nov;33(11):1444-526685237
Cites: Int Rehabil Med. 1985;7(4):176-814093249
Cites: J Neurol Neurosurg Psychiatry. 1987 Jun;50(6):714-93612152
Cites: Scand J Rehabil Med. 1991;23(4):193-2021785028
Cites: Soc Sci Med. 1993 Mar;36(6):725-338480217
Cites: Scand J Caring Sci. 1993;7(1):3-108502852
Cites: Neurology. 1996 Apr;46(4):907-118780061
Cites: J Pers Assess. 1996 Dec;67(3):588-978991972
Cites: Neurology. 1998 Jun;50(6):1594-6009633699
Cites: Md State Med J. 1965 Feb;14:61-514258950
Cites: Mult Scler. 2005 Jun;11(3):328-3715957516
Cites: Cochrane Database Syst Rev. 2006;(1):CD00443116437487
Cites: Mult Scler. 2006 Jun;12(3):340-5316764349
Cites: J Rehabil Med. 2006 Jul;38(4):230-616801205
Cites: Eur J Health Econ. 2006 Sep;7 Suppl 2:S75-8517310342
Cites: J Adv Nurs. 2007 Apr;58(1):11-2217394612
Cites: BMC Neurol. 2008;8:3618823543
Cites: Pharmacoeconomics. 2008;26(10):847-6018793032
Cites: Can J Neurol Sci. 2007 May;34(2):167-7417598593
Cites: J Neurol. 2008 Sep;255(9):1354-6018677639
Cites: Mult Scler. 2009 Jan;15(1):88-9518701570
Cites: Brain. 2009 May;132(Pt 5):1175-8919339255
Cites: J Manag Care Pharm. 2010 Nov-Dec;16(9):703-1221067256
Cites: J Neurol Sci. 2013 Sep 15;332(1-2):121-723896259
Cites: BMC Health Serv Res. 2013;13:36524074396
Cites: J Neurol Sci. 2013 Dec 15;335(1-2):42-724183855
Cites: J Med Philos. 2008 Jun;33(3):241-6118567905
Cites: Mult Scler. 2008 Aug;14(7):962-7118573818
PubMed ID
26499940 View in PubMed
Less detail

20 years follow-up after the first microsurgical lumbar discectomies in Iceland.

https://arctichealth.org/en/permalink/ahliterature165998
Source
Acta Neurochir (Wien). 2007 Jan;149(1):51-8; discussion 57-8
Publication Type
Article
Date
Jan-2007
Author
M. Jensdottir
K. Gudmundsson
B. Hannesson
G. Gudmundsson
Author Affiliation
Department of Neurosurgery, Landspítali University Hospital, Reykjavík, Iceland. margretjens@gmail.com
Source
Acta Neurochir (Wien). 2007 Jan;149(1):51-8; discussion 57-8
Date
Jan-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Diskectomy
Employment
Female
Follow-Up Studies
Humans
Iceland
Intervertebral Disc Displacement - surgery
Lumbar Vertebrae
Male
Microsurgery
Middle Aged
Patient satisfaction
Recurrence
Retrospective Studies
Treatment Outcome
Abstract
Microsurgical discectomies are an established procedure in spinal surgery. This operating technique was first used in the Department of Neurosurgery in Iceland in 1981 and has become standard operative treatment for herniated lumbar discs. There is a great variability in outcome reports regarding recurrence rate and re-operation rate. Few articles are based on follow-up of more than 10 years. This article presents the results of a 20 years follow-up study.
A retrospective study of all patients undergoing microsurgical discectomy for herniated lumbar disc, from June 1, 1981 to December 31, 1984. Outcome, based on recurrence rate, return to work and patient satisfaction was determined by a self-evaluation questionnaire, phone interviews and patient medical records.
Of the 170 patients, 134 (78.8%) were included in the study (M:F, 58:42%). Preoperative symptoms: back pain with sciatica 108 (80.6%), sciatica 20 (14.9%), back pain 2 (1.5%). Mean follow-up time was 20.7 years (19.5-22.8). Recurrence rate was 12.7%. 19 patients (14.2%) underwent a subsequent lumbar operation at a different level or side. A majority of patients 108 (80.6%) returned to previous level of work, 26 (19.4%) lost some or all working capabilities. Patient satisfaction was high, 91.1% reporting excellent (68.7%) or good (22.4%) results. 5.2% of patients rated the outcome fair and 3.7% poor. Women reported worse outcome than men, excellent M:F 74.7:60.7%, and poor 7.1:1.3%. There was no significant difference in patient satisfaction in patients undergoing additional operations or those with recurrence of the herniated disc.
Outcome was very good with 92.0% return to work and 91.1% patient satisfaction. The recurrence rate was 12.7% with a substantial number of cases occurring 10-20 years after operation. To conclude, microsurgical discectomies maintain a high success rate in the long-term.
PubMed ID
17180308 View in PubMed
Less detail

The 2015 National Cancer Program in Sweden: Introducing standardized care pathways in a decentralized system.

https://arctichealth.org/en/permalink/ahliterature284148
Source
Health Policy. 2016 Dec;120(12):1378-1382
Publication Type
Article
Date
Dec-2016
Author
Jens Wilkens
Hans Thulesius
Ingrid Schmidt
Christina Carlsson
Source
Health Policy. 2016 Dec;120(12):1378-1382
Date
Dec-2016
Language
English
Publication Type
Article
Keywords
Antineoplastic Protocols - standards
Continuity of Patient Care
Health Care Reform - methods
Health Policy
Humans
National Health Programs
Patient satisfaction
Politics
Sweden
Waiting Lists
Abstract
Starting in 2015, the Swedish government has initiated a national reform to standardize cancer patient pathways and thereby eventually speed up treatment of cancer. Cancer care in Sweden is characterized by high survival rates and a generally high quality albeit long waiting times. The objective with the new national program to standardize cancer care pathways is to reduce these waiting times, increase patient satisfaction with cancer care and reduce regional inequalities. A new time-point for measuring the start of a care process is introduced called well-founded suspicion, which is individually designed for each cancer diagnosis. While medical guidelines are well established earlier, the standardisation is achieved by defining time boundaries for each step in the process. The cancer reform program is a collaborative effort initiated and incentivized by the central government while multi-professional groups develop the time-bound standardized care pathways, which the regional authorities are responsible for implementing. The broad stakeholder engagement and time-bound guidelines are interesting approaches to study for other countries that need to streamline care processes.
PubMed ID
27823827 View in PubMed
Less detail

Aboriginal users of Canadian quitlines: an exploratory analysis.

https://arctichealth.org/en/permalink/ahliterature160066
Source
Tob Control. 2007 Dec;16 Suppl 1:i60-4
Publication Type
Article
Date
Dec-2007
Author
Lynda M Hayward
H Sharon Campbell
Carol Sutherland-Brown
Author Affiliation
Centre for Behavioural Research and Program Evaluation, Lyle S Hallman Institute, Room 1717A, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada, N2L 3G1. lhayward@healthy.uwaterloo.ca
Source
Tob Control. 2007 Dec;16 Suppl 1:i60-4
Date
Dec-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Canada - epidemiology
Counseling - methods
Female
Follow-Up Studies
Hotlines - utilization
Humans
Indians, North American - psychology - statistics & numerical data
Male
Middle Aged
Patient Acceptance of Health Care - ethnology
Patient satisfaction
Smoking - ethnology - prevention & control
Smoking Cessation - ethnology - methods - statistics & numerical data
Abstract
To conduct an exploratory, comparative study of the utilisation and effectiveness of tobacco cessation quitlines among aboriginal and non-aboriginal Canadian smokers.
Population based quitlines that provide free cessation information, advice and counselling to Canadian smokers.
First time quitline callers, age 18 years of age and over, who called the quitline between August 2001 and December 2005 and who completed the evaluation and provided data on their ethnic status (n = 7082).
Demographic characteristics and tobacco behaviours of participants at intake and follow-up; reasons for calling; actions taken toward quitting, and 6-month follow-up quit rates.
7% of evaluation participants in the time period reported aboriginal origins. Aboriginal participants were younger than non-aboriginals but had similar smoking status and level of addiction at intake. Concern about future health and current health problems were the most common reasons aboriginal participants called. Six months after intake aboriginals and non-aboriginals had taken similar actions with 57% making a 24-hour quit attempt. Quit rates were higher for aboriginals than non-aboriginals, particularly for men. The 6-month prolonged abstinence rate for aboriginal men was 16.7% compared with 7.2% for aboriginal women and 9.4% and 8.3% for non-aboriginal men and women, respectively.
This exploratory analysis showed that even without targeted promotion, aboriginal smokers do call Canadian quitlines, primarily for health related reasons. We also showed that the quitlines are effective at helping them to quit. As a population focused intervention, quitlines can reach a large proportion of smokers in a cost efficient manner. In aboriginal communities where smoking rates exceed 50% and multiple health risks and chronic diseases already exist, eliminating non-ceremonial tobacco use must be a priority. Our results, although exploratory, suggest quitlines can be an effective addition to aboriginal tobacco cessation strategies.
Notes
Cites: N Engl J Med. 2002 Oct 3;347(14):1087-9312362011
Cites: Nicotine Tob Res. 2003 Feb;5(1):13-2512745503
Cites: Br J Addict. 1991 Sep;86(9):1119-271932883
Cites: Tob Control. 2007 Dec;16 Suppl 1:i3-818048627
Cites: Am J Public Health. 1999 Sep;89(9):1322-710474547
Cites: MMWR Morb Mortal Wkly Rep. 2005 Nov 11;54(44):1121-416280969
Cites: Tob Control. 2007 Dec;16 Suppl 1:i16-2018048624
Cites: Health Rep. 1992;4(1):7-241391655
PubMed ID
18048634 View in PubMed
Less detail

[A breast clinic staffed by nurses. Psychosocial support to patients with breast cancer]

https://arctichealth.org/en/permalink/ahliterature23653
Source
Lakartidningen. 1994 May 18;91(20):2028-30
Publication Type
Article
Date
May-18-1994
Author
L. Bergkvist
M. Träff
E. Strand
E. Norlin-Mellgren
Author Affiliation
Samtliga vid kirurgiska kliniken, Centrallasarettet, Västerås.
Source
Lakartidningen. 1994 May 18;91(20):2028-30
Date
May-18-1994
Language
Swedish
Publication Type
Article
Keywords
Breast Neoplasms - diagnosis - psychology - therapy
Female
Hospital Departments - manpower
Humans
Length of Stay
Nurses
Patient satisfaction
Questionnaires
Social Support
Sweden
Notes
Comment In: Lakartidningen. 1994 Jul 27;91(30-31):27588057726
PubMed ID
8189957 View in PubMed
Less detail

[Accelerated versus conventional hospital stay in total hip and knee arthroplasty III: patient satisfaction]

https://arctichealth.org/en/permalink/ahliterature81877
Source
Ugeskr Laeger. 2006 May 29;168(22):2148-51
Publication Type
Article
Date
May-29-2006
Author
Husted Henrik
Hansen Hans Christian
Holm Gitte
Bach-Dal Charlotte
Rud Kirsten
Andersen Kristoffer Lande
Kehlet Henrik
Author Affiliation
H:S Hvidovre Hospital, Ortopaedkirurgisk Afdeling, Hvidovre. henrikhusted@dadlnet.dk
Source
Ugeskr Laeger. 2006 May 29;168(22):2148-51
Date
May-29-2006
Language
Danish
Publication Type
Article
Keywords
Age Factors
Arthroplasty, Replacement, Hip - rehabilitation - statistics & numerical data
Arthroplasty, Replacement, Knee - rehabilitation - statistics & numerical data
Comorbidity
Denmark
Early Ambulation
Female
Humans
Length of Stay - statistics & numerical data
Male
Patient Discharge - statistics & numerical data
Patient satisfaction
Questionnaires
Registries
Abstract
INTRODUCTION: The goal of this study was to evaluate patient satisfaction with the hospital stay in relation to the length of stay for patients operated on with primary total hip- and knee-arthroplasty (THA and TKA). MATERIALS AND METHODS: According to the National Register on Patients, the three departments with the shortest and the three departments with the longest postoperative hospital stay at the end of 2003 were chosen for evaluation. The patients, operated on with THA or TKA from September 2004 to April 2005, from the selected departments answered a questionnaire regarding satisfaction with elected parts of their stay, co-morbidity, sex and age. RESULTS: The patients from the departments with the shortest stay were not younger nor had they less co-morbidities than patients from departments with longer stays. Apart from staying a significantly shorter time, they were either as satisfied--or sometimes more satisfied--with all parts of their stay compared to patients from the departments with longer hospital stay. CONCLUSION: Patients in accelerated stays are not less satisfied with their hospital stay (or any part of it) compared to patients with longer and more conventional hospital stays. These results support the implementation of fast-track total hip- and knee arthroplasty.
PubMed ID
16768952 View in PubMed
Less detail

Acceptability and compliance with wearing energy-shunting hip protectors: a 6-month prospective follow-up in a Finnish nursing home.

https://arctichealth.org/en/permalink/ahliterature171901
Source
Age Ageing. 1998 Mar;27(2):225-9
Publication Type
Article
Date
Mar-1998
Author
J. Parkkari
J. Heikkilä
I P Kannus
Author Affiliation
Accident and Trauma Research Centre, UKK Institute for Health Promotion Research, Kaupinpuistonkatu I, FIN-33500 Tampere, Finland.
Source
Age Ageing. 1998 Mar;27(2):225-9
Date
Mar-1998
Language
English
Publication Type
Article
Keywords
Accidental Falls
Aged
Aged, 80 and over
Female
Finland
Follow-Up Studies
Hip Fractures - prevention & control
Humans
Inpatients - psychology
Male
Nursing Homes
Patient compliance
Patient satisfaction
Prospective Studies
Protective Clothing
Abstract
To assess the acceptability and compliance with use of an energy-shunting hip protector in institutionalized elderly people.
A 6 month prospective follow-up in a Finnish nursing home.
19 ambulatory nursing home residents with a high risk of hip fracture.
The proportion of the residents who were willing to use the device, the number of hours of wearing the protector and the attitudes of the study subjects and the caregivers towards the appearance, comfort, fit, efficacy and laundering of the protector.
12 of the 19 ambulatory residents (63%) agreed to use the protector. During the study period, these subjects wore the protector on average for more than 90% of their active days, i.e. the days they were mobile. Two subjects wore the protectors at night time; the rest only during waking hours. Mean wearing time during waking hours exceeded 90%.
External hip joint protectors are a feasible strategy to prevent hip fractures in institutionalized elderly people. The attitude, education and motivation of the staff may be a factor in achieving good user compliance. Further community-based studies on acceptability and compliance in wearing external hip joint protectors are needed for verification of benefits to the general population of older people.
Notes
Comment In: Age Ageing. 1998 Mar;27(2):89-9016296665
PubMed ID
16296684 View in PubMed
Less detail

2784 records – page 1 of 279.